; and (B) the status of MACPAC’s recommendations, including updates on Federal statutes that have been enacted or policies which the Secretary or States have implemented to effect such recommendations. . (b) Membership Section 1900(c) of the Social Security Act ( 42 U.S.C. 1396(c) ) is amended— (1) by amending paragraph (2) to read as follows: (2) Qualifications (A) In general The membership of MACPAC shall include the following: (i) At least three individuals representing health care providers, such as physicians, nurses, or dentists. (ii) At least two individuals representing health plans that enroll Medicaid or CHIP beneficiaries, including one or more individuals representing a Medicaid managed care plan. (iii) At least one individual who is an actuary with expertise in health care. (iv) At least two individuals who are or have been directors of Medicaid for a State, including at least one individual who is such a director at the time of appointment to MACPAC. (v) At least one individual who is or has been a director of CHIP for a State. (vi) At least one individual with expertise in health care finance and health economics. (vii) At least two individuals who are representatives of Medicaid and CHIP beneficiaries, such as children, pregnant women, the elderly, and individuals with disabilities. (viii) At least one individual with expertise in long-term services and supports, such as in the financing or delivery of long-term services and supports or managed long-term care services, including care delivered in nursing homes or home and community-based settings. (B) Inclusion The membership of MACPAC shall include individuals with expertise in— (i) Federal safety net health programs; (ii) developing, negotiating, or implementing a Medicaid waiver based on experience working for a State; (iii) health care payment and financing reforms; (iv) integrated health care delivery systems, coordinated care models, and value-based contracting; (v) public health; (vi) program integrity and fraud prevention