; and (iii) the Secretary determines that such expansion would not deny or limit the coverage or provision of benefits under the Medicare program for applicable beneficiaries. (2) Waiver of Medicare 190-day lifetime limit The Medicare 190-day lifetime limit shall not apply to applicable beneficiaries receiving inpatient psychiatric services at a participating institution under the pilot program. (3) Participating providers of services and suppliers (A) In general Only institutions participating in the demonstration project may submit an application to the Secretary to provide inpatient psychiatric services under the pilot program. (B) Requirements The Secretary may develop additional requirements for institutions to participate in the pilot program. Such requirements may include the collection and reporting of data related to the reasonable costs of graduate medical education. (4) Quality measures (A) In general The Secretary shall establish quality measures related to care provided by qualifying institutions participating in the pilot program, which measures shall include at least measures of the following: (i) Reducing rates of avoidable hospital readmissions. (ii) Rates of discharge to the community. (iii) Rates of admission to an emergency room after a hospitalization. (iv) Other measures, including measures of patient outcomes, determined appropriate by the Secretary. (B) Reporting on quality measures A qualifying institution shall submit (in a form and manner specified by the Secretary) data to the Secretary on quality measures established under subparagraph (A) during each year in which the institution is participating in the pilot program. (d) Waiver The Secretary shall waive such provisions of titles XI and XVIII of the Social Security Act as may be necessary to carry out the pilot program. (e) Independent evaluation and reports on pilot program (1) Independent evaluation The Secretary shall conduct an independent evaluation of the pilot program, including the extent to which the pilot program has— (A)