(5) Other areas determined appropriate by the Secretary. (b) Report Not later than 18 months after the date of the enactment of this Act, the Secretary shall submit to Congress a report on the study conducted under subsection (a), together with such recommendations as the Secretary determines to be appropriate. 103. Understanding current utilization of palliative care services (a) Study (1) In general The Comptroller General of the United States (in this section referred to as the Comptroller General ) shall conduct a study on the utilization of palliative care in treating individuals with advanced kidney disease, from stage IV through stage V, including individuals with kidney failure on dialysis through any progression of the disease. Such study shall include an analysis of— (A) how palliative care can be utilized to improve the quality of life of those with kidney disease and facilitate care tailored to their individual goals and values