; and (B) satisfactorily implementing any quality initiatives and programs established by the Service or the Centers for Medicare & Medicaid Services. (6) Enforcement or noncompliance actions (A) In general The program shall be conducted independently of any enforcement actions under the Indian Health Care Improvement Act ( 25 U.S.C. 1601 et seq. ) or noncompliance actions taken by the Administrator with respect to noncompliance with conditions of participation applicable under title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq. ), unless, while carrying out the program, the Secretary or the Administrator, as applicable, encounters a triggering event, as determined by the Secretary or the Administrator, as applicable, that would necessitate an enforcement action or noncompliance action. (B) Triggering event encountered If a triggering event is encountered by the Secretary or Administrator under subparagraph (A), the eligible facility shall continue to participate in the program so long as the facility— (i) remains eligible for payments under title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq. ); and (ii) continues to meet all of the conditions and requirements for such payments which are applicable under such title. (7) Implementation The Secretary shall carry out the program in coordination with quality improvement organizations having a contract with the Secretary under part B of title XI of the Social Security Act ( 42 U.S.C. 1320c et seq. ). (8) Sunset The program shall terminate 6 years after the date on which the program is established. (9) Report Not later than 1 year after the date on which the program terminates under paragraph (8), the Comptroller General of the United States shall submit to Congress a report evaluating the effectiveness of the program, which shall include, to the extent practicable— (A) detailed data on changes in the patient experience at eligible facilities that participated in the program