Title I, SEC. 1224. SPECIAL RULES FOR ALLIANCE-SPECIFIC SINGLE-PAYER SYSTEMS. (a) In General. In the case of a State operating an alliance-specific single-payer system (1) the State shall meet the requirements for participating States under part 1, except that in establishing the regional alliance through which the system is offered, the requirement of section 1202(a)(1)(A) shall not apply to the extent necessary for the alliance to meet the requirements of section 1242; and (2) the regional alliance in which the system is operated shall meet the requirements of subsection (b). (b) Requirements for Alliance in Which System Operates. A regional alliance in which an alliance-specific single payer system is operated shall meet the requirements applicable to regional alliances under subtitle D, except that the alliance is not required to meet the following requirements of such subtitle: (1) Contracts with health plans. The requirements of section 1321 (relating to contracts with health plans). (2) Choice of health plans offered. The requirements of subsections (a) or (b) of section 1322 (relating to offering a choice of health plans to eligible enrollees). (4) Establishment of process for consumer complaints. The requirements of section 1326(a) (relating to the establishment of a process for the hearing and resolution of consumer complaints against plans offered through the alliance). (5) Addressing needs of areas with inadequate health services. The regional alliance does not have any of the authorities described in subsections (a) and (b) of section 1329 (relating to adjusting payments to plans and encouraging the establishment of new plans).