Page:United States Statutes at Large Volume 124.djvu/480

124 STAT. 454 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(4) Section 1853(o), relating to grandfathering supple- mental benefits for current enrollees after implementation of competitive bidding. ‘‘(5) Section 1853(p), relating to transitional extra benefits.’’. (2) SPECIAL RULE FOR MA PAYMENT AREA FOR PACE PRO- GRAMS.—Section 1853(d) of the Social Security Act (42 U.S.C. 1395w–23(d)), as amended by subsection (e), is amended by adding at the end the following new paragraph: ‘‘(6) SPECIAL RULE FOR MA PAYMENT AREA FOR PACE PRO- GRAMS.—For years beginning with 2012, in the case of a PACE program under section 1894, the MA payment area shall be the MA local area (as defined in paragraph (2)).’’. SEC. 3202. BENEFIT PROTECTION AND SIMPLIFICATION. (a) LIMITATION ON VARIATION OF COST SHARING FOR CERTAIN BENEFITS.— (1) IN GENERAL.—Section 1852(a)(1)(B) of the Social Secu- rity Act (42 U.S.C. 1395w–22(a)(1)(B)) is amended— (A) in clause (i), by inserting ‘‘, subject to clause (iii),’’ after ‘‘and B or’’; and (B) by adding at the end the following new clauses: ‘‘(iii) LIMITATION ON VARIATION OF COST SHARING FOR CERTAIN BENEFITS.—Subject to clause (v), cost- sharing for services described in clause (iv) shall not exceed the cost-sharing required for those services under parts A and B. ‘‘(iv) SERVICES DESCRIBED.—The following services are described in this clause: ‘‘(I) Chemotherapy administration services. ‘‘(II) Renal dialysis services (as defined in sec- tion 1881(b)(14)(B)). ‘‘(III) Skilled nursing care. ‘‘(IV) Such other services that the Secretary determines appropriate (including services that the Secretary determines require a high level of predictability and transparency for beneficiaries). ‘‘(v) EXCEPTION.—In the case of services described in clause (iv) for which there is no cost-sharing required under parts A and B, cost-sharing may be required for those services in accordance with clause (i).’’. (2) EFFECTIVE DATE.—The amendments made by this sub- section shall apply to plan years beginning on or after January 1, 2011. (b) APPLICATION OF REBATES, PERFORMANCE BONUSES, AND PREMIUMS.— (1) APPLICATION OF REBATES.—Section 1854(b)(1)(C) of the Social Security Act (42 U.S.C. 1395w–24(b)(1)(C)) is amended— (A) in clause (ii), by striking ‘‘REBATE.—A rebate’’ and inserting ‘‘REBATE FOR PLAN YEARS BEFORE 2012.—For plan years before 2012, a rebate’’; (B) by redesignating clauses (iii) and (iv) as clauses (iv) and (v); and (C) by inserting after clause (ii) the following new clause: ‘‘(iii) FORM OF REBATE FOR PLAN YEAR 2012 AND SUBSEQUENT PLAN YEARS.—For plan years beginning on or after January 1, 2012, a rebate required under Effective date. 42 USC 1395w–22 note. Effective date.