Page:United States Statutes at Large Volume 124.djvu/1067

124 STAT. 1041 PUBLIC LAW 111–152—MAR. 30, 2010 account the phase-out in the indirect costs of medical education from capitation rates described in subsection (k)(4); and ‘‘(ii) the applicable percentage for the area for the year specified under subparagraph (B). ‘‘(B) APPLICABLE PERCENTAGE.—Subject to subpara- graph (D), the applicable percentage specified in this subparagraph for an area for a year in the case of an area that is ranked— ‘‘(i) in the highest quartile under subparagraph (C) for the previous year is 95 percent; ‘‘(ii) in the second highest quartile under such subparagraph for the previous year is 100 percent; ‘‘(iii) in the third highest quartile under such subparagraph for the previous year is 107.5 percent; or ‘‘(iv) in the lowest quartile under such subpara- graph for the previous year is 115 percent. ‘‘(C) PERIODIC RANKING.—For purposes of this para- graph in the case of an area located— ‘‘(i) in 1 of the 50 States or the District of Columbia, the Secretary shall rank such area in each year specified under subsection (c)(1)(D)(ii) based upon the level of the amount specified in subparagraph (A)(i) for such areas; or ‘‘(ii) in a territory, the Secretary shall rank such areas in each such year based upon the level of the amount specified in subparagraph (A)(i) for such area relative to quartile rankings computed under clause (i). ‘‘(D) 1-YEAR TRANSITION FOR CHANGES IN APPLICABLE PERCENTAGE.—If, for a year after 2012, there is a change in the quartile in which an area is ranked compared to the previous year, the applicable percentage for the area in the year shall be the average of— ‘‘(i) the applicable percentage for the area for the previous year; and ‘‘(ii) the applicable percentage that would other- wise apply for the area for the year. ‘‘(E) BASE PAYMENT AMOUNT.—Subject to subparagraph (F), the base payment amount specified in this subpara- graph— ‘‘(i) for 2012 is the amount specified in subsection (c)(1)(D) for the area for the year; or ‘‘(ii) for a subsequent year that— ‘‘(I) is not specified under subsection (c)(1)(D)(ii), is the base amount specified in this subparagraph for the area for the previous year, increased by the national per capita MA growth percentage, described in subsection (c)(6) for that succeeding year, but not taking into account any adjustment under subparagraph (C) of such sub- section for a year before 2004; and ‘‘(II) is specified under subsection (c)(1)(D)(ii), is the amount specified in subsection (c)(1)(D) for the area for the year.