Page:United States Statutes at Large Volume 102 Part 1.djvu/775

 PUBLIC LAW 100-360—JULY 1, 1988

102 STAT. 737

"(iii) a subsequent year is yi2th of the average actuarial expenses that the Secretary estimates (during September before the year) will be incurred during the year for benefits and administration costs for which outlays may be made from the Federal Catastrophic Drug Insurance Trust Fund. "(6)(A) If any premium increase for a month under this subsection is not a multiple of 10 cents, the Secretary shall round the increase to the nearest multiple of 10 cents. "(B) If the Secretary so rounds the premium increase, the amount of such increase shall be allocated between the catastrophic coverage monthly premium and the prescription drug monthly premium on the basis of the respective amounts of such premiums without r^ard to the application of subparagraph (A). "(7)(A) The Secretary and the Secretary of the Treasury shall Ti jointly— "(i) publish in the Federal Register by not later than July 1 of each year (beginning with 1993) a proposed regulation to establish premium increases under this subsection for months in the following year, "(ii) report to Congress, by not later than September 1 of such year, on the final premiums to be published under clause (iii), and "(iii) publish in the Federal Register, during the last 3 days of September of each such year, a final regulation establisning monthly premiums under thk subsection for months in the following year. "(B) The Secretary shall report to Congress, in 1993, respecting the appropriateness of the level of premium increases established under paragraph (4) for residents of Puerto Rico and of other U.S. commonwe^ths and territories. "(8) For purposes of this subsection: "(A) The term 'per capita catastrophic outla}rs' means, with respect to any year, the amount (as determined by the Secretary) equal to— "(i) the outlays during such ^ear from the Medicare Catastrophic Coverage Account, divided by "(ii) the average number of individuals entitled to receive benefits under part A during such ^ear. "(B) The term 'per capita prescription drug outlays' means, with respect to any year, the amount (as determined by the Secretary) equal to-— "(i) the outlays during such year from the Federal Catastrophic Drug Insurance Trust Fund, divided by "(ii) the average number of individuals entitled to receive benefits under part A during such year. "(C) The percentage increase in the CPI for any 12-month period shall be the percentage by which the Consumer Price Index (as defined in section l(f)(5) of the IntemsJ Revenue Code of 1986) for the last month of such period exceeds such Index for the last month of the preceding 12-month period. "(D) The term 'Medicare Catastrophic Covera^ Account' refers to such Account as created under section 1841B. "(E) The term *U.S. commonwealth or territory* means Puerto Rico, the United States Virgin Islands, Guam, American Samoa, or the Northern Mariana Islands. "(F) The term 'part B only individual' means, with respect to a month, an individual who—

Federal Register, publication. Regulations. Reports.

Federal Register, publication. Regulations. Reports. Territories, U.S.

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