Page:United States Statutes at Large Volume 113 Part 2.djvu/873

 PUBLIC LAW 106-113—APPENDIX F 113 STAT. 1501A-355 "(i) IN GENERAL.— The additional months specified under this subsection for a cohort in a year in such 5-year period shall apply under section 1861(s)(2)(J)(v) only to individuals within such cohort for such year. "(ii) CONSTRUCTION.— Nothing in this subsection shall be construed as preventing additional months of coverage provided for a cohort for a year from extending coverage to drugs funiished in months in the succeeding year. "(C) COHORT DEFINED. —In this subsection, the term 'cohort' means, with respect to a year, those individuals who would (but for this subsection) exhaust benefits under section 1861(s)(2)(J)(v) for prescription drugs used in immunosuppressive therapy furnished at any time during such year. "(2) TIMING OF SPECIFICATION.—Consistent with paragraphs (3) and (4)— "(A) MAY i, 2001.—Not later than May 1, 2001, the Secretary— "(i) may increase the number of months for the cohort for 2001 above the 8 months provided under paragraph (l)(A)(ii); and "(ii) shall compute and specify the number of additional months of benefits that will be available for the cohort for 2002. "(B) MAY 1, 2002 AND 2003. —Not later than May 1 of 2002 and 2003, the Secretary shall compute and specify the number of additional months of benefits that will be available for the cohort for the follc»wing year under this subsection. Such number may be more or less than 8 months. "(3) BASIS FOR SPECIFICATION. —Using appropriate actuarial methods, the Secretary shall compute the number of additional months for the cohort for a year under this subsection in a manner so that the total expenditures under this part attributable to this subsection, as computed based upon the best available data at the time additional months are specified under this subsection, do not exceed $150,000,000. Subject to paragraph (4), the Secretary shall seek to compute such months in a manner that provides for a level number of months for each cohort in each year in the last 4 years of the 5-year period described in paragraph (1)(A). "(4) ANNUAL ADJUSTMENT TO I^IAINTAIN AGGREGATE EXPENDITURES WITHIN LIMITS.— In computing and specifying the number of additional months under paragraph (2), the Secretary shall adjust the number of additional months under this subsection for a cohort for a year from that provided in the previous year within such 5-year period to the extent necessary to take into account, based upon the best available data, differences between actual and estimated expenditures under this part attributable to this subsection for previous years and to comply with the limitation on total expenditures under paragraph (3).". (c) TRANSITIONAL PASS-THROUGH OF ADDITIONAL COSTS UNDER MEDICARE+CHOICE PROGRAM FOR 2000. —The provisions of subparagraphs (A) and (B) of section 1852(a)(5) of the Social Security Act (42 U.S.C. 1395w-22(a)(5)) shall apply with respect to the

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