Page:United States Statutes at Large Volume 124.djvu/482

 124 STAT. 456 PUBLIC LAW 111–148—MAR. 23, 2010 SEC. 3203. APPLICATION OF CODING INTENSITY ADJUSTMENT DURING MA PAYMENT TRANSITION. Section 1853(a)(1)(C) of the Social Security Act (42 U.S.C. 1395w–23(a)(1)(C)) is amended by adding at the end the following new clause: ‘‘(iii) APPLICATION OF CODING INTENSITY ADJUST- MENT FOR 2011 AND SUBSEQUENT YEARS.— ‘‘(I) REQUIREMENT TO APPLY IN 2011 THROUGH 2013.—In order to ensure payment accuracy, the Secretary shall conduct an analysis of the dif- ferences described in clause (ii)(I). The Secretary shall ensure that the results of such analysis are incorporated into the risk scores for 2011, 2012, and 2013. ‘‘(II) AUTHORITY TO APPLY IN 2014 AND SUBSE- QUENT YEARS.—The Secretary may, as appropriate, incorporate the results of such analysis into the risk scores for 2014 and subsequent years.’’. SEC. 3204. SIMPLIFICATION OF ANNUAL BENEFICIARY ELECTION PERIODS. (a) ANNUAL 45-DAY PERIOD FOR DISENROLLMENT FROM MA PLANS TO ELECT TO RECEIVE BENEFITS UNDER THE ORIGINAL MEDI- CARE FEE-FOR-SERVICE PROGRAM.— (1) IN GENERAL.—Section 1851(e)(2)(C) of the Social Secu- rity Act (42 U.S.C. 1395w–1(e)(2)(C)) is amended to read as follows: ‘‘(C) ANNUAL 45-DAY PERIOD FOR DISENROLLMENT FROM MA PLANS TO ELECT TO RECEIVE BENEFITS UNDER THE ORIGINAL MEDICARE FEE-FOR-SERVICE PROGRAM.—Subject to subparagraph (D), at any time during the first 45 days of a year (beginning with 2011), an individual who is enrolled in a Medicare Advantage plan may change the election under subsection (a)(1), but only with respect to coverage under the original medicare fee-for-service pro- gram under parts A and B, and may elect qualified prescription drug coverage in accordance with section 1860D–1.’’. (2) EFFECTIVE DATE.—The amendment made by paragraph (1) shall apply with respect to 2011 and succeeding years. (b) TIMING OF THE ANNUAL, COORDINATED ELECTION PERIOD UNDER PARTS C AND D.—Section 1851(e)(3)(B) of the Social Security Act (42 U.S.C. 1395w–1(e)(3)(B)) is amended— (1) in clause (iii), by striking ‘‘and’’ at the end; (2) in clause (iv)— (A) by striking ‘‘and succeeding years’’ and inserting ‘‘, 2008, 2009, and 2010’’; and (B) by striking the period at the end and inserting ‘‘; and’’; and (3) by adding at the end the following new clause: ‘‘(v) with respect to 2012 and succeeding years, the period beginning on October 15 and ending on December 7 of the year before such year.’’. 42 USC 1395w–21. 42 USC 1395w–21 note. Effective date. 42 USC 1395w–21.