Page:United States Statutes at Large Volume 124.djvu/515

 124 STAT. 489 PUBLIC LAW 111–148—MAR. 23, 2010 (1) in paragraph (2), in the matter preceding subparagraph (A), by inserting ‘‘subject to paragraph (6),’’ after ‘‘subsection,’’; (2) in paragraph (3)(A)(i), by striking ‘‘The applicable’’ and inserting ‘‘Subject to paragraph (6), the applicable’’; (3) by redesignating paragraph (6) as paragraph (7); and (4) by inserting after paragraph (5) the following new para- graph: ‘‘(6) TEMPORARY ADJUSTMENT TO INCOME THRESHOLDS.— Notwithstanding any other provision of this subsection, during the period beginning on January 1, 2011, and ending on December 31, 2019— ‘‘(A) the threshold amount otherwise applicable under paragraph (2) shall be equal to such amount for 2010; and ‘‘(B) the dollar amounts otherwise applicable under paragraph (3)(C)(i) shall be equal to such dollar amounts for 2010.’’. SEC. 3403. INDEPENDENT MEDICARE ADVISORY BOARD. (a) BOARD.— (1) IN GENERAL.—Title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.), as amended by section 3022, is amended by adding at the end the following new section: ‘‘INDEPENDENT MEDICARE ADVISORY BOARD ‘‘SEC. 1899A. (a) ESTABLISHMENT.—There is established an independent board to be known as the ‘Independent Medicare Advisory Board’. ‘‘(b) PURPOSE.—It is the purpose of this section to, in accordance with the following provisions of this section, reduce the per capita rate of growth in Medicare spending— ‘‘(1) by requiring the Chief Actuary of the Centers for Medicare & Medicaid Services to determine in each year to which this section applies (in this section referred to as ‘a determination year’) the projected per capita growth rate under Medicare for the second year following the determination year (in this section referred to as ‘an implementation year’); ‘‘(2) if the projection for the implementation year exceeds the target growth rate for that year, by requiring the Board to develop and submit during the first year following the deter- mination year (in this section referred to as ‘a proposal year’) a proposal containing recommendations to reduce the Medicare per capita growth rate to the extent required by this section; and ‘‘(3) by requiring the Secretary to implement such proposals unless Congress enacts legislation pursuant to this section. ‘‘(c) BOARD PROPOSALS.— ‘‘(1) DEVELOPMENT.— ‘‘(A) IN GENERAL.—The Board shall develop detailed and specific proposals related to the Medicare program in accordance with the succeeding provisions of this section. ‘‘(B) ADVISORY REPORTS.—Beginning January 15, 2014, the Board may develop and submit to Congress advisory reports on matters related to the Medicare program, regard- less of whether or not the Board submitted a proposal for such year. Such a report may, for years prior to 2020, 42 USC 1395kkk. Time period.