124 STAT. 447 PUBLIC LAW 111–148—MAR. 23, 2010 (I) in the matter preceding subclause (I), by striking ‘‘MA payment area’’ and inserting ‘‘MA local area (as defined in subsection (d)(2))’’; and (II) in subclause (I), by striking ‘‘MA payment area’’ and inserting ‘‘MA local area (as so defined)’’. (iii) Section 1853(b)(4) of such Act (42 U.S.C. 1395w–23(b)(4)) is amended by striking ‘‘Medicare Advantage payment area’’ and inserting ‘‘MA local area (as so defined)’’. (iv) Section 1853(c)(1) of such Act (42 U.S.C. 1395w–23(c)(1)) is amended— (I) in the matter preceding subparagraph (A), by striking ‘‘a Medicare Advantage payment area that is’’; and (II) in subparagraph (D)(i), by striking ‘‘MA payment area’’ and inserting ‘‘MA local area (as defined in subsection (d)(2))’’. (v) Section 1854 of such Act (42 U.S.C. 1395w– 24) is amended by striking subsection (h). (B) EFFECTIVE DATE.—The amendments made by this paragraph shall take effect on January 1, 2012. (f) PERFORMANCE BONUSES.— (1) MA PLANS.— (A) IN GENERAL.—Section 1853 of the Social Security Act (42 U.S.C. 1395w–23) is amended by adding at the end the following new subsection: ‘‘(n) PERFORMANCE BONUSES.— ‘‘(1) CARE COORDINATION AND MANAGEMENT PERFORMANCE BONUS.— ‘‘(A) IN GENERAL.—For years beginning with 2014, sub- ject to subparagraph (B), in the case of an MA plan that conducts 1 or more programs described in subparagraph (C) with respect to the year, the Secretary shall, in addition to any other payment provided under this part, make monthly payments, with respect to coverage of an indi- vidual under this part, to the MA plan in an amount equal to the product of— ‘‘(i) 0.5 percent of the national monthly per capita cost for expenditures for individuals enrolled under the original medicare fee-for-service program for the year; and ‘‘(ii) the total number of programs described in clauses (i) through (ix) of subparagraph (C) that the Secretary determines the plan is conducting for the year under such subparagraph. ‘‘(B) LIMITATION.—In no case may the total amount of payment with respect to a year under subparagraph (A) be greater than 2 percent of the national monthly per capita cost for expenditures for individuals enrolled under the original medicare fee-for-service program for the year, as determined prior to the application of risk adjust- ment under paragraph (4). ‘‘(C) PROGRAMS DESCRIBED.—The following programs are described in this paragraph: ‘‘(i) Care management programs that— ‘‘(I) target individuals with 1 or more chronic conditions; Effective date. Payments. 42 USC 1395w–21 note.
