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136 STAT. 1891 PUBLIC LAW 117–169—AUG. 16, 2022 (D) Section 1860D–15(a) of the Social Security Act (42 U.S.C. 1395w–115(a)) is amended— (i) in the matter preceding paragraph (1), by inserting ‘‘(or, for each of 2024 through 2029, the per- cent applicable as a result of the application of section 1860D–13(a)(8), or, for 2030 and each subsequent year, 100 percent minus the percent specified under section 1860D–13(a)(9))’’ after ‘‘74.5 percent’’; and (ii) in paragraph (1)(B), by striking ‘‘paragraph (2) of section 1860D–13(a)’’ and inserting ‘‘paragraph (2) or (8) of section 1860D–13(a) (as applicable)’’. (e) CONFORMING AMENDMENTS.— (1) Section 1860D–2 of the Social Security Act (42 U.S.C. 1395w–102) is amended— (A) in subsection (a)(2)(A)(i)(I), by striking ‘‘, or an increase in the initial’’ and inserting ‘‘or, for a year pre- ceding 2025, an increase in the initial’’; (B) in subsection (c)(1)(C)— (i) in the subparagraph heading, by striking ‘‘AT INITIAL COVERAGE LIMIT’’; and (ii) by inserting ‘‘for a year preceding 2025 or the annual out-of-pocket threshold specified in subsection (b)(4)(B) for the year for 2025 and each subsequent year’’ after ‘‘subsection (b)(3) for the year’’ each place it appears; and (C) in subsection (d)(1)(A), by striking ‘‘or an initial’’ and inserting ‘‘or, for a year preceding 2025, an initial’’. (2) Section 1860D–4(a)(4)(B)(i) of the Social Security Act (42 U.S.C. 1395w–104(a)(4)(B)(i)) is amended by striking ‘‘the initial’’ and inserting ‘‘for a year preceding 2025, the initial’’. (3) Section 1860D–14(a) of the Social Security Act (42 U.S.C. 1395w–114(a)) is amended— (A) in paragraph (1)— (i) in subparagraph (C), by striking ‘‘The continu- ation’’ and inserting ‘‘For a year preceding 2025, the continuation’’; (ii) in subparagraph (D)(iii), by striking ‘‘1860D– 2(b)(4)(A)(i)(I)’’ and inserting ‘‘1860D– 2(b)(4)(A)(i)(I)(aa)’’; and (iii) in subparagraph (E), by striking ‘‘The elimi- nation’’ and inserting ‘‘For a year preceding 2024, the elimination’’; and (B) in paragraph (2)(E), by striking ‘‘1860D– 2(b)(4)(A)(i)(I)’’ and inserting ‘‘1860D–2(b)(4)(A)(i)(I)(aa)’’. (4) Section 1860D–21(d)(7) of the Social Security Act (42 U.S.C. 1395w–131(d)(7)) is amended by striking ‘‘section 1860D–2(b)(4)(B)(i)’’ and inserting ‘‘section 1860D–2(b)(4)(C)(i)’’. (5) Section 1860D–22(a)(2)(A) of the Social Security Act (42 U.S.C. 1395w–132(a)(2)(A)) is amended— (A) by striking ‘‘the value of any discount’’ and inserting the following: ‘‘the value of— ‘‘(i) for years prior to 2025, any discount’’; (B) in clause (i), as inserted by subparagraph (A) of this paragraph, by striking the period at the end and inserting ‘‘; and’’; and (C) by adding at the end the following new clause: Time periods. VerDate Sep 11 2014 13:57 Oct 25, 2022 Jkt 029139 PO 00169 Frm 00075 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL169.117 PUBL169 jmbennett on LAP3P8D0R2PROD with Publaw