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139 STAT. 320 PUBLIC LAW 119–21—JULY 4, 2025 ‘‘(1) IN GENERAL.—In the case of an individual who is entitled to, or enrolled for, benefits under this title as of the date of the enactment of this section, subsection (a) shall apply beginning on the date that is 18 months after such date of enactment. ‘‘(2) REVIEW BY COMMISSIONER OF SOCIAL SECURITY.— ‘‘(A) IN GENERAL.—Not later than 1 year after the date of the enactment of this section, the Commissioner of Social Security shall complete a review of individuals entitled to, or enrolled for, benefits under this title as of such date of enactment for purposes of identifying individuals not described in any of paragraphs (1) through (4) of subsection (a). ‘‘(B) NOTICE.—The Commissioner of Social Security shall notify each individual identified under the review conducted under subparagraph (A) that such individual’s entitlement to, or enrollment for, benefits under this title will be terminated as of the date that is 18 months after the date of the enactment of this section. Such notification shall be made as soon as practicable after such identifica- tion and in a manner designed to ensure such individual’s comprehension of such notification.’’. Subchapter B—Improving Services for Seniors SEC. 71202. TEMPORARY PAYMENT INCREASE UNDER THE MEDICARE PHYSICIAN FEE SCHEDULE TO ACCOUNT FOR EXCEP- TIONAL CIRCUMSTANCES. (a) IN GENERAL.—Section 1848(t) of the Social Security Act (42 U.S.C. 1395w–4(t)) is amended— (1) in the subsection heading, by striking ‘‘DURING 2021 THROUGH 2024’’; (2) in paragraph (1)— (A) in the matter preceding subparagraph (A), by striking ‘‘and 2024’’ and inserting ‘‘2024, and 2026’’; (B) in subparagraph (D), by striking ‘‘and’’ at the end; (C) in subparagraph (E), by striking the period at the end and inserting ‘‘; and’’; and (D) by adding at the end the following new subpara- graph: ‘‘(F) such services furnished on or after January 1, 2026, and before January 1, 2027, by 2.5 percent.’’; and (3) in paragraph (2)(C)— (A) in the subparagraph heading, by inserting ‘‘AND 2026’’ after ‘‘2024’’; and (B) by striking ‘‘or 2024’’ each place it appears and inserting ‘‘2024, or 2026’’. (b) CONFORMING AMENDMENT.—Section 1848(c)(2)(B)(iv)(V) of the Social Security Act (42 U.S.C. 1395w–4(c)(2)(B)(iv)(V)) is amended by striking ‘‘or 2024’’ and inserting ‘‘2024, or 2026’’. SEC. 71203. EXPANDING AND CLARIFYING THE EXCLUSION FOR ORPHAN DRUGS UNDER THE DRUG PRICE NEGOTIATION PROGRAM. (a) IN GENERAL.—Section 1192(e) of the Social Security Act (42 U.S.C. 1320f–1(e)) is amended— Termination date. Deadline. Effective date. Time period.