This Act may be cited as the Puerto Rico Medicare Advantage Fairness Act of 2026.

Section 1853(c)(1)(D)(i) of the Social Security Act (42 U.S.C. 1395wU.S. Code — Title 42, Section 1395wView official source on GovInfo–23(c)(1)(D)(i)) is amended by adding at the end the following new sentence: For each year specified in clause (ii) beginning on or after January 1, 2027, in determining the adjusted average per capita cost for such year for an MA payment area in Puerto Rico under the preceding sentence, the average geographic adjustment applied to such area for such year shall be equal to such adjustment applied to an MA payment area in the United States Virgin Islands for such year..