Financing

(a) Part B premium The Secretary shall adjust the monthly premium under section 1839 of the Social Security Act (42 U.S.C. 1395r) to reflect the additional actuarial cost of the benefit established under this Act, subject to the standard subsidy schedule under such section. (b) Actuarial report Not later than 180 days after the date of enactment of this Act, the Chief Actuary of the Centers for Medicare & Medicaid Services shall submit to Congress an estimate of the per-beneficiary premium impact of the benefit established under this Act.