Ensuring appropriate geographic adjustments to Medicare Advantage benchmarks in Puerto Rico

Section 1853(c)(1)(D)(i) of the Social Security Act (42 U.S.C. 1395w–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..