Updating the budget neutrality threshold

Section 1848(c)(2)(B)(ii)(II) of the Social Security Act (42 U.S.C. 1395w–4(c)(2)(B)(ii)(II)) is amended— (1) by striking Subject to and inserting the following: (aa) In general Subject to; (2) in item (aa), as inserted by paragraph (1), by striking $20,000,000 and inserting the amount specified in item (bb) for such year; and (3) by adding at the end the following new items: (bb) Amount specified For purposes of item (aa), subject to item (cc), the amount specified in this item is— (AA) for years before 2028, $20,000,000; (BB) for 2028, $57,640,000; and (CC) for 2029 and each subsequent year, the amount specified in this item for the preceding year. (cc) Indexing limitation on annual adjustments For 2033 and every subsequent fifth year, the Secretary shall increase the amount specified in item (bb) for such year by the cumulative percentage increase in the MEI (as defined in section 1842(i)(3)) applicable to physicians’ services for each year occurring during the 5-year period ending on the last day of the preceding year..