124 STAT. 950 PUBLIC LAW 111–148—MAR. 23, 2010 (C) in paragraph (2)(B)— (i) in clause (v), by striking ‘‘and’’ at the end; (ii) in clause (vi), by striking the period at the end and inserting ‘‘; and’’; and (iii) by adding at the end the following new clause: ‘‘(vii) take into account the data and findings con- tained in the annual reports under subsection (n) in order to develop proposals that can most effectively promote the delivery of efficient, high quality care to Medicare beneficiaries.’’; (D) in paragraph (3)— (i) in the heading, by striking ‘‘TRANSMISSION OF BOARD PROPOSAL TO PRESIDENT’’ and inserting ‘‘SUBMIS- SION OF BOARD PROPOSAL TO CONGRESS AND THE PRESI- DENT’’; (ii) in subparagraph (A)(i), by striking ‘‘transmit a proposal under this section to the President’’ and insert ‘‘submit a proposal under this section to Con- gress and the President’’; and (iii) in subparagraph (A)(ii)— (I) in subclause (I), by inserting ‘‘or’’ at the end; (II) in subclause (II), by striking ‘‘; or’’ and inserting a period; and (III) by striking subclause (III); (E) in paragraph (4)— (i) by striking ‘‘the Board under paragraph (3)(A)(i) or’’; and (ii) by striking ‘‘immediately’’ and inserting ‘‘within 2 days’’; (F) in paragraph (5)— (i) by striking ‘‘to but’’ and inserting ‘‘but’’; and (ii) by inserting ‘‘Congress and’’ after ‘‘submit a proposal to’’; and (G) in paragraph (6)(B)(i), by striking ‘‘per unduplicated enrollee’’ and inserting ‘‘(calculated as the sum of per capita spending under each of parts A, B, and D)’’; (2) in subsection (d)— (A) in paragraph (1)(A)— (i) by inserting ‘‘the Board or’’ after ‘‘a proposal is submitted by’’; and (ii) by inserting ‘‘subsection (c)(3)(A)(i) or’’ after ‘‘the Senate under’’; and (B) in paragraph (2)(A), by inserting ‘‘the Board or’’ after ‘‘a proposal is submitted by’’; (3) in subsection (e)— (A) in paragraph (1), by inserting ‘‘the Board or’’ after ‘‘a proposal submitted by’’; and (B) in paragraph (3)— (i) by striking ‘‘EXCEPTION.—The Secretary shall not be required to implement the recommendations contained in a proposal submitted in a proposal year by’’ and inserting ‘‘EXCEPTIONS.— ‘‘(A) IN GENERAL.—The Secretary shall not implement the recommendations contained in a proposal submitted in a proposal year by the Board or’’;
