1. Short title This Act may be cited as the No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act or the No UPCODE Act . 2. Improving risk adjustment under Medicare Advantage (a) Use of 2 years of diagnostic data Section 1853(a)(3)(C)(iii) of the Social Security Act ( 42 U.S.C. 1395w–23(a)(3)(C)(iii) ) is amended— (1) by striking methodology .—Such risk and inserting “ methodology .— (I) In general Subject to subclause (II), such risk ; and (2) by adding at the end the following new subclauses: (II) Use of health status data For 2024 and each subsequent year, the Secretary shall use 2 years of diagnostic data (when available) under such risk adjustment methodology. . (b) Exclusion of diagnoses collected from chart reviews and health risk assessments (1) In general Section 1853(a)(1)(C) of such Act ( 42 U.S.C. 1395w–23(a)(1)(C) ) is amended by adding at the end the following new clause: (iv) Exclusion of diagnoses collected from chart reviews and health risk assessments (I) In general For 2024 and each subsequent year, for purposes of establishing the payment adjustment factors and adjusting payment based on health status under clause (i), the Secretary shall not take into account a diagnosis collected from a chart review or a health risk assessment. (II) Identification of diagnoses collected from chart reviews and health risk assessments The Secretary shall establish procedures to provide for the identification and verification of diagnoses collected from chart reviews and health risk assessments. . (c) Application of coding adjustment Section 1853(a)(1)(C)(ii) of such Act ( 42 U.S.C. 1395w–23(a)(1)(C)(ii) ) is amended— (1) in subclause (III), by striking In calculating and inserting Subject to subclause (V), in calculating