; (2) by inserting PACE program eligible individuals to enroll in a PACE program at any time and after shall permit ; and (3) by adding at the end the following sentence: The amount of any capitated payment made to a PACE provider under subsection (d)(1) may be adjusted to account for any PACE program eligible individuals who enroll after the first day of a month (with the amount of such payment adjustment being proportional to the portion of such month for which the individual is enrolled) . (b) Effective date The amendments made by this section shall take effect on the date that is 180 days after the date of enactment of this Act. 403. Extending eligibility for PACE to medicare-eligible individuals under the age of 55 (a) In general Sections 1894(a)(5)(A) and 1934(a)(5)(A) of the Social Security Act ( 42 U.S.C. 1395eee(a)(5) , 1396u–4(a)(5)) are each amended by inserting (or any age in the case of an individual who is eligible for benefits under part A, or enrolled under part B, of title XVIII) after is 55 years of age or older . (b) Effective date The amendments made by this section shall take effect on the date that is 180 days after the date of enactment of this Act. 404. Removal of quarterly restrictions for submission of a new pace organization application, and removal quarterly restrictions for applications in a new service area (a) In general Sections 1894(e) and 1934(e) of the Social Security Act ( 42 U.S.C. 1395eee(e) , 1396u–4(e)) are each amended by adding at the end the following new paragraph: (9) No quarterly or geographic limitations on applications for PACE provider status The Secretary shall not prohibit an entity that meets the requirements for a PACE provider under this section from— (A) submitting multiple applications in the same quarter