110thcongress H.R.7197 2dSession T(iamendpartCoftitleXVIIIoftheSocialSecurityActtolimit increases inMedicareAdvantagepaymentratesto2pei-cent peryearimtilparity achievedwithMedicarefee-for-serviceprogram. IN THE HOUSE OF REPRESENTATR^S September28,2008 Mr.GonzaIjEZintroducedthefollowingbill:whichwasreferredtotheCom- mitteeonWaysandMeans,andinadditiontothe('onnnitteeonEnergy andCommerce,foraperiodtobesubsequentlydeterminedbytheS]ieak- er,ineachcaseforconsiderationofsuchprovisionsasfallwithintheju- risdictionoftheconnnitteeconcerned A BILL To amend part C of title XVlll ofthe Social SecurityAct to limit increases in Medicare Advantage pa\Tnent rates to2 percentperyearuntilj^arityachievedwithMedicare fee-for-serviceprogram. 1 BeitenactedbytheSenateandHouseofRepresenta- 2 tivesoftheUnitedStatesofAmericainCongressassembled, 1 SECTION 1.LIMITATION ON MEDICAREADVANTAGE PAY- 2 MENTRATESINCREASESTO2PERCENTPER 3 YEAR UNTILPARITYACHIEVED WITHMEDI- 4 CAREFEE-FOR-SERVICECAPITATIONRATE. 5 Section1853(k)oftheSocialSecurityAct(42U.S.C. 6 1395w-23(k))isamended— 7 (1) in paraf>T"aph (l)(B)(i), byinserting sub- 8 jecttoparagraph (5)," after"increased"; and 9 (2) by adding at the end the follo^^^nn: new 10 paragraph: — 11 "(5)Limitation. — 12 "(A) Ingeneral. Theincreasetobeap- 13 pliedunderparagraph (1) foran areaandyear 14 (beginning with 2010) shall in no ease exceed 15 2 percentiftheapijlication ofahigherpercent- 16 age would result in the applicable amount for 17 the area and year exceeding the amount speci- 18 fied in subsection (c)(1)(D) for the area and 19 year. 20 "(B) Fee-for-service payiment — 21 FLOOR. Innocaseshalltheapphcationofthis 22 paragraphresultinanapplicableamountforan 23 areaandyearbeinglessthantheamountspeci- 24 fied in subsection (c)(l)(D)(i) for the area and 25 year. •HR7197IH 3 — 1 "(C) Exception for pace pi^^^s. This 2 paragT-aph shall not apply to paMiients to a 3 PACEprogTamundersection 1894.". O •HR7197IH ensLIBRHRV L75L7 flOTS