H.R. 4196 — Introduced in House

I 113th CONGRESS 2d Session H. R. 4196 IN THE HOUSE OF REPRESENTATIVES March 11, 2014 Mr. Johnson of Ohio introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means and Education and the Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To amend the Patient Protection and Affordable Care Act to eliminate Exchange cost-sharing subsidies, to amend title XVIII of the Social Security Act to create a Medicare Advantage Improvement Fund, and for other purposes. 1. Short title This Act may be cited as the Seniors’ Fairness Act of 2014. 2. Creating Medicare Advantage Improvement Fund Section 1859 of the Social Security Act (42 U.S.C. 1395w–28) is amended by adding at the end the following new subsection: (h) Medicare Advantage Improvement Fund (1) Establishment The Secretary shall establish under this title a Medicare Advantage Improvement Fund (in this subsection referred to as the Fund) which shall be available to make improvements under the Medicare Advantage program under this part, including by— (A) preventing cost-sharing increases and the loss of benefits to individuals enrolled in MA plans; and (B) ensuring individuals enrolled in MA plans can access a high-quality network of providers. (2) Funding (A) In general There shall be available to the Fund, for expenditures from the Fund during the period of fiscal years 2014 through 2023, $150,000,000,000. (B) Funding limitation Amounts in the Fund shall be available to the Secretary only pursuant to an appropriations Act. . 3. Eliminating Exchange cost-sharing subsidies under PPACA (a) In general Section 1402 of the Patient Protection and Affordable Care Act (42 U.S.C. 18071) is amended by adding at the end the following new subsection: (g) Termination of reduced cost-Sharing beginning in plan year 2015 The provisions of this section shall not apply with respect to plan years after plan year 2014. . (b) Conforming amendments (1) Fair Labor Standards Act of 1938 Section 18B(a)(2) of the Fair Labor Standards Act of 1938 (29 U.S.C. 218b(a)(2)) is amended— (A) by striking 1986 and and inserting 1986 and, in the case of plan year 2014,; and (B) by inserting a comma after Care Act. (2) Medicaid Section 1943(b)(1)(C) of the Social Security Act (42 U.S.C. 1396w–3(b)(1)(C)) is amended by inserting (for plan years in which the provisions of such section apply) after section 1402 of the Patient Protection and Affordable Care Act.