,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #eaac  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #ae1 #bjad ,mr4 
,c(fman 7= himself1 ,mrs4 ,blackburn1   
,mr4 ,nug5t1 ,mr4 ,lamborn1 & ,mr4      
,hall7 introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to end !    
increas$ ,f$]al fund+ = ,m$icaid        
expansion ) respect to inmates' hospital
 c>e "u ! ,pati5t ,protection &         
,af=dable ,c>e ,act1 to apply ! sav+s   
t[>ds a #bjae ,m$ic>e ,advantage        
/abilization program to help protect    
s5iors' *oices1 & = o!r purposes4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,protect+ ,s5iors' ,m$ic>e ,*oices f    
,obamac>e ,act ( #bjad4  #b4 ,elim9at+  
,,ppaca enhanc$ ,m$icaid ,,fmap =       

prison]s & apply+ sav+s to ,m$ic>e      
,advantage ,improvem5t ,fund  7a7       
,elim9ation ( ,,ppaca enhanc$ ,m$icaid  
,,fmap = prison]s  7#a7 ,9 g5]al        
,section #aije ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 
7,a7 9 subsection 7y77#b77;,a71 by add+ 
at ! end ! foll[+3 ,su* t]m does n      
include an individual describ$ 9 su*    
subp>agraph dur+ ! p]iod 9 :i* !        
individual is an inmate 9 a public      
in/itution or 9 :i* ! public in/itution 
ma9ta9s jurisdiction ov] ! individual42 
&  7,b7 9 subsection 7z77#a77;,a71 by   
ins]t+ be=e ! p]iod at ! end ! foll[+3 &
 :o are n inmates ( a public in/itution 
7or individuals ov] :om a public        
in/itution ma9ta9s jurisdiction74  7#b7 
,effective date ,! am5dm5ts made by     
p>agraph 7#a7 %all apply to items &     
s]vices furni%$ on or aft] ,janu>y #a1  
#bjae4  7b7 ,application ( sav+s to     
#bjae to e/abli%m5t ( #bjae ,m$ic>e     
,advantage /abilization program ,section
 #ahei ( ! ,social ,security ,act 7#db  

,u4,s4,c4 #aciew-#bh7 is am5d$ by add+  
at ! end ! foll[+ new subsection3  7h7  
#bjae ,m$ic>e ,advantage /abilization   
program  7#a7 ,e/abli%m5t ,!re is       
e/abli%$ a ,m$ic>e ,advantage           
/abilization program 79 ?is subsection  
ref]r$ to z ! /abilization program7 "u  
:i* ! ,secret>y %all1 subject to        
p>agraph 7#f71 provide a ,,pmpm         
/abilization fund+ am\nt to ea* eligible
 ,m$ic>e ,advantage plan 9 accordance ) 
?is subsection to be us$ by su* plan =  
plan ye> #bjae to address ! b5efici>y   
plan inadequacies applicable to su* plan
 7z describ$ 9 p>agraph 7#e774  7#b7    
,eligible ,m$ic>e ,advantage plans ,=   
purposes ( ?is subsection1 an eligible  
,m$ic>e ,advantage plan is a ,m$ic>e    
,advantage plan to be (f]$ = plan ye>   
#bjae t ! ,secret>y det]m9es1 bas$ on ! 
bid ( su* plan submitt$ "u section #ahed
 = su* plan ye>1 satisfies at lea/ "o ( 
! foll[+ crit]ia3  7,a7 ,increas$       
b5efici>y co/s ,! total co/s 7includ+   
premiums1 co/-%>+ responsibilities1 &   

d$uctibles7 project$ to be applicable to
 individuals :o enroll 9 su* plan = su* 
plan ye> are at lea/ #g p]c5t m ?an !   
su* total co/s t 7 applicable to        
individuals enroll$ 9 su* plan = plan   
ye> #bjad4  7,b7 ,decreas$ supplem5tal  
b5efits ,! supplem5tal b5efits to be    
(f]$ "u su* plan = su* plan ye> #bjae   
are less ?an ! supplem5tal b5efits (f]$ 
"u su* plan = plan ye> #bjad4  7,c7     
,decreas$ provid] network ,! numb] (    
physicians 9 ! plan's network has be5   
r$uc$ by #c p]c5t or m f plan ye> #bjad 
to plan ye> #bjae4  7#c7 ,di/ribution ( 
,,pmpm /abilization fund+ am\nts  7,a7  
,9 g5]al ,subject to ! availability (   
funds "u p>agraph 7#f71 "u !            
/abilization program1 ! ,secret>y %all  
di/ribute1 n lat] ?an ,decemb] #ca1     
#bjad1 to ea* eligible ,m$ic>e          
,advantage plan a ,,pmpm /abilization   
fund+ am\nt1 z det]m9$ by ! ,secret>y 9 
accordance ) subp>agraph 7,b74  7,b7    
,,pmpm /abilization fund+ am\nt ,a      
,,pmpm /abilization fund+ am\nt1 )      

respect to an eligible ,m$ic>e          
,advantage plan1 %all be det]m9$ 9      
accordance ) ! foll[+3  7i7 ,su* am\nt  
%all be an am\nt1 ) respect to ea* mon? 
( plan ye> #bjae1 = ea* individual      
project$ to be enroll$ 9 su* plan = su* 
plan ye>4  7ii7 ,subject to p>agraph    
7#f7 & clause 7iii71 su* am\nt %all be  
an am\nt det]m9$ by ! ,secret>y to be   
suffici5t = su* plan to address = plan  
ye> #bjae ea* b5efici>y plan inadequacy 
specifi$ 9 p>agraph 7#d7 applicable to  
su* plan4  7iii7 ,su* am\nt %all n be m 
?an #he p] memb] p] mon?4  7#d7 ,tim+ ( 
det]m9ations ,"u ! /abilization program1
 ! ,secret>y %all det]m9e :i* ,m$ic>e   
,advantage plans are eligible ,m$ic>e   
,advantage plans "u p>agraph 7#b71 & !  
,,pmpm /abilization fund+ am\nt to be   
di/ribut$ to ea* su* eligible ,m$ic>e   
,advantage plan "u p>agraph 7#c71 by n  
lat] ?an ,octob] #ae1 #bjad4  7#e7      
,applicable b5efici>y plan inadequacies 
,= purposes ( ?is subsection1 a         
b5efici>y plan inadequacy applicable to 

an eligible ,m$ic>e ,advantage plan is  
ea* ( ! crit]ia describ$ 9 p>agraph 7#b7
 t ! ,secret>y det]m9$ ! plan satisfi$ =
 qualify+ z su* an eligible ,m$ic>e     
,advantage plan4  7#f7 ,fund+  7,a7 ,9  
g5]al ,!re %all be available to !       
,secret>y f am\nts 9 ! g5]al fund 9 !   
,treasury n o!rwise appropriat$ an      
am\nt1 n to exce$ #c1jjj1jjj1jjj1 to    
c>ry out ?is subsection4 ,su* am\nts    
%all rema9 s available until ,decemb]   
#ca1 #bjae4 ,any am\nts made s available
 b n exp5d$ on or be=e su* date %all be 
transf]r$ to ! g5]al fund 9 ! ,treasury4
  7,b7 ,cl>ification ,paym5ts "u !      
/abilization program %all n be tak5 into
 acc\nt = purposes ( det]m9+ ! premium  
paym5ts applicable "u "p ,b4  4