,,ib  ,union ,cal5d> ,no4 #aad  #aad?   
,,congress  #a/ ,session  ,h4 ,r4 #bejf 
,report ,no4 #aad-aeh1 ,"p ,i  ,,9 ,,!  
,,h\se ,,( ,,repres5tatives  ,may #ba1  
#bjae ,mr4 ,bu*anan 7= himself1 ,mrs4   
,blackburn1 & ,mr4 ,rangel7 introduc$ ! 
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,ways & ,means1 & 9       
addition to ! ,committee on ,en]gy &    
,comm]ce1 = 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$    
,june #af1 #bjae ,additional sponsors3  
,ms4 ,s9ema1 ,mr4 ,des,jarlais1 & ,mr4  
,murphy ( ,florida  ,june #af1 #bjae    
,report$ f ! ,committee on ,ways &      
,means ) an am5dm5t ,/rike out all aft] 
! enact+ clause & ins]t ! "p pr9t$ 9    
italic  ,june #af1 #bjae ,! ,committee  
on ,en]gy & ,comm]ce dis*>g$2 committ$  
to ! ,committee ( ! ,:ole ,h\se on !    
,/ate ( ! ,union & ord]$ to be pr9t$ ,= 
text ( introduc$ bill1 see copy ( bill z
 introduc$ on ,may #ba1 #bjae  ,a ,,bill

  ,to am5d title ,,xviii ( ! ,social    
,security ,act to delay ! au?ority to   
t]m9ate ,m$ic>e ,advantage contracts =  
,,ma plans fail+ to a*ieve m9imum       
quality rat+s4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,s5iors' ,heal?    
,c>e ,plan ,protection ,act ( #bjae4    
#b4 ,delay 9 au?ority ,to t]m9ate       
contracts = ,m$ic>e ,advantage plans    
fail+ ,to a*ieve m9imum quality rat+s   
7a7 ,f9d+s ,consi/5t ) ! /udies provid$ 
"u ! ,,impact ,act ( #bjad 7,public ,law
 #aac-ahe71 x is ! int5t ( ,congress--  
7#a7 to cont9ue to /udy & reque/ input  
on ! effects ( socioeconomic /atus &    
dual-eligible populations on ! ,m$ic>e  
,advantage ,,/>s rat+ sy/em be=e re=m+  
su* sy/em ) ! input ( /akehold]s2 &     
7#b7 p5d+ ! results ( su* /udies &      
input1 to provide = a tempor>y delay 9  
au?ority ( ! ,c5t]s = ,m$ic>e  ,m$icaid 
,s]vices 7,,cms7 to t]m9ate ,m$ic>e     
,advantage plan contracts solely on !   
basis ( p]=mance ( plans "u ! ,,/>s rat+
 sy/em4  7b7 ,delay 9 ,,ma contract     

t]m9ation au?ority = plans fail+ ,to    
a*ieve m9imum quality rat+s ,section    
#aheg7;h7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciew-#bg7;h77 is am5d$ 
by add+ at ! end ! foll[+ new p>agraph3 
7#c7 ,delay 9 contract t]m9ation        
au?ority = plans fail+ to a*ieve m9imum 
quality rat+ ,! ,secret>y may n t]m9ate 
a contract "u ?is section ) respect to !
 (f]+ ( an ,,ma plan by a ,m$ic>e       
,advantage organization solely because !
 ,,ma plan has fail$ to a*ieve a m9imum 
quality rat+ "u ! #e-/> rat+ sy/em      
e/abli%$ "u section #ahec7o7 dur+ !     
p]iod beg9n+ on ! date ( ! enactm5t (   
?is p>agraph & ?r\gh ! end ( plan ye>   
#bjah4  4  ,june #af1 #bjae ,report$ f !
 ,committee on ,ways & ,means ) an      
am5dm5t ,june #af1 #bjae ,! ,committee  
on ,en]gy & ,comm]ce dis*>g$2 committ$  
to ! ,committee ( ! ,:ole ,h\se on !    
,/ate ( ! ,union & ord]$ to be pr9t$