,,ii  #aadth ,,congress  #ast ,session  
,s4 #ehd  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,february #bf1      
#bjae,mr4 ,thune 7for himself and ,mr4  
,warner7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,finance  ,a ,,bill  ,to 
amend title ,,xviii of the ,social      
,security ,act to provide the option to 
receive ,medicare ,summary ,notices     
electronically1 to increase the         
flexibility and transparency of         
contracts with medicare administrative  
contractors1 and for other purposes4    
#a4 ,short title ,this ,act may be cited
 as the ,better ,efficiency and         
,administrative ,simplification ,act of 
#bjae4  #b4 ,option to receive ,medicare
 ,summary ,notice electronically  7a7   
,in general ,section #ahjf of the       
,social ,security ,act 7#db ,u4,s4,c4   
#acie;b-#g7 is amended by adding at the 
end the following new subsection3  7c7  
,format of statements from ,secretary   
7#a7 ,electronic option beginning in    

#bjaf ,subject to paragraph 7#b71 for   
statements described in subsection 7a7  
that are furnished for a period in #bjaf
 or a subsequent year1 in the case that 
an individual described in subsection   
7a7 elects1 in accordance with such     
form1 manner1 and time specified by the 
,secretary1 to receive such statement in
 an electronic format1 such statement   
shall be furnished to such individual   
for each period subsequent to such      
election in such a format and shall not 
be mailed to the individual4  7#b7      
,limitation on revocation option  7,a7  
,in general ,subject to subparagraph    
7,b71 the ,secretary may determine a    
maximum number of elections described in
 paragraph 7#a7 by an individual that   
may be revoked by the individual4  7,b7 
,minimum of one revocation option ,in no
 case may the ,secretary determine a    
maximum number under subparagraph 7,a7  
that is less than one4  7#c7            
,notification ,the ,secretary shall     
ensure that1 in the most cost effective 

manner and beginning ,january #a1 #bjag1
 a clear notification of the option to  
elect to receive statements described in
 subsection 7a7 in an electronic format 
is made available1 such as through the  
notices distributed under section #ahjd1
 to individuals described in subsection 
7a74  4  7b7 ,encouraged expansion of   
electronic statements ,to the extent to 
which the ,secretary of ,health and     
,human ,services determines appropriate1
 the ,secretary shall-- 7#a7 apply an   
option similar to the option described  
in subsection 7c77#a7 of section #ahjf  
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acie;b-#g7 7relating to the  
provision of the ,medicare ,summary     
,notice in an electronic format71 as    
added by subsection 7a71 to other       
statements and notifications under title
 ,,xviii of such ,act 7#db ,u4,s4,c4    
#acie et seq472 and  7#b7 provide such  
,medicare ,summary ,notice and any such 
other statements and notifications on a 
more frequent basis than is otherwise   

required under such title4  #c4 ,renewal
 of ,,mac contracts  7a7 ,in general    
,section #ahgd;,a7b77#a77;,b7 of the    
,social ,security ,act 7#db ,u4,s4,c4   
#aciekk-#a7;b77#a77;,b77 is amended by  
striking #e years and inserting #aj     
years4  7b7 ,application ,the amendments
 made by subsection 7a7 shall apply to  
contracts entered into on or after1 and 
to contracts in effect as of1 the date  
of the enactment of this ,act4  7c7     
,contractor performance transparency    
,section #ahgd;,a7b77#c77;,a7 of the    
,social ,security ,act 7#db ,u4,s4,c4   
#aciekk-#a7;b77#c77;,a77 is amended by  
adding at the end the following new     
clause3  7iv7 ,contractor performance   
transparency ,to the extent possible    
without compromising the process for    
entering into and renewing contracts    
with medicare administrative contractors
 under this section1 the ,secretary     
shall make available to the public the  
performance of each medicare            
administrative contractor with respect  

to such performance requirements and    
measurement standards4  4