,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #aiie  ,,in ,,the ,,house ,,of  
,,representatives  ,april #f1 #bjag,mrs4
 ,black 7for herself1 ,mr4 ,blumenauer1 
,mrs4 ,mc,morris ,rodgers1 and ,mrs4    
,dingell7 introduced the following bill2
 which was referred to the ,committee on
 ,ways and ,means1 and in addition to   
the ,committee on ,energy and ,commerce1
 for a period to be subsequently        
determined by the ,speaker1 in each case
 for consideration of such provisions as
 fall within the jurisdiction of the    
committee concerned  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to provide for national  
testing of a model of ,medicare         
,advantage value-based insurance design 
to meet the needs of chronically ill    
,medicare ,advantage enrollees4  #a4    
,short title ,this ,act may be cited as 
the ,value-,based ,insurance ,design for
 ,better ,care ,act of #bjag or the     
,v-,,bid for ,better ,care ,act of      
#bjag4  #b4 ,adapting benefits to meet  

the needs of chronically ill ,medicare  
,advantage enrollees ,section #ahei of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#bh7 is amended by     
adding at the end the following new     
subsection3  7h7 ,national testing of   
model for ,medicare ,advantage          
value-,based insurance design  7#a7 ,in 
general ,in implementing the model      
described in paragraph 7#b7 proposed to 
be tested under section #aaae;,a7b71 the
 ,secretary shall revise the testing of 
the model under such section to cover1  
effective not later than ,january #a1   
#bjai1 all ,states4  7#b7 ,model        
described ,the model described in this  
paragraph is the testing of a model of  
,medicare ,advantage value-based        
insurance design that would allow       
,medicare ,advantage plans the option to
 propose and design benefit structures  
that vary benefits1 cost-sharing1 and   
supplemental benefits offered to        
enrollees with specific chronic diseases
 proposed to be carried out in ,oregon1 

,arizona1 ,texas1 ,iowa1 ,michigan1     
,indiana1 ,tennessee1 ,alabama1         
,pennsylvania1 and ,massachusetts4  7#c7
 ,termination and modification provision
 not applicable until ,january #a1 #bjbb
 ,the provisions of section             
#aaae;,a7b77#c77;,b7 shall apply to the 
model described in paragraph 7#b71      
including such model as expanded under  
paragraph 7#a71 beginning ,january #a1  
#bjbb1 but shall not apply to such      
model1 as so expanded1 prior to such    
date4  7#d7 ,funding ,the ,secretary    
shall allocate funds made available     
under section #aaae;,a7f77#a7 to design1
 implement1 and evaluate the model      
described in paragraph 7#b71 as expanded
 under paragraph 7#a74  4