,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #aiie  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #f1 #bjag,mrs4 
,black 7= h]self1 ,mr4 ,blum5au]1 ,mrs4 
,mc,morris ,rodg]s1 & ,mrs4 ,d+ell7     
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$  ,a
 ,,bill  ,to am5d title ,,xviii ( !     
,social ,security ,act to provide =     
national te/+ ( a model ( ,m$ic>e       
,advantage value-bas$ insurance design  
to meet ! ne$s ( *ronically ill ,m$ic>e 
,advantage enrollees4  #a4 ,%ort title  
,?is ,act may be cit$ z ! ,value-,bas$  
,insurance ,design = ,bett] ,c>e ,act ( 
#bjag or ! ,v-,,bid = ,bett] ,c>e ,act (
 #bjag4  #b4 ,adapt+ b5efits to meet !  
ne$s ( *ronically ill ,m$ic>e ,advantage
 enrollees ,section #ahei ( ! ,social   
,security ,act 7#db ,u4,s4,c4           

#aciew-#bh7 is am5d$ by add+ at ! end ! 
foll[+ new subsection3  7h7 ,national   
te/+ ( model = ,m$ic>e ,advantage       
value-,bas$ insurance design  7#a7 ,9   
g5]al ,9 implem5t+ ! model describ$ 9   
p>agraph 7#b7 propos$ to be te/$ "u     
section #aaae;,a7b71 ! ,secret>y %all   
revise ! te/+ ( ! model "u su* section  
to cov]1 effective n lat] ?an ,janu>y   
#a1 #bjai1 all ,/ates4  7#b7 ,model     
describ$ ,! model describ$ 9 ?is        
p>agraph is ! te/+ ( a model ( ,m$ic>e  
,advantage value-bas$ insurance design t
 w\ld all[ ,m$ic>e ,advantage plans !   
option to propose & design b5efit       
/ructures t v>y b5efits1 co/-%>+1 &     
supplem5tal b5efits (f]$ to enrollees ) 
specific *ronic diseases propos$ to be  
c>ri$ out 9 ,oregon1 ,arizona1 ,texas1  
,i[a1 ,mi*igan1 ,indiana1 ,t5nessee1    
,alabama1 ,p5nsylvania1 & ,massa*usetts4
  7#c7 ,t]m9ation & modification        
provision n applicable until ,janu>y #a1
 #bjbb ,! provisions ( section          
#aaae;,a7b77#c77;,b7 %all apply to !    

model describ$ 9 p>agraph 7#b71 includ+ 
su* model z exp&$ "u p>agraph 7#a71     
beg9n+ ,janu>y #a1 #bjbb1 b %all n apply
 to su* model1 z s exp&$1 prior to su*  
date4  7#d7 ,fund+ ,! ,secret>y %all    
allocate funds made available "u section
 #aaae;,a7f77#a7 to design1 implem5t1 & 
evaluate ! model describ$ 9 p>agraph    
7#b71 z exp&$ "u p>agraph 7#a74  4