,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #cjdd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #bc1 #bjag,mr4  
,meehan 7= himself1 ,ms4 ,sewell (      
,alabama1 ,mr4 ,lance1 ,ms4 ,de,gette1 &
 ,mr4 ,k5n$y7 introduc$ ! 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   
exp& supplem5tal b5efits to meet ! ne$s 
( *ronically ill ,m$ic>e ,advantage     
enrollees "u ! ,m$ic>e program1 & = o!r 
purposes4  #a4 ,exp&+ supplem5tal       
b5efits to meet ! ne$s ( *ronically ill 
m$ic>e advantage enrollees  7a7 ,9 g5]al
 ,section #aheb7;a77#c7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#aciew-#bb7;a77#c77 is am5d$-- 7#a7 9   
subp>agraph 7,a71 by /rik+ ,ea* & ins]t+
 ,subject to subp>agraph 7,d71 ea*2 &   

7#b7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,d7 ,exp&+ supplem5tal   
b5efits to meet ! ne$s ( *ronically ill 
enrollees  7i7 ,9 g5]al ,= plan ye>     
#bjbj & subsequ5t plan ye>s1 9 addition 
to any supplem5tal heal? c>e b5efits    
o!rwise provid$ "u ?is p>agraph1 an ,,ma
 plan may provide supplem5tal b5efits   
describ$ 9 clause 7ii7 to a *ronically  
ill enrollee 7z def9$ 9 clause 7iii774  
7ii7 ,supplem5tal b5efits describ$  7,i7
 ,9 g5]al ,supplem5tal b5efits describ$ 
9 ?is clause are supplem5tal b5efits t1 
) respect to a *ronically ill enrollee1 
h a reasonable expectation ( improv+ or 
ma9ta9+ ! heal? or ov]all function ( !  
*ronically ill enrollee & may n be      
limit$ to be+ prim>ily heal? relat$     
b5efits4  7,,ii7 ,au?ority to waive     
uni=mity requirem5ts ,! ,secret>y may1  
only ) respect to supplem5tal b5efits   
provid$ to a *ronically ill enrollee "u 
?is subp>agraph1 waive ! uni=mity       
requirem5t "u subsection 7d77#a77;,a71 z
 det]m9$ appropriate by ! ,secret>y4    

7iii7 ,*ronically ill enrollee def9$ ,9 
?is subp>agraph1 ! t]m *ronically ill   
enrollee means an enrollee 9 an ,,ma    
plan t ! ,secret>y det]m9es-- 7,i7 has  
"o or m comorbid & m$ically complex     
*ronic conditions t is life ?reat5+ or  
significantly limits ! ov]all heal? or  
function ( ! enrollee2  7,,ii7 has a    
high risk ( hospitalization or o!r      
adv]se heal? outcomes2 or  7,,iii7      
requires int5sive c>e coord9ation4  4   
7b7 ,,gao ,/udy & ,report  7#a7 ,/udy ,!
 ,comptroll] ,g5]al ( ! ,unit$ ,/ates 79
 ?is subsection ref]r$ to z !           
,comptroll] ,g5]al7 %all conduct a /udy 
on supplem5tal b5efits provid$ to       
enrollees 9 ,m$ic>e ,advantage plans "u 
"p ,c ( title ,,xviii ( ! ,social       
,security ,act4 ,su* /udy %all include  
an analysis ( ! foll[+3  7,a7 ,! type ( 
supplem5tal b5efits provid$ to su*      
enrollees1 ! total numb] ( enrollees    
receiv+ ea* supplem5tal b5efit1 & :e!r !
 supplem5tal b5efit is cov]$ by ! /&>d  
b5*m>k co/ ( ! b5efit or ) an additional

 premium4  7,b7 ,! frequ5cy 9 :i*       
supplem5tal b5efits are utiliz$ by su*  
enrollees4  7,c7 ,! impact supplem5tal  
b5efits h on--  7i7 indicators ( !      
quality ( c>e receiv$ by su* enrollees1 
includ+ ov]all heal? & function ( !     
enrollees2  7ii7 ! utilization ( items &
 s]vices = :i* b5efits are available "u 
! orig9al ,m$ic>e fee-=-s]vice program  
option "u p>ts ,a & ,b ( su* title      
,,xviii by su* enrollees2 &  7iii7 !    
am\nt ( ! bids submitt$ by ,m$ic>e      
,advantage ,organizations = ,m$ic>e     
,advantage plans "u su* "p ,c4  7#b7    
,report ,n lat] ?an #e ye>s aft] ! date 
( ! enactm5t ( ?is ,act1 ! ,comptroll]  
,g5]al %all submit to ,congress a report
 conta9+ ! results ( ! /udy conduct$ "u 
p>agraph 7#a71 toge!r ) recomm5dations =
 su* legislation & adm9i/rative action z
 ! ,comptroll] ,g5]al det]m9es          
appropriate4