,,ib  ,union ,calendar ,no4 #fdd  #aaeth
 ,,congress  #b;d ,session  ,h4 ,r4     
#dieb  ,report ,no4 #aae-hcb1 ,part ,i  
,,in ,,the ,,house ,,of                 
,,representatives  ,february #f1 #bjah  
,mr4 ,kelly of ,pennsylvania 7for       
himself and ,mr4 ,kind7 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 
,july #ag1 #bjah;,additional sponsors3  
,mr4 ,blumenauer and ,mr4 ,guthrie      
,july #ag1 #bjah ,reported from the     
,committee on ,ways and ,means with an  
amendment ,strike out all after the     
enacting clause and insert the part     
printed in italic  ,july #ag1           
#bjah;,committee on ,energy and         
,commerce discharged2 committed to the  
,committee of the ,whole ,house on the  

,state of the ,union and ordered to be  
printed,for text of introduced bill1 see
 copy of bill as introduced on ,february
 #f1 #bjah  ,a ,,bill  ,to direct the   
,secretary of ,health and ,human        
,services to conduct a study and submit 
a report on the effects of the inclusion
 of quality increases in the            
determination of blended benchmark      
amounts under part ,c of the ,medicare  
program4  #a4 ,short title ,this ,act   
may be cited as the ,improving ,seniors 
,access to ,quality ,benefits ,act4  #b4
 ,determination of blended benchmark    
amount study  7a7 ,sense of ,congress   
,it is the sense of ,congress that the  
inclusion of quality increases in the   
determination of blended benchmark      
amounts under section #ahec7n77#d7 of   
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#bc7n77#d77 undermines 
the goal of delivering high-quality care
 under the ,medicare program under title
 ,,xviii of such ,act4  7b7 ,study and  
report ,not later than one year after   

the date of enactment of this section1  
the ,secretary of ,health and ,human    
,services1 in consultation with relevant
 stakeholders1 shall conduct a study and
 submit to ,congress a report on the    
effects of the inclusion of quality     
percentage increases under section      
#ahec7n77#e7 of such ,act in the        
determination of blended benchmark      
amounts under section #ahec7n77#d7 of   
such ,act4 ,such study and report shall 
include an analysis of the following3   
7#a7 ,the authority of the ,secretary to
 remove such increases from the         
determination of such amounts4  7#b7    
,the effects of including such increases
 in the determination of such amounts on
 ,medicare ,advantage organizations     
7including the effects on any contracts 
entered into by such organizations74    
7#c7 ,the financial impact of including 
such increases in the determination of  
such amounts by county4  7#d7 ,the      
effects of including such increases in  
the determination of such amounts on    

individuals enrolled in a plan under    
part ,c of title ,,xviii of such ,act4  
,july #ag1 #bjah ,reported from the     
,committee on ,ways and ,means with an  
amendment,july #ag1 #bjah;,committee on 
,energy and ,commerce discharged2       
committed to the ,committee of the      
,whole ,house on the ,state of the      
,union and ordered to be printed