,i  #aaeth ,,congress  #b;d ,session    
,h4 ,r4 #fhji  ,,in ,,the ,,house ,,of  
,,representatives  ,september #ac1      
#bjah,miss ,gonzlez-,coln of ,puerto    
,rico 7for herself1 ,mr4 ,serrano1 ,mr4 
,bacon1 ,mr4 ,soto1 and ,mrs4 ,murphy of
 ,florida7 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 temporary stabilization of ,medicare
 ,advantage payments following          
,hurricane ,maria4  #a4 ,short title    
,this ,act may be cited as the ,puerto  
,rico ,integrity in ,medicare ,advantage
 ,act4  #b4 ,temporary stabilization of 
,medicare ,advantage payments following 
,hurricane ,maria  7a7 ,in general      

,section #ahec7n7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#aciew-#bc7n77 is amended--  7#a7 in    
paragraph 7#a77;,b71 by striking        
subsequent year and inserting subsequent
 year1 subject to paragraph 7#g712  7#b7
 in paragraph 7#d71 by striking ,in and 
inserting ,subject to paragraph 7#g71   
in2 and  7#c7 by adding at the end the  
following new paragraph3  7#g7 ,average 
geographic adjustment floor ,for each of
 #bjai1 #bjbj1 and #bjba1 when          
calculating the adjusted average capital
 amount under section #ahgf7;a77#d7 for 
the purposes of establishing the base   
payment amount1 the average geographic  
adjustment shall not be less than #j4gj 
for any area4  4  7b7 ,ensuring payments
 flow to ,puerto ,rico providers and    
patients ,section #ahed7;a77#f7 of the  
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#bd7;a77#f77 is amended-- 7#a7 in
 subparagraph 7,b77iv7--  7,a7 by       
striking ,exception4--,in the case of   
and inserting ,exceptions4-- 7,i7 ,in   

the case of  2 and  7,b7 by adding at   
the end the following new subclause3    
7,,ii7 ,in the case of an area to which 
section #ahec7n77#g7 applies with       
respect to a year1 clause 7iii7 shall be
 waived for bids submitted for such area
 and year and subparagraph 7,c7 shall   
apply4  2 and  7#b7 by adding at the end
 the following new subparagraph3  7,c7  
,strengthening support to health care   
providers in ,puerto ,rico ,when        
reviewing bids submitted by plans       
serving areas in ,puerto ,rico1 the     
,secretary shall ensure that1 of the    
increase in blended benchmark amount    
attributable to section #ahec7n77#g7    
7above the amount that would otherwise  
be determined under section #ahec7n771  
no less than #ej percent is directed    
toward provider compensation4  4