,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #fehc  ,,in ,,the ,,house ,,of  
,,representatives  ,april #ba1 #bjbj,ms4
 ,houlahan 7for herself and ,mr4 ,larson
 of ,connecticut7 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 establish 
a risk corridor program for ,medicare   
,advantage plans during the ,,covid-#ai 
emergency1 and for other purposes4  #a4 
,establishing a risk corridor program   
for ,medicare ,advantage plans during   
the ,,covid-#ai emergency  7a7 ,in      
general ,section #ahec of the ,social   
,security ,act 7#db ,u4,s4,c4           
#aciew-#bc7 is amended by adding at the 
end the following new subsection3  7p7  

,risk corridor program during the       
,,covid-#ai emergency  7#a7 ,in general 
,the ,secretary shall establish and     
administer a program of risk corridors  
for each plan year1 any portion of which
 occurs during the emergency period     
defined in section #aace7;g77#a77;,b71  
under which the ,secretary shall make   
payments to ,,ma organizations offering 
a ,medicare ,advantage plan based on the
 ratio of the allowable costs of the    
plan to the aggregate premiums of the   
plan4  7#b7 ,payment methodology ,the   
,secretary shall provide under the      
program established under paragraph 7#a7
 that if the allowable costs for a      
,medicare ,advantage plan for any plan  
year are more than #aje percent of the  
target amount1 the ,secretary shall pay 
to the plan an amount equal to #ge      
percent of the allowable costs in excess
 of #aje percent of the target amount4  
7#c7 ,timing  7,a7 ,submission of       
information by plans ,with respect to a 
plan year for which the program         

described in paragraph 7#a7 is          
established and administered1 not later 
than ,july #a of the succeeding plan    
year each ,,ma organization offering a  
,medicare ,advantage plan shall submit  
to the ,secretary such information as   
the ,secretary may require for purposes 
of carrying out such program4  7,b7     
,payment ,the ,secretary shall pay to an
 ,,ma organization offering a ,medicare 
,advantage plan eligible to receive a   
payment under the program with respect  
to a plan year the amount provided under
 paragraph 7#b7 for such plan year not  
later than #fj days after such          
organization submits information with   
respect to such plan and plan year under
 subparagraph 7,a74  7#d7 ,definitions  
7,a7 ,allowable costs ,the term         
allowable costs means1 with respect to  
an ,,ma organization offering a         
,medicare ,advantage plan for a plan    
year1 an amount equal to the total costs
 7other than administrative costs7 of   
such plan in providing benefits covered 

by such plan1 but only to the extent    
that such costs are incurred with       
respect to such benefits for items and  
services that are benefits under the    
original medicare fee-for-service       
program option4  7,b7 ,target amount    
,the term target amount means1 with     
respect to an ,,ma organization offering
 a ,medicare ,advantage plan for a plan 
year1 the total amount of payments paid 
to the ,,ma organization for the plan   
for benefits under the original medicare
 fee-for-service program option for the 
plan year1 taking into account amounts  
paid by the ,secretary and enrollees1   
based upon the bid amount submitted     
under section #ahed1 reduced by the     
total amount of administrative expenses 
for the year assumed in such bid4  7#e7 
,funding ,there are appropriated to the 
,centers for ,medicare  ,medicaid       
,services ,program ,management ,account1
 out of any monies in the ,treasury not 
otherwise obligated1 such sums as may be
 necessary for purposes of carrying out 

this subsection4  4  7b7 ,implementation
 ,notwithstanding any other provision of
 law1 the ,secretary of ,health and     
,human ,services may implement the      
amendments made by this section by      
program instruction or otherwise4