,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #ffdj  ,,in ,,the ,,house ,,of  
,,representatives  ,april #bh1 #bjbj,ms4
 ,mucarsel-,powell 7for herself 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  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to provide coverage for  
,,covid-#ai at no cost sharing under the
 medicare advantage program1 and for    
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,medicare      
,advantage ,,covid ,treatment ,act4  #b4
 ,coverage of treatments for ,,covid-#ai
 at no cost sharing under the medicare  
advantage program  7a7 ,in general      
,section #aheb7;a77#a77;,b7 of the      
,social ,security ,act 7#db ,u4,s4,c4   

#aciew-#bb7;a77#a77;,b77 is amended by  
adding at the end the following new     
clause3  7vii7 ,special coverage rules  
for specified ,,covid-#ai treatment     
services  7,i7 ,in general              
,notwithstanding clause 7i71 in the case
 of a specified ,,covid-#ai treatment   
service that is furnished during a plan 
year occurring during any portion of the
 emergency period defined in section    
#aace7;g77#a77;,b7 beginning on or after
 the date of the enactment of this      
clause1 a ,medicare ,advantage plan may 
not1 with respect to such service1      
impose-- 7aa7 any cost-sharing          
requirement 7including a deductible1    
copayment1 or coinsurance requirement72 
and  7bb7 in the case such service is a 
critical specified ,,covid-#ai treatment
 service 7including ventilator services 
and intensive care unit services71 any  
prior authorization or other utilization
 management requirement4  ,a ,medicare  
,advantage plan may not take the        
application of this clause into account 

for purposes of a bid amount submitted  
by such plan under section              
#ahed7;a77#f74  7,,ii7 ,specified       
,,covid-#ai treatment service defined   
,for purposes of this clause1 the term  
specified ,,covid-#ai treatment service 
means any item or service furnished to  
an individual for which payment may be  
made under part ,a or part ,b of title  
,,xviii of the ,social ,security ,act if
 such item or service is included in a  
claim with an ,,icd-#aj-;,,cm code      
relating to ,,covid-#ai 7as described in
 the document entitled ,,icd-#aj-;,,cm  
,official ,coding                       
,guidelines--,supplement ,coding        
encounters related to ,,covid-#ai       
,coronavirus ,outbreak published on     
,february #bj1 #bjbj1 or as otherwise   
specified by the ,secretary74  4  7b7   
,reimbursement of medicare advantage    
plans for elimination of cost sharing   
,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          
,additional payment to account for cost 
sharing elimination for ,,covid-#ai     
treatment services  7#a7 ,in general ,a 
,medicare ,advantage plan shall notify  
the ,secretary of the total dollar      
amount of cost sharing that1 but for the
 application of section                 
#aheb7;a77#a77;,b77vii71 would have been
 required under such plan for specified 
,,covid-#ai treatment services 7as      
defined in subclause 7,,ii7 of such     
section7 furnished during a plan year   
described in such section to individuals
 enrolled in the plan4 ,the ,secretary  
shall make periodic and timely payments 
in accordance with this subsection to   
such plan that1 in the aggregate1 equal 
such total dollar amount4  7#b7 ,timing 
of payment ,payments by the ,secretary  
under this subsection shall be made     
beginning ,march #a1 #bjba1 for amounts 
described in such paragraph that would  
have been required under such plan for  
specified ,,covid-#ai treatment services

 furnished during plan year #bjbj4      
,payments by the ,secretary under this  
subsection for such amounts that would  
have been so required under such plan   
for such services furnished during a    
plan year subsequent to plan year #bjbj 
shall be made beginning ,march #a of the
 plan year following such subsequent    
plan year4  7#c7 ,non-application       
,section #ahec7;c77#g7 shall not apply  
with respect to the application of this 
subsection4  7#d7 ,appropriation ,there 
are transferred to the ,centers for     
,medicare  ,medicaid ,program           
,management ,fund1 out of any monies in 
the ,treasury not otherwise obligated1  
such sums as may be necessary to the    
,secretary for purposes of making       
payments under this subsection4  4  7c7 
,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