,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #hac  ,,in ,,the ,,house ,,of   
,,representatives  ,january #bh1        
#bjai,miss ,gonzlez-,coln of ,puerto    
,rico 7for herself1 ,mr4 ,serrano1 ,mr4 
,fitzpatrick1 ,mr4 ,soto1 ,ms4          
,velzquez1 ,mrs4 ,radewagen1 and ,mr4   
,king of ,new ,york7 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#f712 and  
7#b7 by adding at the end the following 
new paragraph3  7#f7 ,average geographic
 adjustment floor ,for each of #bjbj1   
#bjba1 and #bjbb1 when calculating the  
adjusted average per capita cost under  
section #ahgf7;a77#d7 for the purposes  
of establishing the base payment amount 
specified in paragraph 7#b77;,e71 the   
average geographic adjustment shall not 
be less than #j4gj for any area4 ,for   
purposes of the previous sentence1 the  
,secretary may define the term average  
geographic adjustment by program        
instruction or otherwise4  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 by adding at the end the     
following new subparagraph3  7,c7       
,strengthening support to health care   
providers in ,puerto ,rico ,with respect
 to plans serving areas in ,puerto      
,rico1 of the increase in blended       
benchmark amount attributable to section
 #ahec7n77#f71 no less than #ej percent 
is directed toward provider             
compensation4  4