,i  #aagth ,,congress  #ast ,session    
,h4 ,r4 #djgd  ,,in ,,the ,,house ,,of  
,,representatives  ,june #bc1 #bjba,mr4 
,bilirakis 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 expand the
 availability of supplemental benefits  
to certain ,medicare ,advantage         
enrollees4  #a4 ,short title ,this ,act 
may be cited as the ,addressing ,social 
,determinants in ,medicare ,advantage   
,act of #bjba4  #b4 ,expanding the      
availability of supplemental benefits to
 certain ,medicare ,advantage enrollees 
7a7 ,in general ,section                
#aheb7;a77#c77;,d7 of the ,social       
,security ,act 7#db ,u4,s4,c4           

#aciew-#bb7;a77#c77;,d77 is amended--   
7#a7 in the header1 by striking         
chronically ill and inserting certain2  
7#b7 in clauses 7i7 and 7ii71 by        
striking chronically ill each place such
 term appears and inserting specified in
 each such place2 and  7#c7 in clause   
7iii71 by amending such clause to read  
as follows3  7iii7 ,specified enrollee  
defined ,in this subparagraph1 the term 
specified enrollee means an enrollee in 
an ,,ma plan that-- 7,i7 the ,secretary 
determines-- 7aa7 has one or more       
comorbid and medically complex chronic  
conditions that is life threatening or  
significantly limits the overall health 
or function of the enrollee2  7bb7 has a
 high risk of hospitalization or other  
adverse health outcomes2 and  7cc7      
requires intensive care coordination2   
7,,ii7 is a low-income enrollee 7as     
specified by the ,secretary72 or        
7,,iii7 meets any other criterion       
determined appropriate by the           
,secretary1 such as criteria relating to

 social and socioeconomic risk4  4  7b7 
,effective date ,the amendments made by 
subsection 7a7 shall apply with respect 
to plan years beginning on or after     
,january #a1 #bjbc4