,i  #aagth ,,congress  #b;d ,session    
,h4 ,r4 #giig  ,,in ,,the ,,house ,,of  
,,representatives  ,june #i1 #bjbb,miss 
,gonzlez-,coln 7for herself1 ,mr4 ,soto1
 ,ms4 ,velzquez1 ,ms4 ,salazar1 ,mr4    
,crist1 ,mr4 ,fitzpatrick1 ,mr4 ,bacon1 
,mr4 ,espaillat1 and ,mrs4 ,radewagen7  
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce1 and in addition to the   
,committee on ,ways and ,means1 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 floor in  
,medicare ,advantage benchmark rates for
 regions with low ,medicare             
fee-for-service penetration and to make 
the ,medicare ,savings ,program         
available in all jurisdictions4  #a4    
,short title ,this ,act may be cited as 
the ,achieving ,equity in the ,treatment

 of ,dual ,eligible ,beneficiaries ,act4
  #b4 ,addressing disparities in        
,medicare ,advantage benchmark levels   
based on penetration  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 #bjbd and        
subsequent years1 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   
the purposes of the previous sentence1  
the ,secretary may define the term      
average geographic adjustment under     
subparagraph 7,a7 by program instruction
 or otherwise4  4  7b7 ,ensuring plan   

payments flow to 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 ,ensuring increased 
payments support care ,with respect to  
the increase in blended benchmark amount
 attributable to the application of     
section #ahec7n77#f71 no less than #ej  
percent shall be directed toward payment
 for basic benefits as defined in       
section #aheb7;a77#a77;,b74  4  #c4     
,expanding the ,medicare ,savings       
,program to the territories ,section    
#aije7p77#d7 of the ,social ,security   
,act 7#db ,u4,s4,c4 #acif;d7p77#d77 is  
amended by inserting for fiscal years   
through #bjbb after ,columbia74