,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #faac  ,,in ,,the ,,house ,,of  
,,representatives  ,november #ah1       
#bjbe,mr4 ,pocan 7for himself1 ,mr4     
,carson1 ,mr4 ,cohen1 ,ms4 ,de,lauro1   
,mr4 ,doggett1 ,ms4 ,jayapal1 ,mr4      
,khanna1 ,ms4 ,norton1 ,ms4             
,ocasio-,cortez1 ,ms4 ,schakowsky1 ,mr4 
,takano1 ,mr4 ,thanedar1 ,ms4 ,tlaib1   
and ,ms4 ,omar7 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 impose    
limitations on contracts with ,medicare 
,advantage organizations offering       
multiple ,medicare ,advantage plans     
under the ,medicare program4  #a4       
,imposing limitations on contracts with 

,,ma organizations offering multiple    
,,ma plans under ,medicare ,section     
#aheg of the ,social ,security ,act 7#db
 ,u4,s4,c4 #aciew-#bg7 is amended by    
adding at the end the following new     
subsection3  7j7 ,limitations on        
contracts with ,,ma organizations       
offering multiple ,,ma plans ,with      
respect to contracts entered into or    
renewed on or after the date that is #a 
year after the date of the enactment of 
this subsection--  7#a7 the ,secretary  
may not enter into or renew #a or more  
contracts with an ,,ma organization     
under this section with respect to more 
than #c ,,ma plans offered for a plan   
year by such organization under this    
part2 and  7#b7 the ,secretary may not  
enter into or renew #a or more contracts
 with an ,,ma organization under this   
section with respect to more than #a    
,,ma plan offered for a plan year by    
such organization under this part unless
 each such ,,ma plan is significantly   
different with respect to premiums1     

benefits1 or cost-sharing structure 7as 
determined by the ,secretary74  4