[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[S. 341 Introduced in Senate (IS)]







105th CONGRESS
  1st Session
                                 S. 341

       To establish a bipartisan commission to study and provide 
 recommendations on restoring the financial integrity of the medicare 
         program under title XVIII of the Social Security Act.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           February 13, 1997

Mr. Roth (for himself and Mr. Moynihan) introduced the following bill; 
     which was read twice and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
       To establish a bipartisan commission to study and provide 
 recommendations on restoring the financial integrity of the medicare 
         program under title XVIII of the Social Security Act.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``National Bipartisan Commission on 
the Future of Medicare Act of 1997''.

SEC. 2. ESTABLISHMENT.

    There is established a commission to be known as the National 
Bipartisan Commission on the Future of Medicare (referred to in this 
Act as the ``Commission'').

SEC. 3. FINDINGS.

    The Congress finds that--
            (1) the medicare program under title XVIII of the Social 
        Security Act (42 U.S.C. 1395 et seq.) provides essential health 
        care coverage to this Nation's senior citizens and to 
        individuals with disabilities;
            (2) the Federal Hospital Insurance Trust Fund established 
        under that Act has been spending more than it receives since 
        1995, and will be bankrupt in the year 2001;
            (3) the Federal Hospital Insurance Trust Fund faces even 
        greater solvency problems in the long run with the aging of the 
        baby boom generation and the continuing decline in the number 
        of workers paying into the medicare program for each medicare 
        beneficiary;
            (4) the trustees of the trust funds of the medicare program 
        have reported that growth in spending within the Federal 
        Supplementary Medical Insurance Trust Fund established under 
        that Act is unsustainable; and
            (5) expeditious action is needed in order to restore the 
        financial integrity of the medicare program and to maintain 
        this Nation's commitment to senior citizens and to individuals 
        with disabilities.

SEC. 4. DUTIES OF THE COMMISSION.

    The Commission shall--
            (1) review and analyze the long-term financial condition of 
        the medicare program under title XVIII of the Social Security 
        Act (42 U.S.C. 1395 et seq.);
            (2) identify problems that threaten the financial integrity 
        of the Federal Hospital Insurance Trust Fund and the Federal 
        Supplementary Medical Insurance Trust Fund established under 
        that title (42 U.S.C. 1395i, 1395t);
            (3) analyze potential solutions to the problems identified 
        under paragraph (2) that will ensure both the financial 
        integrity of the medicare program and the provision of 
        appropriate benefits under such program;
            (4) make recommendations to restore the solvency of the 
        Federal Hospital Insurance Trust Fund and the financial 
        integrity of the Federal Supplementary Medical Insurance Trust 
        Fund through the year 2030, when the last of the baby boomers 
        reaches age 65;
            (5) make recommendations for establishing the appropriate 
        financial structure of the medicare program as a whole;
            (6) make recommendations for establishing the appropriate 
        balance of benefits covered and beneficiary contributions to 
        the medicare program;
            (7) make recommendations for the time periods during which 
        the recommendations described in paragraphs (4), (5), and (6) 
        should be implemented; and
            (8) review and analyze such other matters as the Commission 
        deems appropriate.

SEC. 5. MEMBERSHIP.

    (a) Number and Appointment.--The Commission shall be composed of 15 
members, of whom--
            (1) three shall be appointed by the President;
            (2) six shall be appointed by the Majority Leader of the 
        Senate, in consultation with the Minority Leader of the Senate, 
        of whom not more than 4 shall be of the same political party; 
        and
            (3) six shall be appointed by the Speaker of the House of 
        Representatives, in consultation with the Minority Leader of 
        the House of Representatives, of whom not more than 4 shall be 
        of the same political party.
    (b) Comptroller General.--The Comptroller General of the United 
States shall advise the Commission on the methodology to be used in 
identifying problems and analyzing potential solutions in accordance 
with the duties of the Commission described in section 4.
    (c) Terms of Appointment.--The members shall serve on the 
Commission for the life of the Commission.
    (d) Meetings.--The Commission shall locate its headquarters in the 
District of Columbia, and shall meet at the call of the Chairperson.
    (e) Quorum.--Ten members of the Commission shall constitute a 
quorum, but a lesser number may hold hearings.
    (f) Chairperson.--The Speaker of the House of Representatives, in 
consultation with the Majority Leader of the Senate, shall designate 1 
of the members appointed under subsection (a) as Chairperson of the 
Commission.
    (g) Vacancies.--A vacancy on the Commission shall be filled in the 
same manner in which the original appointment was made not later than 
30 days after the Commission is given notice of the vacancy.
    (h) Compensation.--Members of the Commission shall receive no 
additional pay, allowances, or benefits by reason of their service on 
the Commission.
    (i) Expenses.--Each member of the Commission shall receive travel 
expenses and per diem in lieu of subsistence in accordance with 
sections 5702 and 5703 of title 5, United States Code.

SEC. 6. STAFF AND SUPPORT SERVICES.

    (a) Executive Director.--
            (1) Appointment.--The Chairperson shall appoint an 
        executive director of the Commission.
            (2) Compensation.--The executive director shall be paid the 
        rate of basic pay for level V of the Executive Schedule.
    (b) Staff.--With the approval of the Commission, the executive 
director may appoint such personnel as the executive director considers 
appropriate.
    (c) Applicability of Civil Service Laws.--The staff of the 
Commission shall be appointed without regard to the provisions of title 
5, United States Code, governing appointments in the competitive 
service, and shall be paid without regard to the provisions of chapter 
51 and subchapter III of chapter 53 of such title (relating to 
classification and General Schedule pay rates).
    (d) Experts and Consultants.--With the approval of the Commission, 
the executive director may procure temporary and intermittent services 
under section 3109(b) of title 5, United States Code.
    (e) Staff of Federal Agencies.--Upon the request of the Commission, 
the head of any Federal agency may detail any of the personnel of such 
agency to the Commission to assist in carrying out the duties of the 
Commission.
    (f) Other Resources.--The Commission shall have reasonable access 
to materials, resources, statistical data, and other information from 
the Library of Congress and agencies and elected representatives of the 
executive and legislative branches of the Federal Government. The 
Chairperson of the Commission shall make requests for such access in 
writing when necessary.
    (g) Physical Facilities.--The Administrator of the General Services 
Administration shall locate suitable office space for the operation of 
the Commission. The facilities shall serve as the headquarters of the 
Commission and shall include all necessary equipment and incidentals 
required for the proper functioning of the Commission.

SEC. 7. POWERS OF COMMISSION.

    (a) Hearings.--The Commission may conduct public hearings or forums 
at the discretion of the Commission, at any time and place the 
Commission is able to secure facilities and witnesses, for the purpose 
of carrying out the duties of the Commission.
    (b) Gifts.--The Commission may accept, use, and dispose of gifts or 
donations of services or property.
    (c) Mails.--The Commission may use the United States mails in the 
same manner and under the same conditions as other Federal agencies.

SEC. 8. REPORT.

    Not later than 1 year after the date of the enactment of this Act, 
the Commission shall submit a report to the President and Congress 
which shall contain a detailed statement of the recommendations, 
findings, and conclusions of the Commission.

SEC. 9. TERMINATION.

    The Commission shall terminate on the date which is 30 days after 
the date the Commission submits its report to the President and to 
Congress under section 8.

SEC. 10. FUNDING.

    There is authorized to be appropriated to the Commission such sums 
as are necessary to carry out the purposes of this Act. Sums 
appropriated under this section shall be paid equally from the Federal 
Hospital Insurance Trust Fund and from the Federal Supplementary 
Medical Insurance Trust Fund under title XVIII of the Social Security 
Act (42 U.S.C. 1395i, 1395t).
                                 <all>