II 109th CONGRESS 1st Session S. 1589 IN THE SENATE OF THE UNITED STATES July 29, 2005 Mr. Bingaman (for himself, Mr. Rockefeller, Mr. Feingold, Mr. Corzine, Mr. Kohl, Ms. Mikulski, Mr. Durbin, and Mr. Harkin) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to provide for reductions in the medicare part B premium through elimination of certain overpayments to Medicare Advantage organizations.

1.

Short title

This Act may be cited as the Affordability in Medicare Premiums Act of 2005.

2.

Reduction of medicare part B premium for individuals not enrolled in a Medicare Advantage plan

Section 1839(a) of the Social Security Act (42 U.S.C. 1395r(a)) is amended— (1)in paragraph (3), in the first sentence, by striking The Secretary and inserting Subject to paragraph (5), the Secretary; and (2)by adding at the end the following new paragraph: (5)(A)For each year (beginning with 2006), the Secretary shall reduce the monthly premium rate determined under paragraph (3) for each month in the year for individuals who are not enrolled in a Medicare Advantage plan (including such individuals subject to an increased premium under subsection (b) or (i)) so that the aggregate amount of such reductions in the year is equal to the aggregate amount of reduced expenditures from the Federal Supplementary Medicare Insurance Trust Fund that the Secretary estimates would result in the year if the annual Medicare+Choice capitation rate for the year was equal to the amount specified under subparagraph (D) of section 1853(c)(1), and not subparagraph (A), (B), or (C) of such section. (B)In order to carry out subsections (a)(1) and (b)(1) of section 1840, the Secretary shall transmit to the Commissioner of Social Security and the Railroad Retirement Board by the beginning of each year (beginning with 2006), such information determined appropriate by the Secretary, in consultation with the Commissioner of Social Security and the Railroad Retirement Board, regarding the amount of the monthly premium rate determined under paragraph (3) for individuals after the application of subparagraph (A). .

3.

Funding reductions in the medicare part B premium through reductions in payments to Medicare Advantage organizations

Section 1839(a) of the Social Security Act (42 U.S.C. 1395r(a)), as amended by section 2, is amended— (1)in paragraph (3), in the first sentence, by striking paragraph (5) and inserting paragraphs (5) and (6); and (2)by adding at the end the following new paragraph: (6)For each year (beginning with 2006), the Secretary shall reduce the monthly premium rate determined under paragraph (3) for each month in the year for each individual enrolled under this part (including such an individual subject to an increased premium under subsection (b) or (i)) so that the aggregate amount of such reductions in the year is equal to an amount equal to— (A)the aggregate amount of reduced expenditures from the Federal Supplementary Medicare Insurance Trust Fund in the year that the Secretary estimates will result from the provisions of, and the amendments made by, sections 4 and 5 of the Affordability in Medicare Premiums Act of 2005; minus (B)the aggregate amount of reductions in the monthly premium rate in the year pursuant to paragraph (5)(A). .

4.

Application of risk adjustment reflecting characteristics for the entire medicare population in payments to Medicare Advantage organizations

Effective January 1, 2006, in applying risk adjustment factors to payments to organizations under section 1853 of the Social Security Act (42 U.S.C. 1395w–23), the Secretary of Health and Human Services shall ensure that payments to such organizations are adjusted based on such factors to ensure that the health status of the enrollee is reflected in such adjusted payments, including adjusting for the difference between the health status of the enrollee and individuals enrolled under the original medicare fee-for-service program under parts A and B of title XVIII of such Act. Payments to such organizations must, in aggregate, reflect such differences.

5.

Elimination of MA regional plan stabilization fund (slush fund)

(a)

In general

Subsection (e) of section 1858 of the Social Security Act (42 U.S.C. 1395w–27a) is repealed. (b)

Conforming amendment

Section 1858(f)(1) of the Social Security Act (42 U.S.C. 1395w–27a(f)(1)) is amended by striking subject to subsection (e),. (c)

Effective date

The amendments made by this section shall take effect as if included in the enactment of section 221(c) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108–173; 117 Stat. 2181).