[Congressional Bills 112th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3691 Introduced in House (IH)]

112th CONGRESS
  1st Session
                                H. R. 3691

    To amend title XVIII of the Social Security Act with respect to 
  application of the frailty adjustment to certain Medicare Advantage 
                                 plans.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           December 15, 2011

   Mr. Paulsen (for himself, Mr. Kind, Ms. McCollum, Mr. Kline, Mr. 
 Cravaack, Mr. McGovern, Mrs. Bachmann, Mr. Walz of Minnesota, and Mr. 
   Ellison) introduced the following bill; which was referred to the 
Committee on Ways and Means, and in addition to the Committee on Energy 
    and Commerce, for a period to be subsequently determined by the 
  Speaker, 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 with respect to 
  application of the frailty adjustment to certain Medicare Advantage 
                                 plans.

    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 ``Senior Medicare Fairness Act of 
2011''.

SEC. 2. APPLICATION OF MA FRAILTY ADJUSTMENT.

    Section 1853(a)(1)(B)(iv) of the Social Security Act (42 U.S.C. 
1395w-23(a)(1)(B)(iv)) is amended--
            (1) in subclause (I), by adding at the end the following 
        new sentence: ``For plan year 2013 and subsequent plan years, 
        with respect to a plan that is described in subclause (III), 
        the Secretary shall apply payment rules under section 1894(d) 
        (other than paragraph (3) of such section) rather than the 
        payment rules that would otherwise apply under this part for 
        plan enrollees described in section 1894(c).''; and
            (2) by adding at the end the following new subclause:
                                    ``(III) Plan described.--A plan 
                                described in this subclause is a 
                                specialized MA plan for special needs 
                                individuals described in section 
                                1859(b)(6)(B)(ii) that offers 
                                integrated Medicare and Medicaid 
                                services under a contract with the 
                                State Medicaid agency under title XIX 
                                and is offered by a MA organization 
                                that as of January 1, 2010, had a 
                                contract with such State Medicaid 
                                agency that participated in the 
                                `Demonstrations Serving Those Dually-
                                Eligible for Medicare and Medicaid' 
                                under this title.''.
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