[Congressional Bills 112th Congress]
[From the U.S. Government Publishing Office]
[S. 1999 Introduced in Senate (IS)]

112th CONGRESS
  1st Session
                                S. 1999

 To amend title XVIII of the Social Security Act to apply the frailty 
adjustment under PACE payment rules to certain specialized MA plans for 
                       special needs individuals.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           December 15, 2011

 Ms. Klobuchar (for herself and Mr. Franken) 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 apply the frailty 
adjustment under PACE payment rules to certain specialized MA plans for 
                       special needs individuals.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Senior Medicare Fairness Act''.

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 an 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.''.
                                 <all>