[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4196 Introduced in House (IH)]

113th CONGRESS
  2d Session
                                H. R. 4196

 To amend the Patient Protection and Affordable Care Act to eliminate 
  Exchange cost-sharing subsidies, to amend title XVIII of the Social 
 Security Act to create a Medicare Advantage Improvement Fund, and for 
                            other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 11, 2014

 Mr. Johnson of Ohio introduced the following bill; which was referred 
    to the Committee on Energy and Commerce, and in addition to the 
  Committees on Ways and Means and Education and the Workforce, 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 the Patient Protection and Affordable Care Act to eliminate 
  Exchange cost-sharing subsidies, to amend title XVIII of the Social 
 Security Act to create a Medicare Advantage Improvement Fund, and for 
                            other purposes.

    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 ``Seniors' Fairness Act of 2014''.

SEC. 2. CREATING MEDICARE ADVANTAGE IMPROVEMENT FUND.

    Section 1859 of the Social Security Act (42 U.S.C. 1395w-28) is 
amended by adding at the end the following new subsection:
    ``(h) Medicare Advantage Improvement Fund.--
            ``(1) Establishment.--The Secretary shall establish under 
        this title a Medicare Advantage Improvement Fund (in this 
        subsection referred to as the `Fund') which shall be available 
        to make improvements under the Medicare Advantage program under 
        this part, including by--
                    ``(A) preventing cost-sharing increases and the 
                loss of benefits to individuals enrolled in MA plans; 
                and
                    ``(B) ensuring individuals enrolled in MA plans can 
                access a high-quality network of providers.
            ``(2) Funding.--
                    ``(A) In general.--There shall be available to the 
                Fund, for expenditures from the Fund during the period 
                of fiscal years 2014 through 2023, $150,000,000,000.
                    ``(B) Funding limitation.--Amounts in the Fund 
                shall be available to the Secretary only pursuant to an 
                appropriations Act.''.

SEC. 3. ELIMINATING EXCHANGE COST-SHARING SUBSIDIES UNDER PPACA.

    (a) In General.--Section 1402 of the Patient Protection and 
Affordable Care Act (42 U.S.C. 18071) is amended by adding at the end 
the following new subsection:
    ``(g) Termination of Reduced Cost-Sharing Beginning in Plan Year 
2015.--The provisions of this section shall not apply with respect to 
plan years after plan year 2014.''.
    (b) Conforming Amendments.--
            (1) Fair labor standards act of 1938.--Section 18B(a)(2) of 
        the Fair Labor Standards Act of 1938 (29 U.S.C. 218b(a)(2)) is 
        amended--
                    (A) by striking ``1986 and'' and inserting ``1986 
                and, in the case of plan year 2014,''; and
                    (B) by inserting a comma after ``Care Act''.
            (2) Medicaid.--Section 1943(b)(1)(C) of the Social Security 
        Act (42 U.S.C. 1396w-3(b)(1)(C)) is amended by inserting ``(for 
        plan years in which the provisions of such section apply)'' 
        after ``section 1402 of the Patient Protection and Affordable 
        Care Act''.
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