[Congressional Record Volume 166, Number 140 (Thursday, August 6, 2020)]
[Senate]
[Page S5314]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 2622. Mr. GRASSLEY submitted an amendment intended to be proposed 
to amendment SA 2499 proposed by Mr. McConnell to the bill S. 178, to 
condemn gross human rights violations of ethnic Turkic Muslims in 
Xinjiang, and calling for an end to arbitrary detention, torture, and 
harassment of these communities inside and outside China; which was 
ordered to lie on the table; as follows:

        At the appropriate place, insert the following:

     SEC. __. MAINTAINING 2021 MEDICARE PART B PREMIUM AND 
                   DEDUCTIBLE AT 2020 LEVELS CONSISTENT WITH 
                   ACTUARIALLY FAIR RATES.

       (a) 2021 Premium and Deductible and Repayment Through 
     Future Premiums.--Section 1839(a) of the Social Security Act 
     (42 U.S.C. 1395r(a)) is amended--
       (1) in the second sentence of paragraph (1), by striking 
     ``(5) and (6)'' and inserting ``(5), (6), and (7)'';
       (2) in paragraph (6)(C)--
       (A) in clause (i), by striking ``section 1844(d)(1)'' and 
     inserting ``subsections (d)(1) and (e)(1) of section 1844''; 
     and
       (B) in clause (ii), by striking ``paragraph (5)'' and 
     inserting ``paragraphs (5) and (7)''; and
       (3) by adding at the end the following:
       ``(7) In applying this part (including subsection (i) and 
     section 1833(b)), the monthly actuarial rate for enrollees 
     age 65 and over for 2021 shall be the same as the monthly 
     actuarial rate for enrollees age 65 and over for 2020.''.
       (b) Transitional Government Contribution.--Section 1844 of 
     the Social Security Act (42 U.S.C. 1395w) is amended--
       (1) in subsection (a), by adding at the end the following 
     new sentence: ``In applying paragraph (1), the amounts 
     transferred under subsection (e)(1) with respect to enrollees 
     described in subparagraphs (A) and (B) of such subsection 
     shall be treated as premiums payable and deposited in the 
     Trust Fund under subparagraphs (A) and (B), respectively, of 
     paragraph (1).''; and
       (2) by adding at the end the following:
       ``(e)(1) For 2021, there shall be transferred from the 
     General Fund to the Trust Fund an amount, as estimated by the 
     Chief Actuary of the Centers for Medicare & Medicaid 
     Services, equal to the reduction in aggregate premiums 
     payable under this part for a month in such year (excluding 
     any changes in amounts collected under section 1839(i)) that 
     are attributable to the application of section 1839(a)(7) 
     with respect to--
       ``(A) enrollees age 65 and over; and
       ``(B) enrollees under age 65.
     Such amounts shall be transferred from time to time as 
     appropriate.
       ``(2) Premium increases affected under section 1839(a)(6) 
     shall not be taken into account in applying subsection (a).
       ``(3) There shall be transferred from the Trust Fund to the 
     General Fund of the Treasury amounts equivalent to the 
     additional premiums payable as a result of the application of 
     section 1839(a)(6), excluding the aggregate payments 
     attributable to the application of section 
     1839(i)(3)(A)(ii)(II).''.
       (c) Additional Transitional Government Contribution.--
     Section 1844 of the Social Security Act (42 U.S.C. 1395w), as 
     amended by subsection (b)(2), is amended by adding at the end 
     the following:
       ``(f)(1) There shall be transferred from the General Fund 
     of the Treasury to the Trust Fund an amount, as estimated by 
     the Chief Actuary of the Centers for Medicare & Medicaid 
     Services, equal to amounts paid under the advance payment 
     program under section 421.214 of title 42, Code of Federal 
     Regulations (or any successor regulation) during the period 
     beginning on March 28, 2020, and ending on July 9, 2020.
       ``(2) There shall be transferred from the Trust Fund to the 
     General Fund of the Treasury amounts equivalent to the sum 
     of--
       ``(A) the amounts by which claims have offset (in whole or 
     in part) the amount of such advance payments described in 
     paragraph (1); and
       ``(B) the amount of such advance payments that has been 
     repaid (in whole or in part), under the advance payment 
     program under such section 421.214 (or any such successor 
     regulation).
       ``(3) Amounts described in paragraphs (1) and (2) shall be 
     transferred from time to time as appropriate.''.
       (d) Indentation Correction.--Section 1839(i)(3)(A)(ii) of 
     the Social Security Act (42 U.S.C. 1395r(i)(3)(A)(ii)) is 
     amended by moving the indentation of subclause (I) two ems to 
     the right.
       (e) Emergency Designation.--
       (1) In general.--The amounts provided by this section and 
     the amendments made by this section are designated as an 
     emergency requirement pursuant to section 4(g) of the 
     Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 933(g)).
       (2) Designation in senate.--In the Senate, this section and 
     the amendments made by this section are designated as an 
     emergency requirement pursuant to section 4112(a) of H. Con. 
     Res. 71 (115th Congress), the concurrent resolution on the 
     budget for fiscal year 2018.
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