Sec. 601. Maintaining 2016 Medicare part B premium and deductible levels consistent with actuarially fair rates
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/bill/114/hr/1314/eah/section-601·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1839(a) of the Social Security Act ( 42 U.S.C. 1395r(a) ) is amended— in the second sentence of paragraph (1), by striking Such and inserting Subject to paragraphs
(5)and (6), such ; and by adding at the end the following: In applying this part (including subsection
(i)and section 1833(b)), the monthly actuarial rate for enrollees age 65 and over for 2016 shall be determined as if subsection
(f)did not apply. Subsection
(f)shall continue to be applied to paragraph (6)(A) (during a repayment month, as described in paragraph (6)(B)) and without regard to the application of subparagraph (A). With respect to a repayment month (as described in subparagraph (B)), the monthly premium otherwise established under paragraph
(3)shall be increased by, subject to subparagraph (D), $3. For purposes of this paragraph, a repayment month is a month during a year, beginning with 2016, for which a balance due amount is computed under subparagraph
(C)as greater than zero. For purposes of this paragraph, the balance due amount computed under this subparagraph, with respect to a month, is the amount estimated by the Chief Actuary of the Centers for Medicare & Medicaid Services to be equal to— the amount transferred under section 1844(d)(1); plus the amount that is equal to the aggregate reduction, for all individuals enrolled under this part, in the income related monthly adjustment amount as a result of the application of paragraph (5); minus the amounts payable under this part as a result of the application of this paragraph for preceding months. If the balance due amount computed under subparagraph (C), without regard to this subparagraph, for December of a year would be less than zero, the Chief Actuary of the Centers for Medicare & Medicaid Services shall estimate, and the Secretary shall apply, a reduction to the dollar amount increase applied under subparagraph
(A)for each month during such year in a manner such that the balance due amount for January of the subsequent year is equal to zero. . Section 1844 of the Social Security Act ( 42 U.S.C. 1395w ) is amended— in subsection (a), by adding at the end the following: In applying paragraph (1), the amounts transferred under subsection (d)(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 by adding at the end the following: For 2016, 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 is attributable to the application of section 1839(a)(5)(A) with respect to— enrollees age 65 and over; and enrollees under age 65. Such amounts shall be transferred from time to time as appropriate. Premium increases affected under section 1839(a)(6) shall not be taken into account in applying subsection (a). 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). . Section 1839(i)(3)(A)(ii) of the Social Security Act ( 42 U.S.C. 1395r(i)(3)(A)(ii) ) is amended— by striking and inserting the following: amount.— 200 percent amount.— 200 percent ; and by striking the period at the end and inserting ; plus ; and by adding at the end the following new subclause: 4 times the amount of the increase in the monthly premium under subsection (a)(6) for a month in the year. . If there is no increase in the monthly insurance benefits payable under title II with respect to December 2016 pursuant to section 215(i), then the amendments made by this section shall be applied as if— the reference to 2016 in paragraph (5)(A) of section 1839(a) of the Social Security Act ( 42 U.S.C. 1395r(a) ), as added by subsection (a)(2), was a reference to 2016 and 2017 ; the reference to a month during a year, beginning with 2016 in paragraph (6)(B) of section 1839 of such Act ( 42 U.S.C. 1395r(a) ), as added by subsection (a)(2), was a reference to a month in a year, beginning with 2016 and beginning with 2017, respectively ; and the reference to 2016 in subsection (d)(1) of section 1844 of such Act ( 42 U.S.C. 1395w ), as added by subsection (b)(2), was a reference to each of 2016 and 2017 . Any increase in premiums effected under this subsection shall be in addition to the increase effected by the amendments made by subsection (a). Nothing in subsection
(d)or the amendments made by this section shall be construed as authorizing the Secretary of Health and Human Services to initiate application of such subsection or amendments for a year after 2017.
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Sec. 601
Maintaining 2016 Medicare part B premium and deductible levels consistent with actuarially fair rates
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