II 

111TH CONGRESS 

1ST SESSION S. 1384 

To amend title XVIII of the Social Security Act to provide a senior housing 

facility plan option under the Medicare Advantage program. 

IN THE SENATE OF THE UNITED STATES 

JUNE 25, 2009 

Mr. CARDIN (for himself and Ms. MIKULSKI) 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 provide 

a senior housing facility plan option under the Medicare 

Advantage program. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Medicare Senior Hous5 ing Plan Act of 2009’’. 

6 SEC. 2. SENIOR HOUSING FACILITY PLAN OPTION. 

7 (a) IN GENERAL.—Section 1859 of the Social Secu8 rity Act (42 U.S.C. 1395w–28) is amended by adding at 

9 the end the following new subsection: 


jbell on PROD1PC69 with BILLS
2 

•S 1384 IS

1 ‘‘(g) SPECIAL RULES FOR SENIOR HOUSING FACIL2 ITY PLANS.— 

3 ‘‘(1) IN GENERAL.—In the case of a Medicare 

4 Advantage senior housing facility plan described in 

5 paragraph (2), notwithstanding any other provision 

6 of this part to the contrary and in accordance with 

7 regulations of the Secretary, the service area of such 

8 plan may be limited to a senior housing facility in 

9 a geographic area. 

10 ‘‘(2) MEDICARE ADVANTAGE SENIOR HOUSING

11 FACILITY PLAN DESCRIBED.—For purposes of this 

12 subsection, a Medicare Advantage senior housing fa13 cility plan is a Medicare Advantage plan that— 

14 ‘‘(A) restricts enrollment of individuals 

15 under this part to individuals who— 

16 ‘‘(i) reside in a continuing care retire17 ment community (as defined in section 

18 1852(l)(4)(B)); or 

19 ‘‘(ii) reside in a housing facility as20 sisted under section 202 of the Housing 

21 Act of 1959 or supported under the low-in22 come housing tax credit program (as pro23 vided under section 42 of the Internal Rev24 enue Code of 1986) and qualify for assistVerDate Nov 24 2008 07:29 Jun 26, 2009 Jkt 079200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S1384.IS S1384

jbell on PROD1PC69 with BILLS
3 

•S 1384 IS

1 ance under section 8 of the United States 

2 Housing Act of 1937; 

3 ‘‘(B) provides primary care services onsite 

4 and has a ratio of accessible providers to bene5 ficiaries that the Secretary determines is ade6 quate, taking into consideration the number of 

7 residents onsite, the health needs of those resi8 dents, and the accessibility of providers offsite; 

9 ‘‘(C) provides transportation services for 

10 beneficiaries to providers outside of the facility; 

11 ‘‘(D) makes meaningful use of health in12 formation technology (as defined in section 

13 3000(5) of the Public Health Service Act (42 

14 U.S.C. 300jj(5)); and 

15 ‘‘(E) is offered by a Medicare Advantage 

16 organization that has offered at least 1 plan de17 scribed in this paragraph for at least 1 year 

18 under a demonstration project established by 

19 the Secretary.’’. 

20 (b) EFFECTIVE DATE.—The amendment made by 

21 this section shall take effect on January 1, 2010. 

Æ 


jbell on PROD1PC69 with BILLS