I 

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. 

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 ‘‘Seniors’ Fairness Act 

5 of 2014’’. 


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1 SEC. 2. CREATING MEDICARE ADVANTAGE IMPROVEMENT 

2 FUND. 

3 Section 1859 of the Social Security Act (42 U.S.C. 

4 1395w–28) is amended by adding at the end the following 

5 new subsection: 

6 ‘‘(h) MEDICARE ADVANTAGE IMPROVEMENT

7 FUND.— 

8 ‘‘(1) ESTABLISHMENT.—The Secretary shall es9 tablish under this title a Medicare Advantage Im10 provement Fund (in this subsection referred to as 

11 the ‘Fund’) which shall be available to make im12 provements under the Medicare Advantage program 

13 under this part, including by— 

14 ‘‘(A) preventing cost-sharing increases and 

15 the loss of benefits to individuals enrolled in 

16 MA plans; and 

17 ‘‘(B) ensuring individuals enrolled in MA 

18 plans can access a high-quality network of pro19 viders. 

20 ‘‘(2) FUNDING.— 

21 ‘‘(A) IN GENERAL.—There shall be avail22 able to the Fund, for expenditures from the 

23 Fund during the period of fiscal years 2014 

24 through 2023, $150,000,000,000. 


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1 ‘‘(B) FUNDING LIMITATION.—Amounts in 

2 the Fund shall be available to the Secretary 

3 only pursuant to an appropriations Act.’’. 

4 SEC. 3. ELIMINATING EXCHANGE COST-SHARING SUB5 SIDIES UNDER PPACA. 

6 (a) IN GENERAL.—Section 1402 of the Patient Pro7 tection and Affordable Care Act (42 U.S.C. 18071) is 

8 amended by adding at the end the following new sub9 section: 

10 ‘‘(g) TERMINATION OF REDUCED COST-SHARING BE11 GINNING IN PLAN YEAR 2015.—The provisions of this 

12 section shall not apply with respect to plan years after 

13 plan year 2014.’’. 

14 (b) CONFORMING AMENDMENTS.— 

15 (1) FAIR LABOR STANDARDS ACT OF 1938.— 

16 Section 18B(a)(2) of the Fair Labor Standards Act 

17 of 1938 (29 U.S.C. 218b(a)(2)) is amended— 

18 (A) by striking ‘‘1986 and’’ and inserting 

19 ‘‘1986 and, in the case of plan year 2014,’’; 

20 and 

21 (B) by inserting a comma after ‘‘Care 

22 Act’’. 

23 (2) MEDICAID.—Section 1943(b)(1)(C) of the 

24 Social Security Act (42 U.S.C. 1396w–3(b)(1)(C)) is 

25 amended by inserting ‘‘(for plan years in which the 


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1 provisions of such section apply)’’ after ‘‘section 

2 1402 of the Patient Protection and Affordable Care 

3 Act’’. 

Æ 


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