I 

113TH CONGRESS 

2D SESSION H. R. 5152 

To save the Federal Government money by reducing duplication and 

increasing efficiency, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 17, 2014 

Mr. MURPHY of Florida (for himself, Mr. JOLLY, Mr. SWALWELL of California, Mr. RICE of South Carolina, Ms. KUSTER, Mr. MEADOWS, Ms. 

SINEMA, Mr. MULVANEY, Mr. GARCIA, Mr. RUIZ, Ms. GABBARD, and Mr. 

MATHESON) introduced the following bill; which was referred to the Committee on Oversight and Government Reform, and in addition to the 

Committees on Energy and Commerce, Armed Services, Ways and 

Means, and Veterans’ Affairs, 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 save the Federal Government money by reducing 

duplication and increasing efficiency, 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; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘Savings, Accountability, Value, and Efficiency III Act of 

6 2014’’. 


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1 (b) TABLE OF CONTENTS.—The table of contents for 

2 this Act is as follows: 

Sec. 1. Short title; table of contents. 

Sec. 2. Software license management. 

Sec. 3. United States Postal Service fleet efficiency. 

Sec. 4. Government computer energy optimization. 

Sec. 5. Removal of benefits for Federal employee convicted of certain offenses. 

Sec. 6. Codification of Office of Management and Budget criteria. 

Sec. 7. Increase energy efficiency of Federal buildings. 

Sec. 8. Reduce redundant health payments for seniors. 

Sec. 9. Efficient Medicare billing. 

3 SEC. 2. SOFTWARE LICENSE MANAGEMENT. 

4 (a) SOFTWARE LICENSE POLICIES REQUIRED.—Not 

5 later than 6 months after the date of the enactment of 

6 this Act, the Director of the Office of Management and 

7 Budget shall issue software licensing policies for agencies 

8 to follow that include the following: 

9 (1) An identification of clear roles, responsibil10 ities, and central oversight authority within each 

11 agency for managing enterprise software license 

12 agreements. 

13 (2) A requirement that each agency establish 

14 an accurate inventory of enterprise software license 

15 agreements by identifying and collecting information 

16 about software license agreements using automated 

17 discovery and inventory tools. 

18 (3) A requirement that each agency regularly 

19 track and maintain software licenses to assist the 

20 agency in implementing decisions throughout the 

21 software license management life cycle. 


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1 (4) A requirement that each agency analyze 

2 software usage and other data to make cost-effective 

3 decisions. 

4 (5) A requirement that each agency provide 

5 training relevant to software license management. 

6 (6) A requirement that each agency establish 

7 goals and objectives to better manage enterprise 

8 software license agreements. 

9 (7) A requirement that each agency consider 

10 the software license management life-cycle phases 

11 (including requisition, reception, deployment and 

12 maintenance, retirement, and disposal phases) to im13 plement effective decisionmaking and incorporate ex14 isting standards, processes, and metrics. 

15 (b) AGENCY DEFINED.—In this section, the term 

16 ‘‘agency’’ has the meaning given that term in section 551 

17 of title 5, United States Code. 

18 SEC. 3. UNITED STATES POSTAL SERVICE FLEET EFFI19 CIENCY. 

20 (a) PURPOSES.—The purposes of this section are to 

21 provide for the upgrade of the vehicle fleet of the United 

22 States Postal Service, to improve mail delivery services to 

23 benefit customers and the environment, to increase sav24 ings by reducing maintenance or other costs, and to set 

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1 sions for the Postal fleet with the goal of making the Post2 al Service a national leader in efficiency and technology 

3 innovation. 

4 (b) AUTHORITY TO ENTER INTO ENERGY SAVINGS

5 PERFORMANCE CONTRACTS.—Section 804(4) of the Na6 tional Energy Conservation Policy Act (42 U.S.C. 

7 8287c(4)) is amended— 

8 (1) in subparagraph (A), by striking ‘‘or’’ after 

9 the semicolon; 

10 (2) in subparagraph (B), by striking the period 

11 at the end and inserting ‘‘; or’’; and 

12 (3) by adding at the end the following new sub13 paragraph: 

14 ‘‘(C) in the case of a contract in which the 

15 United States Postal Service is a party— 

16 ‘‘(i) the purchase or lease of low emis17 sion and fuel efficient vehicles; 

18 ‘‘(ii) a measure to upgrade a vehicle 

19 owned, operated, leased, or otherwise con20 trolled by or assigned to the United States 

21 Postal Service to increase average fuel 

22 economy and reduce the emissions of car23 bon dioxide of such vehicle; or 

24 ‘‘(iii) the construction of infrastruc25 ture, including electric vehicle charging 


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1 stations, to support vehicles described in 

2 clauses (i) and (ii).’’. 

3 (c) UPGRADE OF POSTAL FLEET.— 

4 (1) POSTAL FLEET REQUIREMENTS.— 

5 (A) MOTOR VEHICLE STANDARDS.—The 

6 Postmaster General shall develop guidelines for 

7 contracted vehicles and vehicles purchased or 

8 leased for use by the Postal Service, that, at a 

9 minimum, provide— 

10 (i) for light-duty vehicles— 

11 (I) that emissions of carbon diox12 ide comply with applicable standards 

13 developed by the Environmental Pro14 tection Agency under title II of the 

15 Clean Air Act (42 U.S.C. 7521 et 

16 seq.) and may not exceed, on average, 

17 250 grams per mile; and 

18 (II) to meet applicable average 

19 fuel economy standards developed by 

20 the National Highway Traffic Safety 

21 Administration under chapter 329 of 

22 title 49, United States Code, of 34.1 

23 miles per gallon; and 


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1 (ii) for medium-duty and heavy-duty 

2 vehicles, that comply with applicable stand3 ards— 

4 (I) for emissions of carbon diox5 ide developed by the Environmental 

6 Protection Agency under title II of 

7 the Clean Air Act (42 U.S.C. 7521 et 

8 seq.); and 

9 (II) for average fuel economy de10 veloped by the National Highway 

11 Traffic Safety Administration under 

12 chapter 329 of title 49, United States 

13 Code. 

14 (B) APPLICABILITY.—The standards de15 scribed in subparagraph (A) shall apply to con16 tracted vehicles and vehicles purchased or 

17 leased for use by the Postal Service after the 

18 date that is 1 year after the date of the enact19 ment of this Act. 

20 (C) REDUCTION IN CONSUMPTION OF PE21 TROLEUM PRODUCTS.—The Postmaster General 

22 shall reduce the total consumption of petroleum 

23 products by vehicles in the Postal fleet by a 

24 minimum of 2 percent annually through the end 


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1 of fiscal year 2025, relative to the baseline es2 tablished for fiscal year 2005. 

3 (2) REPLACING VEHICLES WITHIN THE POSTAL

4 FLEET.—The Postmaster General shall conduct a 

5 cost-benefit analysis of vehicles in the Postal fleet to 

6 determine if the cost to maintain any such vehicle 

7 outweighs the benefit or savings of replacing the ve8 hicle. 

9 (3) ROUTE REQUIREMENTS.—To inform and 

10 prioritize purchases, the Postmaster General shall 

11 review and identify Postal delivery routes to deter12 mine if motor vehicles used on such routes can be 

13 replaced with technologies that increase average fuel 

14 economy or reduce emissions of carbon dioxide. 

15 (4) REPORTING REQUIREMENTS.—The Post16 master General shall submit a report to Congress— 

17 (A) not later than 1 year after the date of 

18 the enactment of this Act, that contains a plan 

19 to achieve the requirements of paragraph (1) 

20 and recommendations for vehicle body design 

21 specifications for vehicles purchased for the 

22 Postal fleet that would increase average fuel 

23 economy and reduce emissions of carbon dioxide 

24 of any such vehicle; and 

25 (B) annually, that describes— 


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1 (i) the progress in meeting the annual 

2 target described in paragraph (1)(C); and 

3 (ii) any changes to Postal delivery 

4 routes or vehicle purchase strategies made 

5 pursuant to paragraph (3). 

6 (5) RESTRICTIONS.—To meet the requirements 

7 of this section, the Postmaster General may not— 

8 (A) reduce the frequency of delivery of 

9 mail to fewer than 6 days each week; 

10 (B) close post offices or postal distribution 

11 facilities; 

12 (C) take any action that would restrict or 

13 diminish a collective bargaining agreement or 

14 eliminate or reduce any employee benefits; or 

15 (D) enter into a contract with a private 

16 company to perform duties that, as of the date 

17 of the enactment of this Act, are performed by 

18 bargaining unit employees. 

19 (d) DEFINITIONS.—In this section: 

20 (1) CONTRACTED VEHICLE.—The term ‘‘con21 tracted vehicle’’— 

22 (A) means any motor vehicle used in car23 rying out a contract for surface mail delivery 

24 pursuant to section 5005(a)(3) of title 39, 

25 United States Code; and 


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1 (B) does not include any motor vehicle 

2 used in carrying out a contract for surface mail 

3 delivery pursuant to sections 406 and 407 of 

4 such title. 

5 (2) MOTOR VEHICLE.—The term ‘‘motor vehi6 cle’’ means any self-propelled vehicle designed for 

7 transporting persons or property on a street or high8 way. 

9 (3) POSTAL DELIVERY ROUTE.—The term 

10 ‘‘Postal delivery route’’ means the transportation 

11 route for surface mail delivery. 

12 (4) POSTAL FLEET.—The term ‘‘Postal fleet’’ 

13 means any vehicle that is owned, operated, leased, or 

14 otherwise controlled by or assigned to the Postal 

15 Service. 

16 (5) POSTAL SERVICE.—The term ‘‘Postal Serv17 ice’’ means the United States Postal Service. 

18 SEC. 4. GOVERNMENT COMPUTER ENERGY OPTIMIZATION. 

19 (a) AGENCY REQUIREMENT TO SHUT DOWN COM20 PUTERS.—Except as provided in subsection (b), not later 

21 than 6 months after the date of the enactment of this Act, 

22 the head of each agency shall make all reasonable efforts 

23 to ensure that desktop computers are shut down for at 

24 least 4 hours out of every 24-hour time period. 


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1 (b) EXCEPTION.—The requirement in subsection (a) 

2 shall not apply to— 

3 (1) desktop computers that are used by a per4 son for 16 or more hours per day; and 

5 (2) computers that perform automated func6 tions essential to the agency for 16 or more hours 

7 per day. 

8 (c) AGENCY DEFINED.—In this section, the term 

9 ‘‘agency’’ has the meaning given that term in section 551 

10 of title 5, United States Code. 

11 SEC. 5. REMOVAL OF BENEFITS FOR FEDERAL EMPLOYEE 

12 CONVICTED OF CERTAIN OFFENSES. 

13 (a) IN GENERAL.—Notwithstanding any other provi14 sion of law, an individual may not be paid an annuity 

15 under chapter 83 or 84 (as the case may be) of title 5, 

16 United States Code, if the individual is convicted of an 

17 offense described under section 8332(o)(2)(B) of such 

18 title, committed after the date of enactment of this Act, 

19 for which every act or omission of the individual that is 

20 needed to satisfy the elements of the offense directly re21 lates to the performance of the individual’s official duties. 

22 (b) CREDIT OF SERVICE.—Any such individual shall 

23 be entitled to be paid any amounts contributed by the indi24 vidual towards the annuity during the period of service 


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1 covered by subsection (a), pursuant to, or in a similar 

2 manner as, the terms of section 8316 of such title. 

3 (c) THRIFT SAVINGS PLAN.— 

4 (1) EMPLOYING AGENCY CONTRIBUTIONS.—Any 

5 contributions made under section 8432 of such title 

6 by an employing agency for the benefit of an indi7 vidual convicted of an offense described in sub8 section (a) shall be forfeited. Such contributions 

9 shall be returned to the general fund of the Treas10 ury. 

11 (2) EMPLOYEE CONTRIBUTIONS.—Any con12 tributions made by the individual pursuant to sec13 tion 8432 of such title shall be payable to the indi14 vidual, upon application of such individual. 

15 (3) COMPUTATION.—The computation of 

16 amounts required by paragraphs (1) and (2) shall be 

17 made on the date of the conviction of the individual 

18 and shall consist of the value of the contributions, 

19 including interest accrued, on such date. 

20 (d) REGULATIONS.—The Director of the Office of 

21 Personnel Management shall prescribe any regulations 

22 necessary to carry out this section. 


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1 SEC. 6. CODIFICATION OF OFFICE OF MANAGEMENT AND 

2 BUDGET CRITERIA. 

3 The Secretary of Defense shall implement the fol4 lowing criteria in requests for overseas contingency oper5 ations: 

6 (1) For theater of operations for non-classified 

7 war overseas contingency operations funding, the ge8 ographic areas in which combat or direct combat 

9 support operations occur are: Iraq, Afghanistan, 

10 Pakistan, Kazakhstan, Tajikistan, Kyrgyzstan, the 

11 Horn of Africa, Persian Gulf and Gulf nations, the 

12 Arabian Sea, the Indian Ocean, the Philippines, and 

13 other countries on a case-by-case basis. 

14 (2) Permitted Inclusions in the Overseas Con15 tingency Operation Budget: 

16 (A) Major Equipment: 

17 (i) Replacement of losses that have 

18 occurred but only for items not already 

19 programmed for replacement in the Future 

20 Years Defense Plan (FYDP), but not in21 cluding accelerations, which must be made 

22 in the base budget. 

23 (ii) Replacement or repair to original 

24 capability (to upgraded capability if that is 

25 currently available) of equipment returning 

26 from theater. The replacement may be a 


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1 similar end item if the original item is no 

2 longer in production. Incremental cost of 

3 non-war related upgrades, if made, should 

4 be included in the base. 

5 (iii) Purchase of specialized, theater6 specific equipment. 

7 (iv) Funding for major equipment 

8 must be obligated within 12 months. 

9 (B) Ground Equipment Replacement: 

10 (i) For combat losses and returning 

11 equipment that is not economical to repair, 

12 the replacement of equipment may be given 

13 to coalition partners, if consistent with ap14 proved policy. 

15 (ii) In-theater stocks above customary 

16 equipping levels on a case-by-case basis. 

17 (C) Equipment Modifications: 

18 (i) Operationally required modifica19 tions to equipment used in theater or in di20 rect support of combat operations and that 

21 is not already programmed in FYDP. 

22 (ii) Funding for equipment modifica23 tions must be able to be obligated in 12 

24 months. 

25 (D) Munitions: 


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1 (i) Replenishment of munitions ex2 pended in combat operations in theater. 

3 (ii) Training ammunition for theater4 unique training events. 

5 (iii) While forecasted expenditures are 

6 not permitted, a case-by-case assessment 

7 for munitions where existing stocks are in8 sufficient to sustain theater combat oper9 ations. 

10 (E) Aircraft Replacement: 

11 (i) Combat losses by accident that 

12 occur in the theater of operations. 

13 (ii) Combat losses by enemy action 

14 that occur in the theater of operations. 

15 (F) Military Construction: 

16 (i) Facilities and infrastructure in the 

17 theater of operations in direct support of 

18 combat operations. The level of construc19 tion should be the minimum to meet oper20 ational requirements. 

21 (ii) At non-enduring locations, facili22 ties and infrastructure for temporary use. 

23 (iii) At enduring locations, facilities 

24 and infrastructure for temporary use. 


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1 (iv) At enduring locations, construc2 tion requirements must be tied to surge 

3 operations or major changes in operational 

4 requirements and will be considered on a 

5 case-by-case basis. 

6 (G) Research and development projects for 

7 combat operations in these specific theaters 

8 that can be delivered in 12 months. 

9 (H) Operations: 

10 (i) Direct war costs: 

11 (I) Transport of personnel, 

12 equipment, and supplies to, from and 

13 within the theater of operations. 

14 (II) Deployment-specific training 

15 and preparation for units and per16 sonnel (military and civilian) to as17 sume their directed missions as de18 fined in the orders for deployment 

19 into the theater of operations. 

20 (ii) Within the theater, the incre21 mental costs above the funding pro22 grammed in the base budget to: 

23 (I) Support commanders in the 

24 conduct of their directed missions (to 


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1 include Emergency Response Pro2 grams). 

3 (II) Build and maintain tem4 porary facilities. 

5 (III) Provide food, fuel, supplies, 

6 contracted services and other support. 

7 (IV) Cover the operational costs 

8 of coalition partners supporting U.S. 

9 military missions, as mutually agreed. 

10 (iii) Indirect war costs incurred out11 side the theater of operations will be evalu12 ated on a case-by-case basis. 

13 (I) Health: 

14 (i) Short-term care directly related to 

15 combat. 

16 (ii) Infrastructure that is only to be 

17 used during the current conflict. 

18 (J) Personnel: 

19 (i) Incremental special pays and al20 lowances for servicemembers and civilians 

21 deployed to a combat zone. 

22 (ii) Incremental pay, special pays and 

23 allowances for Reserve Component per24 sonnel mobilized to support war missions. 

25 (K) Special Operations Command: 


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1 (i) Operations that meet the criteria 

2 in this guidance. 

3 (ii) Equipment that meets the criteria 

4 in this guidance. 

5 (L) Prepositioned supplies and equipment 

6 for resetting in-theater stocks of supplies and 

7 equipment to pre-war levels. 

8 (M) Security force funding to train, equip, 

9 and sustain Iraqi and Afghan military and po10 lice forces. 

11 (N) Fuel: 

12 (i) War fuel costs and funding to en13 sure that logistical support to combat oper14 ations is not degraded due to cash losses 

15 in the Department of Defense’s baseline 

16 fuel program. 

17 (ii) Enough of any base fuel shortfall 

18 attributable to fuel price increases to main19 tain sufficient on-hand cash for the De20 fense Working Capital Funds to cover 

21 seven days disbursements. 

22 (3) Excluded items from Overseas Contingency 

23 Funding that must be funded from the base budget: 

24 (A) Training vehicles, aircraft, ammuni25 tion, and simulators, but not training base 


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1 stocks of specialized, theater-specific equipment 

2 that is required to support combat operations in 

3 the theater of operations, and support to de4 ployment-specific training described above. 

5 (B) Acceleration of equipment service life 

6 extension programs already in the Future Years 

7 Defense Plan. 

8 (C) Base Realignment and Closure 

9 projects. 

10 (D) Family support initiatives: 

11 (i) Construction of childcare facilities. 

12 (ii) Funding for private-public part13 nerships to expand military families’ access 

14 to childcare. 

15 (iii) Support for servicemembers’ 

16 spouses’ professional development. 

17 (E) Programs to maintain industrial base 

18 capacity including ‘‘war-stoppers’’. 

19 (F) Personnel: 

20 (i) Recruiting and retention bonuses 

21 to maintain end-strength. 

22 (ii) Basic Pay and the Basic allow23 ances for Housing and Subsistence for per24 manently authorized end strength. 


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1 (iii) Individual augmentees on a case2 by-case basis. 

3 (G) Support for the personnel, operations, 

4 or the construction or maintenance of facilities 

5 at United States Offices of Security Coopera6 tion in theater. 

7 (H) Costs for reconfiguring prepositioned 

8 supplies and equipment or for maintaining 

9 them. 

10 (4) Items proposed for increases in 

11 reprogrammings or as payback for prior 

12 reprogrammings must meet the criteria above. 

13 SEC. 7. INCREASE ENERGY EFFICIENCY OF FEDERAL 

14 BUILDINGS. 

15 (a) FINDINGS.—Congress finds the following: 

16 (1) Private sector funding and expertise can 

17 help address the energy efficiency challenges facing 

18 the United States. 

19 (2) The Federal Government spends more than 

20 $6 billion annually in energy costs. 

21 (3) Reducing Federal energy costs can help 

22 save money, create jobs, and reduce waste. 

23 (4) Energy savings performance contracts and 

24 utility energy savings contracts are tools for utilizing 


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1 private sector investment to upgrade Federal facili2 ties without any up-front cost to the taxpayer. 

3 (5) Performance contracting is a way to retrofit 

4 Federal buildings using private sector investment in 

5 the absence of appropriated dollars. Retrofits seek to 

6 reduce energy use, improve infrastructure, protect 

7 national security, and cut facility operations and 

8 maintenance costs. 

9 (b) USE OF ENERGY AND WATER EFFICIENCY

10 MEASURES IN FEDERAL BUILDINGS.— 

11 (1) IMPLEMENTATION OF IDENTIFIED ENERGY

12 AND WATER EFFICIENCY MEASURES.—Section 

13 543(f)(4) of the National Energy Conservation Pol14 icy Act (42 U.S.C. 8253(f)(4)) is amended to read 

15 as follows: 

16 ‘‘(4) IMPLEMENTATION OF IDENTIFIED ENERGY

17 AND WATER EFFICIENCY MEASURES.— 

18 ‘‘(A) IN GENERAL.—Not later than 2 years 

19 after the completion of each evaluation under 

20 paragraph (3), each energy manager shall con21 sider— 

22 ‘‘(i) implementing any energy- or 

23 water-saving or conservation measure that 

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1 tion conducted under paragraph (3) that is 

2 life cycle cost-effective; and 

3 ‘‘(ii) bundling individual measures of 

4 varying paybacks together into combined 

5 projects. 

6 ‘‘(B) MEASURES NOT IMPLEMENTED.— 

7 The energy manager, as part of the certification 

8 system under paragraph (7) and using guide9 lines developed by the Secretary, shall provide 

10 reasons for not implementing any life cycle 

11 cost-effective measures under subparagraph 

12 (A).’’. 

13 (2) ANNUAL CONTRACTING GOAL.—Section 

14 543(f)(10)(C) of the National Energy Conservation 

15 Policy Act (42 U.S.C. 8253(f)(10)(C)) is amended— 

16 (A) by striking ‘‘Each Federal agency’’ 

17 and inserting the following: 

18 ‘‘(i) IN GENERAL.—Each Federal 

19 agency’’; and 

20 (B) by adding at the end the following new 

21 clauses: 

22 ‘‘(ii) TRACKING.—Each Federal agen23 cy shall use the benchmarking systems se24 lected or developed for the agency under 

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1 ized by the agency through the implemen2 tation of energy- or water-saving or con3 servation measures pursuant to paragraph 

4 (4), and shall submit information regard5 ing such savings to the Secretary to be 

6 published on a public website of the De7 partment of Energy. 

8 ‘‘(iii) CONSIDERATION.—Each Federal 

9 agency shall consider using energy savings 

10 performance contracts or utility energy 

11 service contracts to implement energy- or 

12 water-saving or conservation measures pur13 suant to paragraph (4). 

14 ‘‘(iv) CONTRACTING GOAL.—It shall 

15 be the goal of the Federal Government, in 

16 the implementation of energy- or water17 saving or conservation measures pursuant 

18 to paragraph (4), to enter into energy sav19 ings performance contracts or utility en20 ergy service contracts equal to 

21 $1,000,000,000 in each year during the 5- 

22 year period beginning on January 1, 2014. 

23 ‘‘(v) REPORT TO CONGRESS.—Not 

24 later than September 30 of each year dur25 ing the 5-year period referred to in clause 


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1 (iv), each Federal agency shall submit to 

2 the Secretary information regarding 

3 progress made by the agency towards 

4 achieving the goal described in such clause. 

5 Not later than 60 days after each such 

6 September 30, the Secretary, acting 

7 through the Federal Energy Management 

8 Program, shall submit to the Committee 

9 on Energy and Commerce of the House of 

10 Representatives and the Committee on En11 ergy and Natural Resources of the Senate 

12 a report describing the progress made by 

13 the Federal Government towards achieving 

14 such goal.’’. 

15 SEC. 8. REDUCE REDUNDANT HEALTH PAYMENTS FOR SEN16 IORS. 

17 (a) STUDY.—The Secretary of Health and Human 

18 Services, in cooperation with the Secretary of Veterans Af19 fairs and the Secretary of Defense, shall conduct a study 

20 examining the extent to which payments may be made 

21 under both the Medicare Advantage program and under 

22 the veterans health care system or the TRICARE program 

23 for health care furnished to individuals who are eligible 

24 under such Medicare Advantage program and the veterans 

25 health care system or the TRICARE program. 


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1 (b) REPORT.—The Secretary shall submit a report to 

2 Congress on the study conducted under subsection (a). 

3 The report shall contain recommendations that— 

4 (1) preserve access to benefits under the Medi5 care program for individuals eligible for such bene6 fits; 

7 (2) focus on satisfaction and health outcomes of 

8 such individuals with respect to such benefits; 

9 (3) provide for the efficient use of Federal 

10 funds; 

11 (4) account for the adequacy of the veterans 

12 health care system and the TRICARE program; and 

13 (5) minimize disruption to the availability of 

14 Medicare Advantage plans and networks of providers 

15 participating in such plans. 

16 (c) DEFINITIONS.—In this section: 

17 (1) The term ‘‘Medicare Advantage program’’ 

18 means the program under part C of title XVIII of 

19 the Social Security Act. 

20 (2) The term ‘‘TRICARE program’’ has the 

21 meaning given that term in section 1072(7) of title 

22 10, United States Code. 

23 (3) The term ‘‘veterans health care system’’ 

24 means the health care system established under sec25 tion 1705 of title 38, United States Code. 


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1 SEC. 9. EFFICIENT MEDICARE BILLING. 

2 (a) OPTION TO RECEIVE MEDICARE SUMMARY NO3 TICE ELECTRONICALLY.— 

4 (1) IN GENERAL.—Section 1806 of the Social 

5 Security Act (42 U.S.C. 1395b–7) is amended by 

6 adding at the end the following new subsection: 

7 ‘‘(c) FORMAT OF STATEMENTS FROM SECRETARY.— 

8 ‘‘(1) ELECTRONIC OPTION BEGINNING IN

9 2015.—Subject to paragraph (2), for statements de10 scribed in subsection (a) that are furnished for a pe11 riod in 2015 or a subsequent year, in the case that 

12 an individual described in subsection (a) elects, in 

13 accordance with such form, manner, and time speci14 fied by the Secretary, to receive such statement in 

15 an electronic format, such statement shall be fur16 nished to such individual for each period subsequent 

17 to such election in such a format and shall not be 

18 mailed to the individual. 

19 ‘‘(2) ONE-TIME REVOCATION OPTION.—An indi20 vidual who makes an election described in paragraph 

21 (1) may revoke such election once. 

22 ‘‘(3) NOTIFICATION.—The Secretary shall en23 sure that, in the most cost effective manner and be24 ginning January 1, 2017, a clear notification of the 

25 option to elect to receive statements described in 

26 subsection (a) in an electronic format is made availVerDate Mar 15 2010 07:37 Jul 23, 2014 Jkt 039200 PO 00000 Frm 00025 Fmt 6652 Sfmt 6201 E:\BILLS\H5152.IH H5152

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26 

•HR 5152 IH

1 able, such as through the notices distributed under 

2 section 1804, to individuals described in subsection 

3 (a).’’. 

4 (2) ENCOURAGED EXPANSION OF ELECTRONIC

5 STATEMENTS.—To the extent to which the Secretary 

6 of Health and Human Services determines appro7 priate, the Secretary shall— 

8 (A) apply an option similar to the option 

9 described in subsection (c)(1) of section 1806 of 

10 the Social Security Act (42 U.S.C. 1395b–7) 

11 (relating to the provision of the Medicare Sum12 mary Notice in an electronic format), as added 

13 by subsection (a), to other statements and noti14 fications under title XVIII of such Act (42 

15 U.S.C. 1395 et seq.); and 

16 (B) provide such Medicare Summary No17 tice and any such other statements and notifi18 cations on a more frequent basis than is other19 wise required under such title. 

20 (b) RENEWAL OF MAC CONTRACTS.—Section 

21 1874A(b)(1)(B) of the Social Security Act (42 U.S.C. 

22 1395kk–1(b)(1)(B)) is amended by striking ‘‘5 years’’ and 

23 inserting ‘‘10 years’’. 

Æ 


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