I 
113TH CONGRESS 
2D SESSION 
H. R. 4211 
To require the Comptroller General of the United States to conduct studies 
on enrollment by racial and ethnic minorities and by low-income seniors 
in the Medicare Advantage program. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 12, 2014 
Mrs. WALORSKI introduced the following bill; which was referred to the Com-
mittee on Ways and Means, and in addition to the Committee on Energy 
and Commerce, for a period to be subsequently determined by the Speak-
er, in each case for consideration of such provisions as fall within the ju-
risdiction of the committee concerned 
A BILL 
To require the Comptroller General of the United States 
to conduct studies on enrollment by racial and ethnic 
minorities and by low-income seniors in the Medicare 
Advantage program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Advantage of Medicare 
Advantage for Minorities and Low-Income Seniors Act of 
2014’’. 
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SEC. 2. GAO STUDIES AND REPORTS ON ENROLLMENT BY 
RACIAL AND ETHNIC MINORITIES AND BY 
LOW-INCOME SENIORS IN MEDICARE ADVAN-
TAGE PROGRAM. 
(a) STUDIES.— 
(1) IN GENERAL.—The Comptroller General of 
the United States shall conduct, with respect to each 
Medicare Advantage population group (as defined in 
paragraph (2)), a study on— 
(A) the number of individuals in each 
State who are members of such Medicare Ad-
vantage population group and who are enrolled 
for plan year 2014, and the number of such in-
dividuals in each State who were enrolled for 
prior plan years (as determined through a sur-
vey of historical data regarding such enroll-
ment), in Medicare Advantage plans under the 
Medicare Advantage program under part C of 
title XVIII of the Social Security Act; and 
(B) the projected impact of payment re-
ductions to such Medicare Advantage program, 
including such reductions resulting from the 
provisions of and amendments made by the Pa-
tient Protection and Affordable Care Act (Pub-
lic Law 111–148) and from administrative ac-
tions, on the number of individuals who are 
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members of such Medicare Advantage popu-
lation group in each State who are projected to 
be enrolled for each plan year beginning with 
plan year 2015 in Medicare Advantage plans 
under such Medicare Advantage program. 
(2) DEFINITION
OF
MEDICARE
ADVANTAGE 
POPULATION
GROUP.—In this section, the term 
‘‘Medicare Advantage population group’’ means each 
of the following population groups: 
(A) The group of individuals who are 
members of one or more racial or ethnic minor-
ity populations. 
(B) The group of individuals who are low- 
income seniors. 
(b) REPORT.—Not later than 18 months after the 
date of the enactment of this Act, the Comptroller General 
of the United States shall submit a report to Congress 
on the results of the studies conducted under subsection 
(a). 
Æ 
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