I 
117TH CONGRESS 
2D SESSION 
H. R. 6895 
To establish the Commission on Sustaining Medicare and Social Security, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 2, 2022 
Mr. BILIRAKIS 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 establish the Commission on Sustaining Medicare and 
Social Security, and for other purposes. 
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 ‘‘Commission on Sus-
taining Medicare and Social Security Act of 2022’’. 
SEC. 2. ESTABLISHMENT. 
There is established in the legislative branch a com-
mission to be known as the ‘‘Commission on Sustaining 
VerDate Sep 11 2014 
06:00 Apr 07, 2022
Jkt 029200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H6895.IH
H6895
pbinns on DSKJLVW7X2PROD with BILLS
Medicare and Social Security’’ (in this Act referred to as 
the ‘‘Commission’’). 
SEC. 3. DUTY OF THE COMMISSION. 
Not later than 1 year after the initial meeting of the 
Commission, the Commission shall submit to Congress a 
report on the Old-Age, Survivors, and Disability Insurance 
program under title II of the Social Security Act and the 
Medicare program under title XVIII of the Social Security 
Act, including— 
(1) the impact of using alternative indexes on 
beneficiaries and the Trust Funds, including the 
Consumer Price Index for the Elderly (CPI–E); 
(2) the impact of using alternative premium 
formulas for the Medicare program under title 
XVIII of the Social Security Act on beneficiaries 
and the Federal Supplementary Medical Insurance 
Trust Fund, including premium formulas that con-
sider financial hardships and socioeconomic status; 
(3) program reforms to increase the sustain-
ability of the Old-Age, Survivors, and Disability In-
surance program under title II of the Social Security 
Act and the Medicare program under title XVIII of 
the Social Security Act; and 
(4) program reforms to prevent fraud, increase 
integrity, and reduce improper payments. 
VerDate Sep 11 2014 
06:00 Apr 07, 2022
Jkt 029200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H6895.IH
H6895
pbinns on DSKJLVW7X2PROD with BILLS
SEC. 4. MEMBERS. 
(a) NUMBER AND APPOINTMENT.—The Commission 
shall be composed of 11 members. Of the members of the 
Commission— 
(1) 3 shall be appointed by the President, in-
cluding— 
(A) the Commissioner of the Social Secu-
rity Administration or a designee of the Com-
missioner; and 
(B) the Administrator of the Centers for 
Medicare and Medicaid Services or a designee 
of the Administrator; 
(2) 2 shall be appointed by the Speaker of the 
House of Representatives, consisting of— 
(A) 1 nongovernmental expert in the Old- 
Age, Survivors, and Disability Insurance pro-
gram under title II of the Social Security Act; 
and 
(B) 1 nongovernmental expert of the Medi-
care program under title XVIII of the Social 
Security Act; 
(3) 2 shall be appointed by the minority leader 
of the House of Representatives; consisting of— 
(A) 1 nongovernmental expert in the Old- 
Age, Survivors, and Disability Insurance pro-
VerDate Sep 11 2014 
06:00 Apr 07, 2022
Jkt 029200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H6895.IH
H6895
pbinns on DSKJLVW7X2PROD with BILLS
gram under title II of the Social Security Act; 
and 
(B) 1 nongovernmental expert of the Medi-
care program under title XVIII of the Social 
Security Act; 
(4) 2 shall be appointed by the majority leader 
of the Senate, consisting of— 
(A) 1 nongovernmental expert in the Old- 
Age, Survivors, and Disability Insurance pro-
gram under title II of the Social Security Act; 
and 
(B) 1 nongovernmental expert of the Medi-
care program under title XVIII of the Social 
Security Act; and 
(5) 2 shall be appointed by the minority leader 
of the Senate, consisting of— 
(A) 1 nongovernmental expert in the Old- 
Age, Survivors, and Disability Insurance pro-
gram under title II of the Social Security Act; 
and 
(B) 1 nongovernmental expert of the Medi-
care program under title XVIII of the Social 
Security Act. 
VerDate Sep 11 2014 
06:00 Apr 07, 2022
Jkt 029200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H6895.IH
H6895
pbinns on DSKJLVW7X2PROD with BILLS
(b) TIMING OF APPOINTMENTS.—Each of the ap-
pointments under subsection (a) shall be made not later 
than 60 days after the date of the enactment of this Act. 
(c) TERMS; VACANCIES.—Each member shall be ap-
pointed for the life of the Commission, and a vacancy in 
the Commission shall be filled in the manner in which the 
original appointment was made. 
(d) COMPENSATION.— 
(1) IN GENERAL.—Members of the Commission 
shall serve without pay. 
(2) PROHIBITION ON COMPENSATION OF FED-
ERAL
EMPLOYEES.—Members of the Commission 
who are full-time officers or employees of the United 
States may not receive additional pay, allowances, or 
benefits by reason of their service on the Commis-
sion. 
(3) TRAVEL
EXPENSES.—Each member shall 
receive travel expenses, including per diem in lieu of 
subsistence, in accordance with applicable provisions 
under subchapter I of chapter 57 of title 5, United 
States Code. 
SEC. 5. OPERATION AND POWERS OF THE COMMISSION. 
(a) CO-CHAIRS.—The Commission shall have two co- 
chairs who shall be elected from the members of the Com-
mission during the first meeting of the Commission. 
VerDate Sep 11 2014 
06:00 Apr 07, 2022
Jkt 029200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H6895.IH
H6895
pbinns on DSKJLVW7X2PROD with BILLS