stocks of specialized, theater-specific equipment 
that is required to support combat operations in 
the theater of operations, and support to de-
ployment-specific training described above. 
(B) Acceleration of equipment service life 
extension programs already in the Future Years 
Defense Plan. 
(C) 
Base 
Realignment 
and 
Closure 
projects. 
(D) Family support initiatives: 
(i) Construction of childcare facilities. 
(ii) Funding for private-public part-
nerships to expand military families’ access 
to childcare. 
(iii) 
Support 
for 
servicemembers’ 
spouses’ professional development. 
(E) Programs to maintain industrial base 
capacity including ‘‘war-stoppers’’. 
(F) Personnel: 
(i) Recruiting and retention bonuses 
to maintain end-strength. 
(ii) Basic Pay and the Basic allow-
ances for Housing and Subsistence for per-
manently authorized end strength. 
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(iii) Individual augmentees on a case- 
by-case basis. 
(G) Support for the personnel, operations, 
or the construction or maintenance of facilities 
at United States Offices of Security Coopera-
tion in theater. 
(H) Costs for reconfiguring prepositioned 
supplies and equipment or for maintaining 
them. 
(4) 
Items 
proposed 
for 
increases 
in 
reprogrammings 
or 
as 
payback 
for 
prior 
reprogrammings must meet the criteria above. 
SEC. 7. INCREASE ENERGY EFFICIENCY OF FEDERAL 
BUILDINGS. 
(a) FINDINGS.—Congress finds the following: 
(1) Private sector funding and expertise can 
help address the energy efficiency challenges facing 
the United States. 
(2) The Federal Government spends more than 
$6 billion annually in energy costs. 
(3) Reducing Federal energy costs can help 
save money, create jobs, and reduce waste. 
(4) Energy savings performance contracts and 
utility energy savings contracts are tools for utilizing 
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private sector investment to upgrade Federal facili-
ties without any up-front cost to the taxpayer. 
(5) Performance contracting is a way to retrofit 
Federal buildings using private sector investment in 
the absence of appropriated dollars. Retrofits seek to 
reduce energy use, improve infrastructure, protect 
national security, and cut facility operations and 
maintenance costs. 
(b) USE
OF ENERGY
AND WATER EFFICIENCY 
MEASURES IN FEDERAL BUILDINGS.— 
(1) IMPLEMENTATION OF IDENTIFIED ENERGY 
AND
WATER
EFFICIENCY
MEASURES.—Section 
543(f)(4) of the National Energy Conservation Pol-
icy Act (42 U.S.C. 8253(f)(4)) is amended to read 
as follows: 
‘‘(4) IMPLEMENTATION OF IDENTIFIED ENERGY 
AND WATER EFFICIENCY MEASURES.— 
‘‘(A) IN GENERAL.—Not later than 2 years 
after the completion of each evaluation under 
paragraph (3), each energy manager shall con-
sider— 
‘‘(i) implementing any energy- or 
water-saving or conservation measure that 
the Federal agency identified in the evalua-
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tion conducted under paragraph (3) that is 
life cycle cost-effective; and 
‘‘(ii) bundling individual measures of 
varying paybacks together into combined 
projects. 
‘‘(B) MEASURES
NOT
IMPLEMENTED.— 
The energy manager, as part of the certification 
system under paragraph (7) and using guide-
lines developed by the Secretary, shall provide 
reasons for not implementing any life cycle 
cost-effective measures under subparagraph 
(A).’’. 
(2) ANNUAL
CONTRACTING
GOAL.—Section 
543(f)(10)(C) of the National Energy Conservation 
Policy Act (42 U.S.C. 8253(f)(10)(C)) is amended— 
(A) by striking ‘‘Each Federal agency’’ 
and inserting the following: 
‘‘(i) IN
GENERAL.—Each Federal 
agency’’; and 
(B) by adding at the end the following new 
clauses: 
‘‘(ii) TRACKING.—Each Federal agen-
cy shall use the benchmarking systems se-
lected or developed for the agency under 
paragraph (8) to track energy savings real-
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ized by the agency through the implemen-
tation of energy- or water-saving or con-
servation measures pursuant to paragraph 
(4), and shall submit information regard-
ing such savings to the Secretary to be 
published on a public website of the De-
partment of Energy. 
‘‘(iii) CONSIDERATION.—Each Federal 
agency shall consider using energy savings 
performance contracts or utility energy 
service contracts to implement energy- or 
water-saving or conservation measures pur-
suant to paragraph (4). 
‘‘(iv) CONTRACTING
GOAL.—It shall 
be the goal of the Federal Government, in 
the implementation of energy- or water- 
saving or conservation measures pursuant 
to paragraph (4), to enter into energy sav-
ings performance contracts or utility en-
ergy 
service 
contracts 
equal 
to 
$1,000,000,000 in each year during the 5- 
year period beginning on January 1, 2014. 
‘‘(v) REPORT
TO
CONGRESS.—Not 
later than September 30 of each year dur-
ing the 5-year period referred to in clause 
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(iv), each Federal agency shall submit to 
the 
Secretary 
information 
regarding 
progress made by the agency towards 
achieving the goal described in such clause. 
Not later than 60 days after each such 
September 
30, 
the 
Secretary, 
acting 
through the Federal Energy Management 
Program, shall submit to the Committee 
on Energy and Commerce of the House of 
Representatives and the Committee on En-
ergy and Natural Resources of the Senate 
a report describing the progress made by 
the Federal Government towards achieving 
such goal.’’. 
SEC. 8. REDUCE REDUNDANT HEALTH PAYMENTS FOR SEN-
IORS. 
(a) STUDY.—The Secretary of Health and Human 
Services, in cooperation with the Secretary of Veterans Af-
fairs and the Secretary of Defense, shall conduct a study 
examining the extent to which payments may be made 
under both the Medicare Advantage program and under 
the veterans health care system or the TRICARE program 
for health care furnished to individuals who are eligible 
under such Medicare Advantage program and the veterans 
health care system or the TRICARE program. 
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(b) REPORT.—The Secretary shall submit a report to 
Congress on the study conducted under subsection (a). 
The report shall contain recommendations that— 
(1) preserve access to benefits under the Medi-
care program for individuals eligible for such bene-
fits; 
(2) focus on satisfaction and health outcomes of 
such individuals with respect to such benefits; 
(3) provide for the efficient use of Federal 
funds; 
(4) account for the adequacy of the veterans 
health care system and the TRICARE program; and 
(5) minimize disruption to the availability of 
Medicare Advantage plans and networks of providers 
participating in such plans. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘Medicare Advantage program’’ 
means the program under part C of title XVIII of 
the Social Security Act. 
(2) The term ‘‘TRICARE program’’ has the 
meaning given that term in section 1072(7) of title 
10, United States Code. 
(3) The term ‘‘veterans health care system’’ 
means the health care system established under sec-
tion 1705 of title 38, United States Code. 
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SEC. 9. EFFICIENT MEDICARE BILLING. 
(a) OPTION TO RECEIVE MEDICARE SUMMARY NO-
TICE ELECTRONICALLY.— 
(1) IN GENERAL.—Section 1806 of the Social 
Security Act (42 U.S.C. 1395b–7) is amended by 
adding at the end the following new subsection: 
‘‘(c) FORMAT OF STATEMENTS FROM SECRETARY.— 
‘‘(1) 
ELECTRONIC
OPTION
BEGINNING
IN 
2015.—Subject to paragraph (2), for statements de-
scribed in subsection (a) that are furnished for a pe-
riod in 2015 or a subsequent year, in the case that 
an individual described in subsection (a) elects, in 
accordance with such form, manner, and time speci-
fied by the Secretary, to receive such statement in 
an electronic format, such statement shall be fur-
nished to such individual for each period subsequent 
to such election in such a format and shall not be 
mailed to the individual. 
‘‘(2) ONE-TIME REVOCATION OPTION.—An indi-
vidual who makes an election described in paragraph 
(1) may revoke such election once. 
‘‘(3) NOTIFICATION.—The Secretary shall en-
sure that, in the most cost effective manner and be-
ginning January 1, 2017, a clear notification of the 
option to elect to receive statements described in 
subsection (a) in an electronic format is made avail-
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able, such as through the notices distributed under 
section 1804, to individuals described in subsection 
(a).’’. 
(2) ENCOURAGED EXPANSION OF ELECTRONIC 
STATEMENTS.—To the extent to which the Secretary 
of Health and Human Services determines appro-
priate, the Secretary shall— 
(A) apply an option similar to the option 
described in subsection (c)(1) of section 1806 of 
the Social Security Act (42 U.S.C. 1395b–7) 
(relating to the provision of the Medicare Sum-
mary Notice in an electronic format), as added 
by subsection (a), to other statements and noti-
fications under title XVIII of such Act (42 
U.S.C. 1395 et seq.); and 
(B) provide such Medicare Summary No-
tice and any such other statements and notifi-
cations on a more frequent basis than is other-
wise required under such title. 
(b) 
RENEWAL
OF
MAC 
CONTRACTS.—Section 
1874A(b)(1)(B) of the Social Security Act (42 U.S.C. 
1395kk–1(b)(1)(B)) is amended by striking ‘‘5 years’’ and 
inserting ‘‘10 years’’. 
Æ 
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