I 
114TH CONGRESS 
2D SESSION 
H. R. 5562 
To amend title XIX of the Social Security Act to provide for Congressional 
appointment of members of the Medicaid and CHIP Payment Advisory 
Commission (MACPAC). 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 22, 2016 
Mr. GRIFFITH introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to provide 
for Congressional appointment of members of the Med-
icaid 
and 
CHIP 
Payment 
Advisory 
Commission 
(MACPAC). 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. CONGRESSIONAL APPOINTMENT OF MEMBERS 
OF MACPAC. 
(a) IN GENERAL.—Section 1900(c) of the Social Se-
curity Act (42 U.S.C. 1396(c)) is amended— 
(1) in paragraph (1), by striking the period at 
the end and inserting the following: ‘‘, except that 
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for terms beginning on or after January 1, 2017, 
such members shall be appointed as follows: 
‘‘(A) Six by the Speaker of the House of 
Representatives, in consultation with the chair-
man of the Committee on Energy and Com-
merce of the House of Representatives. 
‘‘(B) Three by the minority leader of the 
House of Representatives, in consultation with 
the ranking member of such Committee. 
‘‘(C) Five by the majority leader of the 
Senate, in consultation with the chairman of 
the Committee on Finance of the Senate. 
‘‘(D) Three by the minority leader of the 
Senate, in consultation with the ranking mem-
ber of such Committee.’’; 
(2) by amending paragraph (2) to read as fol-
lows: 
‘‘(2) APPLICATION OF ETHICS RULES.—Mem-
bers of MACPAC shall be treated as employees of 
Congress for purposes of applying title I of the Eth-
ics in Government Act of 1978 (Public Law 95– 
521).’’; 
(3) in paragraph (3)(A), by inserting ‘‘or Con-
gressional officials (as may be applicable)’’ after 
‘‘Comptroller General of the United States’’; and 
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(4) in paragraph (5), by inserting before the pe-
riod at the end the following: ‘‘and, beginning Janu-
ary 1, 2017, MACPAC shall elect a member as 
Chairman and a member as Vice Chairman’’. 
(b) TRANSITION.— 
(1) INITIAL
APPOINTMENT.—The terms of 
members of the Medicaid and CHIP Payment and 
Access Commission, as in effect as of the date of the 
enactment of this Act, shall all expire on December 
31, 2016. Congressional officials shall appoint new 
members to the Commission pursuant to the amend-
ment made by subsection (a)(1) and the terms of 
such new members shall begin on January 1, 2017, 
and shall be staggered consistent with paragraph 
(2). Nothing in this section shall be construed as 
preventing a Congressional official from appointing 
under such amendment an individual who is serving 
as a member of such Commission before January 1, 
2017. 
(2) STAGGERING TERMS FOR INITIAL APPOINT-
MENTS.—The terms of the individuals first ap-
pointed under the amendment made by subsection 
(a)(1) shall begin on January 1, 2017, and shall 
(pursuant to the amendment made by subsection 
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