I 
115TH CONGRESS 
1ST SESSION H. R. 1995 
To amend title XVIII of the Social Security Act to provide for national 
testing of a model of Medicare Advantage value-based insurance design 
to meet the needs of chronically ill Medicare Advantage enrollees. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 6, 2017 
Mrs. BLACK (for herself, Mr. BLUMENAUER, Mrs. MCMORRIS RODGERS, and 
Mrs. DINGELL) introduced the following bill; which was referred to the 
Committee on Ways and Means, and in addition to the Committee on En-
ergy and Commerce, 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 amend title XVIII of the Social Security Act to provide 
for national testing of a model of Medicare Advantage 
value-based insurance design to meet the needs of chron-
ically ill Medicare Advantage enrollees. 
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 ‘‘Value-Based Insurance 
Design for Better Care Act of 2017’’ or the ‘‘V-BID for 
Better Care Act of 2017’’. 
VerDate Sep 11 2014 
20:08 Apr 17, 2017
Jkt 069200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H1995.IH
H1995
asabaliauskas on DSK3SPTVN1PROD with BILLS
SEC. 2. ADAPTING BENEFITS TO MEET THE NEEDS OF 
CHRONICALLY ILL MEDICARE ADVANTAGE 
ENROLLEES. 
Section 1859 of the Social Security Act (42 U.S.C. 
1395w–28) is amended by adding at the end the following 
new subsection: 
‘‘(h) NATIONAL TESTING OF MODEL FOR MEDICARE 
ADVANTAGE VALUE-BASED INSURANCE DESIGN.— 
‘‘(1) IN GENERAL.—In implementing the model 
described in paragraph (2) proposed to be tested 
under section 1115A(b), the Secretary shall revise 
the testing of the model under such section to cover, 
effective not later than January 1, 2019, all States. 
‘‘(2) MODEL DESCRIBED.—The model described 
in this paragraph is the testing of a model of Medi-
care Advantage value-based insurance design that 
would allow Medicare Advantage plans the option to 
propose and design benefit structures that vary ben-
efits, cost-sharing, and supplemental benefits offered 
to enrollees with specific chronic diseases proposed 
to be carried out in Oregon, Arizona, Texas, Iowa, 
Michigan, Indiana, Tennessee, Alabama, Pennsyl-
vania, and Massachusetts. 
‘‘(3) TERMINATION AND MODIFICATION PROVI-
SION NOT APPLICABLE UNTIL JANUARY 1, 2022.— 
The provisions of section 1115A(b)(3)(B) shall apply 
VerDate Sep 11 2014 
04:23 Apr 13, 2017
Jkt 069200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H1995.IH
H1995
asabaliauskas on DSK3SPTVN1PROD with BILLS
to the model described in paragraph (2), including 
such model as expanded under paragraph (1), begin-
ning January 1, 2022, but shall not apply to such 
model, as so expanded, prior to such date. 
‘‘(4) FUNDING.—The Secretary shall allocate 
funds made available under section 1115A(f)(1) to 
design, implement, and evaluate the model described 
in paragraph (2), as expanded under paragraph 
(1).’’. 
Æ 
VerDate Sep 11 2014 
04:23 Apr 13, 2017
Jkt 069200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6301
E:\BILLS\H1995.IH
H1995
asabaliauskas on DSK3SPTVN1PROD with BILLS