IB 
Union Calendar No. 117 
114TH CONGRESS 
1ST SESSION H. R. 2581 
[Report No. 114–161, Part I] 
To amend title XVIII of the Social Security Act to establish a 3-year dem-
onstration program to test the use of value-based insurance design meth-
odologies under eligible Medicare Advantage plans, to preserve Medicare 
beneficiary choice under Medicare Advantage, to revise the treatment 
under the Medicare program of infusion drugs furnished through durable 
medical equipment, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 29, 2015 
Mr. BRADY of Texas 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 
JUNE 16, 2015 
Reported from the Committee on Ways and Means with an amendment 
[Strike out all after the enacting clause and insert the part printed in italic] 
JUNE 16, 2015 
The Committee on Energy and Commerce discharged; committed to the Com-
mittee of the Whole House on the State of the Union and ordered to be 
printed 
[For text of introduced bill, see copy of bill as introduced on May 29, 2015] 
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A BILL 
To amend title XVIII of the Social Security Act to establish 
a 3-year demonstration program to test the use of value- 
based insurance design methodologies under eligible 
Medicare Advantage plans, to preserve Medicare bene-
ficiary choice under Medicare Advantage, to revise the 
treatment under the Medicare program of infusion drugs 
furnished through durable medical equipment, and for 
other purposes. 
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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 ‘‘Preservation of Access 
for Seniors in Medicare Advantage Act of 2015’’. 
SEC. 2. DEMONSTRATION PROGRAM. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (in this section referred to as the ‘‘Sec-
retary’’) shall establish a 3-year demonstration program to 
test the use of value-based insurance design methodologies 
(as defined in subsection (c)(1)) under eligible Medicare Ad-
vantage plans offered by Medicare Advantage organizations 
under part C of title XVIII of the Social Security Act (42 
U.S.C. 1395w–21 et seq.). The Secretary may extend the 
program to a duration of 4 or 5 years, as determined nec-
essary by the Secretary in coordination with the Centers 
for Medicare and Medicaid Innovation. 
(b) DEMONSTRATION PROGRAM DESIGN.— 
(1) SELECTION OF MEDICARE ADVANTAGE SITES 
AND
ELIGIBLE
MEDICARE
ADVANTAGE
PLANS.—Not 
later than two years after the date of the enactment 
of this Act, the Secretary shall— 
(A) select at least two Medicare Advantage 
sites with respect to which to conduct the dem-
onstration program under this section; and 
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