I 
111TH CONGRESS 
1ST SESSION H. R. 3631 
To amend title XVIII to provide for the application of a consistent Medicare 
part B premium for all Medicare beneficiaries in a budget neutral manner 
for 2010. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 23, 2009 
Ms. TITUS (for herself, Mr. STARK, Mr. PALLONE, Mr. RANGEL, Mr. WAX-
MAN, Mr. DINGELL, Ms. BALDWIN, Mr. BARROW, Mr. BOUCHER, Mr. 
BRALEY of Iowa, Mr. BUTTERFIELD, Mrs. CAPPS, Ms. CASTOR of Flor-
ida, Mrs. CHRISTENSEN, Mr. CROWLEY, Ms. DEGETTE, Mr. DOYLE, Mr. 
ENGEL, Ms. ESHOO, Mr. GONZALEZ, Mr. GENE GREEN of Texas, Mr. 
GORDON of Tennessee, Mr. HIGGINS, Mr. LARSON of Connecticut, Mr. 
LEVIN, Mr. LEWIS of Georgia, Mr. MCDERMOTT, Mrs. MALONEY, Mr. 
MARKEY of Massachusetts, Ms. MATSUI, Mr. MURPHY of Connecticut, 
Mr. PASCRELL, Mr. POMEROY, Mr. RUSH, Ms. LINDA T. SA´NCHEZ of 
California, Mr. SARBANES, Ms. SCHAKOWSKY, Mr. STUPAK, Ms. SUTTON, 
Mr. VAN HOLLEN, Mr. WEINER, Mr. WELCH, Mr. YARMUTH, Mr. 
CARDOZA, Mr. DAVIS of Illinois, and Ms. BERKLEY) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To amend title XVIII to provide for the application of a 
consistent Medicare part B premium for all Medicare 
beneficiaries in a budget neutral manner for 2010. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medicare Premium 
Fairness Act’’. 
SEC. 2. MEDICARE PART B PREMIUM FOR 2010. 
(a) PREMIUM COMPUTATION.—Section 1839 of the 
Social Security Act (42 U.S.C. 1395r) is amended— 
(1) in subsection (a), by adding at the end the 
following new paragraph: 
‘‘(5) The monthly premium under this subsection for 
2010 shall be the monthly premium under this subsection 
for 2009.’’; and 
(2) in subsection (i)(3)(A), by adding after and 
below clause (ii) the following: 
‘‘In applying clause (ii) for 2010, the monthly 
actuarial rate described in such clause shall be 
such monthly actuarial rate for 2009.’’. 
(b) 
OFFSET
FROM
MEDICARE
IMPROVEMENT 
FUND.—Section 1898(b) of such Act (42 U.S.C. 
1395iii(b)) is amended— 
(1) in paragraph (1)— 
(A) in subparagraph (A), by striking the 
semicolon at the end and inserting the fol-
lowing: ‘‘, reduced by the sum of— 
‘‘(i) the amount transferred under 
paragraph (5); and 
‘‘(ii) $567,000,000;’’; 
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(B) by redesignating subparagraph (B) as 
subparagraph (C); and 
(C) by inserting after subparagraph (A) 
the following new subparagraph: 
‘‘(B) fiscal year 2015, the amount speci-
fied in subparagraph (A)(ii); and’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(5) TRANSFER AND OFFSET.—There are here-
by transferred from amounts in the general fund of 
the Treasury to the Federal Supplementary Medical 
Insurance Trust Fund an amount equivalent, as es-
timated by the Chief Actuary of the Centers for 
Medicare & Medicaid Services, to the aggregate re-
duction in premiums payable under part B that re-
sult from the application of paragraph (5) of section 
1839(a) 
and 
the 
last 
sentence 
of 
section 
1839(i)(3)(A).’’. 
Æ 
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