I
105TH CONGRESS
1ST SESSION
H. R. 2725
To amend part C of title XVIII of the Social Security Act to repeal the
authority to offer private fee-for-service plans under the Medicare+Choice
Program.
IN THE HOUSE OF REPRESENTATIVES
OCTOBER 23, 1997
M. STARK introduced the following bill; which was referred to the Committee
on Ways and Means, and in addition to the Committee on 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 part C of title XVIII of the Social Security Act
to repeal the authority to offer private fee-for-service
plans under the Medicare+Choice Program.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. REPEAL OF PRIVATE FEE-FOR-SERVICE PLANS
UNDER MEDICARE+CHOICE PROGRAM.
(a) IN GENERAL.—Section 1851 of the Social Secu-
rity Act (42 U.S.C. 1395w–21), as inserted by section
4001 of the Balanced Budget Act of 1997, is amended—
(1) in subsection (a)(2), by striking subpara-
graph (C); and
(2) in subsection (d)(4)(A), by striking clause
(iv) and by redesignating the succeeding clauses ac-
cordingly.
(b) CONFORMING AMENDMENTS.—
(1) Section 1852 of such Act (42 U.S.C.
1395w–22) is amended—
(A) in subsection (a)(3), by striking sub-
paragraph (C);
(B) in subsection (d), by striking para-
graph (4);
(C) in subsection (e)(2)(A), by striking ‘‘a
Medicare+Choice private fee-for-service plan
or’’;
(D) in subsection (e)(2)(B), by striking
‘‘MEDICARE+CHOICE
PRIVATE
FEE-FOR-SERV-
ICE PLANS AND’’ and ‘‘a Medicare+Choice pri-
vate fee-for-service plan or’’;
(E) in subsection (e)(3)(A), by striking ‘‘a
Medicare+Choice private fee-for-service plan
or’’;
(F) in subsection (j), by striking para-
graph (6); and
(G) in subsection (k)—
(i) in paragraph (1), by striking ‘‘(a)
IN
GENERAL.—Except as provided in
paragraph (2), a’’ and inserting ‘‘A’’, and
(ii) by striking paragraph (2).
(2) Section 1854 of such Act (42 U.S.C.
1395w–24) is amended—
(A) in subsection (a)(1)(A), by striking ‘‘,
(3), or (4)’’ and inserting ‘‘or (3)’’;
(B) in subsection (a), by striking para-
graph (4);
(C) in subsection (b)(2)(A), by striking ‘‘,
or, in the case of a Medicare+Choice private
fee-for-service plan, the amount filed under sub-
section (a)(4)(A)(ii)’’;
(D) in subsection (b)(2)(B), by striking ‘‘
or 
Medicare+Choice 
private 
fee-for-service
plan’’ and ‘‘or (4)(B)’’; and
(E) in subsection (e), by striking para-
graph (4).
(3) Section 1857 of such Act (42 U.S.C.
1395w–27) is amended—
(A) in subsection (f)(1), by striking ‘‘ (or
in the case of a Medicare+Choice private fee-
for-service plan, if a claim is submitted to such
organization by an enrollee)’’;
(B) in subsection (f)(2), by striking ‘‘(or,
in the case of a Medicare+Choice private fee-
for-service plan, amounts owed to the enroll-
ees’’; and
(C) in subsection (g)(1)(F), by striking ‘‘
or 1852(k)(2)(A)(ii)’’.
(4) Section 1859(b) of such Act (42 U.S.C.
1395w–29(b)) is amended by striking paragraph (2).
(5) Section 1882(u)(1) of such Act (42 U.S.C.
1395ss(u)(1)), as amended by section 4002(b) of the
Balanced Budget Act of 1997, is amended by strik-
ing ‘‘or a Medicare+Choice private fee-for-service
plan’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall be effective as if included in the enact-
ment of the Balanced Budget Act of 1997.
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