IB Union Calendar No. 115 114th CONGRESS 1st Session H. R. 2507 [Report No. 114–159, Part I] IN THE HOUSE OF REPRESENTATIVES May 21, 2015 Mr. Brady of Texas (for himself, Mr. Pitts , and Mr. Thompson of California ) introduced the following bill; which was referred to the Committee on Ways and Means , and in addition to the Committee on Energy 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 Additional sponsors: Ms. Sinema , Mr. Sessions , and Mr. Murphy of Florida 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 Committee 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 21, 2015 A BILL To amend title XVIII of the Social Security Act to establish an annual rulemaking schedule for payment rates under Medicare Advantage.

1. Short title This Act may be cited as the Increasing Regulatory Fairness Act of 2015 . 2. Establishing an annual rulemaking schedule for payment rates under Medicare Advantage Section 1853(b) of the Social Security Act ( 42 U.S.C. 1395w–23(b) ) is amended— (1) in the subsection heading, by inserting , annual rulemaking schedule for payment rates for 2017 and subsequent years after Rates ; (2) in paragraph (1)— (A) in subparagraph (B)— (i) in the subparagraph heading, by inserting before 2017 after years ; and (ii) in the matter preceding clause (i), by inserting and before 2017 after 2005 ; and (B) by adding at the end the following new subparagraph: (C) Annual rulemaking schedule for payment rates for 2017 and subsequent years For 2017 and each subsequent year, before April 1 of the preceding year, the Secretary shall, by regulation and in accordance with the notice and public comment periods required under paragraph (2) for such a year, annually determine and announce the following: (i) The annual MA capitation rate for each MA payment area for such year. (ii) The risk and other factors to be used in adjusting such rates under subsection (a)(1)(A) for payments for months in such year. (iii) With respect to each MA region and each MA regional plan for which a bid was submitted under section 1854, the MA region-specific non-drug monthly benchmark amount for that region for the year involved. (iv) The major policy changes to the risk adjustment model, and the 5-star rating system established under subsection (o), that are determined to have an economic impact. ; and (3) in paragraph (2)— (A) by inserting (or, for 2017 and each subsequent year, at least 60 days) after 45 days ; and (B) by inserting (for 2017 and each subsequent year, of no less than 30 days) after opportunity .

June 16, 2015 Reported from the Committee on Ways and Means with an amendment June 16, 2015 The Committee on Energy and Commerce discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed