TASK DEFINITION: In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
PROBLEM: SECTION 1. SHORT TITLE: TABLE OF CONTENTS.

(a) Short Title.--This Act may be cited as the ''Port Authority of
New York/New Jersey Port Security Task Force Implementation Act of
2008''.
(b) Table of Contents.--The table of contents for this Act is as
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Secure systems of international intermodal transportation.
Sec. 3. Regional recovery plans.
Sec. 4. National tactical plans.
Sec. 5. Risk based resource allocation.
Sec. 6. Use of maritime security risk assessment model.
Sec. 7. Maritime and cargo security integrated project teams.
Sec. 8. Integration of security plans and systems with local port
authority and law enforcement agencies.
Sec. 9. Standardized policy for advanced notice of Coast Guard boarding
for security or port state control
inspections.
Sec. 10. Fraudulent or tampered with transportation worker
identification cards.
Sec. 11. Federal licensing of ship agents.
Sec. 12. Establishment of a security individual.
Sec. 13. Certification of maritime security guards.
Sec. 14. Grants to tier 1 and tier 2 ports require regional strategic
risk management assessment.
Sec. 15. Vessel security plans for supply and similar vessels.

SEC. 2. SECURE SYSTEMS OF INTERNATIONAL INTERMODAL TRANSPORTATION.

Section 70116 of title 46, United States Code, is amended--
(1) by striking ''transportation.'' in subsection (a) and
inserting ''transportation--
''(1) to ensure the security and integrity of shipments of
goods to the United States from the point at which such goods
are initially packed or loaded into a cargo container for
international shipment until they reach their ultimate
destination; and
''(2) to facilitate the movement of such goods through the
entire supply chain through an expedited security and clearance
program.''; and
(2) by striking subsection (b) and inserting the following:
''(b) Program Elements.--Within one year after the date of
enactment of the Port Authority of New York/New Jersey Port Security
Task Force Implementation Act of 2008, the Secretary, acting through
the Commissioner of Customs and Border Protection, shall--
''(1) establish minimum standards and procedures for
verifying, at the point at which goods are placed in a cargo
container for shipping, that the container is free of
unauthorized contents, including hazardous chemical,
biological, radiological, or nuclear material and for securely
sealing such containers after the contents are so verified;
''(2) establish standards and procedures for securing cargo
and monitoring that security while in transit;
''(3) develop performance standards to enhance the physical
security of shipping containers, including performance
standards for seals and locks and protocols and procedures to
address anomalies;
''(4) establish standards and procedures for screening and
evaluating cargo prior to loading in a foreign port for
shipment to the United States either directly or via a foreign
port;
''(5) establish standards and procedures that will enable
the United States Government to ensure and validate compliance
with those standards and procedures; and
''(6) incorporate any other measures the Secretary
considers necessary to ensure the security and integrity of
international intermodal transport movements.
''(c) Requirements for Entry of Containers.--Beginning 1 year after
the date on which the Secretary determines that the standards and
procedures under subsection (b)(5) have been established and are in
effect, the Commissioner of Customs and Border Protection shall refuse
entry into the customs territory of the United States to any container,
arriving directly or via a foreign port, unless the entity shipping the
container has complied with those standards and procedures with respect
to that container.''.

SEC. 3. REGIONAL RECOVERY PLANS.

(a) Establishment.--Section 70103(b)(2) of title 46, United States
Code, is amended--
(1) by redesignating subparagraphs (E) through (G) as
subparagraphs (F) through (H), respectively; and
(2) by inserting after subparagraph (D) the following:
''(E) establish regional response and recovery
protocols to prepare for, respond to, mitigate against,
and recover from a transportation security incident
consistent with section 202 of the Security and
Accountability for Every Port Act of 2006 (6 U.S.C.
942) and section 70103(a) of title 46, United States
Code;''.
(b) Coordination of Plans.--Section 70103(b)(1) of title 46, United
States Code, is amended--
(1) by striking ''and'' after the semicolon in subparagraph
(F);
(2) by redesignating subparagraph (G) as subparagraph (H);
and
(3) by inserting after subparagraph (F) the following:
''(G) be consistent with, and support implementation of,
the National Incident Management System, the National Response
Plan, the National Infrastructure Protection Plan, the National
Preparedness Guidance, the National Preparedness Goal, the
National Transportation Security Plan, National Tactical Plans,
and other similar initiatives; and''.
(c) Use of Area Maritime Transportation Security Plans in
Exercises.--Section 114(b)(1) of the SAFE Port Act (6 U.S.C. 912(b)) is
amended--
(1) by striking ''and'' after the semicolon in paragraph
(1);
(2) by redesignating paragraph (2) as paragraph (3); and
(3) by inserting after paragraph (1) the following:
''(2) utilizes the Area Maritime Transportation Security
Plans established under section 70103(b) of title 46, United
States Code, in conducting such exercises; and''.

SEC. 4. NATIONAL TACTICAL PLANS.

The Secretary of the department in which the Coast Guard is
operating shall ensure that the National Tactical Plan is shared with
the Area Maritime Security Committees established under section 70112
of title 46, United States Code. The Area Maritime Security Committees
shall use the plan in developing regional and local plans and for
exercises.

SEC. 5. RISK BASED RESOURCE ALLOCATION.

(a) National Standard.--Within 1 year after the date of enactment
of this Act, in carrying out chapter 701 of title 46, United States
Code, the Homeland Security Act of 2002, and the Security and
Accountability for Every Port Act of 2006 the Secretary of the
department in which the Coast Guard is operating shall develop and
utilize a national standard and formula for prioritizing and addressing
assessed security risks at United States ports, such as the Maritime
Assessment Strategy Tool that has been tested by the Department of
Homeland Security.
(b) Use by Maritime Security Committees.--Within 2 years after the
date of enactment of this Act, the Secretary shall require each Area
Maritime Security Committee to use this standard to regularly evaluate
each port's assessed risk and prioritize how to mitigate the most
significant risks.
(c) Other Uses of Standard.--The Secretary shall utilize the
standard when considering departmental resource allocations and grant-
making decisions.

SEC. 6. USE OF MARITIME SECURITY RISK ASSESSMENT MODEL.

Within 180 days after the date of enactment of this Act, the
Secretary of the department in which the Coast Guard is operating shall
make the United States Coast Guard's Maritime Security Risk Assessment
Model tool available, in an unclassified version, on a limited basis to
regulated vessels and facilities to conduct true risk assessments of
their own facilities and vessels using the same criteria employed by
the United States Coast Guard when evaluating a port area.

SEC. 7. MARITIME AND CARGO SECURITY INTEGRATED PROJECT TEAMS.

The Secretary of Homeland Security shall--
(1) establish integrated project teams within the science
and technology directorate to assist the Department of Homeland
Security in product research, development, transition, and
acquisition activities for cargo security; and
(2) provide for participation by port authorities or the
appropriate State agency responsible for oversight of port
areas in such activities.

SEC. 8. INTEGRATION OF SECURITY PLANS AND SYSTEMS WITH LOCAL PORT
AUTHORITY AND LAW ENFORCEMENT AGENCIES.

Section 70102 of title 46, United States Code, is amended by adding
at the end thereof the following:
''(c) Sharing of Assessment; Integration of Plans and Equipment.--
The owner or operator of a facility shall--
''(1) make a current copy of the vulnerability assessment
conducted under subsection (b) available to the port authority
with jurisdiction of the facility and appropriate State or
local law enforcement agencies; and
''(2) integrate, to the maximum feasible extent, any
security system for the facility with compatible systems
operated or maintained by the port authority or such law
enforcement agencies.''.

SEC. 9. STANDARDIZED POLICY FOR ADVANCED NOTICE OF COAST GUARD BOARDING
FOR SECURITY OR PORT STATE CONTROL INSPECTIONS.

Within 90 days after the date of enactment of this Act, the
Commandant of the Coast Guard shall establish, and publish in the
Federal Register, a policy governing how much advance notice is to be
provided by the Coast Guard to the owner or operator of a vessel before
the vessel is boarded by the Coast Guard for ISPS compliance or Port
State Control inspection.

SEC. 10. FRAUDULENT OR TAMPERED WITH TRANSPORTATION WORKER
IDENTIFICATION CARDS.

Section 70105 of title 46, United States Code, is amended by adding
at the end thereof the following:
''(n) Confiscation of Fraudulent TWICs.--If any Federal, State, or
local government law enforcement officer, or any member of the United
States Coast Guard in the execution of such officer's duties, has
reasonable cause to believe that a transportation security card issued
under this section is fraudulent, has been unlawfully modified, or is
otherwise invalid, the officer may confiscate the card, notify the
Department of Homeland Security, and hold the bearer of the card in
custody for a reasonable period of time for relinquishment to
appropriate law enforcement authorities.''.

SEC. 11. FEDERAL LICENSING OF SHIP AGENTS.

(a) In General.--Within 1 year after the date of enactment of this
Act, the Federal Maritime Commission shall establish and implement a
procedure for the training, certification, and licensing of steamship
agents and agencies operating in the United States.
(b) TWIC Required.--An individual may not receive a license under
the procedure established by the Federal Maritime Commission under
subsection (a) unless that individual holds a valid transportation
security card issued under section 70105 of title 46, United States
Code.
(c) License Requirement.--Beginning 1 year after the date on which
the Federal Maritime Commission establishes the licensing procedure, or
after such date as the Federal Maritime Commission may establish, it
shall be unlawful for any person to act as a vessel agent in the United
States without a valid license issued by the Federal Maritime
Commission and a valid transportation security card issued under
section 70105 of title 46, United States Code.
(d) Enforcement.--Violation of subsection (c) is punishable by
imprisonment for not more than 1 year and a fine under title 18, United
States Code.

SEC. 12. ESTABLISHMENT OF A SECURITY INDIVIDUAL.

Under regulations prescribed by the Secretary of Homeland Security,
each vessel documented under chapter 121 of title 46, United States
Code, and each foreign vessel entering a United States port, engaged in
the commercial transportation of goods or passengers shall--
(1) designate a United States person that is responsible
for responding to a transportation security incident involving
the vessel while in a United States port by notifying
appropriate emergency response entities and facilitating vessel
response activities; and
(2) provide notice to the Secretary of Homeland Security,
the Commandant of the Coast Guard, and the captain of the port
of the identity and contact information for such person.

SEC. 13. CERTIFICATION OF MARITIME SECURITY GUARDS.

(a) In General.--Chapter 701 of title 46, United States Code, is
amended by adding at the end thereof the following:
''Sec. 70122. Incident command system training
''The Secretary shall ensure that all maritime security guards meet
minimum training and performance standards in the Department of
Homeland Security's security awareness and response procedures and in
the handling of hazardous materials.''.
(b) Conforming Amendment.--The chapter analysis for chapter 701 of
title 46, United States Code, is amended by inserting after the item
relating to section 70121 the following:

''70122. Incident command system training.''.

SEC. 14. GRANTS TO TIER 1 AND TIER 2 PORTS REQUIRE REGIONAL STRATEGIC
RISK MANAGEMENT ASSESSMENT.

Section 70107(a) of title 46, United States Code, is amended by
adding at the end ''The Secretary shall establish regional strategic
risk management priorities for tier 1 and tier 2 ports and take such
priorities into account in awarding grants under this section.''.

SEC. 15. VESSEL SECURITY PLANS FOR SUPPLY AND SIMILAR VESSELS.

(a) In General.--Section 70103(c)(2)(A) of title 46, United States
Code, is amended by striking ''incident;'' and inserting ''incident
(including supply vessels, bunker and fuel deliver and launch vessels
conducting activities or providing services to other vessels at
anchorage;''.
(b) TWICs Required for Crew.--Section 70105(b)(2)(F) of title 46,
United States Code, is amended by inserting ''personnel working on
board vessels described in section 70103(c)(2)(A) of this title and''
after ''(F)''.
(c) Effective Date.--The amendments made by this section shall take
effect 1 year after the date of enactment of this Act.

SOLUTION: Port Authority of New York/New Jersey Port Security Task Force Implementation Act of 2008 - Amends federal port security law to revise mandatory elements of the secure system of transportation program.

Directs the Secretary of the department in which the Coast Guard is operating, acting through the Commissioner of Customs and Border Protection, to establish minimum program standards and procedures for verifying, at the point goods are placed in a cargo container for shipping, that such container is free of unauthorized contents, including hazardous chemical, biological, radiological, or nuclear material, and is securely sealed after verification of its contents. Prohibits the entry of any container that has not complied with such standards and procedures.

Requires Area Maritime Transportation Security Plans to establish regional response and recovery protocols for transportation security incidents.

Amends the SAFE Port Act to require the Secretary of Homeland Security to ensure that the Port Security Exercise Program utilizes Area Maritime Transportation Security Plans in conducting port security exercises.

Requires the Secretary of the department in which the Coast Guard is operating to develop and utilize a national standard for prioritizing and assessing security risks at U.S. ports, such as the Maritime Assessment Strategy Tool.

Sets forth requirements regarding: (1) use of the U.S. Coast Guard's Maritime Security Risk Assessment Model tool to conduct vessel and port facility security risk assessments; (2) establishment of maritime and cargo security integrated project teams; (3) sharing of port facility vulnerability assessments and integration of port security plans and systems with local port authority and law enforcement agencies; (4) policy for advanced notice of Coast Guard boarding of vessels for security or Port State Control inspections; (5) confiscation of fraudulent transportation worker identification cards (TWICs); (6) Federal Maritime Commission training and licensing of steamship agents; (7) designation of a U.S. person to be responsible for notifying emergency response entities in the event of a transportation security incident involving a U.S. or foreign vessel; (8) minimum incident command system training and performance standards for maritime security guards; (9) consideration of regional strategic risk management priorities for tier 1 and tier 2 ports in grant awards; and (10) the submission of security plans for supply, bunker, and fuel deliver and launch vessels conducting activities or providing services to other vessels at anchorage.

PROBLEM: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Standardization of Collegiate
Oversight of Revenues and Expenditures Act'' or ''SCORE Act''.

SEC. 2. REPORTING BY INSTITUTIONS OF HIGHER EDUCATION ON ATHLETIC
REVENUE AND EXPENSES.

Section 485(g) of the Higher Education Act of 1965 (20 U.S.C.
1092(g)) is amended--
(1) in paragraph (1), by adding at the end the following:
''(K) The amount of revenue generated by each of
the following categories, disaggregated by each sports
team, if applicable:
''(i) Ticket sales.
''(ii) Student fees.
''(iii) Distributions from any other
intercollegiate athletic association,
conference, or tournament.
''(iv) Appearance guarantees and options.
''(v) Contributions from alumni and others.
''(vi) Compensation and benefits provided
by third-party support.
''(vii) Concessions, programs, novelties,
and parking.
''(viii) Broadcast and media rights,
reported separately for television, radio,
internet, and print.
''(ix) Royalties, advertising, and
sponsorship.
''(x) Sports camps.
''(xi) Endowment and investment income,
reported separately for each source of such
income.
''(xii) Direct institutional support.
''(xiii) Indirect institutional support for
facilities, services, and administrative
support.
''(xiv) Direct government support, reported
separately by State government, local
government, Federal Government.
''(L) The expenses attributable to each of the
following categories, disaggregated by each sports
team, as applicable:
''(i) Grants-in-aid.
''(ii) Guarantees and options.
''(iii) Total salaries and benefits, and
salaries and benefits paid by the institution
and by third parties, respectively, to head
coaches, to assistant coaches, and for
administrative salaries.
''(iv) Severance pay.
''(v) Team travel.
''(vi) Recruiting.
''(vii) Equipment, uniforms, and supplies.
''(viii) Fundraising.
''(ix) Marketing and promotion.
''(x) Game expenses.
''(xi) Medical.
''(xii) Membership dues.
''(xiii) Sports camps.
''(xiv) Spirit groups.
''(xv) Transfers to the institution.
''(xvi) Debt service payments.
''(xvii) Athletic facility maintenance and
rental.
''(xviii) Indirect facilities and
administrative support.
''(xix) Education and general expenses of
the institution--
''(I) including instruction,
research, public service, academic
support, student services,
instructional support, and scholarships
and fellowships; and
''(II) which do not include
expenses with respect to auxiliary
enterprises, hospitals, or independent
operations.'';
(2) in paragraph (5)--
(A) by striking ''the term'' and inserting the
following:
''(A) the term'';
(B) by striking the period at the end inserting '';
and''; and
(C) by adding at the end the following:
''(B) the terms listed in each of the categories
under subparagraphs (K) through (L) of paragraph (1)
shall be defined by the Secretary by regulation,
developed in consultation with the Secretary of the
Treasury and the task force described in paragraph
(6)(A), and such definitions shall be updated in
accordance with paragraph (6)(B).''; and
(3) by adding at the end the following:
''(6) Task force; definition updates.--
''(A) Task force.--The Secretary shall appoint a
task force of nonprofit and higher education accounting
experts, professionals, and organizations representing
each of the following:
''(i) Institutions of higher education that
are members of division I of National
Collegiate Athletic Association.
''(ii) Institutions of higher education
that are members of division II of National
Collegiate Athletic Association.
''(iii) Institutions of higher education
that are members of division III of National
Collegiate Athletic Association.
''(B) Updating definitions.--The Secretary, on a
biannual basis and in consultation with the task force
described in subparagraph (A), shall review each
definition under paragraph (5)(B) and, if necessary,
update such definition in accordance with generally
accepted accounting principles or significant changes
in the national system of intercollegiate athletics.
''(7) Special rule.--An institution of higher education
that submits the information described in subparagraphs (K)
through (L) of paragraph (1) to an intercollegiate athletic
association for an academic year, and such information is
verified by an independent audit and certified by chancellor of
the institution, may, in lieu of submitting such information
under paragraph (1), request such association to directly
submit such information to the Secretary on behalf of the
institution for such academic year.''.

SEC. 3. PROGRAM REQUIREMENTS.

Section 487(a) of the Higher Education Act of 1965 (20 U.S.C.
1094(a)) is amended by adding at the end the following:
''(30)(A) An institution will not be a member of any
intercollegiate athletic association or participate in any
national intercollegiate athletics competition organized by any
person, unless such association or person reports, on an annual
basis, to the Secretary the following, disaggregated by sport,
athletic event, or contract, as applicable:
''(i) Total generated revenue and amount of
revenue generated by each of the following
categories:
''(I) Total ticket sales.
''(II) Distributions from other
intercollegiate athletic organization
or person.
''(III) Cash contributions.
''(IV) Dues and other assessments
from member institutions of higher
education.
''(V) Third-party support.
''(VI) Merchandise.
''(VII) Concessions, programs, and
novelties.
''(VIII) Broadcast and media
rights, reported separately for
television, radio, internet, and print.
''(IX) Endowment and investment
income, reported separately for each
source of such income.
''(X) Other corporate sponsorship.
''(XI) Royalties, advertising, and
sponsorship.
''(XII) Net assets.
''(XIII) Direct government support,
reported separately by State
government, local government, or
Federal Government.
''(XIV) Any other category
determined appropriate by the
Secretary.
''(ii) Amount of expenses attributable to
each of the following categories:
''(I) Disbursements to institutions
of higher educations, athletic
conferences, or other persons.
''(II) Salaries and benefits.
''(III) Severance pay.
''(IV) Equipment, uniforms, and
supplies.
''(V) Fundraising.
''(VI) Marketing and promotion.
''(VII) Game expenses.
''(VIII) Medical.
''(IX) Facility construction.
''(X) Facility maintenance and
rental.
''(XI) Capital investment.
''(XII) Debt service payments.
''(XIII) Charitable donations.
''(XIV) Any other category
determined appropriate by the
Secretary.
''(iii) Executive compensation schedules.
''(B) The Secretary shall--
''(i) define by regulation, developed in
consultation with the Secretary of the Treasury
and the task force described in section
485(g)(6)(A), the terms listed in each of the
categories under subparagraphs (A); and
''(ii) on a biannual basis and in
consultation with such task force, review each
definition under clause (i) and, if necessary,
update such definition in accordance with
generally accepted accounting principles or
significant changes in the national system of
intercollegiate athletics.''.

SOLUTION: Standardization of Collegiate Oversight of Revenues and Expenditures Act or the SCORE Act - Amends title IV (Student Assistance) of the Higher Education Act of 1965 to require each coeducational institution of higher education (IHE) that is participating in a title IV program and has an intercollegiate athletic program to include in its annual report on its intercollegiate athletic program: (1) the amount of revenue generated by each item on a list of categorized sources, disaggregated by each sports team; and (2) the expenses attributable to each item on a list of categorized activities or obligations, disaggregated by each sports team. Prohibits an IHE from being a member of any intercollegiate athletic association or participating in any national intercollegiate athletics competition organized by any person, unless such association or person annually reports and disaggregates by sport, athletic event, or contract, as applicable: (1) the total generated revenue and amount of revenue generated by each item on a list of categorized sources, (2) the amount of expenses attributable to each item on a list of categorized activities or obligations, and (3) executive compensation schedules. Directs the Secretary of Education to: (1) define the categories of information that must be reported pursuant to this Act; and (2) biannually review and, as necessary, update each definition in accordance with generally accepted accounting principles or significant changes in the national system of intercollegiate athletics. Directs the Secretary to appoint a task force, made up of representatives from division I, II, and III schools in the National Collegiate Athletic Association (NCAA), with which the Secretary is to consult in defining or redefining each category.

PROBLEM: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Medicare Link Act of 2013''.

SEC. 2. ESTABLISHMENT OF MEDICARE LINK PROGRAM.

(a) In General.--Title XVIII of the Social Security Act is amended
by adding after section 1899A (42 U.S.C. 1395kkk) the following new
section:

''medicare link program option

''Sec. 1899B. (a) In General.--The Secretary shall establish under
this section a program (to be known as the 'Medicare Link Program' and
in this section referred to as the 'Program') through which individuals
who are entitled to enroll in a Medicare Advantage plan under part C
but who are not enrolled in such a plan under such part are eligible to
enroll with a Medicare Link contractor under this section.
''(b) Enrollment; Disenrollment.--The Secretary shall establish a
process for the enrollment (and disenrollment) of eligible individuals
with Medicare Link contractors under the Program which process shall
be, to the maximum extent practicable, the same as (and coordinated
with) the process for enrollment (and disenrollment) of individuals in
Medicare Advantage plans under part C.
''(c) Qualification of Contractors; Awarding of Contracts.--
''(1) In general.--In this section, the term 'Medicare Link
contractor' means a nongovernmental entity, that may be a
Medicare Advantage organization, health plan, health insurance
issuer, medicare administrative contractor, or other qualified
third-party entity, that has entered into a contract with the
Secretary with respect to one or more Medicare Link regions (as
specified by the Secretary under paragraph (3)) for the
offering of Medicare Link services (described in subsection
(d)) to individuals residing in the region who enroll with the
contractor under the Program.
''(2) Limitation; requirements.--For each such Medicare
Link region, the Secretary shall select (and contract with) at
least 1, and not more than 3, Medicare Link contractors for the
offering of plans (in this section referred to as 'Medicare
Link plans') under this section. The Secretary shall seek to
contract with at least 2 Medicare Link contractors within each
Medicare Link region. A contract with a Medicare Link
contractor may cover a multi-year period.
''(3) Specification of medicare link regions.--The
Secretary shall define and specify Medicare Link regions (each
in this section referred to as a 'Medicare Link region') that,
across all such regions, encompass all 50 States, the District
of Columbia, and the territories.
''(4) Qualification of contractors.--The Secretary shall
establish uniform qualifications for Medicare Link contractors
based on their experience and qualifications to offer Medicare
Link plans under this section and to provide additional
services to individuals enrolled under such plans under this
section and to provide for reduced expenditures under parts A
and B. Contracts with Medicare Link contractors under this
section shall be for periods similar to the contracts with MA
organizations under part C and shall contain such terms and
conditions as the Secretary shall specify.
''(5) Contracting authority.--Nothing in this section shall
be construed as preventing a Medicare Link contractor from
contracting with other entities in carrying out activities
under this section, including the offering of Medicare Link
plans under this section.
''(6) Bidding process.--In selecting Medicare Link
contractors, the Secretary shall establish a bidding process
similar to the process of bidding by medicare administrative
contractors under section 1874A.
''(7) Contractor payments.--Medicare Link contractors with
contracts under this section shall be paid, on a monthly basis,
a per enrollee monthly service fee for the provision of
services under the contract consistent with the provisions of
paragraph (8). A portion of such fee (not to exceed 5 percent)
may be subject to adjustment based on a contractor's
performance on financial and quality benchmarks based upon pre-
established measures specified by the Secretary.
''(8) Requirement for federal savings under contract.--
''(A) In general.--Before entering into or renewing
a contract with a Medicare Link contractor, the
Secretary must determine (and the Chief Actuary of the
Centers for Medicare & Medicaid Services must certify)
that the terms of the contract are expected to yield
average, net savings to the Medicare program under this
title of not less than 5 percent per program enrollee
in the Medicare Link region covered under the contract.
''(B) Computation.--Such savings shall be computed
taking into account all effects on spending under this
title, including any reductions in premiums and cost
sharing or other incentives for enrollees under
subsection (d), payments to Medicare Link contractors
under the contract, and reductions in payments to
medicare administrative contractors that would
otherwise have been made under section 1874A.
''(C) Payments based on shared savings, adjusted
for quality.--The contract shall be structured in a
manner so that--
''(i) subject to clause (ii), the payments
to the contractor under paragraph (7) are
computed to represent a proportion (as
specified in the contract) of the net savings
in excess of the minimum savings required under
subparagraph (A); and
''(ii) such proportion may be increased
under the contract based on a contractor's
performance on quality benchmarks, based upon
pre-established measures specified by the
Secretary.
''(D) Guaranteed federal savings.--If the Secretary
determines that a Medicare Link contractor, after a
period of three consecutive years, does not maintain an
average net savings to the Medicare program of at least
5 percent per program enrollee as required under
subparagraph (A), the Medicare Link contractor shall
remit to the Secretary a sum specified by the Secretary
and related to the amount of the shortfall.
''(9) Savings validation audit.--The Secretary shall
provide for the annual auditing of the financial records
(including data relating to Medicare utilization and costs) of
organizations offering Medicare Link plans under this section
''(10) GAO audit.--Every 3 years the Comptroller General of
the United States shall conduct an audit of the Medicare Link
program costs and program savings. Such report shall be
submitted to the committees of the House of Representatives and
of the Senate with jurisdiction over Medicare.
''(d) Services Under a Medicare Link Plan.--
''(1) In general.--Each Medicare Link plan offered under
this section--
''(A) shall provide for care management services
(described in paragraph (2)) and predictive modeling
and risk prioritization (described in paragraph (3))
for individuals enrolled under the plan consistent with
this subsection;
''(B) shall carry out the functions of medicare
administrative contractors described in paragraph
1874A(a)(4);
''(C) shall provide a reduction or rebate in the
premium otherwise applicable under part B (as
determined without regard to section 1839(i)) to
individuals so enrolled; and
''(D) may provide for a reduction in cost-sharing
otherwise applicable to such individuals who use
providers within a plan network.
''(2) Care management services.--
''(A) Required.--The required care management
services shall include clinical interventions to help
coordinate care.
''(B) Optional.--Optional care management services
may include interventions such as the following:
''(i) Prevention and wellness.
''(ii) Transitional and case management and
other clinical programs.
''(iii) Chronic disease management.
''(iv) Advanced illness care initiatives.
''(v) Diabetes prevention programs.
''(vi) Transitional case management, for
individuals discharged from a hospital or other
health care institution.
''(vii) Nurse practitioner-led
interventions (consistent with restrictions
under applicable State law).
''(viii) Post-acute transition programs.
''(ix) High-risk case management.
''(x) Home-based primary care.
''(xi) Advanced illness transitional care.
''(xii) Operation of clinical management
programs.
''(xiii) Management and development of
provider networks.
''(xiv) Consumer engagement with decision
support.
''(3) Predictive modeling and risk prioritization.--The
predictive modeling and risk prioritization services described
in this paragraph shall include the following:
''(A) Predictive modeling and high risk
identification.--The use of claims data and trend data
to predict which enrollees could benefit from the
application of a clinical intervention or which might
be high risk and in need of a care plan.
''(B) Prioritization of interventions.--Programs to
identify, prioritize, and personalize care
opportunities through a comprehensive profile of each
enrollee.
''(4) Optional incentives and enrollee empowerment.--
''(A) In general.--A Medicare Link contractor may
use appropriate incentives to manage overall care for
enrollees. The Secretary shall establish terms and
conditions under which a Medicare Link contractor may
elect to use optional incentives for its members.
''(B) Types of incentives.--The types of incentives
that may be used include the following:
''(i) Healthy rewards.--Premium rebates and
other incentives approved by the Secretary for
enrollees to make healthier choices and
actively engage in their health care.
''(ii) Member incentives to use quality
network providers.--Reductions in beneficiary
cost-sharing (and other incentives approved by
the Secretary) for enrollees who use providers
(which may be accountable care organizations)
within a plan network in order to reward
quality, efficient care.
''(iii) Cost estimator tools.--Providing
beneficiaries with tools designed to help them
simplify the evaluation of health care costs
through cost estimates for different treatment
options.
''(5) Application of ma grievance and appeals procedures.--
In accordance with regulations, the provisions of part C
insofar as they apply to grievances and appeals, shall apply to
Medicare Link plans and enrollees under this section in a
manner similar to how such provisions apply to MA plans under
such part.
''(e) Maintenance of Current Benefits; Contractor Not at Financial
Risk for Original Fee-for-Service Benefits.--
''(1) No change in medicare covered items and services or
limitation on supplemental plans.--Medicare Link plans shall
provide for coverage of the same items and services that are
covered under parts A and B. Nothing in this section shall be
construed as preventing an individual enrolled under a Medicare
Link plan from purchasing a medicare supplemental policy
(described in section 1881) or other supplemental coverage
outside of a Medicare Link plan.
''(2) No change in payments to providers.--
''(A) In general.--Subject to subparagraph (B),
nothing in this section shall be construed as
authorizing a payment level to a provider of services
or supplier for Medicare covered services that is other
than the payment level otherwise applicable under part
A or B for such services.
''(B) Negotiation of rates permitted.--A Medicare
Link contractor may negotiate with providers of
services and suppliers payment rates that are less or
greater than the payment rates referred to in
subparagraph (A).
''(3) Contractor not at financial risk.--A Medicare Link
contractor shall not be at financial risk with respect to the
coverage or payment for Medicare services covered under parts A
and B. But the Secretary may provide financial incentives for
contractors that are able to reduce Medicare expenditures for
such services below benchmark levels (specified by the
Secretary) that reasonably represent the levels of payments
that would be made (with respect to individuals enrolled under
a Medicare Link plan) if such individuals were not so
enrolled.''.

SOLUTION:
Medicare Link Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS) to establish a Medicare Link Program through which individuals entitled to enroll in a Medicare Advantage (MA) plan under Medicare part C (Medicare+Choice), but who are not enrolled in one, are eligible to enroll with a nongovernmental Medicare Link contractor which shall provide: (1) a specified variety of optional care management services as well as coverage of the same items and services covered under Medicare parts A and B, and (2) a reduction or rebate in the premium otherwise applicable under Medicare part B as well as in cost-sharing.