1. Short title
This Act may be cited as the “Seniors’ Fairness Act of 2014”.
Seniors’ Fairness Act of 2014
A BILL
To amend the Patient Protection and Affordable Care Act to eliminate Exchange cost-sharing subsidies, to amend title XVIII of the Social Security Act to create a Medicare Advantage Improvement Fund, and for other purposes.
2. Creating Medicare Advantage Improvement Fund
Section 1859 of the Social Security Act (42 U.S.C. 1395w–28) is amended by adding at the end the following new subsection:
“(h) Medicare Advantage Improvement Fund
“(1) Establishment—The Secretary shall establish under this title a Medicare Advantage Improvement Fund (in this subsection referred to as the “Fund”) which shall be available to make improvements under the Medicare Advantage program under this part, including by—
“(A) preventing cost-sharing increases and the loss of benefits to individuals enrolled in MA plans; and
“(B) ensuring individuals enrolled in MA plans can access a high-quality network of providers.
“(2) Funding
“(A) In general—There shall be available to the Fund, for expenditures from the Fund during the period of fiscal years 2014 through 2023, $150,000,000,000.
“(B) Funding limitation—Amounts in the Fund shall be available to the Secretary only pursuant to an appropriations Act.”
3. Eliminating Exchange cost-sharing subsidies under PPACA
In general— Section 1402 of the Patient Protection and Affordable Care Act (42 U.S.C. 18071) is amended by adding at the end the following new subsection:
“(g) Termination of reduced cost-Sharing beginning in plan year 2015—The provisions of this section shall not apply with respect to plan years after plan year 2014.”
Conforming amendments—
Fair Labor Standards Act of 1938— Section 18B(a)(2) of the Fair Labor Standards Act of 1938 (29 U.S.C. 218b(a)(2)) is amended—
by striking “1986 and” and inserting “1986 and, in the case of plan year 2014,”; and
by inserting a comma after “Care Act”.
Medicaid— Section 1943(b)(1)(C) of the Social Security Act (42 U.S.C. 1396w–3(b)(1)(C)) is amended by inserting “(for plan years in which the provisions of such section apply)” after “section 1402 of the Patient Protection and Affordable Care Act”.