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Seniors’ Rights to Know Act

H.R. 4201 · 113th Congress · Mar 11, 2014 · Lineage

A BILL

To amend title XVIII of the Social Security Act to require Medicare Advantage organizations to disclose certain information on the changes made to the MA plan offered by such organization pursuant to changes required by the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, and for other purposes.

Section 1 Short title

This Act may be cited as the “Seniors’ Rights to Know Act”.

Sec. 2 Requiring disclosure of certain changes to MA plans pursuant to requirements of the Affordable Care Act

Section 1851 of the Social Security Act (42 U.S.C. 1395w–21) is amended—
(1)
in subsection (d)(4), by adding at the end the following new subparagraph:

“(F) Changes pursuant to the Affordable Care Act—For plan year 2015 and each subsequent plan year, a description of the changes made by the Medicare Advantage organization, with respect to the MA plan offered by such organization, for such plan year pursuant to the provisions of, and amendments made by, the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, which may include an assessment of the affect of such provisions and amendments on Medicare Advantage eligible individuals who enroll under such plan.”

(2)
in subsection (h)(2), by adding at the end the following new sentence: “Notwithstanding the previous sentence, the Secretary may not disapprove information described in subsection (d)(4)(F) included in such material or form for purposes of satisfying the requirements of subsection (d) unless such information is factually inaccurate for the plan year for which the information is provided or any preceding plan year beginning after March 23, 2010.”.