To provide for the establishment of a National Bipartisan Commission on Medicare Reform.

1. Adds Subtitle __--National Bipartisan Commission on Medicare Reform SEC. __01. MEDICAREADVANTAGE GOAL; ESTABLISHMENT OF COMMISSION at the appropriate place in title II

   Adds a section

   Inserted: Subtitle __--National Bipartisan Commission on Medicare Reform SEC. __01. MEDICAREADVANTAGE GOAL; ESTABLISHMENT OF COMMISSION.

   Inserted: (a) Enrollment Goal.--It is the goal of this title that, not later than January 1, 2010, at least 15 percent of individuals entitled to, or enrolled for, benefits under part A of title XVIII of the Social Security Act and enrolled under part B of such title should be enrolled in a MedicareAdvantage plan, as determined by the Center for Medicare Choices.

   Inserted: (b) Failure to Achieve Goal.--If the goal described in subsection (a) is not met by January 1, 2012, as determined by the Center for Medicare Choices, there shall be established a commission as described in section 2.

   Inserted: SEC. __02. NATIONAL BIPARTISAN COMMISSION ON MEDICARE REFORM.

   Inserted: (a) Establishment.--Upon a determination under section __01(b) that the enrollment goal has not been met, there shall be established a commission to be known as the National Bipartisan Commission on Medicare Reform (in this section referred to as the "Commission").

   Inserted: (b) Duties of the Commission.--The Commission shall--

   Inserted: (1) review and analyze the long-term financial condition of the medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.);

   Inserted: (2) identify problems that threaten the financial integrity of the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund established under sections 1817 and 1841 of such Act (42 U.S.C. 1395i and 1395t), including--

   Inserted: (A) the financial impact on the medicare program of the significant increase in the number of medicare eligible individuals; and

   Inserted: (B) the ability of the Federal Government to sustain the program into the future;

   Inserted: (3) analyze potential solutions to the problems identified under paragraph (2) that will ensure both the financial integrity of the medicare program and the provision of appropriate benefits under such program, including methods used by other nations to respond to comparable demographic patterns in eligibility for health care benefits for elderly and disabled individuals and trends in employment-related health care for retirees;

   Inserted: (4) make recommendations to restore the solvency of the Federal Hospital Insurance Trust Fund and the financial integrity of the Federal Supplementary Medical Insurance Trust Fund;

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   Inserted: (5) make recommendations for establishing the appropriate financial structure of the medicare program as a whole;

   Inserted: (6) make recommendations for establishing the appropriate balance of benefits covered under, and beneficiary contributions to, the medicare program;

   Inserted: (7) make recommendations for the time periods during which the recommendations described in paragraphs (4), (5) and (6) should be implemented;

   Inserted: (8) make recommendations on the impact of chronic disease and disability trends on future costs and quality of services under the current benefit, financing, and delivery system structure of the medicare program;

   Inserted: (9) make recommendations regarding a comprehensive approach to preserve the medicare program, including ways to increase the effectiveness of the MedicareAdvantage program and to increase MedicareAdvantage enrollment rates; and

   Inserted: (11) review and analyze such other matters as the Commission determines appropriate.

   Inserted: (c) Membership.--

   Inserted: (1) Number and appointment.--The Commission shall be composed of 17 members, of whom--

   Inserted: (A) four shall be appointed by the President;

   Inserted: (B) six shall be appointed by the Majority Leader of the Senate, in consultation with the Minority Leader of the Senate, of whom not more than 4 shall be of the same political party;

   Inserted: (C) six shall be appointed by the Speaker of the House of Representatives, in consultation with the Minority Leader of the House of Representatives, of whom not more than 4 shall be of the same political party; and

   Inserted: (D) one, who shall serve as Chairperson of the Commission, shall be appointed jointly by the President, Majority Leader of the Senate, and the Speaker of the House of Representatives.

   Inserted: (2) Deadline for appointment.--Members of the Commission shall be appointed by not later than October 1, 2012.

   Inserted: (3) Terms of appointment.--The term of any member appointed under paragraph (1) shall be for the life of the Commission.

   Inserted: (4) Meetings.--The Commission shall meet at the call of the Chairperson or a majority of its members.

   Inserted: (5) Quorum.--A quorum for purposes of conducting the business of the Commission shall consist of 8 members of the Commission, except that 4 members may conduct a hearing under subsection (e).

   Inserted: (6) Vacancies.--A vacancy in the membership of the Commission shall be filled, not later than 30 days after the Commission is given notice of the vacancy, in the same manner in which the original appointment was made. Such a vacancy shall not affect the power of the remaining members to carry out the duties of the Commission.

   Inserted: (7) Compensation.--Members of the Commission shall receive no additional pay, allowances, or benefits by reason of their service on the Commission.

   Inserted: (8) Expenses.--Each member of the Commission shall receive travel expenses and per diem in lieu of subsistence in accordance with sections 5702 and 5703 of title 5, United States Code.

   Inserted: (d) Staff and Support Services.--

   Inserted: (1) Executive director.--

   Inserted: (A) Appointment.--The Chairperson shall appoint an executive director of the Commission.

   Inserted: (B) Compensation.--The executive director shall be paid the rate of basic pay for level V of the Executive Schedule under title 5, United States Code.

   Inserted: (2) Staff.--With the approval of the Commission, the executive director may appoint such personnel as the executive director considers appropriate.

   Inserted: (3) Applicability of civil service laws.--The staff of the Commission shall be appointed without regard to the provisions of title 5, United States Code, governing appointments in the competitive service, and shall be paid without regard to the provisions of chapter 51 and subchapter III of chapter 53 of such title (relating to classification and General Schedule pay rates).

   Inserted: (4) Experts and consultants.--With the approval of the Commission, the executive director may procure temporary and intermittent services under section 3109(b) of title 5, United States Code.

   Inserted: (5) Physical facilities.--The Administrator of the General Services Administration shall locate suitable office space for the operation of the Commission. The facilities shall serve as the headquarters of the Commission and shall include all necessary equipment and incidentals required for the proper functioning of the Commission.

   Inserted: (e) Powers of Commission.--

   Inserted: (1) Hearings and other activities.--The Commission may hold such hearings and undertake such other activities as the Commission determines to be necessary to carry out its duties under this section.

   Inserted: (2) Studies by gao.--Upon the request of the Commission, the Comptroller General shall conduct such studies or investigations as the Commission determines to be necessary to carry out its duties under this section.

   Inserted: (3) Cost estimates by congressional budget office and office of the chief actuary of the centers for medicare & medicaid.--

   Inserted: (A) In general.--The Director of the Congressional Budget Office or the Chief Actuary of the Center for Medicare & Medicaid Services, or both, shall provide to the Commission, upon the request of the Commission, such cost estimates as the Commission determines to be necessary to carry out its duties under this section.

   Inserted: (B) Reimbursements.--The Commission shall reimburse the Director of the Congressional Budget Office for expenses relating to the employment in the office of the Director of such additional staff as may be necessary for the Director to comply with requests by the Commission under subparagraph (A).

   Inserted: (4) Detail of federal employees.--Upon the request of the Commission, the head of any Federal agency is authorized to detail, without reimbursement, any of the personnel of such agency to the Commission to assist the Commission in carrying out its duties under this section. Any such detail shall not interrupt or otherwise affect the civil service status or privileges of the Federal employee.

   Inserted: (5) Technical assistance.--Upon the request of the Commission, the head of a Federal agency shall provide such technical assistance to the Commission as the Commission determines to be necessary to carry out its duties under this section.

   Inserted: (6) Use of mails.--The Commission may use the United States mails in the same manner and under the same conditions as Federal agencies and shall, for purposes of the frank, be considered a commission of Congress as described in section 3215 of title 39, United States Code.

   Inserted: (7) Obtaining information.--The Commission may secure directly from any Federal agency information necessary to enable it to carry out its duties under this section, if the information may be disclosed under section 552 of title 5, United States Code. Upon request of the Chairperson of the Commission, the head of each such agency shall furnish such information to the Commission.

   Inserted: (8) Administrative support services.--Upon the request of the Commission, the Administrator of General Services shall provide to the Commission on a reimbursable basis such administrative support services as the Commission may request.

   Inserted: (9) Printing.--For purposes of costs relating to printing and binding, including the cost of personnel detailed from the Government Printing Office, the Commission shall be deemed to be a committee of Congress.

   Inserted: (f) Report.--Not later than April 1, 2014, the Commission shall submit to the President and Congress a report and an implementation bill that shall contain a detailed statement of only those recommendations, findings, and conclusions of the Commission that receive the approval of at least 11 members of the Commission.

   Inserted: (g) Termination.--The Commission shall terminate on the date that is 30 days after the date on which the report and implementation bill is submitted under subsection (f).

   Inserted: SEC. __03. CONGRESSIONAL CONSIDERATION OF REFORM PROPOSALS.

   Inserted: (a) Definitions.--In this section:

   Inserted: (1) Implementation bill.--The term "implementation bill" means only a bill that is introduced as provided under subsection (b), and contains the proposed legislation included in the report submitted to Congress under section __02(f), without modification.

   Inserted: (2) Calendar day.--The term "calendar day" means a calendar day other than 1 on which either House is not in session because of an adjournment of more than 3 days to a date certain.

   Inserted: (b) Introduction; Referral; and Report or Discharge.--

   Inserted: (1) Introduction.--On the first calendar day on which both Houses are in session immediately following the date on which the report is submitted to Congress under section __02(f), a single implementation bill shall be introduced (by request)--

   Inserted: (A) in the Senate by the Majority Leader of the Senate, for himself and the Minority Leader of the Senate, or by Members of the Senate designated by the Majority Leader and Minority Leader of the Senate; and

   Inserted: (B) in the House of Representatives by the Speaker of the House of Representatives, for himself and the Minority Leader of the House of Representatives, or by Members of the House of Representatives designated by the Speaker and Minority Leader of the House of Representatives.

   Inserted: (2) Referral.--The implementation bills introduced under paragraph (1) shall be referred to any appropriate committee of jurisdiction in the Senate and any appropriate committee of jurisdiction in the House of Representatives. A committee to which an implementation bill is referred under this paragraph may report such bill to the respective House without amendment.

   Inserted: (3) Report or discharge.--If a committee to which an implementation bill is referred has not reported such bill by the end of the 15th calendar day after the date of the introduction of such bill, such committee shall be immediately discharged from further consideration of such bill, and upon being reported or discharged from the committee, such bill shall be placed on the appropriate calendar.

   Inserted: (c) Floor Consideration.--

   Inserted: (1) In general.--When the committee to which an implementation bill is referred has reported, or has been discharged under subsection (b)(3), it is at any time thereafter in order (even though a previous motion to the same effect has been disagreed to) for any Member of the respective House to move to proceed to the consideration of the implementation bill, and all points of order against the implementation bill (and against consideration of the implementation bill) are waived. The motion is highly privileged in the House of Representatives and is privileged in the Senate. The motion is not subject to amendment, or to a motion to postpone, or to a motion to proceed to the consideration of other business. A motion to reconsider the vote by which the motion is agreed to or disagreed to shall not be in order. If a motion to proceed to the consideration of the implementation bill is agreed to, the implementation bill shall remain the unfinished business of the respective House until disposed of.

   Inserted: (2) Amendments.--An implementation bill may not be amended in the Senate or the House of Representatives.

   Inserted: (3) Debate.--Debate on the implementation bill, and on all debatable motions and appeals in connection therewith, shall be limited to not more than 20 hours, which shall be divided equally between those favoring and those opposing the resolution. A motion further to limit debate is in order and not debatable. An amendment to, or a motion to postpone, or a motion to proceed to the consideration of other business, or a motion to recommit the implementation bill is not in order. A motion to reconsider the vote by which the implementation bill is agreed to or disagreed to is not in order.

   Inserted: (4) Vote on final passage.--Immediately following the conclusion of the debate on an implementation bill, and a single quorum call at the conclusion of the debate if requested in accordance with the rules of the appropriate House, the vote on final passage of the implementation bill shall occur.

   Inserted: (5) Rulings of the chair on procedure.--Appeals from the decisions of the Chair relating to the application of the rules of the Senate or the House of Representatives, as the case may be, to the procedure relating to an implementation bill shall be decided without debate.

   Inserted: (d) Coordination With Action by Other House.--If, before the passage by 1 House of an implementation bill of that House, that House receives from the other House an implementation bill, then the following procedures shall apply:

   Inserted: (1) Nonreferral.--The implementation bill of the other House shall not be referred to a committee.

   Inserted: (2) Vote on bill of other house.--With respect to an implementation bill of the House receiving the implementation bill--

   Inserted: (A) the procedure in that House shall be the same as if no implementation bill had been received from the other House; but

   Inserted: (B) the vote on final passage shall be on the implementation bill of the other House.

   Inserted: (e) Rules of Senate and House of Representatives.--This section is enacted by Congress--

   Inserted: (1) as an exercise of the rulemaking power of the Senate and House of Representatives, respectively, and as such it is deemed a part of the rules of each House, respectively, but applicable only with respect to the procedure to be followed in that House in the case of an implementation bill described in subsection (a), and it supersedes other rules only to the extent that it is inconsistent with such rules; and

   Inserted: (2) with full recognition of the constitutional right of either House to change the rules (so far as relating to the procedure of that House) at any time, in the same manner, and to the same extent as in the case of any other rule of that House.

   Inserted: SEC. __04. AUTHORIZATION OF APPROPRIATIONS.

   Inserted: There are authorized to be appropriated such sums as may be necessary to carry out this subtitle for each of fiscal years 2012 through 2013.

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   Original wording

   At the appropriate place in title II, insert the following:

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As printed