S.Amdt. 2622

SA 2622. Mr. GRASSLEY submitted an amendment intended to be proposed
to amendment SA 2499 proposed by Mr. McConnell to the bill S. 178, to
condemn gross human rights violations of ethnic Turkic Muslims in
Xinjiang, and calling for an end to arbitrary detention, torture, and
harassment of these communities inside and outside China; which was
ordered to lie on the table; as follows:

At the appropriate place, insert the following:

SEC. __. MAINTAINING 2021 MEDICARE PART B PREMIUM AND
DEDUCTIBLE AT 2020 LEVELS CONSISTENT WITH
ACTUARIALLY FAIR RATES.

(a) 2021 Premium and Deductible and Repayment Through
Future Premiums.--Section 1839(a) of the Social Security Act
(42 U.S.C. 1395r(a)) is amended--
(1) in the second sentence of paragraph (1), by striking
``(5) and (6)'' and inserting ``(5), (6), and (7)'';
(2) in paragraph (6)(C)--
(A) in clause (i), by striking ``section 1844(d)(1)'' and
inserting ``subsections (d)(1) and (e)(1) of section 1844'';
and
(B) in clause (ii), by striking ``paragraph (5)'' and
inserting ``paragraphs (5) and (7)''; and
(3) by adding at the end the following:
``(7) In applying this part (including subsection (i) and
section 1833(b)), the monthly actuarial rate for enrollees
age 65 and over for 2021 shall be the same as the monthly
actuarial rate for enrollees age 65 and over for 2020.''.
(b) Transitional Government Contribution.--Section 1844 of
the Social Security Act (42 U.S.C. 1395w) is amended--
(1) in subsection (a), by adding at the end the following
new sentence: ``In applying paragraph (1), the amounts
transferred under subsection (e)(1) with respect to enrollees
described in subparagraphs (A) and (B) of such subsection
shall be treated as premiums payable and deposited in the
Trust Fund under subparagraphs (A) and (B), respectively, of
paragraph (1).''; and
(2) by adding at the end the following:
``(e)(1) For 2021, there shall be transferred from the
General Fund to the Trust Fund an amount, as estimated by the
Chief Actuary of the Centers for Medicare & Medicaid
Services, equal to the reduction in aggregate premiums
payable under this part for a month in such year (excluding
any changes in amounts collected under section 1839(i)) that
are attributable to the application of section 1839(a)(7)
with respect to--
``(A) enrollees age 65 and over; and
``(B) enrollees under age 65.
Such amounts shall be transferred from time to time as
appropriate.
``(2) Premium increases affected under section 1839(a)(6)
shall not be taken into account in applying subsection (a).
``(3) There shall be transferred from the Trust Fund to the
General Fund of the Treasury amounts equivalent to the
additional premiums payable as a result of the application of
section 1839(a)(6), excluding the aggregate payments
attributable to the application of section
1839(i)(3)(A)(ii)(II).''.
(c) Additional Transitional Government Contribution.--
Section 1844 of the Social Security Act (42 U.S.C. 1395w), as
amended by subsection (b)(2), is amended by adding at the end
the following:
``(f)(1) There shall be transferred from the General Fund
of the Treasury to the Trust Fund an amount, as estimated by
the Chief Actuary of the Centers for Medicare & Medicaid
Services, equal to amounts paid under the advance payment
program under section 421.214 of title 42, Code of Federal
Regulations (or any successor regulation) during the period
beginning on March 28, 2020, and ending on July 9, 2020.
``(2) There shall be transferred from the Trust Fund to the
General Fund of the Treasury amounts equivalent to the sum
of--
``(A) the amounts by which claims have offset (in whole or
in part) the amount of such advance payments described in
paragraph (1); and
``(B) the amount of such advance payments that has been
repaid (in whole or in part), under the advance payment
program under such section 421.214 (or any such successor
regulation).
``(3) Amounts described in paragraphs (1) and (2) shall be
transferred from time to time as appropriate.''.
(d) Indentation Correction.--Section 1839(i)(3)(A)(ii) of
the Social Security Act (42 U.S.C. 1395r(i)(3)(A)(ii)) is
amended by moving the indentation of subclause (I) two ems to
the right.
(e) Emergency Designation.--
(1) In general.--The amounts provided by this section and
the amendments made by this section are designated as an
emergency requirement pursuant to section 4(g) of the
Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 933(g)).
(2) Designation in senate.--In the Senate, this section and
the amendments made by this section are designated as an
emergency requirement pursuant to section 4112(a) of H. Con.
Res. 71 (115th Congress), the concurrent resolution on the
budget for fiscal year 2018.
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