S.Amdt. 4958

1. Inserts new text at the end of section 101

   Inserts

   In H.R. 3076 · Placed on Calendar Senate

   (ii) may satisfy the requirement under clause (i) by including the amount paid under subparagraph (A) in any other annual report submitted to Congress.

   Inserted: (e) Studying Impact on Medicare Part B Premiums and Preventing Any Significant Increase in Medicare Part B Premiums.--

   Inserted: (1) Study and reports.--

   Inserted: (A) Study.--The Chief Actuary of the Centers for Medicare & Medicaid Services Office of the Actuary (referred to in this subsection as the "Chief Actuary") shall study the potential impact of the implementation of the provisions of, and amendments made by, this section (other than this subsection) on monthly premiums under part B of title XVIII of the Social Security Act (42 U.S.C. 1395j et seq.).

   Inserted: (B) Pre-implementation report.--Not later than January 1, 2025, the Chief Actuary shall submit to Congress a report containing the results of the study conducted under subparagraph (A).

   Inserted: (C) Ongoing reports on premium impact.--Not later than the date on which the Chief Actuary determines the monthly actuarial rate for enrollees age 65 and over in each of 2037 through 2042 for the succeeding calendar year according to section 1839(a)(1) of the Social Security Act (42 U.S.C. 1395r(a)(1)), the Chief Actuary shall submit to Congress a report on the amount of any projected increase in monthly premiums under such part B for such succeeding calendar year as a result of the implementation of the provisions of, and amendments made by, this section (other than this subsection).

   Inserted: (2) Preventing any significant increase in part b premiums.--Section 1839(a) of the Social Security Act (42 U.S.C. 1395r(a)) is amended--

   Inserted: (A) in the second sentence of paragraph (1), by striking "and (7)" and inserting "(7), and (8)"; and

   Inserted: (B) by adding at the end the following:

   Inserted: "(8)(A) For each applicable year (as defined in subparagraph (C)), the Secretary shall reduce the amount of the monthly premium otherwise established under paragraph (3) for applicable enrollees by the amount the Secretary determines necessary to ensure that any increase in monthly premiums under this part for such enrollees as a result of the implementation of the provisions of, and amendments made by, section 101 of the Postal Service Reform Act of 2022 (other than subsection (e) of such section) is less than the applicable amount for such year.

   Inserted: "(B) In this paragraph, the term 'applicable amount' means, with respect to an applicable year, $15, increased by the percentage increase in the consumer price index for all urban consumers (U.S. city average) for the period beginning with July 2022 and ending with July of the year preceding the year involved. Any amount determined under the preceding sentence which is not a multiple of $1 shall be rounded to the nearest multiple of $1 (or, if it is a multiple of 50 cents but not a multiple of $1, to the next higher multiple of $1).

   Inserted: "(C) In this paragraph, the term 'applicable year' means any year (beginning with 2038 and ending with 2043) with respect to which the projected increase in monthly premiums under this part for the year (as reported under section 101(e)(1)(C) of the Postal Service Reform Act of 2022) as a result of the implementation of the provisions of, and amendments made by, section 101 of such Act (other than subsection (e) of such section) would result in monthly premiums under this part increasing by the applicable amount for such year or more.

   Inserted: "(D) In this paragraph, the term 'applicable enrollee' means, with respect to an applicable year, an individual who is not subject to a reduction in a premium subsidy pursuant to subsection (i) for months in such year.".

   Original wording

   At the end of section 101, add the following:

Read automatically from the Congressional Record. Check the original before relying on it.

As printed