S. 1589Senate109th Congress (2005-2007)In Committee

Affordability in Medicare Premiums Act of 2005

Introduced July 29, 2005

Legislative Activity

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SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S9510)

July 29, 2005

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SenateIntro Referral

Introduced in Senate

July 29, 2005

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S9510)

July 29, 2005

Floor Debate

24 members

What members said about S. 1589 on the floor

12 Republicans12 Democrats
Jon Kyl
Sen. Jon KylR-AZ · Jul 29, 2005

Mr. President, I rise today to introduce the Law Enforcement Officers' Protection Act of 2005. This act will guarantee tough, mandatory punishment for criminals who murder or assault police officers,…

Carl Levin
Sen. Carl LevinD-MI · Jul 29, 2005

Mr. President, tax shelter and tax haven abuses are undermining the integrity of our tax system, robbing the Treasury of tens of billions of dollars each year, and shifting the tax burden from high…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · Jul 29, 2005

Mr. President, I rise today to introduce the Medicaid Emergency Psychiatric Care Act of 2005, which will serve to improve access to mental health treatment and remove an unfunded mandate on our…

Jon S. Corzine
Sen. Jon S. CorzineD-NJ · Jul 29, 2005

Mr. President, today I am proud to introduce a bill, along with Senators Lautenberg and Landrieu, to grant a Federal Charter to the Irish American Cultural Institute, an organization that promotes…

Maria Cantwell
Sen. Maria CantwellD-WA · Jul 29, 2005

Mr. President, I am proud to rise today with my colleagues Senators Collins, Bingaman, Murray, Mikulski, Kohl and Corzine, to introduce bipartisan legislation enhancing the Seniors Farmers' Market…

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Jeff Bingaman
Sen. Jeff BingamanD-NM · Jul 29, 2005

Mr. President, today I introduce legislation that will help address the critical nurse faculty shortage facing our Nation today. The Bureau of Labor statistics estimates that 1,000,000 new and…

Gordon H. Smith
Sen. Gordon H. SmithR-OR · Jul 29, 2005

Mr. President, I rise today with Senators Dorgan and Pryor to introduce the ``Universal Service for the 21st Century Act.'' For more than 70 years, the preservation and advancement of universal…

Michael B. Enzi
Sen. Michael B. EnziR-WY · Jul 29, 2005

Mr. President, today I rise to introduce the Safe and Fair Deposit Insurance Act of 2005. As many of us in this chamber know, reforming the operations of the Federal Deposit Insurance Corporation has…

Daniel K. Akaka
Sen. Daniel K. AkakaD-HI · Jul 29, 2005

Mr. President, I am proud to introduce the Healthcare Equality and Accountability Act, along with my colleagues Senators Reid, Durbin, Bingaman, Corzine, Murray, Kennedy, Landrieu, Lautenberg,…

Chuck Grassley
Sen. Chuck GrassleyR-IA · Jul 29, 2005

Mr. President, I am pleased to join my colleagues Senator Bayh and Senator Clinton in introducing the Improving Long-term Care Choices Act. This legislation sets forth a series of proposals aimed at…

Conrad R. Burns
Sen. Conrad R. BurnsR-MT · Jul 29, 2005

Mr. President, today I am introducing, along with my colleague Senator Dorgan, a bill that addresses a persistent inequity in the agriculture industry. Since the passage of the North American Free…

Frank R. Lautenberg
Sen. Frank R. LautenbergD-NJ · Jul 29, 2005

Mr. President, I rise to introduce legislation to address a serious problem in New Jersey and across the nation--the unregulated sorting and processing of garbage at rail facilities in our…

Byron L. Dorgan
Sen. Byron L. DorganD-ND · Jul 29, 2005

Mr. President, today I am reintroducing bipartisan legislation to remedy a long-standing and glaring inequity in our so- called free-trade system. There are significant and costly differences in…

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Mike DeWine
Sen. Mike DeWineR-OH · Jul 29, 2005

Mr. President, today I join my friend and colleague from Arkansas, Senator Lincoln, to introduce a bill called the Advancing Better Coverage and Care for Children's Health Act or the ABCs for…

Christopher S. Bond
Sen. Christopher S. BondR-MO · Jul 29, 2005

Mr. President, I rise today to introduce a bill that addresses an inequity and helps clarify a tax exemption that exists for small property and casualty (P&C) insurance companies under the Internal…

John McCain
Sen. John McCainR-AZ · Jul 29, 2005

Mr. President, I am pleased to be joined by Senators Ensign and Kyl in introducing the Abolishing Aviation Barriers Act of 2005. This bill would remove the arbitrary restrictions that prevent…

Orrin G. Hatch
Sen. Orrin G. HatchR-UT · Jul 29, 2005

Mr. President, if I may, I would like to speak very briefly on another topic. I am an unqualified supporter of the ``Protection of Lawful Commerce in Arms Act,'' on which we will be voting later…

Ron Wyden
Sen. Ron WydenD-OR · Jul 29, 2005

Mr. President, today I introduce legislation that will safeguard and promote specialty crops and value-added agriculture in Oregon and in the United States. The great farmers and ranchers of Oregon…

Max Baucus
Sen. Max BaucusD-MT · Jul 29, 2005

Mr. President, last year, the Senate passed significant legislation aimed at shutting down tax shelters. We ramped up disclosure requirements that make it easier for IRS to find those who promoted…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Jul 29, 2005

Mr. President, I rise today to introduce legislation that would preserve an important means of protecting the safety of those who work in the Federal judiciary system. This legislation, which I am…

Norm Coleman
Sen. Norm ColemanR-MN · Jul 29, 2005

Mr. President, today I rise to join Senator Levin in introducing the Tax Shelter and Tax Haven Reform Act of 2005. This bill addresses abusive tax shelters and offshore tax havens which allow tax…

Barack Obama
Sen. Barack ObamaD-IL · Jul 29, 2005

Mr. President, I rise today to speak about the ``Tax Shelter and Tax Haven Reform Act of 2005,'' of which I am a cosponsor. This bill seeks to improve the fairness of our tax system by deterring the…

Harry Reid
Sen. Harry ReidD-NV · Jul 29, 2005

Mr. President, I rise to express my support for the Healthcare Equality and Accountability Act that Senator Akaka and I are introducing today. We are pleased that Congressman Honda, Chair of the…

Edward M. Kennedy
Sen. Edward M. KennedyD-MA · Jul 29, 2005

Mr. President, it is a privilege to join Senator Akaka and Senator Reid in introducing the Healthcare Equality and Accountability Act. Our goal is to eliminate racial and ethnic disparities in health…

Bill Text

Latest available legislative text

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Introduced in SenateIssued July 29, 2005

II

109th CONGRESS

1st Session

S. 1589

IN THE SENATE OF THE UNITED STATES

July 29, 2005

Mr. Bingaman (for himself, Mr. Rockefeller, Mr. Feingold, Mr. Corzine, Mr. Kohl, Ms. Mikulski, Mr. Durbin, and Mr. Harkin) introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To amend title XVIII of the Social Security Act to provide for reductions in the medicare part B premium through elimination of certain overpayments to Medicare Advantage organizations.

1.

Short title

This Act may be cited as the Affordability in Medicare Premiums Act of 2005.

2.

Reduction of medicare part B premium for individuals not enrolled in a Medicare Advantage plan

Section 1839(a) of the Social Security Act (42 U.S.C. 1395r(a)) is amended—

(1)

in paragraph (3), in the first sentence, by striking The Secretary and inserting Subject to paragraph (5), the Secretary; and

(2)

by adding at the end the following new paragraph:

(5)
(A)

For each year (beginning with 2006), the Secretary shall reduce the monthly premium rate determined under paragraph (3) for each month in the year for individuals who are not enrolled in a Medicare Advantage plan (including such individuals subject to an increased premium under subsection (b) or (i)) so that the aggregate amount of such reductions in the year is equal to the aggregate amount of reduced expenditures from the Federal Supplementary Medicare Insurance Trust Fund that the Secretary estimates would result in the year if the annual Medicare+Choice capitation rate for the year was equal to the amount specified under subparagraph (D) of section 1853(c)(1), and not subparagraph (A), (B), or (C) of such section.

(B)

In order to carry out subsections (a)(1) and (b)(1) of section 1840, the Secretary shall transmit to the Commissioner of Social Security and the Railroad Retirement Board by the beginning of each year (beginning with 2006), such information determined appropriate by the Secretary, in consultation with the Commissioner of Social Security and the Railroad Retirement Board, regarding the amount of the monthly premium rate determined under paragraph (3) for individuals after the application of subparagraph (A).

.

3.

Funding reductions in the medicare part B premium through reductions in payments to Medicare Advantage organizations

Section 1839(a) of the Social Security Act (42 U.S.C. 1395r(a)), as amended by section 2, is amended—

(1)

in paragraph (3), in the first sentence, by striking paragraph (5) and inserting paragraphs (5) and (6); and

(2)

by adding at the end the following new paragraph:

(6)

For each year (beginning with 2006), the Secretary shall reduce the monthly premium rate determined under paragraph (3) for each month in the year for each individual enrolled under this part (including such an individual subject to an increased premium under subsection (b) or (i)) so that the aggregate amount of such reductions in the year is equal to an amount equal to—

(A)

the aggregate amount of reduced expenditures from the Federal Supplementary Medicare Insurance Trust Fund in the year that the Secretary estimates will result from the provisions of, and the amendments made by, sections 4 and 5 of the Affordability in Medicare Premiums Act of 2005; minus

(B)

the aggregate amount of reductions in the monthly premium rate in the year pursuant to paragraph (5)(A).

.

4.

Application of risk adjustment reflecting characteristics for the entire medicare population in payments to Medicare Advantage organizations

Effective January 1, 2006, in applying risk adjustment factors to payments to organizations under section 1853 of the Social Security Act (42 U.S.C. 1395w–23), the Secretary of Health and Human Services shall ensure that payments to such organizations are adjusted based on such factors to ensure that the health status of the enrollee is reflected in such adjusted payments, including adjusting for the difference between the health status of the enrollee and individuals enrolled under the original medicare fee-for-service program under parts A and B of title XVIII of such Act. Payments to such organizations must, in aggregate, reflect such differences.

5.

Elimination of MA regional plan stabilization fund (slush fund)

(a)

In general

Subsection (e) of section 1858 of the Social Security Act (42 U.S.C. 1395w–27a) is repealed.

(b)

Conforming amendment

Section 1858(f)(1) of the Social Security Act (42 U.S.C. 1395w–27a(f)(1)) is amended by striking subject to subsection (e),.

(c)

Effective date

The amendments made by this section shall take effect as if included in the enactment of section 221(c) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108–173; 117 Stat. 2181).