S. 1883Senate110th Congress (2007-2009)In Committee

Accountability and Transparency in Medicare Marketing Act of 2007

Sponsored by Herb KohlSen. Herb Kohl (D-WI)
Introduced July 26, 2007

Legislative Activity

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2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S10154-10155)

July 26, 2007

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SenateIntro Referral

Introduced in Senate

July 26, 2007

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S10153-10154)

July 26, 2007

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S10154-10155)

July 26, 2007

Floor Debate

23 members

What members said about S. 1883 on the floor

11 Republicans12 Democrats
Edward M. Kennedy
Sen. Edward M. KennedyD-MA · Jun 26, 2007

Mr. President, I yield 15 minutes to the Senator from Pennsylvania. That is agreeable. We will try to accommodate the time. Senator Specter wanted 15 minutes; others are 5 minutes. But we will be…

Arlen Specter
Sen. Arlen SpecterR-PA · Jun 26, 2007

Madam President, I thank the distinguished chairman for yielding time. I have sought recognition to speak on the legislation entitled the ``Employee Free Choice Act.'' I have had numerous contacts on…

Harry Reid
Sen. Harry ReidD-NV · Jun 26, 2007

Mr. President, I ask unanimous consent the order for the quorum call be rescinded. President Franklin Delano Roosevelt said: It is one of the characteristics of a free and democratic nation that it…

Ken Salazar
Sen. Ken SalazarD-CO · Jul 26, 2007

Mr. President, today I am introducing a bill that will help deliver clean energy technologies from the research pipelines of our labs into the hands of our farmers and ranchers, so that we can take…

Michael B. Enzi
Sen. Michael B. EnziR-WY · Jun 26, 2007

Madam President, I yield 5 minutes to the Senator from Tennessee. Madam President, we are debating two things this morning, the card check and immigration. I yield 5 minutes to the Senator from New…

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Joseph R. Biden Jr.
Sen. Joseph R. Biden Jr.D-DE · Jun 26, 2007

Madam President, on behalf of Senator Kennedy, I yield myself 5 minutes. Madam President, history shows when the union movement is strong, the middle class is strong. When the middle class is strong,…

John F. Kerry
Sen. John F. KerryD-MA · Jun 26, 2007

Mr. President, we are here today to bring a long overdue measure of fairness to a system that because of years of powerful opposition and millions of dollars spent remains rigged against the American…

Barbara Boxer
Sen. Barbara BoxerD-CA · Jun 26, 2007

Mr. President, I rise today in strong support of the Employee Free Choice Act. For far too long, our Nation's labor laws have created an environment that has made it harder and harder for workers to…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · Jul 26, 2007

Mr. President, as Ranking Member on the Coast Guard's oversight subcommittee, I am pleased today to co-sponsor the Coast Guard Authorization Act for fiscal year 2008. The Coast Guard serves as the…

John Ensign
Sen. John EnsignR-NV · Jun 26, 2007

Mr. President, I rise today to address the so-called Employee Free Choice Act. Over the past few weeks the Democrats have painted a very partisan picture for the American public; coloring their…

John Cornyn
Sen. John CornynR-TX · Jun 26, 2007

Madam President, I was forwarded a copy of a transcript of an interview of a White House official yesterday commenting on some remarks I made on the floor regarding the immigration bill. I wish to…

Judd Gregg
Sen. Judd GreggR-NH · Jun 26, 2007

Mr. President, if the Senator will respond to an inquiry, would it be possible to have an order set up so that we could know when we are going? If I could get Senator Kennedy's attention, would it be…

Maria Cantwell
Sen. Maria CantwellD-WA · Jul 26, 2007

Mr. President, I rise today to introduce the Coast Guard Authorization Act for the fiscal year 2008 along with Senators Snowe, Inouye, Stevens, Lautenberg, and Lott. This comprehensive legislation…

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Lamar Alexander
Sen. Lamar AlexanderR-TN · Jun 26, 2007

Madam President, I thank the Senator from Wyoming. I have enjoyed the remarks, as always, by the Senator from Pennsylvania. It is not a bad idea to consider labor-management relations in a bipartisan…

Sherrod Brown
Sen. Sherrod BrownD-OH · Jun 26, 2007

Madam President, I rise in support of the Employee Free Choice Act which will be in front of this body this week. Historians who take a clear-eyed look at the last 30 years will tell you productivity…

Chuck Grassley
Sen. Chuck GrassleyR-IA · Jun 26, 2007

Mr. President, I urge my colleagues to vote ``no'' on cloture on the check card bill. I urge them to do this because a secret ballot is not only a part of the political process in the United States,…

Christopher J. Dodd
Sen. Christopher J. DoddD-CT · Jun 26, 2007

Mr. President, I rise in strong support of the Employee Free Choice Act, a bill that will ensure dignity and prosperity for millions of American workers. It is no secret that unions helped build in…

Kathy Castor
Rep. Kathy CastorD-FL-11 · Dec 19, 2007

Madam Speaker, I am proud today to introduce the Accountability and Transparency in Medicare Marketing Act of 2007. This legislation will serve as a companion bill to S. 1883, introduced in the…

Jeff Sessions
Sen. Jeff SessionsR-AL · Jun 26, 2007

Mr. President, I thank the Senator from Wyoming, a fine Senator and a great manager of legislation. I have to tell you we pretty well know this card check bill is going down like a lead balloon. We…

Bob Corker
Sen. Bob CorkerR-TN · Jun 26, 2007

Madam President, I thank the Senator from Wyoming. It never ceases to amaze me the tremendous creativity that exists in the Senate, just by virtue of the name of this act we are discussing today, the…

Barack Obama
Sen. Barack ObamaD-IL · Jun 26, 2007

Mr. President, all across the country, Americans are anxious about their future. In a global economy with new rules and new risks, they have watched as their Government has shifted those risks onto…

Mitch McConnell
Sen. Mitch McConnellR-KY · Jun 26, 2007

Mr. President, I ask unanimous consent the order for the quorum call be rescinded. Mr. President, first let me thank my friends and colleagues, Senator Hatch and Senator Enzi, for their hard work on…

John D. Rockefeller IV
Sen. John D. Rockefeller IVD-WV · Jun 26, 2007

Mr. President, we have before us a bill that will strengthen the historic right of workers to join together for higher wages, safer working conditions, and better benefits. The Employee Free Choice…

Ken Salazar
Sen. Ken SalazarD-CO · Jun 26, 2007

Mr. President, I rise to urge my colleagues to vote ``yes'' on the motion to proceed to S. 1639, the immigration reform package. This immigration reform legislation has been long in coming.…

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in SenateIssued July 26, 2007

II

110th CONGRESS

1st Session

S. 1883

IN THE SENATE OF THE UNITED STATES

July 26, 2007

Mr. Kohl (for himself, Mr. Dorgan, and Mr. Wyden) 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 standardized marketing requirements under the Medicare Advantage program and the Medicare prescription drug program and to provide for State certification prior to waiver of licensure requirements under the Medicare prescription drug program, and for other purposes.

1.

Short title

This Act may be cited as the Accountability and Transparency in Medicare Marketing Act of 2007.

2.

Standardized marketing requirements under the Medicare Advantage and Medicare prescription drug programs

(a)

Medicare Advantage program

(1)

In general

Section 1856 of the Social Security Act (42 U.S.C. 1395w–26) is amended—

(A)

in subsection (b)(1), by inserting or subsection (c) after subsection (a); and

(B)

by adding at the end the following new subsection:

(c)

Standardized marketing requirements

(1)

Development by the NAIC

(A)

Requirements

The Secretary shall request the National Association of Insurance Commissioners (in this subsection referred to as the NAIC) to—

(i)

develop standardized marketing requirements for Medicare Advantage organizations with respect to Medicare Advantage plans and PDP sponsors with respect to prescription drug plans under part D; and

(ii)

submit a report containing such requirements to the Secretary by not later than the date that is 9 months after the date of enactment of this subsection.

(B)

Prohibited activities

Such requirements shall prohibit the following:

(i)

Cross-selling of non-Medicare products or services with products or services offered by a Medicare Advantage plan or a prescription drug plan under part D.

(ii)

Up-selling from prescription drug plans under part D to Medicare Advantage plans.

(iii)

Telemarketing (including cold calling) conducted by an organization with respect to a Medicare Advantage plan or a PDP sponsor with respect to a prescription drug plan under part D (or by an agent of such an organization or sponsor).

(iv)

A Medicare Advantage organization or a PDP sponsor providing cash or other monetary rebates as an inducement for enrollment or otherwise.

(C)

Election form

Such requirements may prohibit a Medicare Advantage organization or a PDP sponsor (or an agent of such an organization or sponsor) from completing any portion of any election form used to carry out elections under section 1851 or 1860D–1 on behalf of any individual.

(D)

Agent and broker commissions

Such requirements shall establish standards—

(i)

for fair and appropriate commissions for agents and brokers of Medicare Advantage organizations and PDP sponsors, including a prohibition on extra bonuses or incentives; and

(ii)

for the disclosure of such commissions.

(E)

Certain conduct of agents

Such requirements shall address the conduct of agents engaged in on-site promotion at a facility of an organization with which the Medicare Advantage organization or PDP sponsor has a co-branding relationship.

(F)

Other standards

Such requirements may establish such other standards relating to marketing under Medicare Advantage plans and prescription drug plans under part D as the NAIC determines appropriate.

(2)

Implementation of requirements

(A)

Adoption of NAIC developed requirements

If the NAIC develops standardized marketing requirements and submits the report pursuant to paragraph (1), the Secretary shall promulgate regulations for the adoption of such requirements. The Secretary shall ensure that such regulations take effect not later than the date that is 10 months after the date of enactment of this subsection.

(B)

Requirements if NAIC does not submit report

If the NAIC does not develop standardized marketing requirements and submit the report pursuant to paragraph (1), the Secretary shall promulgate regulations for standardized marketing requirements for Medicare Advantage organizations with respect to Medicare Advantage plans and PDP sponsors with respect to prescription drug plans under part D. Such regulations shall prohibit the conduct described in paragraph (1)(B), may prohibit the conduct described in paragraph (1)(C), shall establish the standards described in paragraph (1)(D), shall address the conduct described in paragraph (1)(E), and may establish such other standards relating to marketing under Medicare Advantage plans and prescription drug plans as the Secretary determines appropriate. The Secretary shall ensure that such regulations take effect not later than the date that is 10 months after the date of enactment of this subsection.

(C)

Consultation

In establishing requirements under this subsection, the NAIC or Secretary (as the case may be) shall consult with a working group composed of representatives of Medicare Advantage organizations and PDP sponsors, consumer groups, and other qualified individuals. Such representatives shall be selected in a manner so as to insure balanced representation among the interested groups.

(3)

State reporting of violations of standardized marketing requirements

The Secretary shall request that States report any violations of the standardized marketing requirements under the regulations under subparagraph (A) or (B) of paragraph (2) to national and regional offices of the Centers for Medicare & Medicaid Services.

(4)

Report

The Secretary shall submit an annual report to Congress on the enforcement of the standardized marketing requirements under the regulations under subparagraph (A) or (B) of paragraph (2), together with such recommendations as the Secretary determines appropriate. Such report shall include—

(A)

a list of any alleged violations of such requirements reported to the Secretary by a State, a Medicare Advantage organization, or a PDP sponsor; and

(B)

the disposition of such reported violations.

.

(2)

State authority to enforce standardized marketing requirements

(A)

In general

Section 1856(b)(3) of the Social Security Act (42 U.S.C. 1395w–26(b)(3)) is amended—

(i)

by striking or State and inserting , State; and

(ii)

by inserting , or State laws or regulations enacting the standardized marketing requirements under subsection (c) after plan solvency.

(B)

No preemption of State sanctions

Nothing in title XVIII of the Social Security Act or the provisions of, or amendments made by, this Act, shall be construed to prohibit a State from imposing sanctions against Medicare Advantage organizations, PDP sponsors, or agents or brokers of such organizations or sponsors for violations of the standardized marketing requirements under subsection (c) of section 1856 of the Social Security Act (as added by paragraph (1)) as enacted by that State.

(3)

Conforming amendment

Section 1851(h)(4) of the Social Security Act (42 U.S.C. 1395w–21(h)(4)) is amended by adding at the end the following flush sentence:

Beginning on the effective date of the implementation of the regulations under subparagraph (A) or (B) of section 1856(c)(2), each Medicare Advantage organization with respect to a Medicare Advantage plan offered by the organization (and agents of such organization) shall comply with the standardized marketing requirements under section 1856(c).

.

(b)

Medicare prescription drug program

Section 1860D–4 of the Social Security Act (42 U.S.C. 1395w–104) is amended by adding at the end the following new subsection:

(l)

Standardized marketing requirements

A PDP sponsor with respect to a prescription drug plan offered by the sponsor (and agents of such sponsor) shall comply with the standardized marketing requirements under section 1856(c).

.

3.

State certification prior to waiver of licensure requirements under Medicare prescription drug program

(a)

In general

Section 1860D–12(c) of the Social Security Act (42 U.S.C. 1395w–112(c)) is amended—

(1)

in paragraph (1)(A), by striking In the case and inserting Subject to paragraph (5), in the case; and

(2)

by adding at the end the following new paragraph:

(5)

State certification required

(A)

In general

The Secretary may only grant a waiver under paragraph (1)(A) if the Secretary has received a certification from the State insurance commissioner that the prescription drug plan has a substantially complete application pending in the State.

(B)

Revocation of waiver upon finding of fraud and abuse

The Secretary shall revoke a waiver granted under paragraph (1)(A) if the State insurance commissioner submits a certification to the Secretary that the recipient of such a waiver—

(i)

has committed fraud or abuse with respect to such waiver;

(ii)

has failed to make a good faith effort to satisfy State licensing requirements; or

(iii)

was determined ineligible for licensure by the State.

.

(b)

Effective date

The amendments made by paragraph (1) shall apply with respect to plan years beginning on or after January 1, 2008.

4.

NAIC recommendations on the establishment of standardized benefit packages for Medicare Advantage plans and prescription drug plans

Not later than 30 days after the date of enactment of this Act, the Secretary of Health and Human Services shall request the National Association of Insurance Commissioners to establish a committee to study and make recommendations to the Secretary and Congress on—

(1)

the establishment of standardized benefit packages for Medicare Advantage plans under part C of title XVIII of the Social Security Act and for prescription drug plans under part D of such Act; and

(2)

the regulation of such plans.