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H.R. 2506, Seniors' Health Care Plan Protection Act of 2015 1 (June 12, 2015)

handle is hein.congrec/cbo2337 and id is 1 raw text is: 'CONGRESSIONAL BUDGET OFFICE COST ESTIMATE June 12, 2015 H.R. 2506 Seniors' Health Care Plan Protection Act of 2015 As ordered reported by the House Committee on Ways and Means on June 2, 2015 H.R. 2506 would prohibit the Centers for Medicare and Medicaid Services (CMS) from terminating Medicare Advantage contracts that fail to achieve a minimum quality rating. That prohibition would be in effect until 2019. Under current law, CMS has announced that, beginning with contracts for calendar year 2017, it will exercise its authority to not renew contracts that for three consecutive years do not achieve at least three stars under the five-star rating system. Thus, enacting H.R. 2506 would permit certain plans to continue operating in 2017 and 2018 that otherwise will be terminated under current law. Those plans tend to receive slightly lower payments than other Medicare Advantage plans in the same areas, in part because they do not receive bonus payments under the five-star rating system. CBO projects that very few beneficiaries will be enrolled in plans that fail to achieve minimum quality ratings, and thus would be subject to the changes under the legislation. Permitting those plans to continue operating would reduce direct spending by $30 million over the 2016-2025 period, CBO estimates. Because the legislation would affect direct spending, pay-as-you-go procedures apply. The net changes in direct spending that are subject to pay-as-you-go procedures are shown in the following table. CBO Estimate of Pay-As-You-Go Effects for H.R. 2506, as ordered reported by the House Committee on Ways and Means on June 2, 2015 By Fiscal Year, in Millions of Dollars 2016- 2016- 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2020 2025 NET DECREASE (-) IN THE DEFICIT Statutory Pay-As-You-Go Impact 0 0 -10 -15 -5 0 0 0 0 0 0 -30 -30

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