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                    115TH CONGRESS                                    J REPT. 115-478
                       1st Session    HOUSE OF REPRESENTATIVES             Part 1







                     SPECIAL NEEDS PLANS REAUTHORIZATION ACT OF 2017



                     DECEMBER 21, 2017.-Committed to the Committee of the Whole House on the State
                                      of the Union and ordered to be printed



                      Mr. BRADY of Texas, from the Committee on Ways and Means,
                                         submitted the following


                                             REPORT

                                           [To accompany H.R. 3168]

                              [Including cost estimate of the Congressional Budget Office]

                      The Committee on Ways and Means, to whom was referred the
                    bill (H.R. 3168) to amend title XVIII of the Social Security Act to
                    provide continued access to specialized Medicare Advantage plans
                    for special needs individuals, and for other purposes, having consid-
                    ered the same, report favorably thereon with an   amendment and
                    recommend that the bill as amended do pass.

                                                CONTENTS
                                                                                   Page
                      I. SUMMARY AND BACKGROUND ...............................................................  7
                            A. Purpose  and  Sum m ary  ....................................................................  7
                            B. Background and Need for Legislation ............................................  7
                            C. Legislative  H istory  ...........................................................................  8
                      II.  EXPLANATION     OF  THE  BILL   ...................................................................  9
                            A. Special Needs Plans Reauthorization Act of 2017    .........................  9
                     III. VOTES OF THE COMM ITTEE ....................................................................  11
                     IV. BUDGET EFFECTS OF THE BILL ...........................................................  11
                            A. Committee Estimate of Budgetary Effects ......................................  11
                            B. Statement Regarding New Budget Authority and Tax Expendi-
                                tures  Budget  Authority  ..................................................................  12
                            C. Cost Estimate Prepared by the Congressional Budget Office .......    12
                      V. OTHER MATTERS TO BE DISCUSSED UNDER THE RULES OF
                          TH E H O U SE  ..............................................................................................  14
                            A. Committee Oversight Findings and Recommendations .................    14
                            B. Statement of General Performance Goals and Objectives .............  14
                            C. Information Relating to Unfunded Mandates ................................  15
                            D. Congressional Earmarks, Limited Tax Benefits, and Limited
                                Tariff  Benefits  .................................................................................  15
                            E. Duplication  of Federal Program s  .....................................................  15
                            F. Disclosure  of Directed  Rule  Makings  ..............................................  15
                     VI. CHANGES IN EXISTING LAW MADE BY THE BILL, AS REPORTED      15
                       79-006

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