Common use of House Bill Clause in Contracts

House Bill. The reporting deadline for ACRs and other information would permanently move to July 1 of each year. The annual coordinated election period would be permanently changed to November 15 through December 31. The announcement of payment rates, including rates for EFFS plans, would be permanently moved to no later than the second Monday in May. In addition to the information dissemination required under current law, the Secretary would be required to provide beneficiaries with a list of plans that are or would be available in an area, to the extent the information was available at the time the materials were prepared for mailing. Senate Bill Each MA organization would be required to submit information by the second Monday in September, including: 1) notice of intent and information on the service area of the plan; 2) the plan type for each plan; 3) specific information for coordinated care and PFFS plans; 4) enrollment capacity; 5) the expected mix of enrollees, by health status; and 6) other information specified by the Secretary. Medicare beneficiaries would retain their ability to make and change elections to a Medicare+Choice plan through 2005. The current law limitation on changing elections that begins in 2005, would be delayed until 2006. Further, the annual coordinated election period for 2003 through 2006 would begin on November 15 and end on December 31. Beginning in 2007, the annual coordinated election period would be during the month of November. In addition to the information dissemination required under current law, the Secretary would be required to provide: 1) the MA monthly basic beneficiary premium; 2) the monthly beneficiary premium for any enhanced medical benefits; 3) the MA monthly beneficiary obligation for qualified prescription drug coverage; 4) the catastrophic coverage amount (including the maximum limitation on out-of-pocket expenses) and unified deductible for the plan; 5) the outpatient prescription drug coverage benefits; 6) any beneficiary cost-sharing, including information on the unified deductible; 7) comparative information relating to prescription drug coverage; 8) if applicable, any reduction in the Medicare Part B premium; 9) whether the MA monthly premium for enhanced benefits was optional or mandatory; and 10) quality and performance indicators for prescription drug coverage, including a comparison with FFS Medicare. Additionally, the Secretary would conduct a special information campaign to inform MA eligible beneficiaries about plans. The campaign would begin on November 15, 2005 and ending on December 31, 2005.

Appears in 4 contracts

Samples: Conference Agreement, Conference Agreement, Conference Agreement

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