text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Protecting Seniors' Medicare Choices 
  from Obamacare Act of 2014''.
  
  SEC. 2. ELIMINATING PPACA ENHANCED MEDICAID FMAP FOR PRISONERS AND 
                APPLYING SAVINGS TO MEDICARE ADVANTAGE IMPROVEMENT FUND.
  
      (a) Elimination of PPACA Enhanced Medicaid FMAP for Prisoners.--
              (1) In general.--Section 1905 of the Social Security Act 
          (42 U.S.C. 1396d) is amended--
                      (A) in subsection (y)(2)(A), by adding at the end 
                  the following: ``Such term does not include an 
                  individual described in such subparagraph during the 
                  period in which the individual is an inmate in a public 
                  institution or in which the public institution 
                  maintains jurisdiction over the individual.''; and
                      (B) in subsection (z)(1)(A), by inserting before 
                  the period at the end the following: ``and who are not 
                  inmates of a public institution (or individuals over 
                  whom a public institution maintains jurisdiction)''.
              (2) Effective date.--The amendments made by paragraph (1) 
          shall apply to items and services furnished on or after January 
          1, 2015.
      (b) Application of Savings to 2015 to Establishment of 2015 
  Medicare Advantage Stabilization Program.--Section 1859 of the Social 
  Security Act (42 U.S.C. 1395w-28) is amended by adding at the end the 
  following new subsection:
      ``(h) 2015 Medicare Advantage Stabilization Program.--
              ``(1) Establishment.--There is established a Medicare 
          Advantage stabilization program (in this subsection referred to 
          as the `stabilization program') under which the Secretary 
          shall, subject to paragraph (6), provide a PMPM stabilization 
          funding amount to each eligible Medicare Advantage plan in 
          accordance with this subsection to be used by such plan for 
          plan year 2015 to address the beneficiary plan inadequacies 
          applicable to such plan (as described in paragraph (5)).
              ``(2) Eligible medicare advantage plans.--For purposes of 
          this subsection, an eligible Medicare Advantage plan is a 
          Medicare Advantage plan to be offered for plan year 2015 that 
          the Secretary determines, based on the bid of such plan 
          submitted under section 1854 for such plan year, satisfies at 
          least one of the following criteria:
                      ``(A) Increased beneficiary costs.--The total costs 
                  (including premiums, cost-sharing responsibilities, and 
                  deductibles) projected to be applicable to individuals 
                  who enroll in such plan for such plan year are at least 
                  7 percent more than the such total costs that were 
                  applicable to individuals enrolled in such plan for 
                  plan year 2014.
                      ``(B) Decreased supplemental benefits.--The 
                  supplemental benefits to be offered under such plan for 
                  such plan year 2015 are less than the supplemental 
                  benefits offered under such plan for plan year 2014.
                      ``(C) Decreased provider network.--The number of 
                  physicians in the plan's network has been reduced by 3 
                  percent or more from plan year 2014 to plan year 2015.
              ``(3) Distribution of pmpm stabilization funding amounts.--
                      ``(A) In general.--Subject to the availability of 
                  funds under paragraph (6), under the stabilization 
                  program, the Secretary shall distribute, not later than 
                  December 31, 2014, to each eligible Medicare Advantage 
                  plan a PMPM stabilization funding amount, as determined 
                  by the Secretary in accordance with subparagraph (B).
                      ``(B) PMPM stabilization funding amount.--A PMPM 
                  stabilization funding amount, with respect to an 
                  eligible Medicare Advantage plan, shall be determined 
                  in accordance with the following:
                              ``(i) Such amount shall be an amount, with 
                          respect to each month of plan year 2015, for 
                          each individual projected to be enrolled in 
                          such plan for such plan year.
                              ``(ii) Subject to paragraph (6) and clause 
                          (iii), such amount shall be an amount 
                          determined by the Secretary to be sufficient 
                          for such plan to address for plan year 2015 
                          each beneficiary plan inadequacy specified in 
                          paragraph (4) applicable to such plan.
                              ``(iii) Such amount shall not be more than 
                          $85 per member per month.
              ``(4) Timing of determinations.--Under the stabilization 
          program, the Secretary shall determine which Medicare Advantage 
          plans are eligible Medicare Advantage plans under paragraph 
          (2), and the PMPM stabilization funding amount to be 
          distributed to each such eligible Medicare Advantage plan under 
          paragraph (3), by not later than October 15, 2014.
              ``(5) Applicable beneficiary plan inadequacies.--For 
          purposes of this subsection, a beneficiary plan inadequacy 
          applicable to an eligible Medicare Advantage plan is each of 
          the criteria described in paragraph (2) that the Secretary 
          determined the plan satisfied for qualifying as such an 
          eligible Medicare Advantage plan.
              ``(6) Funding.--
                      ``(A) In general.--There shall be available to the 
                  Secretary from amounts in the general fund in the 
                  Treasury not otherwise appropriated an amount, not to 
                  exceed $3,000,000,000, to carry out this subsection. 
                  Such amounts shall remain so available until December 
                  31, 2015. Any amounts made so available but not 
                  expended on or before such date shall be transferred to 
                  the general fund in the Treasury.
                      ``(B) Clarification.--Payments under the 
                  stabilization program shall not be taken into account 
                  for purposes of determining the premium payments 
                  applicable under part B.''.
target: Protecting Seniors' Medicare Choices from Obamacare Act of 2014 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to eliminate the increased Medicaid federal medical assistance percentage (FMAP, or federal matching amount) for prisoners with respect to their hospital care under the Patient Protection and Affordable Care Act. Amends SSA title XVIII (Medicare) part C (Medicare+Choice) to establish a Medicare Advantage (MA) stabilization program under which the Secretary of Health and Human Services (HHS) shall distribute a stabilization funding amount to each eligible MA plan for plan year 2015 to address any beneficiary plan inadequacies.
feat_title: Protecting Seniors' Medicare Choices from Obamacare Act of 2014