# 114-hr-2581: Preservation of Access for Seniors in Medicare Advantage Act of 2015

114-hr-2581, Preservation of Access for Seniors in Medicare Advantage Act of 2015, is a 114th Congress bill sponsored by Rep. Brady, Kevin [R-TX-8] (R-TX); status Placed on the Union Calendar, Calendar No. 117. (as of 2025-11-18).

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- As of: 2025-11-18
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 114-hr-2581
- Congress: 114
- Title: Preservation of Access for Seniors in Medicare Advantage Act of 2015
- Status: Placed on the Union Calendar, Calendar No. 117.
- Introduced: 2015-05-29
- Sponsor: Rep. Brady, Kevin [R-TX-8] (R-TX)
- Cosponsors: 0
- Policy area: Health
- Touches household money: no
- Last recorded action: 2025-11-18

## Summary

Preservation of Access for Seniors in Medicare Advantage Act of 2015 This bill requires the Department of Health and Human Services (HHS) to establish a three-year demonstration program to test the use of value-based insurance design methodologies under the eligible Medicare Advantage (MA) plans offered by MA organizations under part C (Medicare+Choice Program) of title XVIII (Medicare) of the Social Security Act (SSAct). "Value-based insurance design methodology" is one for identifying specific prescription medications, and clinical services payable under Medicare, for which copayments, coinsurance, or both would improve the management of specific chronic clinical conditions because of the high value and effectiveness of such medications and services for such specific chronic clinical conditions, as approved by HHS. HHS may expand the duration and scope of the demonstration program to an appropriate extent if specified requirements are met. The annual 45-day period for disenrollment from MA plans to elect to receive benefits under the original Medicare fee-for-service program, and to elect coverage under part D (Voluntary Prescription Drug Benefit Program), shall end on December 31, 2015. Starting in 2016, a Medicare Advantage eligible individual, during the first three months of any year, may change a previous election to elect to receive benefits through the original Medicare fee-for-service program or an MA plan, and to elect coverage under part D. This continuous open enrollment and disenrollment period during the first three months of any year starting in 2016 shall apply with respect to a prescription drug plan only in the case of an individual who, previous to such change in enrollment, is enrolled in a MA plan. This bill also amends part B (Supplementary Medical Insurance) of SSAct title XVIII to revise requirements (in effect, changing payment methodologies from 95% of the Average Wholesale Price to the Average Sales Price plus six) for payments for infusion drugs and biologicals furnished through durable medical equipment on or after January 1, 2017.

## Related bills

- 114-hr-6439: Tax Technical Corrections Act of 2016
- 114-hr-6221: To award a Congressional Gold Medal to Don Stephens, President and Founder of Mercy Ships, in recognition of his 38 years of service as the leader of a humanit…
- 114-hr-6087: IDENT Fingerprint Digitization Completion Act of 2016
- 114-hr-5945: Ready to Work Act of 2016
- 114-hr-5859: Community Counterterrorism Preparedness Act
- 114-hr-5816: To suspend, and subsequently terminate, the admission of certain refugees, to examine the impact on the national security of the United States of admitting ref…

## Sources
- [114-hr-2581 on Congress.gov](https://www.congress.gov/bill/114th-congress/house-bill/2581)

## Related
- [114-hr-6439: Tax Technical Corrections Act of 2016](https://policyrisk.com/legislation/114-hr-6439)
- [114-hr-6221: To award a Congressional Gold Medal to Don Stephens, President and Founder of M…](https://policyrisk.com/legislation/114-hr-6221)
- [114-hr-6087: IDENT Fingerprint Digitization Completion Act of 2016](https://policyrisk.com/legislation/114-hr-6087)
- [114-hr-5945: Ready to Work Act of 2016](https://policyrisk.com/legislation/114-hr-5945)
- [114-hr-5859: Community Counterterrorism Preparedness Act](https://policyrisk.com/legislation/114-hr-5859)
- [114-hr-5816: To suspend, and subsequently terminate, the admission of certain refugees, to e…](https://policyrisk.com/legislation/114-hr-5816)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/114-hr-2581 (as of 2025-11-18).