To require the repayment of appropriated funds that are illegally disbursed for political purposes by the Centers for Medicare & Medicaid Services.

Medicare Trust Fund Reimbursement Act of 2004 - Provides that if the Comptroller General of the United States determines that the Centers for Medicare and Medicaid Services have violated the restriction on using appropriated funds for publicity or propaganda purposes contained in the Consolidated Appropriations Resolution, 2003 or any other provision of law, the principal campaign committee...