,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #bfah  ,,in ,,the ,,house ,,of  
,,representatives  ,july #h1 #bjac ,mr4 
,gene ,green of ,texas introduced the   
following bill2 which was referred to   
the ,committee on ,ways and ,means1 and 
in addition to the ,committee on ,energy
 and ,commerce1 for a period to be      
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to allow certain ,state and 
local government employees to elect to  
treat employment as medicare qualified  
government employment for purposes of   
entitlement to ,medicare coverage4  #a4 
,ability for certain ,state and local   
government employees to elect to treat  
employment as medicare qualified        
government employment for purposes of   
entitlement to ,medicare coverage       
,section #baj7p7 of the ,social         
,security ,act 7#db ,u4,s4,c4 #daj7p77  
is amended--  7#a7 in paragraph         

7#c77;,b71 by inserting who has not made
 an election under subject to paragraph 
7#e7 and after an individual2 and  7#b7 
by adding at the end the following new  
paragraph3  7#e7 7,a7 ,the ,commissioner
 of ,social ,security shall establish   
procedures under which an eligible      
individual described in subparagraph    
7,b7 may1 beginning on or after the date
 that is #ahj days after the date of the
 enactment of this paragraph1 make an   
irrevocable election to extend the      
provisions of title ,,xviii1 and        
sections #bbf and #bbf;,a1 to services  
performed by such individual as an      
employee of a ,state or political       
subdivision thereof in the same manner  
as such provisions would be extended to 
such individual if such ,state entered  
into 7or modified7 an agreement with the
 ,commissioner pursuant to section      
#bah7n74  7,b7 ,for purposes of         
subparagraph 7,a71 an eligible          
individual is an employee--  7i7 whose  
services without application of this    

paragraph would not otherwise be treated
 as employment as that term applies     
under section #baj7p7 by reason of      
paragraph 7#c7 of such section2 and     
7ii7 who is not otherwise covered under 
the ,state's agreement under section    
#bah4  4  #b4 ,medicare portion of      
payroll taxes for ,state and local      
government employees who elect to treat 
employment as medicare qualified        
government employment  7a7 ,in general  
,paragraph 7#g7 of section #caba7;b7 of 
the ,internal ,revenue ,code of #aihf is
 amended by striking or at the end of   
subparagraph 7,e71 by inserting or at   
the end of subparagraph 7,f71 and by    
adding at the end the following new     
subparagraph3  7,g7 service included    
under election made under section       
#baj7p77#e7 of the ,social ,security    
,act2  4  7b7 ,effective date ,the      
amendments made by this section shall   
apply to remuneration paid after the    
date of the enactment of this ,act4