,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #ceab  ,,in ,,the ,,house ,,of  
,,representatives  ,november #ae1 #bjac 
,mr4 ,heck of ,nevada 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 amend title ,,xviii of   
the ,social ,security ,act to facilitate
 the transition to ,medicare for        
individuals enrolled in group health    
plans1 to establish a #c-month open     
enrollment period under ,medicare       
,advantage1 and for other purposes4  #a4
 ,short title ,this ,act may be cited as
 the ,seniors' ,health ,care ,choice    
,act of #bjac4  #b4 ,facilitating       
transition to ,medicare for individuals 
enrolled in group health plans  7a7     
,special enrollment period for          

individuals enrolled in ,,cobra         
continuation coverage ,section #ahcg7;i7
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #aciep7i77 is amended by      
adding at the end the following new     
paragraph3  7#e7  7,a7 ,in the case of  
an individual who--  7i7 at the time the
 individual first satisfies paragraph   
7#a7 or 7#b7 of section #ahcf1 is       
enrolled in ,,cobra continuation        
coverage 7as defined in subparagraph    
7,d772 and  7ii7 has elected not to     
enroll 7or to be deemed enrolled7 under 
this section during the individual's    
initial enrollment period2  there shall 
be a special enrollment period described
 in subparagraph 7,b74  7,b7 ,the       
special enrollment period referred to in
 subparagraph 7,a7 is the period that   
includes each month during any part of  
which the individual is enrolled in     
,,cobra continuation coverage4  7,c7 ,an
 individual may only enroll during the  
special enrollment period provided under
 subparagraph 7,b7 one time during the  

individual's lifetime4  7,d7 ,for       
purposes of this paragraph1 the term    
,,cobra continuation coverage means     
continuation coverage--  7i7 under a    
,,cobra continuation provision 7as      
defined in section #bgia7;d77#d7 of the 
,public ,health ,service ,act72  7ii7   
pursuant to section #hije;a of title #e1
 ,united ,states ,code2 or  7iii7 under 
a similar ,state program4  4  7b7       
,coverage period for individuals        
transitioning from ,,cobra continuation 
coverage ,section #ahch7;e7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acieq7e77 is amended--  7#a7 by        
striking pursuant to section            
#ahcg7;i77#c7 or #ahcg7;i77#d77;,b7 and 
inserting the following3  pursuant to-- 
7#a7 section #ahcg7;i77#c7 or           
#ahcg7;i77#d77;,b7--  2  7#b7 by        
redesignating paragraphs 7#a7 and 7#b7  
as subparagraphs 7,a7 and 7,b71         
respectively1 and moving the indentation
 of each such subparagraph #b ems to the
 right2  7#c7 by striking the period at 

the end of the subparagraph 7,b71 as so 
redesignated1 and inserting 2 or2 and   
7#d7 by adding at the end the following 
new paragraph3  7#b7 section            
#ahcg7;i77#e71 the coverage period shall
 begin on the first day of the month    
following the month in which the        
individual so enrolls4  4  #c4 #c-month 
open enrollment period for ,medicare    
,advantage  7a7 ,in general ,section    
#ahea7;e77#b7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #aciew-#a7;e77#b77  
is amended--  7#a7 in subparagraph 7,c71
 by inserting and ending with #bjac     
after 7beginning with #bjaa2 and  7#b7  
by adding at the end the following new  
subparagraph3  7,f7 ,continuous open    
enrollment and disenrollment for first  
#c months in subsequent years ,subject  
to subparagraph 7,d71 at any time during
 the first #c months of a year          
7beginning with #bjad71 or1 if the      
individual first becomes a ,medicare    
,advantage eligible individual during a 
year after #bjad1 during the first #c   

months of such year in which the        
individual is a ,medicare ,advantage    
eligible individual1 a ,medicare        
,advantage eligible individual may      
change the election under subsection    
7a77#a74  4  7b7 ,conforming amendment  
,section #ahea7;e77#b77;,b77i7 of the   
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#ba7;e77#b77;,b77i77 is amended  
by striking 1 subparagraph7,c77iii714