,i  #aacth ,,congress  #b;d ,session    
,h4 ,r4 #dhec  ,,in ,,the ,,house ,,of  
,,representatives  ,june #ab1 #bjad ,mr4
 ,renacci 7for himself and ,mr4         
,pascrell7 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 allow     
individuals to elect to receive the     
,medicare ,summary ,notice              
electronically1 and for other purposes4 
#a4 ,short title ,this ,act may be cited
 as the ,better ,efficiency and         
,administrative ,simplification ,act of 
#bjad4  #b4 ,option to receive ,medicare
 ,summary ,notice electronically  7a7   
,in general ,section #ahjf of the       
,social ,security ,act 7#db ,u4,s4,c4   

#acie;b-#g7 is amended by adding at the 
end the following new subsection3  7c7  
,format of statements from ,secretary   
7#a7 ,electronic option beginning in    
#bjae ,subject to paragraph 7#b71 for   
statements described in subsection 7a7  
that are furnished for a period in #bjae
 or a subsequent year1 in the case that 
an individual described in subsection   
7a7 elects1 in accordance with such     
form1 manner1 and time specified by the 
,secretary1 to receive such statement in
 an electronic format1 such statement   
shall be furnished to such individual   
for each period subsequent to such      
election in such a format and shall not 
be mailed to the individual4  7#b7      
,one-time revocation option ,an         
individual who makes an election        
described in paragraph 7#a7 may revoke  
such election once4  7#c7 ,notification 
,the ,secretary shall ensure that1 in   
the most cost effective manner and      
beginning ,january #a1 #bjag1 a clear   
notification of the option to elect to  

receive statements described in         
subsection 7a7 in an electronic format  
is made available1 such as through the  
notices distributed under section #ahjd1
 to individuals described in subsection 
7a74  4  7b7 ,encouraged expansion of   
electronic statements ,to the extent to 
which the ,secretary of ,health and     
,human ,services determines appropriate1
 the ,secretary shall--  7#a7 apply an  
option similar to the option described  
in subsection 7c77#a7 of section #ahjf  
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acie;b-#g7 7relating to the  
provision of the ,medicare ,summary     
,notice in an electronic format71 as    
added by subsection 7a71 to other       
statements and notifications under title
 ,,xviii of such ,act 7#db ,u4,s4,c4    
#acie et seq472 and  7#b7 provide such  
,medicare ,summary ,notice and any such 
other statements and notifications on a 
more frequent basis than is otherwise   
required under such title4  #c4 ,renewal
 of ,,mac contracts  ,section           

#ahgd;,a7b77#a77;,b7 of the ,social     
,security ,act 7#db ,u4,s4,c4           
#aciekk-#a7;b77#a77;,b77 is amended by  
striking #e years and inserting #aj     
years4