,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #fgj  ,,in ,,the ,,house ,,of   
,,representatives  ,february #ac1 #bjac 
,mr4 ,pierluisi 7for himself1 ,mr4      
,rangel1 ,ms4 ,roybal-,allard1 ,mr4     
,grayson1 ,mr4 ,grijalva1 ,ms4          
,bordallo1 ,mr4 ,faleomavaega1 ,mrs4    
,christensen1 ,mr4 ,serrano1 ,ms4       
,velzquez1 and ,ms4 ,norton7 introduced 
the following bill2 which was referred  
to the ,committee on ,energy and        
,commerce1 and in addition to the       
,committee on ,ways and ,means1 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 part ,b of the title ,,xviii of   
the ,social ,security ,act to apply     
deemed enrollment to residents of       
,puerto ,rico and to provide a special  
enrollment period and a reduction in the
 late enrollment penalties for certain  
residents of ,puerto ,rico4  #a4 ,short 

title ,this ,act may be cited as the    
,puerto ,rico ,medicare ,part ,b ,equity
 ,act of #bjac4  #b4 ,application of    
part ,b deemed enrollment process to    
residents of ,puerto ,rico2 special     
enrollment period and limit on late     
enrollment penalties  7a7 ,application  
of part ,b deemed enrollment process to 
residents of ,puerto ,rico ,section     
#ahcg7;f77#c7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #aciep7f77#c77 is   
amended by striking 1 exclusive of      
,puerto ,rico4  7b7 ,effective date ,the
 amendment made by subsection 7a7 shall 
apply to individuals whose initial      
enrollment period under section         
#ahcg7;d7 of the ,social ,security ,act 
begins on or after the first day of the 
effective month1 specified by the       
,secretary of ,health and ,human        
,services under section                 
#ahci7;j77#a77;,c7 of such ,act1 as     
added by subsection 7c77#b74  7c7       
,transition providing special enrollment
 period and limit on late enrollment    

penalties for certain ,medicare         
beneficiaries ,section #ahci of the     
,social ,security ,act 7#db ,u4,s4,c4   
#acier7 is amended--  7#a7 in the first 
sentence of subsection 7b71 by inserting
 subject to section #ahci7;j77#b71 after
 subsection 7i77#d7 or 7l7 of section   
#ahcg12 and  7#b7 by adding at the end  
the following new subsection3  7j7      
,special rules for certain residents of 
,puerto ,rico  7#a7 ,special enrollment 
period1 coverage period for residents   
who are eligible but not enrolled  7,a7 
,in general ,in the case of a transition
 individual 7as defined in paragraph    
7#c77 who is not enrolled under this    
part as of the day before the first day 
of the effective month 7as defined in   
subparagraph 7,c771 the ,secretary shall
 provide for a special enrollment period
 under section #ahcg of #g months       
beginning with such effective month     
during which the individual may be      
enrolled under this part4  7,b7         
,coverage period ,in the case of such an

 individual who enrolls during such     
special enrollment period1 the coverage 
period under section #ahch shall begin  
on the first day of the second month    
after the month in which the individual 
enrolls4  7,c7 ,effective month defined 
,in this section1 the term effective    
month means a month1 not earlier than   
,october #bjad and not later than       
,january #bjae1 specified by the        
,secretary4  7#b7 ,reduction in late    
enrollment penalties for current        
enrollees and individuals enrolling     
during transition  7,a7 ,in general ,in 
the case of a transition individual who 
is enrolled under this part as of the   
day before the first day of the         
effective month or who enrolls under    
this part on or after the date of the   
enactment of this subsection but before 
the end of the special enrollment period
 under paragraph 7#a77;,a71 the amount  
of the late enrollment penalty imposed  
under section #ahci7;b7 shall be        
recalculated by reducing the penalty to 

#ae percent of the penalty otherwise    
established4  7,b7 ,application         
,subparagraph 7,a7 shall be applied in  
the case of a transition individual     
who--  7i7 is enrolled under this part  
as of the month before the effective    
month1 for premiums for months beginning
 with such effective month2 or  7ii7    
enrolls under this part on or after the 
date of the enactment of this ,act and  
before the end of the special enrollment
 period under paragraph 7#a77;,a71 for  
premiums for months during the coverage 
period under this part which occur      
during or after the effective month4    
7,c7 ,loss of reduction if individual   
terminates enrollment ,subparagraph 7,a7
 shall not apply to a transition        
individual if the individual terminates 
enrollment under this part after the end
 of the special enrollment period under 
paragraph 7#a74  7#c7 ,transition       
individual defined ,in this section1 the
 term transition individual means an    
individual who resides in ,puerto ,rico 

and who would have been deemed enrolled 
under this part pursuant to section     
#ahcg7;f7 before the first day of the   
effective month but for the fact that   
the individual was a resident of ,puerto
 ,rico1 regardless of whether the       
individual is enrolled under this part  
as of such first day4  4