,,ii  #aac? ,,congress  #a/ ,session    
,s4 #cbc  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #ac1 #bjac    
,mr4 ,durb9 7= himself & ,mr4 ,co*ran7  
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = ext5d$ mon?s ( ,m$ic>e cov]age
 ( immunosuppressive drugs = kidney     
transplant pati5ts & o!r r5al dialysis  
provisions4  #a4 ,%ort title ,?is ,act  
may be cit$ z ! ,compreh5sive           
,immunosuppressive ,drug ,cov]age =     
,kidney ,transplant ,pati5ts ,act (     
#bjac4  #b4 ,ext5d$ mon?s ( cov]age (   
immunosuppressive drugs = kidney        
transplant pati5ts & o!r r5al dialysis  
provisions  7a7 ,m$ic>e entitlem5t to   
immunosuppressive drugs = kidney        
transplant recipi5ts  7#a7 ,kidney      
transplant recipi5ts ,section           
#bbf;,a7b77#b7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #dbf-a7;b77#b77 is  
am5d$ by ins]t+ 7except = eligibility = 

enrollm5t "u "p ,b solely = purposes (  
cov]age ( immunosuppressive drugs       
describ$ 9 section #ahfa7s77#b77;,j77   
be=e 1 ) ! ?irty-six? mon?4  7#b7       
,individuals eligible only = cov]age (  
immunosuppressive drugs  7,a7 ,section  
#ahcf ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acieo7 is am5d$--  7i7 by    
/rik+ ,e & ins]t+ 7a7 ,9 g5]al4--,e2 &  
7ii7 by ins]t+ at ! end ! foll[+ new    
subsection3  7b7 ,individuals eligible =
 immunosuppressive drug cov]age ,beg9n+ 
on ,janu>y #a1 #bjad1 e individual ^:   
insurance b5efits "u "p ,a h end$ 7:e!r 
be=e1 on1 or aft] su* date7 by reason ( 
section #bbf;,a7b77#b7 is eligible =    
enrollm5t 9 ! insurance program e/abli%$
 by ?is "p solely = purposes ( cov]age (
 immunosuppressive drugs4  4  7,b7      
,con=m+ am5dm5t ,sections #ahcg1 #ahch1 
& #ahci ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #acie7p71 #db ,u4,s4,c4       
#acie7q71 #db ,u4,s4,c4 #acie7r77 are   
ea* am5d$ by /rik+ #ahcf & ins]t+       
#ahcf7;a7 ea* place x appe>s4  7#c7     

,enrollm5t = individuals only eligible =
 cov]age ( immunosuppressive drugs      
,section #ahcg ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acie7p77 is am5d$  
by add+ at ! end ! foll[+ new           
subsection3  7m7 7#a7 ,any individual :o
 is eligible "u section #ahcf7;b7 to    
enroll 9 ! m$ical insurance program     
e/abli%$ "u ?is "p = purposes ( cov]age 
( immunosuppressive drugs may enroll    
only 9 su* mann] & =m z may be prescrib$
 by regulations1 & only dur+ an         
enrollm5t p]iod describ$ 9 ?is          
subsection4  7#b7 ,an individual        
describ$ 9 p>agraph 7#a7 may enroll     
beg9n+ on ! fir/ day ( ! ?ird mon? be=e 
! mon? 9 :i* ! individual fir/ satisfies
 section #ahcf7;b74  7#c7 ,an individual
 describ$ 9 p>agraph 7#a7 ^: entitlem5t 
= hospital insurance b5efits "u "p ,a   
ends by reason ( section #bbf;,a7b77#b7 
on or aft] ,janu>y #a1 #bjad1 %all be   
deem$ to h enroll$ 9 ! m$ical insurance 
program e/abli%$ by ?is "p = purposes ( 
cov]age ( immunosuppressive drugs4  4   

7#d7 ,cov]age p]iod = individuals only  
eligible = cov]age ( immunosuppressive  
drugs  7,a7 ,9 g5]al ,section #ahch ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acieq7 is am5d$ by add+ at ! end !     
foll[+ new subsection3  7g7 ,9 ! case ( 
an individual describ$ 9 section        
#ahcf7;b71 ! foll[+ rules %all apply3   
7#a7 ,9 ! case ( su* an individual :o is
 deem$ to h enroll$ 9 "p ,b = cov]age ( 
immunosuppressive drugs "u section      
#ahcg7m77#c71 su* individual's cov]age  
p]iod %all beg9 on ! fir/ day ( ! mon? 9
 :i* ! individual fir/ satisfies section
 #ahcf7;b74  7#b7 ,9 ! case ( su* an    
individual :o enrolls 9 "p ,b = cov]age 
( immunosuppressive drugs "u section    
#ahcg7m77#b71 su* individual's cov]age  
p]iod %all beg9 on ! fir/ day ( ! mon? 9
 :i* ! individual fir/ satisfies section
 #ahcf7;b7 or ! mon? foll[+ ! mon? 9 :i*
 ! individual s enrolls1 :i*ev] is lat]4
  7#c7 ,! provisions ( subsections 7b7 &
 7d7 %all apply ) respect to an         
individual describ$ 9 p>agraph 7#a7 or  

7#b74  7#d7 ,9 addition to ! reasons =  
t]m9ation "u subsection 7b71 ! cov]age  
p]iod ( an individual describ$ 9        
p>agraph 7#a7 or 7#b7 %all end :5 !     
individual becomes entitl$ to b5efits "u
 ?is title "u section #bbf7;a71         
#bbf7;b71 or #bbf;,a4  4  7,b7 ,con=m+  
am5dm5ts ,section #ahch7;b7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #acieq7b77
 is am5d$1 9 ! matt] foll[+ p>agraph    
7#b71 by add+ or section #ahcg7m77#c7   
aft] section #ahcg7;f7 ea* place x      
appe>s4  7#e7 ,premiums = individuals   
only eligible = cov]age (               
immunosuppressive drugs ,section #ahci (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acier7 is am5d$--  7,a7 9 subsection  
7b71 by add+ at ! end ! foll[+ new      
s5t5ce3 ,no increase 9 ! premium %all be
 effect$ = individuals :o are enroll$   
pursuant to section #ahcf7;b7 = cov]age 
only ( immunosuppressive drugs42 &  7,b7
 by add+ at ! end ! foll[+ new          
subsection3  7j7 ,det]m9ation ( premium 
= individuals only eligible = cov]age ( 

immunosuppressive drugs ,! ,secret>y    
%all1 dur+ ,septemb] ( ea* ye>1 det]m9e 
& promulgate a mon?ly premium rate = !  
succe$+ cal5d> ye> = individuals :o     
enroll only = ! purpose ( cov]age (     
immunosuppressive drugs "u section      
#ahcf7;b74 ,su* premium %all be equal to
 #ce p]c5t ( ! mon?ly actu>ial rate =   
enrollees age #fe & ov]1 det]m9$ accord+
 to p>agraph 7#a71 = t succe$+ cal5d>   
ye>4 ,! mon?ly premium ( ea* individual 
enroll$ = cov]age ( immunosuppressive   
drugs "u section #ahcf7;b7 = ea* mon?   
%all be ! am\nt promulgat$ 9 ?is        
subsection4 ,su* am\nt %all be adju/$ 9 
accordance ) subsections 7c7 & 7f74  4  
7#f7 ,gov]nm5t contribution ,section    
#ahdd7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciew7a77 is am5d$--    
7,a7 9 p>agraph 7#c71 by /rik+ ! p]iod  
at ! end & ins]t+ 2 plus2  7,b7 by add+ 
at ! end ! foll[+ new p>agraph3  7#d7 a 
,gov]nm5t contribution equal to !       
e/imat$ aggregate r$uction 9 premiums   
payable "u "p ,b t results f e/abli%+ ! 

premium at #ce p]c5t ( ! actu>ial rate  
"u section #ahci7;j7 in/ead ( #ej p]c5t 
( ! actu>ial rate = individuals :o      
enroll only = ! purpose ( cov]age (     
immunosuppressive drugs "u section      
#ahcf7;b74  2 &  7,c7 by add+ at ! end !
 foll[+ flu% matt]3  ,! ,gov]nm5t       
contribution "u p>agraph 7#d7 %all be   
treat$ z premiums payable & deposit$ =  
purposes ( subp>agraphs 7,a7 & 7,b7 (   
p>agraph 7#a74 4  7#g7 ,ext5sion (      
second>y pay] requirem5ts = ,,esrd      
b5efici>ies eligible = cov]age (        
immunosuppressive drugs ,section        
#ahfb7;b77#a77;,c7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acie7y77b77#a77 is
 am5d$ by add+ at ! end ! foll[+ new    
s5t5ce3 ,) reg>d to immunosuppressive   
drugs furni%$ to an individual :o       
enrolls = ! purpose ( cov]age (         
immunosuppressive drugs "u section      
#ahcf7;b7 on or aft] ,janu>y #a1 #bjad1 
?is subp>agraph %all apply )\t reg>d to 
any "t limitation1 except t :5 su*      
individual becomes entitl$ to b5efits "u

 ?is title "u sections #bbf7;a7 or      
#bbf7;b71 or entitl$ to or eligible =   
b5efits "u ?is title "u section #bbf;,a1
 ! provisions ( subp>agraphs 7,a7 &     
7,b71 & ! "t limitations "u ?is         
subp>agraph1 respectively1 %all apply44 
7#h7 ,ensur+ cov]age "u ! ,m$ic>e sav+s 
program ,section #aije7p77#a77;,a7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7p77#a77;,a77 is am5d$ by ins]t+ 
or an individual :o is enroll$ "u "p ,b 
= ! purpose ( cov]age (                 
immunosuppressive drugs "u section      
#ahcf7;b7 aft] section #ahah4  7#i7 ,"p 
,d ,section #ahfj;,d-#a7;a77#c77;,a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciew-#aja7;a77#c77;,a77 is am5d$ by   
ins]t+ 7b n includ+ an individual       
enroll$ solely = cov]age (              
immunosuppressive drugs "u section      
#ahcf7;b77 be=e ! p]iod at ! end4