,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #dega  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #f1          
#bjag,mrs4 ,davis ( ,cali=nia 7= h]self1
 ,mr4 ,wilson ( ,s\? ,c>ol9a1 ,ms4      
,gabb>d1 ,mr4 ,ma/1 & ,ms4 ,ros57       
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,arm$ ,s]vices1 & 9    
addition to ! ,committees on ,en]gy &   
,comm]ce1 & ,ways & ,means1 = a p]iod to
 be subsequ5tly det]m9$ by ! ,speak]1 9 
ea* case = consid]ation ( su* provisions
 z fall )9 ! jurisdiction ( ! committee 
conc]n$  ,a ,,bill  ,to am5d title #aj1 
,unit$ ,/ates ,code1 to exp& eligibility
 = ! ,,tric>e program to include c]ta9  
vet]ans entitl$ to b5efits "u ! ,m$ic>e 
program due to conditions or injuries   
incurr$ dur+ s]vice 9 ! ,arm$ ,=ces & to
 waive ! ,m$ic>e "p ,b late enrollm5t   
p5alty = su* vet]ans1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,fair ,access to ,insurance = ,retir$ 
7,,fair7 ,h]oes ,act ( #bjag4  #b4      
,eligibility = ,,tric>e = vet]ans       

entitl$ to ,m$ic>e b5efits due to       
conditions or injuries incurr$ dur+     
s]vice 9 ! ,arm$ ,=ces  7a7 ,,tric>e    
provisions  7#a7 ,9 g5]al ,p>agraph 7#b7
 ( section #ajhf7;d7 ( title #aj1 ,unit$
 ,/ates ,code1 is am5d$--  7,a7 9       
subp>agraph 7,a71 by /rik+ is enroll$ & 
ins]t+ 7i7 is enroll$2  7,b7 by         
r$esignat+ subp>agraph 7,b7 z clause    
7ii72  7,c7 9 clause 7ii71 z r$esignat$ 
by p>agraph 7#b71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 or2 &  7,d7 by ins]t+    
aft] subp>agraph 7,a7 ! foll[+ new      
subp>agraph 7,b73  7,b7 is a p]son      
describ$ 9 subp>agraph 7,a77ii7 :o-- 7i7
 is retir$ = disability "u *apt] #fa (  
?is title z a result ( an injury or     
condition suff]$ dur+ s]vice 9 ! arm$   
=ces2  7ii7  7,i7 is entitl$ to hospital
 insurance b5efits "u "p ,a ( title     
,,xviii ( ! ,social ,security ,act      
pursuant to subp>agraph 7,a7 or 7,c7 (  
section #bbf7;b77#b7 ( su* ,act 7#db    
,u4,s4,c4 #dbf7;b77#b77 & is entitl$ to 
a b5efit describ$ 9 subp>agraph 7,a7 (  

su* section2 or  7,,ii7 is entitl$ to   
hospital insurance b5efits "u "p ,a (   
title ,,xviii ( ! ,social ,security ,act
 pursuant to subp>agraph 7,a7 or 7,c7 ( 
su* section & ^: entitlem5t to a b5efit 
describ$ 9 subp>agraph 7,a7 ( su*       
section t]m9at$ due to p]=mance (       
sub/antial ga9ful activity2 &  7iii7 has
 decl9$ to enroll 9 ! supplem5t>y m$ical
 insurance program "u "p ,b ( title     
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #acie;j et seq474  4  7#b7    
,all[ance ( "o *ange ( enrollm5t ,su*   
section is fur!r am5d$ by add+ at ! end 
! foll[+ new p>agraph3  7#f7 7,a7       
,except z provid$ 9 subp>agraph 7,b71   
aft] ! end ( ! special enrollm5t p]iod  
provid$ "u section #b7;a77#c7 ( ! ,fair 
,access to ,insurance = ,retir$ 7,,fair7
 ,h]oes ,act ( #bjag1 an individual     
describ$ 9 p>agraph 7#b77;,b7 may swit* 
only once f enrollm5t "u ! ,m$ic>e      
program "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq47 to enrollm5t 9 a plan contract$ = 

"u subsection 7a74  7,b7 ,! limitation  
"u subp>agraph 7,a7 does n apply to     
enrollm5t by an individual 9 a plan     
contract$ = "u subsection 7a7 by reason 
( t]m9ation ( ! entitlem5t ( !          
individual to a b5efit describ$ 9       
subp>agraph 7,a7 ( section #bbf7;b77#b7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #dbf7;b77#b77 due to !        
p]=mance ( sub/antial ga9ful activity4  
4  7#c7 ,special enrollm5t p]iod  7,a7  
,9 g5]al ,! ,secret>y ( ,def5se %all    
provide = a special enrollm5t p]iod dur+
 :i* an individual describ$ 9 subsection
 7d77#b77;,b7 ( section #ajhf ( title   
#aj1 ,unit$ ,/ates ,code1 may enroll 9 a
 heal? c>e plan "u su* section4 ,su*    
p]iod %all beg9 z soon z possible aft] !
 date ( ! enactm5t ( ?is ,act & %all end
 #ab mon?s lat]4  7,b7 ,cov]age p]iod ,9
 ! case ( an individual :o enrolls dur+ 
! special enrollm5t p]iod provid$ "u    
subp>agraph 7,a71 ! cov]age p]iod "u    
section #ajhf ( title #aj1 ,unit$ ,/ates
 ,code1 %all beg9 on ! fir/ day ( ! mon?

 foll[+ ! mon? 9 :i* ! individual       
enrolls4  7#d7 ,con=m+ am5dm5ts ,section
 #ajhf7;d7 ( title #aj1 ,unit$ ,/ates   
,code1 is am5d$-- 7,a7 9 p>agraph       
7#d77;,a71 9 ! matt] prec$+ clause 7i71 
by /rik+ p>agraph 7#b77;,b7 & ins]t+    
p>agraph 7#b77;,a77ii72 &  7,b7 9       
p>agraph 7#e7-- 7i7 by /rik+ subp>agraph
 7,b7 & ins]t+ subp>agraph 7,a77ii72 &  
7ii7 by /rik+ subp>agraph 7,a7 & ins]t+ 
subp>agraph 7,a77i74  7b7 ,m$ic>e       
provisions  7#a7 ,waiv] ( ,m$ic>e "p ,b 
late enrollm5t p5alty  7,a7 ,9 g5]al    
,section #ahci7;b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acier7b77 is am5d$
 by add+ at ! end ! foll[+ new s5t5ces3 
,no increase 9 ! premium %all be effect$
 = a mon? 9 ! case ( an individual :o   
demon/rates to ! ,secret>y t !          
individual1 ) respect to su* mon?1 is an
 individual describ$ 9 section          
#ajhf7;d77#b77;,b7 ( title #aj1 ,unit$  
,/ates ,code4 ,! ,secret>y ( ,heal? &   
,human ,s]vices %all consult ) !        
,secret>y ( ,def5se 9 id5tify+          

individuals describ$ 9 ! previ\s        
s5t5ce44  7,b7 ,effective date ,!       
am5dm5t made by subp>agraph 7,a7 %all   
apply to premiums = mon?s beg9n+ aft] ! 
date ( ! enactm5t ( ?is ,act4 ,!        
,secret>y %all e/abli% a me?od = provid+
 rebates ( premium p5alties paid = mon?s
 aft] ! date ( ! enactm5t ( ?is ,act =  
:i* a p5alty does n apply "u su* am5dm5t
 b = :i* a p5alty 0 previ\sly collect$4 
7#b7 ,m$ic>e "p ,b special enrollm5t    
p]iod  7,a7 ,9 g5]al ,9 ! case ( any    
individual :o1 z ( ! date ( ! enactm5t (
 ?is ,act1 is eligible to enroll b is n 
enroll$ "u "p ,b ( title ,,xviii ( !    
,social ,security ,act & is an          
individual describ$ 9 section           
#ajhf7;d77#b77;,b7 ( title #aj1 ,unit$  
,/ates ,code1 ! ,secret>y ( ,heal? &    
,human ,s]vices %all provide = a special
 enrollm5t p]iod dur+ :i* ! individual  
may enroll "u su* "p4 ,su* p]iod %all   
beg9 z soon z possible aft] ! date ( !  
enactm5t ( ?is ,act & %all end #ab mon?s
 lat]4  7,b7 ,cov]age p]iod ,9 ! case ( 

an individual :o enrolls dur+ ! special 
enrollm5t p]iod provid$ "u subp>agraph  
7,a71 ! cov]age p]iod "u "p ,b ( title  
,,xviii ( ! ,social ,security ,act %all 
beg9 on ! fir/ day ( ! mon? foll[+ !    
mon? 9 :i* ! individual enrolls4  7c7   
,notification & in=mation to b5efici>ies
  7#a7 ,notification reg>d+ insurance   
options ,! ,secret>y ( ,def5se %all     
coord9ate ) ! ,secret>y ( ,heal? &      
,human ,s]vices to id5tify individuals  
describ$ 9 section #ajhf7;d77#b77;,b7 ( 
title #aj1 ,unit$ ,/ates ,code1 z add$  
by subsection 7a71 & notify ^?          
individuals ab\t _! heal? insurance     
options "u ! ,,tric>e program1 z def9$ 9
 section #ajgb ( su* title1 & ! ,m$ic>e 
program "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq474  7#b7 ,provision ( in=mation to  
b5efici>ies  7,a7 ,9 g5]al ,! ,secret>y 
( ,def5se %all provide to individuals   
describ$ 9 p>agraph 7#a7 educational    
mat]ials1 in=mation1 & c\nsel+ reg>d+ ! 
effects ( n enroll+ 9 ! supplem5t>y     

m$ical insurance program "u "p ,b (     
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;j et seq471       
includ+ in=mation comp>+ premiums1      
copaym5ts1 d$uctibles1 provid] networks1
 future enrollm5t opportunities1 &      
p5alties = ! v>i\s heal? insurance plans
 available to assi/ ^? individuals 9    
mak+ appropriate heal? insurance *oices4
  7,b7 ,tim+ ,! ,secret>y %all provide !
 educational mat]ials1 in=mation1 &     
c\nsel+ describ$ 9 subp>agraph 7,a7 to  
an individual describ$ 9 p>agraph 7#a7  
be=e ! individual elects to *ange       
enrollm5t betwe5 ! ,,tric>e program1 z  
def9$ 9 section #ajgb ( title #aj1      
,unit$ ,/ates ,code1 & ! ,m$ic>e program
 "u title ,,xviii ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acie et seq474