,i #aafth ,,congress #ast ,session ,h4 ,r4 #dfgf ,,in ,,the ,,house ,,of ,,representatives ,october #ae1 #bjai,mr4 ,schneider 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 provide for the guaranteed issue of ,medigap policies to all ,medigap-eligible ,medicare beneficiaries and ,medicare ,advantage enrollees1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,protecting ,medicare ,beneficiaries with ,pre-,existing ,conditions ,act4 #b4 ,guaranteed issue 7a7 ,guaranteed issue of ,medigap policies to all ,medigap-,eligible ,medicare beneficiaries 7#a7 ,in general ,section #ahhb7s7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciess7s77 is amended-- 7,a7 in paragraph 7#b77;,a71 by striking #fe years of age or older and is enrolled for benefits under part ,b and inserting entitled to1 or enrolled for1 benefits under part ,a and enrolled for benefits under part ,b2 7,b7 in paragraph 7#b77;,d71 by striking who is #fe years of age or older as of the date of issuance and2 7,c7 in paragraph 7#c77;,b77ii71 by striking is #fe years of age or older and2 and 7,d7 in paragraph 7#c77;,b77vi71 by striking at age #fe4 7#b7 ,effective date2 phase-,in authority 7,a7 ,effective date ,subject to subparagraph 7,b71 the amendments made by paragraph 7#a7 shall apply to medicare supplemental policies effective on or after ,january #a1 #bjbc4 7,b7 ,phase-,in authority 7i7 ,in general ,subject to clause 7ii71 the ,secretary of ,health and ,human ,services may phase in the implementation of the amendments made under paragraph 7#a7 7with such phase-in beginning on or after ,january #a1 #bjbc7 in such manner as the ,secretary determines appropriate in order to minimize any adverse impact on individuals enrolled under a medicare supplemental policy4 7ii7 ,phase-,in period may not exceed #e years ,the ,secretary of ,health and ,human ,services shall ensure that the amendments made by paragraph 7#a7 are fully implemented by not later than ,january #a1 #bjbh4 7#c7 ,additional enrollment period for certain individuals 7,a7 ,one-time enrollment period 7i7 ,in general ,in the case of an individual described in subparagraph 7,b71 the ,secretary shall establish a one-time enrollment period during which such an individual may enroll in any medicare supplemental policy of the individual's choosing4 7ii7 ,period ,the enrollment period established under clause 7i7 shall begin on the date on which the phase-in period under paragraph 7#b7 is completed and end #f months after such date4 7,b7 ,individual described ,an individual described in this paragraph is an individual who-- 7i7 is entitled to hospital insurance benefits under part ,a of title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq47 pursuant to section #bbf7;b7 or section #bbf;,a of such ,act 7#db ,u4,s4,c4 #dbf7;b72 #dbf-a72 7ii7 is enrolled for benefits under part ,b of such ,act 7#db ,u4,s4,c4 #acie;j et seq472 and 7iii7 would not1 but for the provisions of and amendments made by paragraphs 7#a7 and 7#b71 be eligible for the guaranteed issue of a medicare supplemental policy under paragraph 7#b7 or 7#c7 of section #ahhb7s7 of such ,act 7#db ,u4,s4,c4 #aciess7s774 7,c7 ,outreach plan 7i7 ,in general ,the ,secretary shall develop an outreach plan to notify individuals described in subparagraph 7,b7 of the one-time enrollment period established under subparagraph 7,a74 7ii7 ,consultation ,in implementing the outreach plan developed under clause 7i71 the ,secretary shall consult with consumer advocates1 brokers1 insurers1 the ,national ,association of ,insurance ,commissioners1 and ,state ,health ,insurance ,assistance ,programs4 7b7 ,guaranteed issue of ,medigap policies for ,medicare ,advantage enrollees 7#a7 ,in general ,section #ahhb7s77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciess7s77#c771 as amended by subsection 7a71 is further amended-- 7,a7 in subparagraph 7,b71 by adding at the end the following new clause3 7vii7 ,the individual was enrolled in a ,medicare ,advantage plan under part ,c for not less than #ab months and subsequently disenrolled from such plan and elects to receive benefits under this title through the original ,medicare fee-for-service program under parts ,a and ,b4 2 7,b7 by striking subparagraph 7,c77iii7 and inserting the following3 7iii7 ,subject to subsection 7v77#a71 for purposes of an individual described in clause 7vi7 or 7vii7 of subparagraph 7,b71 a medicare supplemental policy described in this subparagraph shall include any medicare supplemental policy4 2 and 7,c7 in subparagraph 7,e7-- 7i7 in clause 7iv71 by striking and at the end2 7ii7 in clause 7v71 by striking the period at the end and inserting 2 and2 and 7iii7 by adding at the end the following new clause-- 7vi7 in the case of an individual described in subparagraph 7,b77vii71 the annual1 coordinated election period 7as defined in section #ahea7;e77#c77;,b77 or a continuous open enrollment period 7as defined in section #ahea7;e77#b77 during which the individual disenrolls from a ,medicare ,advantage plan under part ,c4 4 7#b7 ,effective date ,the amendments made by paragraph 7#a7 shall apply to medicare supplemental policies effective on or after ,january #a1 #bjbc4