,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #dfgf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #ae1 #bjai,mr4
 ,s*neid] introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,ways &      
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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      
,,xviii ( ! ,social ,security ,act to   
provide = ! gu>ante$ issue ( ,m$igap    
policies to all ,m$igap-eligible ,m$ic>e
 b5efici>ies & ,m$ic>e ,advantage       
enrollees1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z !         
,protect+ ,m$ic>e ,b5efici>ies )        
,pre-,exi/+ ,conditions ,act4  #b4      
,gu>ante$ issue  7a7 ,gu>ante$ issue (  
,m$igap policies to all                 
,m$igap-,eligible ,m$ic>e b5efici>ies   
7#a7 ,9 g5]al ,section #ahhb7s7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#aciess7s77 is am5d$--  7,a7 9 p>agraph 

7#b77;,a71 by /rik+ #fe ye>s ( age or   
old] & is enroll$ = b5efits "u "p ,b &  
ins]t+ entitl$ to1 or enroll$ =1 b5efits
 "u "p ,a & enroll$ = b5efits "u "p ,b2 
7,b7 9 p>agraph 7#b77;,d71 by /rik+ :o  
is #fe ye>s ( age or old] z ( ! date (  
issuance &2  7,c7 9 p>agraph            
7#c77;,b77ii71 by /rik+ is #fe ye>s (   
age or old] &2 &  7,d7 9 p>agraph       
7#c77;,b77vi71 by /rik+ at age #fe4     
7#b7 ,effective date2 phase-,9 au?ority 
7,a7 ,effective date ,subject to        
subp>agraph 7,b71 ! am5dm5ts made by    
p>agraph 7#a7 %all apply to m$ic>e      
supplem5tal policies effective on or    
aft] ,janu>y #a1 #bjbc4  7,b7 ,phase-,9 
au?ority  7i7 ,9 g5]al ,subject to      
clause 7ii71 ! ,secret>y ( ,heal? &     
,human ,s]vices may phase 9 !           
implem5tation ( ! am5dm5ts made "u      
p>agraph 7#a7 7) su* phase-9 beg9n+ on  
or aft] ,janu>y #a1 #bjbc7 9 su* mann] z
 ! ,secret>y det]m9es appropriate 9 ord]
 to m9imize any adv]se impact on        
individuals enroll$ "u a m$ic>e         

supplem5tal policy4  7ii7 ,phase-,9     
p]iod may n exce$ #e ye>s ,! ,secret>y (
 ,heal? & ,human ,s]vices %all ensure t 
! am5dm5ts made by p>agraph 7#a7 are    
fully implem5t$ by n lat] ?an ,janu>y   
#a1 #bjbh4  7#c7 ,additional enrollm5t  
p]iod = c]ta9 individuals  7,a7 ,"o-"t  
enrollm5t p]iod  7i7 ,9 g5]al ,9 ! case 
( an individual describ$ 9 subp>agraph  
7,b71 ! ,secret>y %all e/abli% a "o-"t  
enrollm5t p]iod dur+ :i* su* an         
individual may enroll 9 any m$ic>e      
supplem5tal policy ( ! individual's     
*oos+4  7ii7 ,p]iod ,! enrollm5t p]iod  
e/abli%$ "u clause 7i7 %all beg9 on !   
date on :i* ! phase-9 p]iod "u p>agraph 
7#b7 is complet$ & end #f mon?s aft] su*
 date4  7,b7 ,individual describ$ ,an   
individual describ$ 9 ?is p>agraph is an
 individual :o-- 7i7 is entitl$ to      
hospital insurance b5efits "u "p ,a (   
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;c et seq47        
pursuant to section #bbf7;b7 or section 
#bbf;,a ( su* ,act 7#db ,u4,s4,c4       

#dbf7;b72 #dbf-a72  7ii7 is enroll$ =   
b5efits "u "p ,b ( su* ,act 7#db        
,u4,s4,c4 #acie;j et seq472 &  7iii7    
w\ld n1 b = ! provisions ( & am5dm5ts   
made by p>agraphs 7#a7 & 7#b71 be       
eligible = ! gu>ante$ issue ( a m$ic>e  
supplem5tal policy "u p>agraph 7#b7 or  
7#c7 ( section #ahhb7s7 ( su* ,act 7#db 
,u4,s4,c4 #aciess7s774  7,c7 ,outrea*   
plan  7i7 ,9 g5]al ,! ,secret>y %all    
develop an outrea* plan to notify       
individuals describ$ 9 subp>agraph 7,b7 
( ! "o-"t enrollm5t p]iod e/abli%$ "u   
subp>agraph 7,a74  7ii7 ,consultation ,9
 implem5t+ ! outrea* plan develop$ "u   
clause 7i71 ! ,secret>y %all consult )  
consum] advocates1 brok]s1 insur]s1 !   
,national ,association ( ,insurance     
,commission]s1 & ,/ate ,heal? ,insurance
 ,assi/ance ,programs4  7b7 ,gu>ante$   
issue ( ,m$igap policies = ,m$ic>e      
,advantage enrollees  7#a7 ,9 g5]al     
,section #ahhb7s77#c7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciess7s77#c771 z am5d$ by subsection  

7a71 is fur!r am5d$--  7,a7 9           
subp>agraph 7,b71 by add+ at ! end !    
foll[+ new clause3  7vii7 ,! individual 
0 enroll$ 9 a ,m$ic>e ,advantage plan "u
 "p ,c = n less ?an #ab mon?s &         
subsequ5tly dis5roll$ f su* plan &      
elects to receive b5efits "u ?is title  
?r\gh ! orig9al ,m$ic>e fee-=-s]vice    
program "u p>ts ,a & ,b4  2  7,b7 by    
/rik+ subp>agraph 7,c77iii7 & ins]t+ !  
foll[+3  7iii7 ,subject to subsection   
7v77#a71 = purposes ( an individual     
describ$ 9 clause 7vi7 or 7vii7 (       
subp>agraph 7,b71 a m$ic>e supplem5tal  
policy describ$ 9 ?is subp>agraph %all  
include any m$ic>e supplem5tal policy4  
2 &  7,c7 9 subp>agraph 7,e7-- 7i7 9    
clause 7iv71 by /rik+ & at ! end2  7ii7 
9 clause 7v71 by /rik+ ! p]iod at ! end 
& ins]t+ 2 &2 &  7iii7 by add+ at ! end 
! foll[+ new clause--  7vi7 9 ! case (  
an individual describ$ 9 subp>agraph    
7,b77vii71 ! annual1 coord9at$ election 
p]iod 7z def9$ 9 section                
#ahea7;e77#c77;,b77 or a cont9u\s op5   

enrollm5t p]iod 7z def9$ 9 section      
#ahea7;e77#b77 dur+ :i* ! individual    
dis5rolls f a ,m$ic>e ,advantage plan "u
 "p ,c4  4  7#b7 ,effective date ,!     
am5dm5ts made by p>agraph 7#a7 %all     
apply to m$ic>e supplem5tal policies    
effective on or aft] ,janu>y #a1 #bjbc4