,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #haha  ,,in ,,the ,,house ,,of  
,,representatives  ,september #h1       
#bjbj,mrs4 ,axne 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 to   
provide for certain ,medigap coverage   
for ,medicare beneficiaries with        
end-stage renal disease1 and for other  
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,jack ,reynold's    
,memory ,medi,gap ,expansion4  #b4      
,medigap coverage for beneficiaries with
 end-stage renal disease  7a7           
,guaranteed availability of ,medigap    
policies to all ,,esrd 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#b7-- 7i7 in         
subparagraph 7,a71 by striking is #fe   
and all that follows through the period 
at the end and inserting the following3 
is-- 7i7 #fe years of age or older and  
is enrolled for benefits under part ,b2 
or  7ii7 is entitled to benefits under  
#bbf;,a7b7 and is enrolled for benefits 
under part ,b4  2 and  7ii7 in          
subparagraph 7,d71 in the matter        
preceding clause 7i71 by inserting 7or  
is entitled to benefits under           
#bbf;,a7b77 after is #fe years of age or
 older2 and  7,b7 in paragraph          
7#c77;,b7-- 7i7 in clause 7ii71 by      
inserting 7or is entitled to benefits   
under #bbf;,a7b77 after is #fe years of 
age or older2 and  7ii7 in clause 7vi71 
by inserting 7or under #bbf;,a7b77 after
 at age #fe4  7#b7 ,effective date ,the 
amendments made by paragraph 7#a7 shall 
apply to ,medicare supplemental policies
 effective on or after ,january #a1     
#bjbb4  7b7 ,additional enrollment      

period for certain individuals  7#a7    
,one-time enrollment period  7,a7 ,in   
general ,in the case of an individual   
described in paragraph 7#b71 the        
,secretary of ,health and ,human        
,services shall establish a one-time    
enrollment period during which such an  
individual may enroll in any ,medicare  
supplemental policy under section #ahhb 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #aciess7 of the individual's  
choosing4  7,b7 ,enrollment period ,the 
enrollment period established under     
subparagraph 7,a7 shall begin on        
,january #a1 #bjbb1 and shall end ,june 
#cj1 #bjbb4  7#b7 ,individual described 
,an individual described in this        
paragraph is an individual who-- 7,a7 is
 entitled to hospital insurance benefits
 under part ,a of title ,,xviii of the  
,social ,security ,act under section    
#bbf;,a7b7 of such ,act 7#db ,u4,s4,c4  
#dbf-a7;b772  7,b7 is enrolled for      
benefits under part ,b of such title    
,,xviii2 and  7,c7 would not1 but for   

the provisions of1 and amendments made  
by1 subsection 7a7 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  #c4   
,allowing individuals with kidney       
failure to retain access to private     
insurance  7a7 ,in general ,section     
#ahfb7;b77#a77;,c7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#aciey7b77#a77;,c77 is amended-- 7#a7 in
 the last sentence1 by inserting and    
before ,january #a1 #bjba after prior to
 such date2 and  7#b7 by adding at the  
end the following new sentence3         
,effective for items and services       
furnished on or after ,january #a1 #bjba
 7with respect to periods beginning on  
or after the date that is #db months    
prior to such date71 clauses 7i7 and    
7ii7 shall be applied by substituting   
#db-month for #ab-month each place it   
appears44  7b7 ,effective date ,the     
amendments made by this subsection shall

 take effect on the date of enactment of
 this ,act4 ,for purposes of determining
 an individual's status under section   
#ahfb7;b77#a77;,c7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#aciey7b77#a77;,c771 as amended by      
subsection 7a71 an individual who is    
within the coordinating period as of the
 date of enactment of this ,act shall   
have that period extended to the full   
#db months described in the last        
sentence of such section1 as added by   
the amendment made by subsection        
7a77#b74