,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #haha  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #h1         
#bjbj,mrs4 ,axne 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 to provide = c]ta9 ,m$igap
 cov]age = ,m$ic>e b5efici>ies )        
end-/age r5al disease1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,jack ,reynold's ,memory ,medi,gap  
,expansion4  #b4 ,m$igap cov]age =      
b5efici>ies ) end-/age r5al disease  7a7
 ,gu>ante$ availability ( ,m$igap       
policies to all ,,esrd m$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#b7-- 7i7 9 subp>agraph 7,a71
 by /rik+ is #fe & all t foll[s ?r\gh ! 

p]iod at ! end & ins]t+ ! foll[+3 is--  
7i7 #fe ye>s ( age or old] & is enroll$ 
= b5efits "u "p ,b2 or  7ii7 is entitl$ 
to b5efits "u #bbf;,a7b7 & is enroll$ = 
b5efits "u "p ,b4  2 &  7ii7 9          
subp>agraph 7,d71 9 ! matt] prec$+      
clause 7i71 by ins]t+ 7or is entitl$ to 
b5efits "u #bbf;,a7b77 aft] is #fe ye>s 
( age or old]2 &  7,b7 9 p>agraph       
7#c77;,b7-- 7i7 9 clause 7ii71 by ins]t+
 7or is entitl$ to b5efits "u           
#bbf;,a7b77 aft] is #fe ye>s ( age or   
old]2 &  7ii7 9 clause 7vi71 by ins]t+  
7or "u #bbf;,a7b77 aft] at age #fe4     
7#b7 ,effective date ,! am5dm5ts made by
 p>agraph 7#a7 %all apply to ,m$ic>e    
supplem5tal policies effective on or    
aft] ,janu>y #a1 #bjbb4  7b7 ,additional
 enrollm5t p]iod = c]ta9 individuals    
7#a7 ,"o-"t enrollm5t p]iod  7,a7 ,9    
g5]al ,9 ! case ( an individual describ$
 9 p>agraph 7#b71 ! ,secret>y ( ,heal? &
 ,human ,s]vices %all e/abli% a "o-"t   
enrollm5t p]iod dur+ :i* su* an         
individual may enroll 9 any ,m$ic>e     

supplem5tal policy "u section #ahhb ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#aciess7 ( ! individual's *oos+4  7,b7  
,enrollm5t p]iod ,! enrollm5t p]iod     
e/abli%$ "u subp>agraph 7,a7 %all beg9  
on ,janu>y #a1 #bjbb1 & %all end ,june  
#cj1 #bjbb4  7#b7 ,individual describ$  
,an individual describ$ 9 ?is p>agraph  
is an individual :o-- 7,a7 is entitl$ to
 hospital insurance b5efits "u "p ,a (  
title ,,xviii ( ! ,social ,security ,act
 "u section #bbf;,a7b7 ( su* ,act 7#db  
,u4,s4,c4 #dbf-a7;b772  7,b7 is enroll$ 
= b5efits "u "p ,b ( su* title ,,xviii2 
&  7,c7 w\ld n1 b = ! provisions (1 &   
am5dm5ts made by1 subsection 7a7 be     
eligible = ! gu>ante$ issue ( a ,m$ic>e 
supplem5tal policy "u p>agraph 7#b7 or  
7#c7 ( section #ahhb7s7 ( su* ,act 7#db 
,u4,s4,c4 #aciess7s774  #c4 ,all[+      
individuals ) kidney failure to reta9   
access to private insurance  7a7 ,9     
g5]al ,section #ahfb7;b77#a77;,c7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#aciey7b77#a77;,c77 is am5d$-- 7#a7 9 ! 

la/ s5t5ce1 by ins]t+ & be=e ,janu>y #a1
 #bjba aft] prior to su* date2 &  7#b7  
by add+ at ! end ! foll[+ new s5t5ce3   
,effective = items & s]vices furni%$ on 
or aft] ,janu>y #a1 #bjba 7) respect to 
p]iods beg9n+ on or aft] ! date t is #db
 mon?s prior to su* date71 clauses 7i7 &
 7ii7 %all be appli$ by sub/itut+       
#db-mon? = #ab-mon? ea* place x appe>s44
  7b7 ,effective date ,! am5dm5ts made  
by ?is subsection %all take effect on ! 
date ( enactm5t ( ?is ,act4 ,= purposes 
( det]m9+ an individual's /atus "u      
section #ahfb7;b77#a77;,c7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#aciey7b77#a77;,c771 z am5d$ by         
subsection 7a71 an individual :o is )9 !
 coord9at+ p]iod z ( ! date ( enactm5t (
 ?is ,act %all h t p]iod ext5d$ to !    
full #db mon?s describ$ 9 ! la/ s5t5ce (
 su* section1 z add$ by ! am5dm5t made  
by subsection 7a77#b74