,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #abhj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #b1 #bjai ,mr4    
,casey 7= himself1 ,mr4 ,"y1 ,ms4       
,/ab5[1 ,ms4 ,coll9s1 ,mr4 ,portman1 &  
,mr4 ,coons7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to e/abli% a sy/em to notify      
individuals approa*+ ,m$ic>e            
eligibility1 to simplify & mod]nize !   
eligibility enrollm5t process1 & = o!r  
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,b5efici>y ,enrollm5t      
,notification & ,eligibility            
,simplification ,act ( #bjai or ! ,,b5es
 ,act ( #bjai4  #b4 ,b5efici>y          
,enrollm5t ,notification & ,eligibility 
,simplification  7a7 ,eligibility &     
enrollm5t notices  7#a7 ,z "p ( social  
security acc\nt /atem5t = individuals   
age #fj to #fe ,section #aadc7;a7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;b-#ac7;a77 is am5d$ by add+ at !  

end ! foll[+ new p>agraph3  7#d7 ,m$ic>e
 eligibility in=mation  7,a7 ,9 g5]al ,9
 ! case ( /atem5ts provid$ on or aft] ! 
date t is #b ye>s aft] ! date ( !       
enactm5t ( ?is ,act to individuals :o h 
atta9$ #fj ye>s ( age b h n atta9$ #fe  
ye>s ( age1 ! /atem5t %all also include 
a notice conta9+ ! in=mation describ$ 9 
subp>agraph 7,b74  7,b7 ,cont5ts (      
,notice ,! notice requir$ "u subp>agraph
 7,a7 %all conta9 in=mation on 7includ+ 
a cle>1 simple explanation (7--  7i7    
eligibility = b5efits "u ! ,m$ic>e      
program "u title ,,xviii1 & 9 p>ticul>  
b5efits "u "p ,b ( su* title2  7ii7 !   
possibility ( a late enrollm5t p5alty = 
failure to timely enroll 7includ+ !     
process = reque/+ relief "u section     
#ahcg7;h7 9 pla9 language72  7iii7 ! ne$
 = coord9ation ( b5efits "u su* "p ,b   
7includ+ prim>y & second>y cov]age      
sc5>ios7 impos$ "u title ,,xviii2 &     
7iv7 populations1 su* z vet]ans1 = :om  
!re are special consid]ations ) respect 
to enrollm5t "u ?is title4  7,c7        

,developm5t ( notice  7i7 ,9 g5]al ,!   
,secret>y1 9 consultation )             
repres5tatives ( ea* ( ! gr\ps describ$ 
9 subp>agraph 7,d77i71 & 9 coord9ation )
 ! ,commission] ( ,social ,security1    
%all develop ! notice to be provid$     
pursuant to subp>agraph 7,a74  7ii7     
,notice improvem5t ,! ,secret>y1 n less 
?an once e two ye>s1 %all-- 7,i7 review 
! cont5t ( ! notice to be provid$ "u    
subp>agraph 7,a72 &  7,,ii7 update &    
revise su* notice z ! ,secret>y deems   
appropriate4  7,d7 ,gr\ps = consultation
  7i7 ,9 g5]al ,= purposes ( subp>agraph
 7,c71 ! gr\ps describ$ 9 ?is clause    
include ! foll[+3 7,i7 ,individuals :o  
are m ?an #fj ye>s ( age4  7,,ii7       
,vet]ans4  7,,iii7 ,individuals )       
disabilities4  7,,iv7 ,individuals ) end
 /age r5al disease4  7,v7 ,l[-income    
individuals & families4  7,,vi7         
,employ]s 7includ+ human res\rces       
pr(essionals74  7,,vii7 ,/ates 7includ+ 
repres5tatives ( ,/ate-run ,heal?       
,insurance ,ex*anges1 ,m$icaid (fices1 &

 ,dep>tm5ts ( ,insurance74  7,,viii7    
,/ate ,heal? ,insurance ,assi/ance      
,programs4  7,,ix7 ,heal? insur]s4  7,x7
 ,heal? insurance ag5ts & brok]s4       
7,,xi7 ,su* o!r gr\ps z specifi$ by !   
,secret>y4  7ii7 ,nonapplication (      
,,faca ,! ,f$]al ,advisory ,committee   
,act %all n apply to consultations made 
pursuant to subp>agraph 7,c7 ) gr\ps    
describ$ 9 clause 7i74  7,e7 ,po/+ (    
notice on websites ,! ,commission] (    
,social ,security & ! ,secret>y %all ea*
 ensure t ! notice be+ us$ "u           
subp>agraph 7,a7 is po/$ 9 a prom95t    
location on _! respective ,dep>tm5t     
,int]net website4  4  7#b7 ,individuals 
9 ,m$ic>e wait+ p]iod ,title ,,xi ( !   
,social ,security ,act is am5d$ by      
ins]t+ aft] section #aadd ! foll[+ new  
section3  #aadd;,a4 ,m$ic>e enrollm5t   
notification & eligibility notices =    
individuals 9 ,m$ic>e wait+ p]iod  7a7  
,notices  7#a7 ,9 g5]al ,! ,commission] 
( ,social ,security1 9 coord9ation ) !  
,secret>y1 %all di/ribute ! notice      

develop$ & us$ by ! ,commission] "u     
section #aadc7;a77#d7 to individuals 9 !
 ,m$ic>e wait+ p]iod "u section #bbf7;b7
 ( ?is ,act4  7#b7 ,au?ority to modify  
notice ,! ,secret>y1 9 coord9ation ) !  
,commission] ( ,social ,security1 may   
modify ! notice to be di/ribut$ "u      
p>agraph 7#a7 z necess>y to take into   
acc\nt ! population receiv+ ! notice4   
7#c7 ,po/+ ( notice on websites ,!      
,commission] ( ,social ,security & !    
,secret>y %all ea* ensure t ! notice be+
 di/ribut$ "u p>agraph 7#a7 is po/$ 9 a 
prom95t location on _! respective       
,dep>tm5t ,int]net website4  7b7 ,tim+  
,beg9n+ two ye>s aft] ! date ( !        
enactm5t ( ?is section1 a notice requir$
 "u subsection 7a77#a7 %all be mail$ to 
an individual no less ?an two times 9   
accordance ) ! foll[+3  7#a7 ,! notice  
%all be provid$ to su* individual no    
lat] ?an #c mon?s prior to ! date ( su* 
individual's enrollm5t p]iod z provid$  
"u section #ahcg4  7#b7 ,! notice %all  
subsequ5tly be provid$ to su* individual

 no lat] ?an "o mon? prior to su* date4 
4  7b7 ,b5efici>y ,m$ic>e "p ,b         
enrollm5t p]iods & effective date (     
cov]age  7#a7 ,effective dates ,section 
#ahch7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acieq7a77 is am5d$--    
7,a7 by am5d+ p>agraph 7#b7 to read z   
foll[s3  7#b7 7,a7 9 ! case ( an        
individual :o enrolls pursuant to       
subsection 7d7 ( section #ahcg be=e !   
mon? 9 :i* he fir/ satisfies p>agraph   
7#a7 or 7#b7 ( section #ahcf1 ! fir/ day
 ( su* mon?1  7,b7 9 ! case ( an        
individual n describ$ 9 subp>agraph 7,a7
 :o fir/ satisfies su* p>agraph 9 a mon?
 beg9n+ be=e ,janu>y #bjba & :o         
enrolls--  7i7 pursuant to su*          
subsection 7d7 9 su* mon? 9 :i* he fir/ 
satisfies su* p>agraph1 ! fir/ day ( !  
mon? foll[+ ! mon? 9 :i* he s enrolls1  
7ii7 pursuant to su* subsection 7d7 9 ! 
mon? foll[+ su* mon? 9 :i* he fir/      
satisfies su* p>agraph1 ! fir/ day ( !  
second mon? foll[+ ! mon? 9 :i* he s    
enrolls1 or  7iii7 pursuant to su*      

subsection 7d7 m ?an "o mon? foll[+ su* 
mon? 9 :i* he satisfies su* p>agraph1 ! 
fir/ day ( ! ?ird mon? foll[+ ! mon? 9  
:i* he s enrolls1  7,c7 9 ! case ( an   
individual n describ$ 9 subp>agraph 7,a7
 :o fir/ satisfies su* p>agraph 9 a mon?
 beg9n+ on or aft] ,janu>y #a1 #bjba1 & 
:o enrolls pursuant to su* subsection   
7d7 9 su* mon? 9 :i* he fir/ satisfies  
su* p>agraph or 9 any subsequ5t mon? ( 8
 initial enrollm5t p]iod1 ! fir/ day ( !
 mon? foll[+ ! mon? 9 :i* he s enrolls1 
7,d7 9 ! case ( an individual n describ$
 9 subp>agraph 7,a7 :o enrolls pursuant 
to subsection 7e7 ( section #ahcg 9 a   
mon? beg9n+ be=e ,octob] #ae1 #bjbj1 !  
,july #a foll[+ ! mon? 9 :i* he s       
enrolls1 or  7,e7 9 ! case ( an         
individual n describ$ 9 subp>agraph 7,a7
 :o enrolls pursuant to subsection 7e7 (
 section #ahcg 9 a mon? beg9n+ on or    
aft] ,octob] #ae1 #bjbj1 ! fir/ day ( ! 
mon? foll[+ ! mon? 9 :i* he s enrolls4  
2 &  7,b7 by am5d+ p>agraph 7#c7 to read
 z foll[s3  7#c7 7,a7 9 ! case ( an     

individual :o is deem$ to h enroll$ on  
or be=e ! la/ day ( ! ?ird mon? ( 8     
initial enrollm5t p]iod1 ! fir/ day ( ! 
mon? 9 :i* he fir/ meets ! applicable   
requirem5ts ( section #ahcf or ,july #a1
 #aigc1 :i*ev] is lat]1  7,b7 9 ! case (
 an individual :o is deem$ to h enroll$ 
on or aft] ! fir/ day ( ! f\r? mon? ( 8 
initial enrollm5t p]iod beg9n+ be=e     
,janu>y #a1 #bjba1 z prescrib$ "u       
subp>agraphs 7,b77i71 7,b77ii71         
7,b77iii71 & 7,d7 ( p>agraph 7#b7 ( ?is 
subsection1 or  7,c7 9 ! case ( an      
individual :o is deem$ to h enroll$ on  
or aft] ! fir/ day ( ! f\r? mon? ( 8    
initial enrollm5t p]iod beg9n+ on or    
aft] ,janu>y #a1 #bjba1 z prescrib$ "u  
p>agraph 7#b77;,c7 ( ?is subsection4  4 
7#b7 ,g5]al & special enrollm5t p]iods  
,section #ahcg7;e7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciep7e77 is am5d$
 to read z foll[s3  7e7 ,enrollm5t      
,p]iods  7#a7 ,= cov]age dur+ ye>s be=e 
#bjbb ,!re %all be a g5]al enrollm5t    
p]iod dur+ ! p]iod beg9n+ on ,janu>y #a 

& end+ on ,m>* #ca ( ea* ye> be=e #bjbb4
  7#b7 ,= cov]age dur+ ye>s beg9n+ )    
#bjbb ,= cov]age dur+ ye>s beg9n+ )     
#bjbb & ea* subsequ5t ye>1 !re %all be a
 g5]al enrollm5t p]iod beg9n+ on ,octob]
 #ae ( ! previ\s ye> ?r\gh ,decemb] #ca 
( su* previ\s ye>4  7#c7 ,exceptional   
,circum/ances ,! ,secret>y may e/abli% a
 special enrollm5t p]iod 9 ! case t an  
individual meets su* exceptional        
conditions z ! ,secret>y may provide4  4
  7#c7 ,te*nical correction  7,a7 ,9    
g5]al ,section #ahci7;b7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acier7b77
 is am5d$ by /rik+ close ( ! enrollm5t  
p]iod ea* place x appe>s & ins]t+ close 
( ! mon?4  7,b7 ,effective date ,!      
am5dm5t made by subp>agraph 7,a7 %all   
take effect on ,novemb] #a1 #bjba4