,,ii  #aafth ,,congress  #ast ,session  
,s4 #aibh  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #bj1     
#bjai ,mr4 ,portman 7for himself and    
,mr4 ,casey7 introduced the following   
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to amend title ,,xviii of the ,social
 ,security ,act to improve the          
enrollment of retiring individuals in   
the ,medicare program4  #a4 ,short title
  ,this ,act may be cited as the        
,enrollment ,reshaping ,entry ,for      
,older1 ,retiring ,members ,act or the  
,enrollment ,,reform ,act4  #b4         
,coordination of ,medicare benefits with
 other health care insurance  7a7 ,in   
general ,section #ahfb7;b77#a77;,a7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciey7b77#a77;,a77 is amended
 by adding at the end the following new 
clause3  7vi7 ,coordination of benefits 
with other health care insurance        
,notwithstanding any other provision of 
law1 in the event that an individual is 

enrolled in an employer group health    
plan 7including a multiemployer or      
multiple employer group health plan7 by 
virtue of current employment status with
 an employer that does not have #bj or  
more individuals in current employment  
status for each working day in each of  
#bj or more calendar weeks in the       
current calendar year and the preceding 
calendar year and the individual is     
eligible but not enrolled in coverage   
under part ,b1 such employer group      
health plan shall not reduce benefits   
under the plan with respect to the      
individual on the basis that the        
individual could have been enrolled in  
coverage under part ,b4 ,nothing in the 
preceding sentence shall require such   
employer group health plan to provide   
coverage to an individual who elects to 
enroll in coverage under part ,b or to  
prohibit such plan from terminating such
 coverage or reducing benefits if such  
individual makes such election4  4  7b7 
,effective date ,the amendment made by  

subsection 7a7 shall apply to items and 
services furnished on or after the date 
of the enactment of this ,act4  #c4     
,limitation on documentation an         
individual is required to provide in    
order to demonstrate employment-based   
health insurance for purposes of        
avoiding the part ,b late enrollment    
penalty  7a7 ,in general ,section #ahci 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acier7 is amended-- 7#a7 in  
subsection 7b71 in the second sentence1 
by striking ,for purposes and inserting 
,subject to subsection 7j71 for         
purposes2 and  7#b7 by adding at the end
 the following new subsection3  7j7     
,limitation on documentation an         
individual is required ,to provide in   
order ,to demonstrate employment-,based 
health insurance for purposes of        
avoiding the late enrollment penalty    
7#a7 ,limitation ,subject to paragraph  
7#b71 for purposes of demonstrating     
enrollment in a group health plan or a  
large group health plan for a period of 

time under the second sentence of       
subsection 7b71 the ,secretary may not  
require an individual to provide        
documentation of such enrollment for    
more than the #cf-month period          
immediately preceding the close of the  
enrollment period in which the          
individual enrolled 7or reenrolled74    
7#b7 ,limitation not applicable if      
individual is unable to provide         
documentation for entire #cf-month      
period ,in the case where an individual 
is unable to provide documentation of   
enrollment described in paragraph 7#a7  
for the entire preceding #cf-month      
period described in such paragraph1 the 
limitation under paragraph 7#a7 shall   
not apply4  7#c7 ,individual can provide
 additional documentation ,nothing in   
this subsection shall preclude an       
individual from providing the ,secretary
 with documentation of enrollment for   
periods prior to the preceding #cf-month
 period described in paragraph 7#a71    
including in the case where the         

limitation under paragraph 7#a7 does not
 apply because of the application of    
paragraph 7#b74  4  7b7 ,effective date 
,the amendment made by subsection 7a7   
shall apply to calculations of premiums 
under such section #ahci made on or     
after the date of the enactment of this 
,act4