,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #hgia  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #i1         
#bjbb,mr4 ,s*rad] 7= himself1 ,mr4      
,bilirakis1 ,mr4 ,?ompson ( ,cali=nia1  
,mr4 ,smuck]1 ,mr4 ,walb]g1 & ,ms4      
,%]rill7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committees 
on ,ways & ,means1 & ,education &       
,labor1 = 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 "p ,b ( title ,,xviii 
( ! ,social ,security ,act to provide = 
a special enrollm5t p]iod "u ,m$ic>e =  
individuals enroll$ 9 ,,cobra           
cont9uation cov]age1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,m$ic>e ,enrollm5t ,protection ,act ( 
#bjbb4  #b4 ,treatm5t "u ,m$ic>e (      
individuals transition+ f ,,cobra       
cont9uation cov]age  7a7 ,special       
enrollm5t p]iod = individuals enroll$ 9 

,,cobra cont9uation cov]age ,section    
#ahcg7;i7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciep7i77 is am5d$ by   
add+ at ! end ! foll[+ new p>agraph3    
7#e7 7,a7 ,9 ! case ( an individual :o--
 7i7 at ! "t ! individual fir/ satisfies
 p>agraph 7#a7 or 7#b7 ( section        
#ahcf7;a71 is enroll$ 9 ,,cobra         
cont9uation cov]age 7z def9$ 9          
subp>agraph 7,d772 or  7ii7 is enroll$ 9
 ,,cobra cont9uation cov]age &          
imm$iately prior to su* enrollm5t 0 an  
individual describ$ 9 p>agraph 7#a7 or  
7#b7 ( ?is subsection1 !re %all be a    
special enrollm5t p]iod describ$ 9      
subp>agraph 7,b74  7,b7 ,! special      
enrollm5t p]iod ref]r$ to 9 subp>agraph 
7,a7 is ! p]iod t includes-- 7i7 ea*    
mon? dur+ any "p ( :i* ! individual is  
enroll$ 9 ,,cobra cont9uation cov]age2 &
  7ii7 ! #c-mon? p]iod beg9n+ ) ! fir/  
mon? foll[+ ! la/ mon? dur+ any "p ( :i*
 su* individual is s enroll$4  7,c7 ,an 
individual may only enroll dur+ !       
special enrollm5t p]iod provid$ "u      

subp>agraph 7,a7 "o "t dur+ !           
individual's lifetime4  7,d7 ,= purposes
 ( ?is p>agraph1 ! t]m ,,cobra          
cont9uation cov]age means cont9uation   
cov]age beg9n+ on or aft] ,janu>y #a1   
#bjbc-- 7i7 "u a ,,cobra cont9uation    
provision 7z def9$ 9 section            
#bgia7;d77#d7 ( ! ,public ,heal? ,s]vice
 ,act72  7ii7 pursuant to section       
#hije;a ( title #e1 ,unit$ ,/ates ,code2
 or  7iii7 "u a simil> ,/ate law t      
provides comp>able cont9uation ( gr\p   
heal? plan cov]age4  4  7b7 ,cov]age    
p]iod = c]ta9 eligible individuals      
,section #ahch7;e7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acieq7e77 is      
am5d$-- 7#a7 by /rik+ pursuant to       
section #ahcg7;i77#c7 or                
#ahcg7;i77#d77;,b7 & ins]t+ ! foll[+3   
pursuant to-- 7#a7 section #ahcg7;i77#c7
 or #ahcg7;i77#d77;,b7--  2  7#b7 by    
r$esignat+ p>agraphs 7#a7 & 7#b7 z      
subp>agraphs 7,a7 & 7,b71 respectively1 
& mov+ ! ind5tation ( ea* su*           
subp>agraph #b ems to ! "r2  7#c7 by    

/rik+ ! p]iod at ! end ( subp>agraph    
7,b71 z s r$esignat$1 & ins]t+ 2 or2 &  
7#d7 by add+ at ! end ! foll[+ new      
p>agraph3  7#b7 section #ahcg7;i77#e71 !
 cov]age p]iod %all beg9 on ! fir/ day (
 ! mon? foll[+ ! mon? 9 :i* ! individual
 s enrolls4  4  7c7 ,no increase 9      
premium ,section #ahci7;b7 ( su* ,act   
7#db ,u4,s4,c4 #acier7b77 is am5d$--    
7#a7 9 ! fir/ s5t5ce1 by ins]t+ 1       
7i77#e7 aft] subsection 7i77#d72  7#b7 9
 ! second s5t5ce1 by ins]t+ be=e ! p]iod
 at ! end ! foll[+3 or mon?s = :i* !    
individual c demon/rate t ! individual 0
 enroll$ 9 ,,cobra cont9uation cov]age  
7z su* t]m is def9$ 9 section           
#ahcg7;i77#e77;,d774  7d7 ,coord9ation (
 b5efits  7#a7 ,,erisa ,section #fjg ( !
 ,employee ,retirem5t ,income ,security 
,act ( #aigd 7#bi ,u4,s4,c4 #aafg77 is  
am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#f7 ,coord9ation ( b5efits  
,not)/&+ any o!r provision ( law1 9 !   
case t an individual is enroll$ 9       
,,cobra cont9uation cov]age 7z def9$ 9  

section #ahcg7;i77#e77;,d7 ( ! ,social  
,security ,act7 & ! individual is       
eligible = b n enroll$ 9 cov]age "u "p  
,b ( title ,,xviii ( ! ,social ,security
 ,act1 su* ,,cobra cont9uation cov]age  
%all n r$uce or t]m9ate b5efits "u su*  
,,cobra cont9uation cov]age ) respect to
 ! individual on ! basis t ! individual 
is eligible = cov]age "u su* "p ,b or   
o!rwise take into acc\nt su*            
eligibility4 ,su* b5efits "u su* ,,cobra
 cont9uation cov]age %all be provid$ to 
su* an individual z if su* individual 7 
n s eligible = cov]age "u su* "p ,b4    
,no?+ 9 ! prec$+ two s5t5ces %all       
require ! provision ( su* ,,cobra       
cont9uation cov]age to an individual    
enroll$ 9 cov]age "u su* "p ,b or       
prohibit ! t]m9ation ( su* cont9uation  
cov]age or r$uction ( b5efits "u su*    
cont9uation cov]age 9 ! case ( an       
individual :o enrolls "u su* "p ,b4  4  
7#b7 ,,phsa ,section #bbjh ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;bb-#h7 is am5d$-- 7,a7 by /rik+    

,def9itions & ins]t+ ,def9itions &      
special rules2 &  7,b7 by add+ at ! end 
! foll[+ new p>agraph3  7#e7 ,special   
rule = coord9ation ( b5efits ,not)/&+   
any o!r provision ( law1 9 ! case t an  
individual is enroll$ 9 ,,cobra         
cont9uation cov]age 7z def9$ 9 section  
#ahcg7;i77#e77;,d7 ( ! ,social ,security
 ,act7 & ! individual is eligible = b n 
enroll$ 9 cov]age "u "p ,b ( title      
,,xviii ( ! ,social ,security ,act1 su* 
,,cobra cont9uation cov]age %all n r$uce
 or t]m9ate b5efits "u su* ,,cobra      
cont9uation cov]age ) respect to !      
individual on ! basis t ! individual is 
eligible = cov]age "u su* "p ,b or      
o!rwise take into acc\nt su*            
eligibility4 ,su* b5efits "u su* ,,cobra
 cont9uation cov]age %all be provid$ to 
su* an individual z if su* individual 7 
n s eligible = cov]age "u su* "p ,b4    
,no?+ 9 ! prec$+ two s5t5ces %all       
require ! provision ( su* ,,cobra       
cont9uation cov]age to an individual    
enroll$ 9 cov]age "u su* "p ,b or       

prohibit ! t]m9ation ( su* cont9uation  
cov]age or r$uction ( b5efits "u su*    
cont9uation cov]age 9 ! case ( an       
individual :o enrolls "u su* "p ,b4  4  
7#c7 ,,irc ,section #dihj;,b7g7 ( !     
,int]nal ,rev5ue ,code ( #aihf is       
am5d$-- 7,a7 by /rik+ ,def9itions &     
ins]t+ ,def9itions & special rules2 &   
7,b7 by add+ at ! end ! foll[+ new      
p>agraph3  7#e7 ,special rule =         
coord9ation ( b5efits ,not)/&+ any o!r  
provision ( law1 9 ! case t an          
individual is enroll$ 9 ,,cobra         
cont9uation cov]age 7z def9$ 9 section  
#ahcg7;i77#e77;,d7 ( ! ,social ,security
 ,act7 & ! individual is eligible = b n 
enroll$ 9 cov]age "u "p ,b ( title      
,,xviii ( ! ,social ,security ,act1 su* 
,,cobra cont9uation cov]age %all n r$uce
 or t]m9ate b5efits "u su* ,,cobra      
cont9uation cov]age ) respect to !      
individual on ! basis t ! individual is 
eligible = cov]age "u su* "p ,b or      
o!rwise take into acc\nt su*            
eligibility4 ,su* b5efits "u su* ,,cobra

 cont9uation cov]age %all be provid$ to 
su* an individual z if su* individual 7 
n s eligible = cov]age "u su* "p ,b4    
,no?+ 9 ! prec$+ two s5t5ces %all       
require ! provision ( su* ,,cobra       
cont9uation cov]age to an individual    
enroll$ 9 cov]age "u su* "p ,b or       
prohibit ! t]m9ation ( su* cont9uation  
cov]age or r$uction ( b5efits "u su*    
cont9uation cov]age 9 ! case ( an       
individual :o enrolls "u su* "p ,b4  4  
7e7 ,updat+ ,,cobra cont9uation cov]age 
notifications ,n lat] ?an ,janu>y #a1   
#bjbc1 ! ,secret>y ( ,labor1 9          
consultation ) ! ,secret>y ( ,heal? &   
,human ,s]vices1 %all update ! writt5   
notices requir$ "u section #fjf ( !     
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #aaff7 to   
include an explanation ( ! full scope ( 
! ,m$ic>e second>y pay] rules "u section
 #ahfb7;b7 ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #aciey7b771 includ+ h[   
su* rules apply ) respect to ,,cobra    
cont9uation cov]age 7z def9$ 9 section  

#ahcg7;i77#e77;,d7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#aciep7i77#e77;,d7774