,,ii  #aah? ,,congress  #a/ ,session    
,s4 #afhg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ah1 #bjbc,mr4    
,casey 7= himself1 ,mr4 ,"y1 ,ms4       
,/ab5[1 ,ms4 ,coll9s1 ,ms4 ,s9ema1 ,mr4 
,scott ( ,s\? ,c>ol9a1 ,mr4 ,br[n1 ,mr4 
,sullivan1 ,ms4 ,smi?1 & ,mr4 ,braun7   
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$ic>e eligibility4  #a4 ,%ort
 title ,?is ,act may be cit$ z !        
,b5efici>y ,enrollm5t ,notification &   
,eligibility ,simplification #b4j ,act  
or ! ,,b5es #b4j ,act4  #b4 ,b5efici>y  
enrollm5t notification & eligibility    
simplification  7a7 ,eligibility &      
enrollm5t notices  7#a7 ,z "p ( social  
security acc\nt /atem5t = individuals   
atta9+ ages #fj to #fe  7,a7 ,9 g5]al   
,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  
p>agraph to individuals :o are atta9+   
ages #fj1 #fa1 #fb1 #fc1 #fd1 & #fe1 !  
/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 include a cle>1 simple        
explanation (-- 7i7 eligibility =       
b5efits "u ! ,m$ic>e program "u title   
,,xviii1 & 9 p>ticul> b5efits "u "p ,b (
 su* title2  7ii7 ! reasons a late      
enrollm5t p5alty = failure to timely    
enroll c\ld be assess$ & h[ su* late    
enrollm5t p5alty is calculat$1 9        
p>ticul> = b5efits "u su* "p ,b2  7iii7 
! availability ( relief f su* late      
enrollm5t p5alty & retroactive enrollm5t
 "u section #ahcg7;h7 7includ+ z su*    
section is appli$ "u sections #ahah7;c7 
& #ahah;,a7c77#c771 ) examples (        
circum/ances "u :i* su* relief may be   

grant$ & examples ( circum/ances "u :i* 
su* relief w\ld n be grant$2  7iv7      
coord9ation ( b5efits 7includ+ prim>y & 
second>y cov]age sc5>ios7 pursuant to   
section #ahfb7;b71 9 p>ticul> = b5efits 
"u su* "p ,b2  7v7 enrollm5t1           
eligibility1 & coord9ation ( b5efits "u 
title ,,xviii ) respect to populations1 
= :om !re are special consid]ations1 su*
 z resid5ts ( ,pu]to ,rico & vet]ans2 & 
7vi7 onl9e res\rces & toll-free         
telephone numb]s ( ! ,social ,security  
,adm9i/ration & ! ,c5t]s = ,m$ic>e      
,m$icaid ,s]vices 7includ+              
#a-hjj-,,m$ic>e & ! national toll-free  
numb] ( ! ,social ,security             
,adm9i/ration7 t provide in=mation on   
eligibility = b5efits "u ! ,m$ic>e      
program "u title ,,xviii4  7,c7         
,developm5t ( notice  7i7 ,9 g5]al ,!   
,secret>y1 9 coord9ation ) !            
,commission] ( ,social ,security1 & tak+
 into consid]ation in=mation collect$   
pursuant to clause 7ii71 %all1 n lat]   
?an #ab mon?s aft] ! la/ day ( ! p]iod =

 ! reque/ ( in=mation describ$ 9 clause 
7ii71 develop ! notice to be provid$    
pursuant to subp>agraph 7,a74  7ii7     
,reque/ = in=mation ,n lat] ?an #f mon?s
 aft] ! date ( ! enactm5t ( ?is         
p>agraph1 ! ,secret>y %all reque/ writt5
 in=mation1 includ+ recomm5dations1 f   
/akehold]s 7includ+ ! gr\ps describ$ 9  
subp>agraph 7,d77 on ! in=mation to be  
includ$ 9 ! notice4  7iii7 ,notice      
improvem5t ,beg9n+ #d ye>s aft] ! date (
 ! enactm5t ( ?is p>agraph1 & n less ?an
 once e #b ye>s !reaft]1 ! ,secret>y1 9 
coord9ation ) ! ,commission] ( ,social  
,security1 %all-- 7,i7 review ! cont5t (
 ! notice to be provid$ "u subp>agraph  
7,a72  7,,ii7 reque/ writt5 in=mation1  
includ+ recomm5dations1 on su* notice   
?r\gh a reque/ = in=mation process z    
describ$ 9 clause 7ii72 &  7,,iii7      
update & revise su* notice z ! ,secret>y
 deems appropriate4  7,d7 ,gr\ps ,=     
purposes ( subp>agraph 7,c77ii71 ! gr\ps
 describ$ 9 ?is subp>agraph include !   
foll[+3 7i7 ,individuals :o are #fj ye>s

 ( age or old]4  7ii7 ,vet]ans4  7iii7  
,individuals ) disabilities4  7iv7      
,individuals ) end /age r5al disease4   
7v7 ,l[-income individuals & families4  
7vi7 ,employ]s 7includ+ human res\rces  
pr(essionals74  7vii7 ,/ates 7includ+   
repres5tatives ( ,/ate-run ,heal?       
,insurance ,ex*anges1 ,m$icaid (fices1 &
 ,dep>tm5ts ( ,insurance74  7viii7 ,/ate
 ,heal? ,insurance ,assi/ance ,programs4
  7ix7 ,heal? insur]s4  7x7 ,heal?      
insurance ag5ts & brok]s4  7xi7 ,su* o!r
 gr\ps z specifi$ by ! ,secret>y4  7,e7 
,po/+ ( notice on websites ,!           
,commission] ( ,social ,security & !    
,secret>y %all po/ ! notice requir$ "u  
subp>agraph 7,a7 on ! public int]net    
website ( ! ,social ,security           
,adm9i/ration & on ,m$ic>e4gov 7or a    
successor website71 respectively4  7,f7 
,no effect on obligation to mail        
/atem5ts ,no?+ 9 ?is p>agraph %all be   
con/ru$ to relieve ! ,commission] (     
,social ,security f any requirem5t "u   
subsection 7c71 includ+ ! requirem5t to 

mail a /atem5t on an annual basis to ea*
 eligible individual :o is n receiv+    
b5efits "u title ,,ii & = :om a mail+   
address c be det]m9$ ?r\gh su* me?ods z 
! ,commission] det]m9es to be           
appropriate4  4  7,b7 ,tim+ ( /atem5ts  
,section #aadc7;c77#b7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#ac7;c77#b77 is am5d$ by add+ at
 ! end ! foll[+ new s5t5ce3 ,) respect  
to /atem5ts provid$ to individuals :o   
are atta9+ age #fe1 z describ$ 9        
subsection 7a77#d71 su* /atem5ts %all be
 mail$ n e>li] ?an #f mon?s & n lat] ?an
 #c mon?s be=e ! individual atta9s su*  
age44  7#b7 ,social security b5efici>ies
 ,title ,,xi ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acja et seq47 is am5d$  
by ins]t+ aft] section #aadd ! foll[+   
new section3  #aadd;,a4 ,m$ic>e         
enrollm5t notification & eligibility    
notices = ,social ,security b5efici>ies 
prior to m$ic>e eligibility  7a7        
,notices  7#a7 ,9 g5]al ,! ,commission] 
( ,social ,security %all di/ribute !    

notice to be provid$ pursuant to section
 #aadc7;a77#d71 z may be modifi$ "u     
p>agraph 7#b71 to individuals entitl$ to
 mon?ly insurance b5efits "u title ,,ii 
9 accordance ) subsection 7b74  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 !          
individuals describ$ 9 su* p>agraph4    
7#c7 ,po/+ ( notice on websites ,!      
,commission] ( ,social ,security & !    
,secret>y %all po/ ! notice requir$ to  
be di/ribut$ "u p>agraph 7#a7 on !      
public int]net website ( ! ,social      
,security ,adm9i/ration & on ,m$ic>e4gov
 7or a successor website71 respectively4
  7b7 ,tim+ ,beg9n+ n lat] ?an #b ye>s  
aft] ! date ( ! enactm5t ( ?is section1 
a notice requir$ "u subsection 7a77#a7  
%all be mail$ to an individual describ$ 
9 su* subsection-- 7#a7 9 ! ?ird mon?   
be=e ! date on :i* su* individual's     
initial enrollm5t p]iod beg9s z provid$ 

"u section #ahcg2 &  7#b7 9 ! case ( an 
individual ) respect to :om section     
#bbf7;b7 applies 7except = an individual
 :o w atta9 age #fe dur+ ! #bd mon?     
p]iod describ$ 9 su* section71 9 ! mon? 
be=e su* date on :i* su* individual's   
initial enrollm5t p]iod s beg9s4  4