,,ii  #aahth ,,congress  #ast ,session  
,s4 #afia  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #ah1 #bjbc
 ,mr4 ,casey 7for himself1 ,mr4         
,sullivan1 and ,mr4 ,braun7 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 ,healthcare ,enrollment ,reform 
,modernization ,and ,navigation ,act or 
the ,,herman ,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