,i #aai? ,,congress #a/ ,session ,h4 ,r4 #faeg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,novemb] #ai1 #bjbe,mr4 ,panetta 7= himself1 ,mr4 ,lev91 & ,mr4 ,c>bajal7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,ways & ,means1 & 9 addition to ! ,committee on ,en]gy & ,comm]ce1 = 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 title ,,xviii ( ! ,social ,security ,act to provide b5efits "u ! ,m$ic>e program = fir/ respond]s at ! age ( #eg4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,fir/ ,respond]s' ,c>e ,expansion ,act ( #bjbe or ! ,,=ce ,act ( #bjbe4 #b4 ,provid+ b5efits "u ! ,m$ic>e program = fir/ respond]s at ! age ( #eg 7a7 ,9 g5]al ,title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #ahii;,c4 ,m$ic>e = fir/ respond]s at age #eg 7a7 ,option 7#a7 ,9 g5]al ,e individual :o meets ! requirem5ts describ$ 9 p>agraph 7#b7 %all be eligible to enroll "u ?is section4 7#b7 ,eligibility ,! requirem5ts describ$ 9 ?is p>agraph are ! foll[+3 7,a7 ,age ,! individual has atta9$ #eg ye>s ( age1 b has n atta9$ #fe ye>s ( age4 7,b7 ,fir/ respond] ,! individual has work$ = a total ( #aj ye>s or long] 9 any occupation 7or a comb9ation ( occupations7 id5tifi$ by any ( ! foll[+ codes 7or successor codes7 "u ! ,/&>d ,occupations ,classification ,sy/em e/abli%$ by ! ,bureau ( ,labor ,/ati/ics3 7i7 #cc-ajaj4 7ii7 #cc-ajbj4 7iii7 #cc-bjjj4 7iv7 #cc-cjjj 7o!r ?an any occupations id5tifi$ "u code #cc-cjdj74 7v7 #cc-ijib4 7,c7 ,m$ic>e eligibility 7b = age7 ,! individual is n o!rwise entitl$ to b5efits "u "p ,a or eligible to enroll "u "p ,a or "p ,b b w\ld be s entitl$ 7or s eligible7 if ! individual 7 #fe ye>s ( age4 7#c7 ,"p ,a1 ,b1 & ,d b5efits & protections ,an individual enroll$ "u ?is section is entitl$ to ! same b5efits 7& %all receive ! same protections7 "u ?is title z an individual :o is entitl$ to b5efits "u "p ,a & enroll$ "u "p ,b1 includ+ ! ability to enroll 9 a prescription drug plan "u "p ,d or a ,m$ic>e ,advantage plan 7includ+ su* a plan t provides qualifi$ prescription drug cov]age 7an ,,ma-,,pd plan77 & includ+ access to ! ,m$ic>e ,b5efici>y ,ombudsman "u section #ahjh7;c74 7b7 ,enrollm5t & cov]age p]iods 7#a7 ,enrollm5t ,an individual eligible to enroll "u ?is section may s enroll-- 7,a7 dur+ ! #a-mon? p]iod prior to ! individual becom+ s eligible2 or 7,b7 at any "t :ile su* individual is s eligible4 7#b7 ,cov]age ,an individual enroll$ "u ?is section %all be eligible = b5efits provid$ "u ?is section beg9n+ ) ! fir/ day ( ! fir/ mon? beg9n+ aft] ! date su* individual s enrolls & end+ on ! e>li] ( ! foll[+3 7,a7 ,! date on :i* su* individual elects to t]m9ate enrollm5t "u ?is section4 7,b7 ,! date on :i* su* individual becomes entitl$ to b5efits "u "p ,a or eligible to enroll = b5efits "u "p ,b4 7c7 ,premium 7#a7 ,am\nt ( mon?ly premiums ,! mon?ly premium payable = cov]age = a mon? "u ?is section = an individual is equal to-- 7,a7 ! mon?ly premium t w\ld apply to su* individual = su* mon? "u section #ahci if su* individual 7 enroll$ "u "p ,b2 plus 7,b7 9 ! case ( an individual :o w\ld n be entitl$ to b5efits "u "p ,a = su* mon? pursuant to section #bbf if ! individual 7 #fe ye>s ( age1 ! mon?ly premium t w\ld apply to su* individual = su* mon? "u section #ahah if su* individual 7 enroll$ "u "p ,a4 7#b7 ,additional premiums ,9 ! case ( an individual enroll$ "u ?is section :o elects to enroll 9 a ,m$ic>e ,advantage plan "u "p ,c or a prescription drug plan "u "p ,d1 ! provisions ( su* "p ,c or su* "p ,d1 z applicable1 relat+ to paym5t ( premiums = individuals s enroll$ %all apply to individuals enroll$ "u ?is section4 7d7 ,paym5t ( premiums 7#a7 ,paym5t ,premiums = enrollm5t "u ?is section %all be paid to ! ,secret>y at su* times1 & 9 su* mann]1 z ! ,secret>y det]m9es appropriate4 7#b7 ,deposit ,am\nts collect$ by ! ,secret>y "u ?is section %all be deposit$ 9 ! ,m$ic>e ,fir/ ,respond] ,tru/ ,fund e/abli%$ "u subsection 7e74 7e7 ,m$ic>e ,fir/ ,respond] ,tru/ ,fund 7#a7 ,9 g5]al ,!re is h]eby creat$ on ! books ( ! ,treasury ( ! ,unit$ ,/ates a tru/ fund to be kn[n z ! ,m$ic>e ,fir/ ,respond] ,tru/ ,fund 79 ?is subsection ref]r$ to z ! ,tru/ ,fund74 ,! ,tru/ ,fund %all consi/ ( su* gifts & beque/s z may be made z provid$ 9 section #bja7;i77#a7 & su* am\nts z may be deposit$ 91 or appropriat$ to1 su* fund z provid$ 9 ?is title4 7#b7 ,premiums ,premiums collect$ "u subsection 7d7 7n includ+ any premium payable pursuant to p>agraph 7#b7 ( su* subsection7 %all be transf]r$ to ! ,tru/ ,fund4 7#c7 ,incorporation ( ,provisions ,subsections 7b7 ?r\gh 7i7 ( section #ahda %all apply ) respect to ! ,tru/ ,fund & ?is title 9 ! same mann] z !y apply ) respect to ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund & "p ,b1 respectively1 except t 9 apply+ su* section #ahda1 any ref]5ce 9 su* section to ?is "p %all be con/ru$ to be a ref]5ce to ?is section & any ref]5ce 9 section #ahda7;h7 to section #ahdj7;d7 & 9 section #ahda7;i7 to sections #ahdj7;b77#a7 & #ahdb7;g7 are deem$ to be ref]5ces to comp>able au?ority ex]cis$ "u ?is section4 7f7 ,cl>ification ,no?+ 9 ?is section %all affect ! b5efits or eligibility "u ?is title ( individuals :o w\ld o!rwise be entitl$ to or eligible = b5efits "u ?is title or title ,,xix1 or bo?4 7g7 ,treatm5t 9 relation to ! ,af=dable ,c>e ,act 7#a7 ,treatm5t z m9imum ess5tial cov]age ,= purposes ( apply+ section #ejjj;,a ( ! ,int]nal ,rev5ue ,code ( #aihf1 ! cov]age provid$ ?r\gh enrollm5t "u ?is section con/itutes m9imum ess5tial cov]age "u subsection 7f77#a77;,a77i7 ( su* section4 7#b7 ,m$icaid manag$ c>e ,/ates are prohibit$ f buy+ _! ,m$icaid b5efici>ies ages #eg to #fd :o are eligible to enroll "u ?is section into ,m$ic>e "u ?is section1 & individuals o!rwise eligible = enrollm5t "u a ,/ate plan "u title ,,xix are prohibit$ f cov]age "u ?is title pursuant to enrollm5t "u ?is section4 ,! prec$+ s5t5ce %all n apply to ,m$icaid b5efici>ies ^: ,m$icaid cov]age or eligibility does n meet ! def9ition ( m9imum ess5tial cov]age "u a gov]nm5t-sponsor$ program "u section #a4ejjj;,a-#b ( title #bf1 ,code ( ,f$]al ,regulations 7or any successor regulation74 7#c7 ,access to ,m$igap ,cov]age provid$ ?r\gh m$ic>e supplem5tal policies c]tifi$ "u section #ahhb %all be made available to individuals eligible = enrollm5t pursuant to ?is section = enrollm5t1 in=mation1 comp>ison1 & o!rwise z su* a policy ?r\gh any int]net website describ$ 9 p>agraph 7#b74 4 7b7 ,m$igap ,section #ahhb ( ! ,social ,security ,act is am5d$ by add+ at ! end ! foll[+ new subsection3 7aa7 ,developm5t ( ,new ,/&>ds = ,c]ta9 ,m$ic>e ,supplem5tal ,policies relat+ to fir/ respond] cov]age ,! ,secret>y %all reque/ ! ,national ,association ( ,insurance ,commission]s to review & revise ! /&>ds = b5efit packages describ$ 9 subsection 7p77#a71 to o!rwise update /&>ds to include requirem5ts = ea* m$ic>e supplem5tal policy t (f]s su* a policy 9 a ,/ate1 ) respect to ea* ye>1 to accept e individual 9 ! ,/ate :o is eligible = enrollm5t pursuant to section #ahii;,c & :o applies = su* cov]age = su* ye> if ! individual applies = enrollm5t 9 su* policy dur+ ! #cj-;day p]iod foll[+ ! date ( enrollm5t pursuant to section #ahii;,c & to accept e su* individual dur+ a p]iod ( transition f enrollm5t pursuant to su* section to enrollm5t "u ?is title pursuant to eligibility o!r ?an "u su* section4 ,su* revisions %all be made consi/5t ) ! rules applicable "u subsection 7p77#a77;,e7 ) ! ref]5ce to ! #aiia ,,naic ,model ,regulation deem$ a ref]5ce to ! ,,naic ,model ,regulation z publi%$ 9 ! ,f$]al ,regi/] on ,decemb] #d1 #aiih1 & z subsequ5tly updat$ by ! ,national ,association ( ,insurance ,commission]s to reflect previ\s *anges 9 law & ! ref]5ce to date ( enactm5t ( ?is subsection deem$ a ref]5ce to ! date ( enactm5t ( ?is subsection 7aa74 4