,,ii  #aai? ,,congress  #a/ ,session    
,s4 #cdci  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #aa1 #bjbe,mr4
 ,tillis 7= himself1 ,ms4 ,hassan1 ,mr4 
,cassidy1 ,ms4 ,murk[ski1 ,ms4 ,smi?1 & 
,ms4 ,baldw97 introduc$ ! foll[+ bill2  
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to provide = outrea* & education  
to ,m$ic>e b5efici>ies to simplify      
access to in=mation = family c>egiv]s   
?r\gh #a-hjj-,,m$ic>e1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,connect+ ,c>egiv]s to ,m$ic>e ,act 
( #bjbe4  #b4 ,outrea* & education to   
,m$ic>e b5efici>ies to simplify access  
to in=mation = family c>egiv]s ?r\gh    
#a-hjj-,,m$ic>e ,section #ahjd ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acie;b-#b7 is am5d$ by add+ at ! end ! 
foll[+ new subsection3  7e7 7#a7 ,!     
,secret>y %all provide = su* outrea* &  
education activities z are necess>y1    
includ+ z describ$ 9 p>agraph 7#b71 to  

in=m individuals entitl$ to b5efits "u  
"p ,a or enroll$ "u "p ,b & individuals 
apply+ = b5efits "u "p ,a or enroll+ "u 
"p ,b ab\t ! option to au?orize a family
 c>egiv] 7z def9$ 9 p>agraph 7#h77;,a77 
( su* an individual to access ! p]sonal 
heal? in=mation ( su* individual ?r\gh !
 toll-free #a-hjj-,,m$ic>e telephone    
numb] ma9ta9$ by ! ,secret>y "u         
subsection 7b7 if su* individual        
completes & submits a specifi$ family   
c>egiv] in=mation access au?orization =m
 7z def9$ 9 p>agraph 7#h77;,b77 au?oriz+
 su* access by su* family c>egiv] to su*
 in=mation4  7#b7 ,! outrea* & education
 activities "u p>agraph 7#a7 %all       
include ! foll[+3 7,a7 ,outrea* &       
education ef=ts to provide in=mation    
ab\t ! option describ$ 9 p>agraph 7#a7  
to individuals describ$ 9 su* p>agraph1 
to provid]s ( s]vices & suppli]s furni%+
 s]vices to su* individuals1 to family  
c>egiv]s1 & to o!r appropriate entities 
specifi$ by ! ,secret>y4  7,b7 ,outrea* 
& education ef=ts to in=m su*           

individuals1 provid]s ( s]vices &       
suppli]s1 family c>egiv]s1 & o!r        
appropriate entities ( be/ practices    
id5tifi$ pursuant to p>agraph 7#d7 to   
protect su* individuals f fraudul5t     
practices describ$ 9 su* p>agraph4  7,c7
 ,outrea* & education ef=ts to          
individuals describ$ 9 p>agraph 7#a7 to 
in=m su* individuals ( all exi/+ report+
 me*anisms = suspect$ ,m$ic>e fraud4    
7,d7 ,! inclusion ( in=mation ab\t !    
option describ$ 9 p>agraph 7#a71 & be/  
practices id5tifi$ pursuant to p>agraph 
7#d71 9 a mann] t is prom95t1 easily    
accessible1 & readily und]/&able-- 7i7 9
 ! notice "u subsection 7a72  7ii7 ?r\gh
 ! ,m$ic>e4gov website or a successor   
website2  7iii7 ?r\gh o!r ef=ts         
specifically conduct$ = individuals     
enroll$ 9 a ,m$ic>e ,advantage plan "u  
"p ,c2 &  7iv7 ?r\gh o!r plat=ms or     
me?ods specifi$ by ! ,secret>y1 su* z   
social m$ia4  7,e7 ,! inclusion1 9 a    
mann] t is prom95t1 easily accessible1 &
 readily und]/&able1 ( ! specifi$ family

 c>egiv] in=mation access au?orization  
=m 9 ! notice "u subsection 7a71 ?r\gh--
 7i7 ! website describ$ 9 subp>agraph   
7,d77ii72 &  7ii7 o!r ef=ts describ$ 9  
subp>agraph 7,d77iii74  7,f7 ,education 
ef=ts to tra9 op]ators ( #a-hjj-,,m$ic>e
 on provid+ appropriate res\rces &      
in=mation to family c>egiv]s4  7#c7     
,in=mation ab\t ! option describ$ 9     
p>agraph 7#a7 provid$ ?r\gh ef=ts       
describ$ 9 p>agraph 7#b7 %all include a 
notification cl>ify+ t su* option is    
available to all individuals describ$ 9 
p>agraph 7#a7 reg>dless ( :e!r su*      
individuals are enroll$ = ! orig9al     
,m$ic>e fee-=-s]vice option "u "p ,a or 
,b or enroll$ 9 a ,m$ic>e ,advantage    
plan4  7#d7 ,n lat] ?an #a ye> aft] !   
date ( enactm5t ( ?is subsection1 !     
,secret>y1 act+ ?r\gh ! ,(fice ( !      
,inspector ,g5]al ( ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices1 %all submit to      
,congress & make publicly available be/ 
practices to protect individuals        
describ$ 9 p>agraph 7#a7 aga9/ fraud    

relat+ to inappropriately access+ or us+
 ! p]sonal heal? in=mation ( su*        
individuals1 includ+ be/ practices =    
educat+ b5efici>ies on fraud report+    
me*anisms1 & recomm5dations to improve  
timely ag5cy inve/igation ( b5efici>y   
fraud reports4 ,! ,secret>y %all provide
 =1 z ! ,secret>y det]m9es appropriate1 
sep>ate be/ practices = individuals     
describ$ 9 p>agraph 7#a71 family        
c>egiv]s1 provid]s ( s]vices & suppli]s1
 & o!r entities specifi$ by ! ,secret>y4
  7#e7 ,! ,secret>y %all provide =      
opportunities 7su* z ?r\gh surveys7 =   
family c>egiv]s to provide fe$back to ! 
,secret>y on exp]i5ces access+ in=mation
 ?r\gh #a-hjj-,,m$ic>e & on ! outrea* & 
education activities conduct$ "u ?is    
subsection4  7#f7 ,! outrea* & education
 activities conduct$ "u ?is subsection1 
& ! specifi$ family c>egiv] in=mation   
access au?orization =m1 %all be made    
available 9 non-,engli% languages1 z    
specifi$ by ! ,secret>y4  7#g7 ,9       
conduct+ ! outrea* & education          

activities "u ?is subsection1 !         
,secret>y %all1 to ! greate/ ext5t      
practicable1 coord9ate su* activities ) 
activities c>ri$ out ?r\gh ,/ate heal?  
insurance assi/ance programs or !       
,adm9i/ration = ,community ,liv+4  7#h7 
,= purposes ( ?is subsection3 7,a7 ,!   
t]m family c>egiv] has ! mean+ giv5 su* 
t]m 9 section #b ( ! ,recognize1 ,assi/1
 ,include1 ,support1 & ,engage ,family  
,c>egiv]s ,act ( #bjag1 & includes su*  
o!r individuals z specifi$ by !         
,secret>y4  7,b7 ,! t]m specifi$ family 
c>egiv] in=mation access au?orization =m
 means ! ,,cms-#ajajf =m or any         
successor =m4  4