II 

118TH CONGRESS 

2D SESSION S. 4781 

To improve access to the Program of All-Inclusive Care for the Elderly, 

and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

JULY 25, 2024 

Mr. CASEY (for himself and Mr. BRAUN) introduced the following bill; which 

was read twice and referred to the Committee on Finance 

A BILL 

To improve access to the Program of All-Inclusive Care 

for the Elderly, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Program of All-Inclu5 sive Care for the Elderly Anytime Act’’ or the ‘‘PACE 

6 Anytime Act’’. 

7 SEC. 2. ANYTIME ENROLLMENT IN PACE. 

8 (a) IN GENERAL.— 

9 (1) ANYTIME ENROLLMENT AND EFFECTIVE

10 DATE.—Section 1894(c)(5) of the Social Security 


ssavage on LAPJG3WLY3PROD with BILLS
2 

•S 4781 IS

1 Act (42 U.S.C. 1395eee(c)(5)) is amended by adding 

2 at the end the following new subparagraph: 

3 ‘‘(C) ANYTIME ENROLLMENT AND EFFEC4 TIVE DATE OF ENROLLMENT.— 

5 ‘‘(i) ANYTIME ENROLLMENT.—A 

6 PACE program eligible individual may en7 roll in a PACE program at any time dur8 ing a month. 

9 ‘‘(ii) EFFECTIVE DATE.—Subject to 

10 clause (iii), the enrollment of a PACE pro11 gram eligible individual in a PACE pro12 gram shall be effective on the date the 

13 PACE provider operating the PACE pro14 gram receives an enrollment agreement 

15 signed by such PACE program eligible in16 dividual with respect to such PACE pro17 gram. 

18 ‘‘(iii) SPECIAL RULE IN THE CASE OF

19 DUAL ELIGIBLE BENEFICIARIES.—In the 

20 case of a PACE program eligible individual 

21 who is eligible for benefits under this title 

22 and title XIX, clause (i) shall only apply if 

23 the State in which such individual resides 

24 has made an election under section 

25 1934(c)(5)(C) to permit PACE program 


ssavage on LAPJG3WLY3PROD with BILLS
3 

•S 4781 IS

1 eligible individuals enroll in a PACE pro2 gram at any time during a month in such 

3 State.’’. 

4 (2) PRORATED PAYMENTS.—Section 1894(d) of 

5 the Social Security Act (42 U.S.C. 1395eee(d)) is 

6 amended by adding at the end the following new 

7 paragraph: 

8 ‘‘(4) PRORATED PAYMENTS.—In the case of a 

9 PACE program eligible individual enrolled in a 

10 PACE program operated by a PACE provider with 

11 an enrollment effective date that is not the first day 

12 of a month, the capitation amount that would other13 wise be made under this subsection to the PACE 

14 provider for such individual for the first month in 

15 which such individual is so enrolled shall be prorated 

16 accordingly.’’. 

17 (b) CONFORMING AMENDMENTS.— 

18 (1) ANYTIME ENROLLMENT AND EFFECTIVE

19 DATE.—Section 1934(c)(5) of the Social Security 

20 Act (42 U.S.C. 1396u–4(c)(5)) is amended by add21 ing at the end the following new subparagraph: 

22 ‘‘(C) STATE OPTION TO PERMIT ANYTIME

23 ENROLLMENT AND EFFECTIVE DATE OF EN24 ROLLMENT.— 


ssavage on LAPJG3WLY3PROD with BILLS
4 

•S 4781 IS

1 ‘‘(i) ANYTIME ENROLLMENT.—A 

2 State may elect to permit a PACE pro3 gram eligible individual to enroll in a 

4 PACE program at any time during a 

5 month. 

6 ‘‘(ii) EFFECTIVE DATE.—Pursuant to 

7 a State election made under clause (i), the 

8 enrollment of a PACE program eligible in9 dividual in a PACE program shall be effec10 tive on the date the PACE provider oper11 ating the PACE program receives an en12 rollment agreement signed by such PACE 

13 program eligible individual with respect to 

14 such PACE program.’’. 

15 (2) PRORATED PAYMENTS.—Section 1934(d) of 

16 the Social Security Act (42 U.S.C. 1396u–4(d)) is 

17 amended by adding at the end the following new 

18 paragraph: 

19 ‘‘(3) PRORATED PAYMENTS.—If a State elects 

20 under subsection (c)(5)(C) to permit enrollment at 

21 any time during a month, in the case of a PACE 

22 program eligible individual enrolled in a PACE pro23 gram operated by a PACE provider with an enroll24 ment effective date that is not the first day of a 

25 month, the State shall prorate the capitation amount 


ssavage on LAPJG3WLY3PROD with BILLS
5 

•S 4781 IS

1 that would otherwise be made under this subsection 

2 to the PACE provider for such individual for the 

3 first month in which such individual is so enrolled.’’. 

4 (c) EFFECTIVE DATE.—The amendments made by 

5 this section shall take effect on January 1, 2025. 

Æ 


ssavage on LAPJG3WLY3PROD with BILLS