I 

110TH CONGRESS 

1ST SESSION H. R. 1282 

To amend title XVIII of the Social Security Act to provide for guaranteed 

issue of Medicare supplemental policies for disabled and renal disease 

beneficiaries upon first enrolling under part B of the Medicare Program. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 1, 2007 

Mr. ENGLISH of Pennsylvania (for himself and Mr. RUSH) introduced the following bill; which was referred to the Committee on Ways and Means, 

and in addition to the Committee on Energy and Commerce, for a period 

to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee 

concerned 

A BILL 

To amend title XVIII of the Social Security Act to provide 

for guaranteed issue of Medicare supplemental policies 

for disabled and renal disease beneficiaries upon first 

enrolling under part B of the Medicare Program. 

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 ‘‘Medigap Access Im5 provement Act of 2007’’. 


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1 SEC. 2. EXTENDING GUARANTEED ISSUE OF MEDIGAP 

2 POLICIES TO ALL MEDICARE ELIGIBLE INDI3 VIDUALS. 

4 (a) IN GENERAL.—Section 1882(s) of the Social Se5 curity Act (42 U.S.C. 1395ss(s)) is amended— 

6 (1) in paragraph (2)(A), by inserting before the 

7 period at the end the following: ‘‘and, in the case of 

8 an individual who is under 65 years of age and who 

9 is enrolled for benefits under part B, during the 6 

10 month period beginning with the first month as of 

11 the first day on which the individual is so enrolled’’; 

12 (2) in paragraph (2)(D), by striking ‘‘the 6- 

13 month period described in subparagraph (A) to an 

14 individual who is 65 years of age or older as of the 

15 date of issuance and’’ and inserting ‘‘a 6-month pe16 riod described in subparagraph (A) to an indi17 vidual’’; and 

18 (3) in paragraph (3)(B)(vi), by striking ‘‘at age 

19 65’’. 

20 (b) EFFECTIVE DATE.— 

21 (1) IN GENERAL.—The amendments made by 

22 subsection (a) shall take effect as of the date of the 

23 enactment of this Act . 

24 (2) TRANSITION FOR CURRENTLY ELIGIBLE

25 MEDICARE INDIVIDUALS.— 


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1 (A) IN GENERAL.—No medicare supple2 mental policy of an issuer shall be deemed to 

3 meet the standards in subsection (c) of section 

4 1882 of the Social Security Act (42 U.S.C. 

5 1395ss) unless the issuer permits each indi6 vidual described in subparagraph (B), during 

7 the 6-month period beginning on the first day 

8 of the first month beginning after the date of 

9 the enactment of this Act, to be enrolled under 

10 a medicare supplemental policy in accordance 

11 with subsection (s) of such section, as amended 

12 by subsection (a), applied as if the individual 

13 were first enrolled under part B of title XVIII 

14 of the Social Security Act as of the first day of 

15 such first month. 

16 (B) NONENROLLED CURRENT DISABLED

17 AND RENAL DISEASE BENEFICIARIES DE18 SCRIBED.—For purposes of subparagraph (A), 

19 an individual described in this subparagraph is 

20 an individual who, as of the first day of the 

21 first month beginning after the date of the en22 actment of this Act— 

23 (i) is under 65 years of age; 

24 (ii) is enrolled under part B of title 

25 XVIII of the Social Security Act; and 


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1 (iii) is not enrolled in a medicare sup2 plemental policy. 

Æ 


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