vidual is neither enrolled in part A nor en-
rolled in part B. 
The termination of a coverage period under 
clause (ii) shall take effect on a date deter-
mined under regulations, which may be deter-
mined so as to provide a grace period in which 
overdue premiums may be paid and coverage 
continued. The grace period determined under 
the preceding sentence shall not exceed 90 days; 
except that it may be extended to not to exceed 
180 days in any case where the Secretary deter-
mines that there was good cause for failure to 
pay the overdue premiums within such 90-day 
period. 
‘‘(e) PAYMENT-RELATED PROVISIONS.— 
‘‘(1) AUTHORIZATION OF APPROPRIATIONS TO 
COVER ADDITIONAL BENEFITS.—There are author-
ized to be appropriated to the Federal Hospital In-
surance Trust Fund and the Federal Supplementary 
Medical Insurance Trust Fund, and the Medicare 
Prescription Drug Account in such Trust Fund, 
such sums as may be necessary to cover the costs 
under such Trust Funds and Account of providing 
benefits under this section, net of any premiums 
paid with respect to such benefits under subsection 
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(d). Nothing in this section shall be construed as 
conditioning the provision of benefits under this sec-
tion upon the making of such appropriations. 
‘‘(2) REIMBURSEMENT OF PRESCRIPTION DRUG 
PLANS
AND
MA
PLANS
FOR
9/11-RELATED
BENE-
FITS.—With respect to benefits under a prescription 
drug plan under part D or under a Medicare Advan-
tage plan under part C, the Secretary shall provide 
for reimbursement to the plan from the appropriate 
Trust Funds and Accounts under this title for the 
cost of 9/11-related benefits provided under the plan 
under this section, including costs related to the ap-
plication of the benefit modifications described in 
subsection (c)(1).’’. 
(b) MEDICARE SECONDARY PAYOR
FOR 9/11-RE-
LATED COVERAGE; NO DISCRIMINATION AGAINST INDI-
VIDUALS
IN
EMPLOYMENT-BASED
HEALTH
INSUR-
ANCE.—Section 1862(b) of such Act (42 U.S.C. 1395y(b)) 
is amended— 
(1) by redesignating subparagraph (D) of para-
graph (1) as subparagraph (G) and by moving it to 
the end of such paragraph; 
(2) by inserting after subparagraph (C) of 
paragraph (1) the following new subparagraph: 
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‘‘(D) INDIVIDUALS WITH A 9/11-DISASTER 
CONNECTED HEALTH CONDITION.— 
‘‘(i) IN
GENERAL.—A group health 
plan, individual health insurance coverage, 
or any other form of health benefits cov-
erage— 
‘‘(I) may not take into account 
that an individual who is covered 
under the plan or coverage is entitled 
to 9/11-related benefits under this 
title under section 1809; and 
‘‘(II) shall provide that any cov-
ered individual shall be entitled to the 
same benefits under the plan with re-
spect to treatment of a 9/11 disaster- 
related health condition (as defined in 
section 
1809(b)(2)(A)) 
under 
the 
same conditions as any similarly situ-
ated individual who is not so entitled. 
‘‘(ii) ENFORCEMENT.— 
‘‘(I) CIVIL MONEY PENALTIES.— 
Any plan or coverage that violates 
clause (i) is subject to a civil money 
penalty of not to exceed $25,000 for 
each such violation. The provisions of 
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section 1128A (other than subsections 
(a) and (b)) shall apply to a civil 
money penalty under the previous sen-
tence in the same manner as such 
provisions apply to a penalty or pro-
ceeding under section 1128A(a). 
‘‘(II) PRIVATE
CAUSE
OF
AC-
TION.—An individual adversely af-
fected by a violation of clause (i) may 
bring a private cause of action to en-
join the violation and to obtain dam-
ages (which shall be in an amount 
double the amount otherwise provided 
and may include reasonable attorney’s 
fees) resulting from such a violation.’’; 
and 
(3) in the second sentence of paragraph (2)(A), 
by inserting after ‘‘large group health plan’’ the fol-
lowing: ‘‘or other coverage described in paragraph 
(1)(D)(i)’’; 
(4) in paragraph (2)(B)(vi), by inserting ‘‘or 
other coverage described in paragraph (1)(D)(i)’’ 
after ‘‘employer group health plan’’; and 
(5) in paragraph (3)(C)— 
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