116TH CONGRESS 
2D SESSION 
H. R. 2477 
AN ACT 
To amend title XVIII of the Social Security Act to establish 
a system to notify individuals approaching Medicare eligi-
bility, to simplify and modernize the eligibility enrollment 
process, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Beneficiary Enrollment 
Notification and Eligibility Simplification Act of 2020’’ or 
the ‘‘BENES Act of 2020’’. 
SEC. 2. BENEFICIARY ENROLLMENT NOTIFICATION AND 
ELIGIBILITY SIMPLIFICATION. 
(a) ELIGIBILITY AND ENROLLMENT NOTICES.— 
(1) AS PART OF SOCIAL SECURITY ACCOUNT 
STATEMENT FOR INDIVIDUALS ATTAINING AGES 63 
TO 65.— 
(A) IN GENERAL.—Section 1143(a) of the 
Social Security Act (42 U.S.C. 1320b–13(a)) is 
amended by adding at the end the following 
new paragraph: 
‘‘(4) MEDICARE ELIGIBILITY INFORMATION.— 
‘‘(A) IN GENERAL.—In the case of statements 
provided on or after the date that is 2 years after 
the date of the enactment of this paragraph to indi-
viduals who are attaining ages 63, 64, and 65, the 
statement shall also include a notice containing the 
information described in subparagraph (B). 
‘‘(B) CONTENTS OF NOTICE.—The notice re-
quired under subparagraph (A) shall include a clear, 
simple explanation of— 
‘‘(i) eligibility for benefits under the Medi-
care program under title XVIII, and in par-
ticular benefits under parts B and C of such 
title; 
‘‘(ii) the reasons a late enrollment penalty 
for failure to timely enroll could be assessed 
and how such late enrollment penalty is cal-
culated, in particular for benefits under such 
part B; 
‘‘(iii) the availability of relief from such 
late enrollment penalty and retroactive enroll-
ment under section 1837(h) (including as such 
section is applied under sections 1818(c) and 
1818A(c)(3)), with examples of circumstances 
under which such relief may be granted and ex-
amples of circumstances under which such relief 
would not be granted; 
‘‘(iv) coordination of benefits (including 
primary and secondary coverage scenarios) pur-
suant to section 1862(b), in particular for bene-
fits under such part B; 
‘‘(v) enrollment, eligibility, and coordina-
tion of benefits under title XVIII with respect 
to populations, for whom there are special con-
siderations, such as residents of Puerto Rico 
and veterans; and
‘‘(vi) online resources and toll-free tele-
phone numbers of the Social Security Adminis-
tration and the Centers for Medicare & Med-
icaid Services (including 1–800–MEDICARE 
and the national toll-free number of the Social 
Security Administration) that provide informa-
tion on eligibility for benefits under the Medi-
care program under title XVIII, including 
under part C of such title. 
‘‘(C) DEVELOPMENT OF NOTICE.— 
‘‘(i) IN GENERAL.—The Secretary, in co-
ordination with the Commissioner of Social Se-
curity, and taking into consideration informa-
tion collected pursuant to clause (ii), shall, not 
later than 12 months after the last day of the 
period for the request of information described 
in clause (ii), develop the notice to be provided 
pursuant to subparagraph (A). 
‘‘(ii) REQUEST
FOR
INFORMATION.—Not 
later than 6 months after the date of the enact-
ment of this paragraph, the Secretary shall re-
quest 
written 
information, 
including 
rec-
ommendations, from stakeholders (including the 
groups described in subparagraph (D)) on the 
information to be included in the notice.
‘‘(iii) NOTICE
IMPROVEMENT.—Beginning 
4 years after the date of the enactment of this 
paragraph, and not less than once every 2 years 
thereafter, the Secretary, in coordination with 
the Commissioner of Social Security, shall— 
‘‘(I) review the content of the notice 
to be provided under subparagraph (A); 
‘‘(II) request written information, in-
cluding recommendations, on such notice 
through a request for information process 
as described in clause (ii); and 
‘‘(III) update and revise such notice 
as the Secretary deems appropriate. 
‘‘(D) GROUPS.—For purposes of subparagraph 
(C)(ii), the groups described in this subparagraph 
include the following: 
‘‘(i) Individuals who are 60 years of age or 
older. 
‘‘(ii) Veterans. 
‘‘(iii) Individuals with disabilities. 
‘‘(iv) Individuals with end stage renal dis-
ease. 
‘‘(v) Low-income individuals and families. 
‘‘(vi) Employers (including human re-
sources professionals).
‘‘(vii) States (including representatives of 
State-run Health Insurance Exchanges, Med-
icaid offices, and Departments of Insurance). 
‘‘(viii) State Health Insurance Assistance 
Programs. 
‘‘(ix) Health insurers. 
‘‘(x) Health insurance agents and brokers. 
‘‘(xi) Such other groups as specified by the 
Secretary. 
‘‘(E) POSTING OF NOTICE ON WEBSITES.—The 
Commissioner of Social Security and the Secretary 
shall post the notice required under subparagraph 
(A) on the public Internet website of the Social Se-
curity Administration and on Medicare.gov (or a 
successor website), respectively. 
‘‘(F) REIMBURSEMENT OF COSTS.— 
‘‘(i) IN
GENERAL.—Effective for fiscal 
years beginning in the year in which the date 
of enactment of this paragraph occurs, the 
Commissioner of Social Security and the Sec-
retary shall enter into an agreement under 
which the Secretary shall provide for the trans-
fer, from the Federal Hospital Insurance Trust 
Fund under section 1817 and the Federal Sup-
plementary Medical Insurance Trust Fund
under section 1841 (in such proportion as the 
Secretary determines appropriate), of such 
sums as necessary to cover the administrative 
costs of the Commissioner’s activities under this 
paragraph. Such agreement shall— 
‘‘(I) provide funds to the Commis-
sioner for the administrative costs of the 
Social Security Administration’s work re-
lated to the implementation of this para-
graph, including any initial costs incurred 
prior to the finalization of such agreement; 
‘‘(II) provide such funding quarterly 
in advance of the applicable quarter based 
on estimating methodology agreed to by 
the Commissioner and the Secretary; and 
‘‘(III) require an annual accounting 
(with a detailed description of the costs 
and methodology used to assess such costs) 
and reconciliation of the actual costs in-
curred and funds provided under this para-
graph. 
‘‘(ii) LIMITATION.—In no case shall funds 
from the Social Security Administration’s Limi-
tation on Administrative Expenses be used to 
carry out activities related to the implementa-
tion of this paragraph, except as the Commis-
sioner determines is necessary— 
‘‘(I) for the development of the agree-
ment under clause (i); and 
‘‘(II) on a temporary basis and sub-
ject to reimbursement under clause (i)(I), 
for the initial implementation of this para-
graph. 
‘‘(G) NO
EFFECT
ON
OBLIGATION
TO
MAIL 
STATEMENTS.—Nothing in this paragraph shall be 
construed to relieve the Commissioner of Social Se-
curity from any requirement under subsection (c), 
including the requirement to mail a statement on an 
annual basis to each eligible individual who is not re-
ceiving benefits under title II and for whom a mail-
ing address can be determined through such meth-
ods as the Commissioner determines to be appro-
priate.’’. 
(B) TIMING
OF
STATEMENTS.—Section 
1143(c)(2) of such Act (42 U.S.C. 1320b- 
13(c)(2)) is amended by adding at the end the 
following: ‘‘With respect to statements provided 
to individuals who are attaining age 65, as de-
scribed in subsection (a)(4), such statements 
shall be mailed not earlier than 6 months and
not later than 3 months before the individual 
attains such age.’’ 
(2) SOCIAL
SECURITY
BENEFICIARIES.—Title 
XI of the Social Security Act (42 U.S.C. 1301 et 
seq.) is amended by inserting after section 1144 the 
following new section: 
‘‘MEDICARE
ENROLLMENT
NOTIFICATION
AND
ELIGI-
BILITY
NOTICES
FOR
SOCIAL
SECURITY
BENE-
FICIARIES PRIOR TO MEDICARE ELIGIBILITY 
‘‘Notices 
‘‘SEC. 1144A. (a) 
‘‘(1) IN GENERAL.—The Commissioner of So-
cial Security shall distribute the notice to be pro-
vided pursuant to section 1143(a)(4), as may be 
modified under paragraph (2), to individuals entitled 
to monthly insurance benefits under title II in ac-
cordance with subsection (b). 
‘‘(2) AUTHORITY
TO MODIFY NOTICE.—The 
Secretary, in coordination with the Commissioner of 
Social Security, may modify the notice to be distrib-
uted under paragraph (1) as necessary to take into 
account the individuals described in such paragraph. 
‘‘(3) POSTING OF NOTICE ON WEBSITES.—The 
Commissioner of Social Security and the Secretary 
shall post the notice required to be distributed under 
paragraph (1) on the public Internet website of the
Social Security Administration and on Medicare.gov 
(or a successor website), respectively. 
‘‘Timing 
‘‘(b) Beginning not later than 2 years after the date 
of the enactment of this section, a notice required under 
subsection (a)(1) shall be mailed to an individual described 
in such subsection— 
‘‘(1) in the third month before the date on 
which such individual’s initial enrollment period be-
gins as provided under section 1837; and 
‘‘(2) in the case of an individual with respect to 
whom section 226(b) applies (except for an indi-
vidual who will attain age 65 during the 24 month 
period described in such section), in the month be-
fore such date on which such individual’s initial en-
rollment period so begins. 
‘‘Reimbursement of Costs 
‘‘(c) 
‘‘(1) IN GENERAL.—Effective for fiscal years 
beginning in the year in which the date of enactment 
of this section occurs, the Commissioner of Social 
Security and the Secretary shall enter into an agree-
ment under which the Secretary shall provide for the 
transfer, from the Federal Hospital Insurance Trust 
Fund under section 1817 and the Federal Supple-
mentary Medical Insurance Trust Fund under sec-
tion 1841 (in such proportion as the Secretary de-
termines appropriate), of such sums as necessary to 
cover the administrative costs of the Commissioner’s 
activities under this section. Such agreement shall— 
‘‘(A) provide funds to the Commissioner 
for the administrative costs of the Social Secu-
rity Administration’s work related to the imple-
mentation of this section, including any initial 
costs incurred prior to the finalization of such 
agreement; 
‘‘(B) provide such funding quarterly in ad-
vance of the applicable quarter based on esti-
mating methodology agreed to by the Commis-
sioner and the Secretary; and 
‘‘(C) require an annual accounting (with a 
detailed description of the costs and method-
ology used to assess such costs) and reconcili-
ation of the actual costs incurred and funds 
provided under this paragraph. 
‘‘(2) LIMITATION.—In no case shall funds from 
the Social Security Administration’s Limitation on 
Administrative Expenses be used to carry out activi-
ties related to the implementation of this section, ex-
cept as the Commissioner determines is necessary—
‘‘(A) for the development of the agreement 
under paragraph (1); and 
‘‘(B) on a temporary basis and subject to 
reimbursement under paragraph (1)(A), for the 
initial implementation of this section.’’. 
(b) BENEFICIARY ENROLLMENT SIMPLIFICATION.— 
(1) EFFECTIVE DATE OF COVERAGE.—Section 
1838(a) of the Social Security Act (42 U.S.C. 
1395q(a)) is amended— 
(A) by amending paragraph (2) to read as 
follows: 
‘‘(2)(A) in the case of an individual who enrolls 
pursuant to subsection (d) of section 1837 before 
the month in which he first satisfies paragraph (1) 
or (2) of section 1836(a), the first day of such 
month, 
‘‘(B) in the case of an individual who first sat-
isfies such paragraph in a month beginning before 
January 2023 and who enrolls pursuant to such 
subsection (d)— 
‘‘(i) in such month in which he first satis-
fies such paragraph, the first day of the month 
following the month in which he so enrolls, 
‘‘(ii) in the month following such month in 
which he first satisfies such paragraph, the first
day of the second month following the month in 
which he so enrolls, or 
‘‘(iii) more than one month following such 
month in which he satisfies such paragraph, the 
first day of the third month following the 
month in which he so enrolls, 
‘‘(C) in the case of an individual who first satis-
fies such paragraph in a month beginning on or 
after January 1, 2023, and who enrolls pursuant to 
such subsection (d) in such month in which he first 
satisfies such paragraph or in any subsequent month 
of his initial enrollment period, the first day of the 
month following the month in which he so enrolls, or 
‘‘(D) in the case of an individual who enrolls 
pursuant to subsection (e) of section 1837 in a 
month beginning— 
‘‘(i) before January 1, 2023, the July 1 
following the month in which he so enrolls; or 
‘‘(ii) on or after January 1, 2023, the first 
day of the month following the month in which 
he so enrolls; or’’; and 
(B) by amending paragraph (3) to read as 
follows: 
‘‘(3) in the case of an individual who is deemed 
to have enrolled—
‘‘(A) on or before the last day of the third 
month of his initial enrollment period, the first 
day of the month in which he first meets the 
applicable requirements of section 1836(a) or 
July 1, 1973, whichever is later, or 
‘‘(B) on or after the first day of the fourth 
month of his initial enrollment period, and 
where such month begins— 
‘‘(i) before January 1, 2023, as pre-
scribed 
under 
subparagraphs 
(B)(i), 
(B)(ii), (B)(iii), and (D)(i) of paragraph 
(2), or 
‘‘(ii) on or after January 1, 2023, as 
prescribed under subparagraphs (C) and 
(D)(ii) of paragraph (2).’’. 
(2) SPECIAL ENROLLMENT PERIODS FOR EX-
CEPTIONAL CIRCUMSTANCES.— 
(A) ENROLLMENT.—Section 1837 of the 
Social Security Act (42 U.S.C. 1395p) is 
amended by adding at the end the following 
new subsection: 
‘‘(m) Beginning January 1, 2023, the Secretary may 
establish special enrollment periods in the case of individ-
uals who satisfy paragraph (1) or (2) of section 1836(a)
and meet such exceptional conditions as the Secretary may 
provide.’’. 
(B) COVERAGE PERIOD.—Section 1838 of 
the Social Security Act (42 U.S.C. 1395q) is 
amended by adding at the end the following 
new subsection: 
‘‘(g) Notwithstanding subsection (a), in the case of 
an individual who enrolls during a special enrollment pe-
riod pursuant to section 1837(m), the coverage period 
shall begin on a date the Secretary provides in a manner 
consistent (to the extent practicable) with protecting con-
tinuity of health benefit coverage.’’. 
(C) 
CONFORMING
AMENDMENT.—Title 
XVIII of the Social Security Act (42 U.S.C. 
1395 et seq.) is amended— 
(i) in section 1818A(c)(3), by striking 
‘‘subsections (h) and (i) of section 1837’’ 
and inserting ‘‘subsections (h), (i), and (m) 
of section 1837’’; and 
(ii) in section 1839(b), in the first 
sentence, by striking ‘‘or (l)’’ and inserting 
‘‘, (l), or (m)’’. 
(3) TECHNICAL CORRECTION.—Section 1839(b) 
of the Social Security Act (42 U.S.C. 1395r(b)) is 
amended by adding at the end the following new
sentence: ‘‘For purposes of determining any increase 
under this subsection for individuals whose enroll-
ment occurs on or after January 1, 2023, the second 
sentence of this subsection shall be applied by sub-
stituting ‘close of the month’ for ‘close of the enroll-
ment period’ each place it appears.’’. 
(4) REPORT.—Not later than January 1, 2023, 
the Secretary of Health and Human Services shall 
submit to the Committee on Ways and Means and 
Committee on Energy and Commerce of the House 
of Representatives and the Committee on Finance 
and Special Committee on Aging of the Senate a re-
port on how to align existing Medicare enrollment 
periods under title XVIII of the Social Security Act, 
including the general enrollment period under part 
B of such title and the annual, coordinated election 
period under the Medicare Advantage program 
under part C of such title and under the prescription 
drug program under part D of such title. Such re-
port shall include recommendations consistent with 
the goals of maximizing coverage continuity and 
choice and easing beneficiary transition. 
(5) GAO STUDY AND REPORT.— 
(A) STUDY.—The Comptroller General of 
the United States (in this section referred to as
the ‘‘Comptroller General’’) shall conduct a 
study on the activities carried out under this 
section. Such study shall include the following: 
(i) An analysis of the Social Security 
Administration’s use of the funds provided 
to carry out the activities described under 
this section and the amendments made by 
this section. The Comptroller General shall 
examine the amount of funds transferred 
from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary 
Medical Insurance Trust Fund, respec-
tively, for those activities; how the funds 
were spent; what procedures the agency 
had in place over the use of those funds; 
and how the agency complied with those 
procedures. 
(ii) An evaluation of the notices de-
scribed in sections 1143(a)(4)(A) and 
1144A(a) of the Social Security Act, in-
cluding, to the extent data is available, 
how the mailing of such notices affected 
enrollee behavior and the imposition of late 
enrollment penalties under Medicare Part 
B.
(iii) Any other area determined appro-
priate by the Comptroller General. 
(B) REPORT.—Not later than 5 years after 
the date of enactment of this section, the 
Comptroller General shall submit to the Com-
mittee on Ways and Means and Committee on 
Energy and Commerce of the House of Rep-
resentatives and the Committee on Finance of 
the Senate a report containing the results of 
the study conducted under paragraph (1), in-
cluding recommendations for any legislative and 
administrative actions as the Comptroller Gen-
eral determines appropriate. 
(c) FUNDING.—Section 1808 of the Social Security 
Act (42 U.S.C. 1395b–9) is amended by adding the end 
the following new subsection: 
‘‘(e) FUNDING
FOR IMPLEMENTATION
OF BENE-
FICIARY ENROLLMENT NOTIFICATION AND ELIGIBILITY 
SIMPLIFICATION.—For purposes of carrying out the provi-
sions of and the amendments made by section 2 of the 
BENES Act of 2020, the Secretary shall provide for the 
transfer, from the Federal Hospital Insurance Trust Fund 
under section 1817 and the Federal Supplementary Med-
ical Insurance Trust Fund under section 1841 (in such 
proportion as the Secretary determines appropriate), to
the Centers for Medicare & Medicaid Services Program 
Management Account, of $2,000,000 for each fiscal year 
beginning with fiscal year 2021, to remain available until 
expended.’’. 
SEC. 3. EXTENDED MONTHS OF COVERAGE OF IMMUNO-
SUPPRESSIVE DRUGS FOR KIDNEY TRANS-
PLANT PATIENTS AND OTHER RENAL DIALY-
SIS PROVISIONS. 
(a) 
MEDICARE
ENTITLEMENT
TO
IMMUNO-
SUPPRESSIVE DRUGS FOR KIDNEY TRANSPLANT RECIPI-
ENTS.— 
(1) IN GENERAL.—Section 226A(b)(2) of the 
Social Security Act (42 U.S.C. 426–1(b)(2)) is 
amended by inserting ‘‘(except for eligibility for en-
rollment under part B solely for purposes of cov-
erage of immunosuppressive drugs described in sec-
tion 1861(s)(2)(J))’’ before ‘‘, with the thirty-sixth 
month’’. 
(2) INDIVIDUALS
ELIGIBLE
ONLY
FOR
COV-
ERAGE OF IMMUNOSUPPRESSIVE DRUGS.— 
(A) IN GENERAL.—Section 1836 of the So-
cial Security Act (42 U.S.C. 1395o) is amend-
ed— 
(i) by striking ‘‘Every’’ and inserting 
‘‘(a) IN GENERAL.—Every’’; and
(ii) by adding at the end the following 
new subsection: 
‘‘(b) 
INDIVIDUALS
ELIGIBLE
FOR
IMMUNO-
SUPPRESSIVE DRUG COVERAGE.— 
‘‘(1) IN GENERAL.—Except as provided under 
paragraph (2), every individual whose entitlement to 
insurance benefits under part A ends (whether be-
fore, on, or after January 1, 2023) by reason of sec-
tion 226A(b)(2) is eligible to enroll or to be deemed 
to have enrolled in the medical insurance program 
established by this part solely for purposes of cov-
erage of immunosuppressive drugs in accordance 
with section 1837(n). 
‘‘(2) EXCEPTION
IF
OTHER
COVERAGE
IS 
AVAILABLE.— 
‘‘(A) IN
GENERAL.—An individual de-
scribed in paragraph (1) shall not be eligible for 
enrollment in the program for purposes of cov-
erage described in such paragraph with respect 
to any period in which the individual, as deter-
mined in accordance with subparagraph (B)— 
‘‘(i) is enrolled in a group health plan 
or group or individual health insurance 
coverage, as such terms are defined in sec-
tion 2791 of the Public Health Service 
Act; 
‘‘(ii) is enrolled for coverage under the 
TRICARE for Life program under section 
1086(d) of title 10, United States Code; 
‘‘(iii) is enrolled under a State plan 
(or waiver of such plan) under title XIX 
and is eligible to receive benefits for im-
munosuppressive drugs described in this 
subsection under such plan (or such waiv-
er); 
‘‘(iv) is enrolled under a State child 
health plan (or waiver of such plan) under 
title XXI and is eligible to receive benefits 
for such drugs under such plan (or such 
waiver); or 
‘‘(v)(I) is enrolled in the patient en-
rollment system of the Department of Vet-
erans Affairs established and operated 
under section 1705 of title 38, United 
States Code; 
‘‘(II) is not required to enroll under 
section 1705 of such title to receive im-
munosuppressive drugs described in this 
subsection; or
‘‘(III) is otherwise eligible under a 
provision of title 38, United States Code, 
other than section 1710 of such title to re-
ceive immunosuppressive drugs described 
in this subsection. 
‘‘(B) ELIGIBILITY DETERMINATIONS.— 
‘‘(i) IN GENERAL.—The Secretary, in 
coordination with the Commissioner of So-
cial Security, shall establish a process for 
determining whether an individual de-
scribed in paragraph (1) who is to be en-
rolled or deemed to be enrolled in the med-
ical insurance program described in such 
paragraph meets the requirements for such 
enrollment under this subsection, including 
the requirement that the individual not be 
enrolled in other coverage as described in 
subparagraph (A). 
‘‘(ii) 
ATTESTATION
REGARDING 
OTHER
COVERAGE.—The process estab-
lished under clause (i) shall include, at a 
minimum, a requirement that— 
‘‘(I) the individual provide to the 
Commissioner an attestation that the 
individual is not enrolled and does not
expect to enroll in such other cov-
erage; and 
‘‘(II) the individual notify the 
Commissioner within 60 days of en-
rollment in such other coverage.’’. 
(B) CONFORMING AMENDMENT.— 
(i) IN
GENERAL.—Sections 1837, 
1838, and 1839 of the Social Security Act 
(42 U.S.C. 1395p, 42 U.S.C. 1395q, 42 
U.S.C. 1395r) are each amended by strik-
ing ‘‘1836’’ and inserting ‘‘1836(a)’’ each 
place it appears. 
(ii) ADDITIONAL
AMENDMENT.—Sec-
tion 1837(j)(1) of such Act (42 U.S.C. 
1395p(j)(1)) 
is 
amended 
by 
striking 
‘‘1836(1)’’ and inserting ‘‘1836(a)(1)’’. 
(b) ENROLLMENT FOR INDIVIDUALS ONLY ELIGIBLE 
FOR COVERAGE OF IMMUNOSUPPRESSIVE DRUGS.—Sec-
tion 1837 of the Social Security Act (42 U.S.C. 1395p), 
as amended by section 2(b)(2)(A), is further amended by 
adding at the end the following new subsection: 
‘‘(n)(1) Any individual who is eligible for coverage of 
immunosuppressive drugs under section 1836(b) may en-
roll or be deemed to have enrolled only in such manner
and form as may be prescribed by regulations, and only 
during an enrollment period described in this subsection. 
‘‘(2) An individual described in paragraph (1) whose 
entitlement for hospital insurance benefits under part A 
ends by reason of section 226A(b)(2) prior to January 1, 
2023, may enroll beginning on October 1, 2022, or the 
day on which the individual first satisfies section 1836(b), 
whichever is later. 
‘‘(3) An individual described in paragraph (1) whose 
entitlement for hospital insurance benefits under part A 
ends by reason of section 226A(b)(2) on or after January 
1, 2023, shall be deemed to have enrolled in the medical 
insurance program established by this part for purposes 
of coverage of immunosuppressive drugs. 
‘‘(4) The Secretary shall establish a process under 
which an individual described in paragraph (1) whose 
other coverage described in section 1836(b)(2)(A), or cov-
erage under this part (including the medical insurance 
program established under this part for purposes of cov-
erage of immunosuppressive drugs), is terminated volun-
tarily or involuntary may enroll or reenroll, if applicable, 
in the medical insurance program established under this 
part for purposes of coverage of immunosuppressive 
drugs.’’.
(c) COVERAGE PERIOD FOR INDIVIDUALS ONLY ELI-
GIBLE
FOR
COVERAGE
OF
IMMUNOSUPPRESSIVE 
DRUGS.— 
(1) IN GENERAL.—Section 1838 of the Social 
Security Act (42 U.S.C. 1395q), as amended by sec-
tion 2(b)(2)(B), is further amended by adding at the 
end the following new subsection: 
‘‘(h) In the case of an individual described in section 
1836(b)(1), the following rules shall apply: 
‘‘(1) In the case of such an individual who is 
deemed to have enrolled in part B for coverage of 
immunosuppressive drugs under section 1837(n)(3), 
such individual’s coverage period shall begin on the 
first day of the month in which the individual first 
satisfies section 1836(b). 
‘‘(2) In the case of such an individual who en-
rolls (or reenrolls, if applicable) in part B for cov-
erage of immunosuppressive drugs under paragraph 
(2) or (4) of section 1837(n), such individual’s cov-
erage period shall begin on January 1, 2023, or the 
month following the month in which the individual 
so enrolls (or reenrolls), whichever is later. 
‘‘(3) The provisions of subsections (b) and (d) 
shall apply with respect to an individual described in 
paragraph (1) or (2).