I 
110TH CONGRESS 
2D SESSION 
H. R. 6196 
To amend title II of the Social Security Act to provide for Medicare coverage 
of individuals receiving a heart transplant. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 5, 2008 
Mr. BERRY 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 juris-
diction of the committee concerned 
A BILL 
To amend title II of the Social Security Act to provide 
for Medicare coverage of individuals receiving a heart 
transplant. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SPECIAL PROVISIONS RELATING TO COVERAGE 
UNDER THE MEDICARE PROGRAM FOR INDI-
VIDUALS RECEIVING HEART TRANSPLANTS. 
(a) IN GENERAL.—Title II of the Social Security Act 
is amended by inserting after section 226A the following 
new section: 
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‘‘SPECIAL PROVISIONS RELATING TO COVERAGE UNDER 
MEDICARE PROGRAM FOR INDIVIDUALS RECEIVING 
HEART TRANSPLANTS 
‘‘SEC. 226B. (a) Every individual who— 
‘‘(1) satisfies the requirements of subparagraph (A), 
(B), or (C) of paragraph (1) of section 226A(a); 
‘‘(2) is not entitled to benefits under part A under 
section 226A; 
‘‘(3) is officially listed through the United Network 
for Organ Sharing for receipt of a heart transplant; and 
‘‘(4) has filed an application for benefits under this 
section; 
shall, in accordance with the succeeding provisions of this 
section, be entitled to benefits under part A and eligible 
to enroll under part B of title XVIII, subject to the de-
ductible, premium, and coinsurance provisions of that 
title. 
‘‘(b) Entitlement of an individual to benefits under 
part A and eligibility to enroll under part B of title XVIII 
by reasons of this section— 
‘‘(1) shall begin with the month in which such 
individual receives a heart transplant, or (if earlier) 
the first month in which such individual is officially 
listed through the United Network for Organ Shar-
ing for receipt of a heart transplant, but only if such 
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transplantation occurs in that month or in either of 
the next five months (but no earlier than one year 
preceding the month of the filing of an application 
for benefits under this section); and 
‘‘(2) shall end with the thirty-sixth month after 
the month in which such individual receives such 
transplant. 
‘‘(c)(1) Subject to paragraph (2), in accordance with 
rules established by the Secretary, the provisions of title 
XVIII (except for sections 1853(a)(1)(H), 1862(b), and 
1881) that are applicable to section 226A and an indi-
vidual medically determined to have end stage renal dis-
ease, with respect to the receipt of a kidney transplant, 
shall apply in a similar manner to this section and an indi-
vidual officially listed through the United Network for 
Organ Sharing, with respect to the receipt of a heart 
transplant. 
‘‘(2) Section 1862(b) shall apply to individuals enti-
tled to benefits under title XVIII under this section in a 
similar manner as such section applies to individuals enti-
tled to benefits under such title under section 226(b).’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to applications filed on or after 
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the date of the enactment of this Act, but only with re-
spect to benefits for months beginning with January 2009. 
Æ 
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