115TH CONGRESS 
2D SESSION 
H. R. 6662 
AN ACT 
To amend title XVIII of the Social Security Act to extend 
the special election period under part C of the Medicare 
program for certain deemed individuals enrolled in a 
reasonable cost reimbursement contract to any Medicare 
Advantage eligible individual enrolled in such a contract 
during the final year such contract is extended, 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 ‘‘Empowering Seniors’ 
Enrollment Decision Act of 2018’’. 
SEC. 2. EXTENDING THE SPECIAL ELECTION PERIOD 
UNDER PART C OF THE MEDICARE PROGRAM 
FOR CERTAIN DEEMED INDIVIDUALS EN-
ROLLED IN A REASONABLE COST REIM-
BURSEMENT CONTRACT TO ANY MA ELIGI-
BLE INDIVIDUAL ENROLLED IN SUCH A CON-
TRACT DURING THE FINAL YEAR SUCH A 
CONTRACT IS EXTENDED; EXTENDING CON-
VERSIONS 
OF 
REASONABLE 
COST 
REIM-
BURSEMENT CONTRACTS TO MA PLANS. 
(a) EXTENDING THE SPECIAL ELECTION PERIOD 
UNDER PART C OF THE MEDICARE PROGRAM FOR CER-
TAIN DEEMED INDIVIDUALS ENROLLED IN A REASON-
ABLE COST REIMBURSEMENT CONTRACT TO ANY MA EL-
IGIBLE INDIVIDUAL ENROLLED IN SUCH A CONTRACT 
DURING THE FINAL YEAR SUCH A CONTRACT IS EX-
TENDED.— 
(1) IN GENERAL.—Section 1851(e)(2)(F) of the 
Social Security Act (42 U.S.C. 1395w–21(e)(2)(F)) 
is amended— 
(A) in the header, by striking ‘‘DEEMED 
ELECTIONS’’ and inserting ‘‘INDIVIDUALS EN-
ROLLED IN A REASONABLE COST REIMBURSE-
MENT CONTRACT’’; and 
(B) by amending clause (i) to read as fol-
lows: 
‘‘(i) IN GENERAL.—With respect to a 
reasonable cost reimbursement contract 
under section 1876(h) that is not extended 
or renewed, an individual enrolled in the 
contract for the final year in which such 
contract is extended or renewed may, at 
any time during the period beginning after 
the last day of the annual, coordinated 
election period under paragraph (3) occur-
ring during such final year and ending on 
the last day of February of the first plan 
year following such final year, change the 
election under subsection (a)(1) (including 
changing the MA plan or MA–PD plan in 
which the individual is enrolled) for such 
first plan year following such final year.’’. 
(2) CLARIFICATION RELATING TO DEEMED IN-
DIVIDUALS
ENROLLED
IN
A
REASONABLE
REIM-
BURSEMENT CONTRACT.—Section 1851(c)(4)(A) of 
the Social Security Act (42 U.S.C. 1395w– 
21(c)(4)(A)) is amended—
(A) by amending clause (ii) to read as fol-
lows: 
‘‘(ii) such previous plan year was the 
final year in which such contract was ex-
tended or renewed;’’; and 
(B) in clause (iii) by striking ‘‘subclause 
(III) of such section’’ and inserting ‘‘section 
1876(h)(5)(C)(iv)(IV)’’. 
(b) EXTENDING
CONVERSIONS
OF
REASONABLE 
COST REIMBURSEMENT CONTRACTS TO MA PLANS.— 
Section 1876(h)(5)(C) of the Social Security Act (42 
U.S.C. 1395mm(h)(5)(C)) is amended— 
(1) in clause (iv)— 
(A) in subclause (I), by striking the last 
sentence; 
(B) 
by 
redesignating 
subclauses 
(I) 
through (V) as subclauses (II) through (VI), re-
spectively; 
(C) by inserting before subclause (II), as 
so redesignated, the following subclause: 
‘‘(I) The final year in which such 
contract is extended or renewed is re-
ferred to in this subsection as the ‘last 
reasonable cost reimbursement con-
tract year for the contract’.’’; and
(D) in subclause (V), as so redesignated, 
by striking ‘‘subclause (III)’’ and inserting 
‘‘subclause (IV)’’; and 
(2) in clause (v), by striking ‘‘that is extended 
or renewed pursuant to clause (iv) provides the no-
tice described in clause (iv)(III)’’ and inserting ‘‘that 
is not to be extended or renewed provides the notice 
described in clause (iv)(IV)’’. 
Passed the House of Representatives September 12, 
2018. 
Attest: 
Clerk.
115TH CONGRESS 
2D SESSION 
H. R. 6662 
AN ACT 
To amend title XVIII of the Social Security Act to 
extend the special election period under part C of 
the Medicare program for certain deemed individ-
uals enrolled in a reasonable cost reimbursement 
contract to any Medicare Advantage eligible indi-
vidual enrolled in such a contract during the 
final year such contract is extended, and for 
other purposes.