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TITLE VIII—MISCELLANEOUS 
SEC. 801. GUARANTEED ISSUE OF CERTAIN MEDIGAP POLI-
CIES. 
(a) GUARANTEED ISSUE OF MEDIGAP POLICIES TO 
ALL MEDIGAP-ELIGIBLE MEDICARE BENEFICIARIES.— 
(1) IN GENERAL.—Section 1882(s) of the So-
cial Security Act (42 U.S.C. 1395ss(s)) is amend-
ed— 
(A) in paragraph (2)(A), by striking ‘‘65 
years of age or older and is enrolled for benefits 
under part B’’ and inserting ‘‘entitled to, or en-
rolled for, benefits under part A and enrolled 
for benefits under part B’’; 
(B) in paragraph (2)(D), by striking ‘‘who 
is 65 years of age or older as of the date of 
issuance and’’; 
(C) in paragraph (3)(B)(ii), by striking ‘‘is 
65 years of age or older and’’; and 
(D) in paragraph (3)(B)(vi), by striking 
‘‘at age 65’’. 
(2) ADDITIONAL
ENROLLMENT
PERIOD
FOR 
CERTAIN INDIVIDUALS.— 
(A) ONE-TIME ENROLLMENT PERIOD.— 
(i) IN
GENERAL.—In the case of a 
specified individual, the Secretary shall es-
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tablish a one-time enrollment period de-
scribed in clause (iii) during which such an 
individual may enroll in any medicare sup-
plemental policy of the individual’s choos-
ing. 
(ii) 
APPLICATION.—The 
provisions 
of— 
(I) paragraph (2) of section 
1882(s) of the Social Security Act (42 
U.S.C. 1395ss(s)) shall apply with re-
spect to a specified individual who is 
described in subclause (I) of subpara-
graph (B)(iii) as if references in such 
paragraph (2) to the 6 month period 
described in subparagraph (A) of such 
paragraph were references to the one- 
time enrollment period established 
under clause (i); and 
(II) paragraph (3) of such sec-
tion shall apply with respect to a spec-
ified individual who is described in 
subclause 
(II) 
of 
subparagraph 
(B)(iii) as if references in such para-
graph (3) to the period specified in 
subparagraph (E) of such paragraph 
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were references to the one-time enroll-
ment period established under clause 
(i). 
(iii) PERIOD.—The enrollment period 
established under clause (i) shall be the 6- 
month period beginning on January 1, 
2024. 
(B) SPECIFIED
INDIVIDUAL.—For pur-
poses of this paragraph, the term ‘‘specified in-
dividual’’ means an individual who— 
(i) is entitled to hospital insurance 
benefits under part A of title XVIII of the 
Social Security Act (42 U.S.C. 1395c et 
seq.) pursuant to section 226(b) or section 
226A of such Act (42 U.S.C. 426(b); 426– 
1); 
(ii) is enrolled for benefits under part 
B of such Act (42 U.S.C. 1395j et seq.); 
and 
(iii)(I) would not, but for the amend-
ments made by subparagraphs (A) and (B) 
of paragraph (1) and the provisions of this 
paragraph (if such provisions applied to 
such individual), be eligible for the guaran-
teed issue of a medicare supplemental pol-
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icy under paragraph (2) of section 1882(s) 
of such Act (42 U.S.C. 1395ss(s)); or 
(II) would not, but for the amend-
ments made by subparagraphs (C) and (D) 
of paragraph (1) and the provisions of this 
paragraph (if such provisions applied to 
such individual), be eligible for the guaran-
teed issue of a medicare supplemental pol-
icy under paragraph (3) of such section. 
(C) OUTREACH PLAN.— 
(i) IN GENERAL.—The Secretary shall 
develop an outreach plan to notify specified 
individuals of the one-time enrollment pe-
riod established under subparagraph (A). 
(ii) 
CONSULTATION.—In 
imple-
menting the outreach plan developed under 
clause (i), the Secretary shall consult with 
consumer advocates, brokers, insurers, the 
National Association of Insurance Commis-
sioners, and State Health Insurance As-
sistance Programs. 
(3) EFFECTIVE DATE.—The amendments made 
by paragraph (1) shall apply to medicare supple-
mental policies effective on or after January 1, 
2024. 
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(b) GUARANTEED ISSUE OF MEDIGAP POLICIES FOR 
MEDICARE ADVANTAGE ENROLLEES.— 
(1) IN
GENERAL.—Section 1882(s)(3) of the 
Social Security Act (42 U.S.C. 1395ss(s)(3)), as 
amended by subsection (a), is further amended— 
(A) in subparagraph (B), by adding at the 
end the following new clause: 
‘‘(vii) The individual— 
‘‘(I) was enrolled in a Medicare Advantage 
plan under part C for not less than 12 months; 
‘‘(II) subsequently disenrolled from such 
plan; 
‘‘(III) elects to receive benefits under this 
title through the original Medicare fee-for-serv-
ice program under parts A and B; and 
‘‘(IV) has not previously elected to receive 
benefits under this title through the original 
Medicare fee-for-service program pursuant to 
disenrollment from a Medicare Advantage plan 
under part C.’’; 
(B) by striking subparagraph (C)(iii) and 
inserting the following: 
‘‘(iii) Subject to subsection (v)(1), for purposes of an 
individual described in clause (vi) or (vii) of subparagraph 
(B), a medicare supplemental policy described in this sub-
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paragraph shall include any medicare supplemental pol-
icy.’’; and 
(C) in subparagraph (E)— 
(i) in clause (iv), by striking ‘‘and’’ at 
the end; 
(ii) in clause (v), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing new clause— 
‘‘(vi) in the case of an individual described in 
subparagraph (B)(vii), the annual, coordinated elec-
tion period (as defined in section 1851(e)(3)(B)) or 
a continuous open enrollment period (as defined in 
section 1851(e)(2)) during which the individual 
disenrolls from a Medicare Advantage plan under 
part C.’’. 
(2) EFFECTIVE DATE.—The amendments made 
by paragraph (1) shall apply to medicare supple-
mental policies effective on or after January 1, 
2024. 
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