I 
109TH CONGRESS 
2D SESSION 
H. R. 5297 
To amend title XVIII of the Social Security Act to extend by one year 
the initial enrollment period for Medicare prescription drug benefits and 
for Medicare Advantage plans, to authorize the Secretary of Health 
and Human Services to negotiate fair prices for Medicare prescription 
drugs, and to express the sense of Congress that the Secretary should 
conduct activities to improve outreach and educational efforts with re-
spect to such benefits. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 4, 2006 
Mrs. JO ANN DAVIS of Virginia introduced the following bill; which was re-
ferred to the Committee on Ways and Means, and in addition to the 
Committee on Energy and Commerce, for a period to be subsequently de-
termined by the Speaker, in each case for consideration of such provisions 
as fall within the jurisdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to extend 
by one year the initial enrollment period for Medicare 
prescription drug benefits and for Medicare Advantage 
plans, to authorize the Secretary of Health and Human 
Services to negotiate fair prices for Medicare prescription 
drugs, and to express the sense of Congress that the 
Secretary should conduct activities to improve outreach 
and educational efforts with respect to such benefits. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Improving Access to 
Medicare Part D Act of 2006’’. 
SEC. 2. ONE-YEAR EXTENSION OF ENROLLMENT PERIOD 
FOR MEDICARE PRESCRIPTION DRUG BENE-
FITS AND MA PLANS. 
(a) IN GENERAL.—Section 1851(e)(3)(B) of the So-
cial Security Act (42 U.S.C. 1395w–21(e)(3)(B)) is 
amended— 
(1) in clause (iii), by striking ‘‘May 15, 2006; 
and’’ and inserting ‘‘November 14, 2006’’; 
(2) in clause (iv), by striking ‘‘2007’’ and in-
serting ‘‘2008’’ and redesignating such clause as 
clause (v); and 
(3) by inserting after clause (iii) the following 
new clause: 
‘‘(iv) with respect to 2007, the period 
beginning on November 15, 2006, and end-
ing on May 15, 2007; and’’. 
(b) CONFORMING AMENDMENTS RELATED TO CON-
TINUOUS OPEN ENROLLMENT AND DISENROLLMENT.— 
Section 1851(e)(2) of such Act (42 U.S.C. 1395w– 
21(e)(2)) is amended— 
(1) in subparagraph (B)— 
(A) in the heading, by striking ‘‘FOR FIRST 
6 MONTHS’’; 
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(B) in clause (i), by striking ‘‘, subpara-
graph (C)(iii), and subparagraph (D)’’ and in-
serting ‘‘and subparagraph (E)’’; and 
(C) in clause (i), by striking ‘‘during the 
first 6 months of 2006’’ and all that follows 
through ‘‘is a Medicare+Choice eligible indi-
vidual,’’ and inserting ‘‘during 2006’’; 
(2) in subparagraph (C)— 
(A) in clause (i)— 
(i) by striking ‘‘subparagraph (D)’’ 
and inserting ‘‘subparagraph (E)’’; and 
(ii) by striking ‘‘2006’’ and inserting 
‘‘2007’’ each place it appears; and 
(B) in clause (iii), by striking ‘‘2006’’ and 
inserting ‘‘2007’’; 
(3) by redesignating subparagraphs (C) and 
(D) as subparagraphs (D) and (E), respectively; and 
(4) by inserting after subparagraph (B) the fol-
lowing new subparagraph: 
‘‘(C) CONTINUOUS
OPEN
ENROLLMENT 
AND
DISENROLLMENT
FOR
FIRST
MONTHS 
DURING 2007.— 
‘‘(i) IN GENERAL.—Subject to clause 
(ii), subparagraph (D)(iii), and subpara-
graph (E), at any time during the first 6 
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