‘‘(II) update and revise such no-
tice as the Secretary deems appro-
priate. 
‘‘(D) GROUPS FOR CONSULTATION.— 
‘‘(i) IN
GENERAL.—For purposes of 
subparagraph (C), the groups described in 
this clause include the following: 
‘‘(I) Individuals who are more 
than 60 years of age. 
‘‘(II) Veterans. 
‘‘(III) Individuals with disabil-
ities. 
‘‘(IV) Individuals with end stage 
renal disease. 
‘‘(V) Low-income individuals and 
families. 
‘‘(VI) 
Employers 
(including 
human resources professionals). 
‘‘(VII) States (including rep-
resentatives of State-run Health In-
surance Exchanges, Medicaid offices, 
and Departments of Insurance). 
‘‘(VIII) State Health Insurance 
Assistance Programs. 
‘‘(IX) Health insurers. 
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‘‘(X) Health insurance agents 
and brokers. 
‘‘(XI) Such other groups as spec-
ified by the Secretary. 
‘‘(ii) NONAPPLICATION
OF
FACA.— 
The Federal Advisory Committee Act shall 
not apply to consultations made pursuant 
to subparagraph (C) with groups described 
in clause (i). 
‘‘(E) POSTING OF NOTICE ON WEBSITES.— 
The Commissioner of Social Security and the 
Secretary shall each ensure that the notice 
being used under subparagraph (A) is posted in 
a prominent location on their respective Depart-
ment Internet website.’’. 
(2) INDIVIDUALS
IN
MEDICARE
WAITING
PE-
RIOD.—Title XI of the Social Security Act is amend-
ed by inserting after section 1144 the following new 
section: 
‘‘MEDICARE
ENROLLMENT
NOTIFICATION
AND
ELIGI-
BILITY
NOTICES
FOR
INDIVIDUALS
IN
MEDICARE 
WAITING PERIOD 
‘‘Notices 
‘‘SEC. 1144A. (a) 
‘‘(1) IN GENERAL.—The Commissioner of So-
cial Security, in coordination with the Secretary, 
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shall distribute the notice developed and used by the 
Commissioner under section 1143(a)(4) to individ-
uals in the Medicare waiting period under section 
226(b) of this Act. 
‘‘(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 population receiving the notice. 
‘‘(3) POSTING OF NOTICE ON WEBSITES.—The 
Commissioner of Social Security and the Secretary 
shall each ensure that the notice being distributed 
under paragraph (1) is posted in a prominent loca-
tion on their respective Department Internet 
website. 
‘‘Timing 
‘‘(b) Beginning two years after the date of the enact-
ment of this section, a notice required under subsection 
(a)(1) shall be mailed to an individual no less than two 
times in accordance with the following: 
‘‘(1) The notice shall be provided to such indi-
vidual no later than 3 months prior to the date of 
such individual’s enrollment period as provided 
under section 1837. 
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‘‘(2) The notice shall subsequently be provided 
to such individual no later than one month prior to 
such date.’’. 
(b) BENEFICIARY MEDICARE PART B ENROLLMENT 
PERIODS AND EFFECTIVE DATE OF COVERAGE.— 
(1) EFFECTIVE DATES.—Section 1838(a) of the 
Social Security Act (42 U.S.C. 1395q(a)) is amend-
ed— 
(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, the first day of such month; 
‘‘(B) in the case of an individual not described 
in subparagraph (A) who first satisfies such para-
graph in a month beginning before January 2021 
and who enrolls— 
‘‘(i) pursuant to such subsection (d) in 
such month in which he first satisfies such 
paragraph, the first day of the month following 
the month in which he so enrolls; 
‘‘(ii) pursuant to such subsection (d) in the 
month following such month in which he first 
satisfies such paragraph, the first day of the 
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second month following the month in which he 
so enrolls; or 
‘‘(iii) pursuant to such subsection (d) 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 not described 
in subparagraph (A) who first satisfies such para-
graph in a month beginning on or after January 1, 
2021, 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 fol-
lowing the month in which he so enrolls; 
‘‘(D) in the case of an individual not described 
in subparagraph (A) who enrolls pursuant to sub-
section (e) of section 1837 in a month beginning be-
fore October 15, 2020, the July 1 following the 
month in which he so enrolls; or 
‘‘(E) in the case of an individual not described 
in subparagraph (A) who enrolls pursuant to sub-
section (e) of section 1837 in a month beginning on 
or after October 15, 2020, the first day of the 
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month following the month in which he so enrolls.’’; 
and 
(B) by amending paragraph (3) to read as 
follows: 
‘‘(3)(A) in the case of an individual who is 
deemed to have enrolled 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 or July 1, 
1973, whichever is later; 
‘‘(B) in the case of an individual who is deemed 
to have enrolled on or after the first day of the 
fourth month of his initial enrollment period begin-
ning before January 1, 2021, as prescribed under 
subparagraphs (B)(i), (B)(ii), (B)(iii), and (D) of 
paragraph (2) of this subsection; or 
‘‘(C) in the case of an individual who is deemed 
to have enrolled on or after the first day of the 
fourth month of his initial enrollment period begin-
ning on or after January 1, 2021, as prescribed 
under paragraph (2)(C) of this subsection.’’. 
(2) GENERAL AND SPECIAL ENROLLMENT PERI-
ODS.—Section 1837(e) of the Social Security Act 
(42 U.S.C. 1395p(e)) is amended to read as follows: 
‘‘(e) ENROLLMENT PERIODS.— 
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‘‘(1) FOR COVERAGE DURING YEARS BEFORE 
2022.—There shall be a general enrollment period 
during the period beginning on January 1 and end-
ing on March 31 of each year before 2022. 
‘‘(2) FOR COVERAGE DURING YEARS BEGINNING 
WITH 2022.—For coverage during years beginning 
with 2022 and each subsequent year, there shall be 
a general enrollment period beginning on October 15 
of the previous year through December 31 of such 
previous year. 
‘‘(3) 
EXCEPTIONAL
CIRCUMSTANCES.—The 
Secretary may establish a special enrollment period 
in the case that an individual meets such exceptional 
conditions as the Secretary may provide.’’. 
(3) TECHNICAL CORRECTION.— 
(A) IN GENERAL.—Section 1839(b) of the 
Social Security Act (42 U.S.C. 1395r(b)) is 
amended by striking ‘‘close of the enrollment 
period’’ each place it appears and inserting 
‘‘close of the month’’. 
(B) EFFECTIVE
DATE.—The amendment 
made by subparagraph (A) shall take effect on 
November 1, 2021. 
Æ 
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