I 
113TH CONGRESS 
1ST SESSION H. R. 2618 
To allow certain State and local government employees to elect to treat 
employment as medicare qualified government employment for purposes 
of entitlement to Medicare coverage. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 8, 2013 
Mr. GENE GREEN of Texas 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 with-
in the jurisdiction of the committee concerned 
A BILL 
To allow certain State and local government employees to 
elect to treat employment as medicare qualified govern-
ment employment for purposes of entitlement to Medi-
care coverage. 
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. ABILITY FOR CERTAIN STATE AND LOCAL GOV-
ERNMENT EMPLOYEES TO ELECT TO TREAT 
EMPLOYMENT 
AS 
MEDICARE 
QUALIFIED 
GOVERNMENT EMPLOYMENT FOR PURPOSES 
OF ENTITLEMENT TO MEDICARE COVERAGE. 
Section 210(p) of the Social Security Act (42 U.S.C. 
410(p)) is amended— 
(1) in paragraph (3)(B), by inserting ‘‘who has 
not made an election under subject to paragraph (5) 
and’’ after ‘‘an individual’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(5)(A) The Commissioner of Social Security shall 
establish procedures under which an eligible individual de-
scribed in subparagraph (B) may, beginning on or after 
the date that is 180 days after the date of the enactment 
of this paragraph, make an irrevocable election to extend 
the provisions of title XVIII, and sections 226 and 226A, 
to services performed by such individual as an employee 
of a State or political subdivision thereof in the same man-
ner as such provisions would be extended to such indi-
vidual if such State entered into (or modified) an agree-
ment with the Commissioner pursuant to section 218(n). 
‘‘(B) For purposes of subparagraph (A), an eligible 
individual is an employee— 
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‘‘(i) whose services without application of this 
paragraph would not otherwise be treated as employ-
ment as that term applies under section 210(p) by 
reason of paragraph (3) of such section; and 
‘‘(ii) who is not otherwise covered under the 
State’s agreement under section 218.’’. 
SEC. 2. MEDICARE PORTION OF PAYROLL TAXES FOR 
STATE AND LOCAL GOVERNMENT EMPLOY-
EES WHO ELECT TO TREAT EMPLOYMENT AS 
MEDICARE 
QUALIFIED 
GOVERNMENT 
EM-
PLOYMENT. 
(a) IN GENERAL.—Paragraph (7) of section 3121(b) 
of the Internal Revenue Code of 1986 is amended by strik-
ing ‘‘or’’ at the end of subparagraph (E), by inserting 
‘‘or’’ at the end of subparagraph (F), and by adding at 
the end the following new subparagraph: 
‘‘(G) service included under election made 
under section 210(p)(5) of the Social Security 
Act;’’. 
(b) EFFECTIVE DATE.—The amendments made by 
this section shall apply to remuneration paid after the date 
of the enactment of this Act. 
Æ 
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