I 
110TH CONGRESS 
1ST SESSION H. R. 1521 
To amend part D of title XVIII of the Social Security Act to remove 
the Medicare prescription drug benefit late enrollment penalty. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 14, 2007 
Mr. KAGEN (for himself, Mr. ALTMIRE, Mr. LARSON of Connecticut, Ms. CAS-
TOR, Mr. BRALEY of Iowa, Mr. PERLMUTTER, Mr. GENE GREEN of 
Texas, Mr. FARR, Mr. CLEAVER, Mr. HIGGINS, Mr. MCNULTY, Ms. 
HIRONO, Mr. COHEN, Mr. PATRICK J. MURPHY of Pennsylvania, and Mr. 
WEXLER) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committee on 
Ways and Means, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To amend part D of title XVIII of the Social Security 
Act to remove the Medicare prescription drug benefit 
late enrollment penalty. 
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 ‘‘Universal Health Act 
of 2007: Repeal of the Late Enrollment Penalty in Medi-
care Part D’’. 
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SEC. 2. REMOVING THE MEDICARE PRESCRIPTION DRUG 
BENEFIT LATE ENROLLMENT PENALTY. 
(a) IN GENERAL.—Section 1860D–13 of the Social 
Security Act (42 U.S.C. 1395w–113) is amended— 
(1) in the heading, by striking ‘‘; LATE EN-
ROLLMENT PENALTY’’; 
(2) in subsection (a)(1), by striking subpara-
graph (D); 
(3) by striking subsection (b); and 
(4) in subsection (c)— 
(A) in paragraph (1), by striking ‘‘(and 
any late enrollment penalty)’’; 
(B) by striking paragraph (2); and 
(C) in paragraph (3), by striking ‘‘para-
graph (2) shall not apply and’’. 
(b) CONFORMING AMENDMENTS.— 
(1) Section 1860D–1 of such Act (42 U.S.C. 
1395w–101) is amended— 
(A) in subsection (b)— 
(i) in paragraph (3), by striking sub-
paragraph (A); and 
(ii) by striking paragraph (6); and 
(B) in subsection (c), by striking para-
graph (4). 
(2) Section 1860D–11(g)(6) of such Act (42 
U.S.C. 1395w–111(g)(6)) is amended by striking 
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‘‘Except for as provided in section 1860D–13(b) (re-
lating to late enrollment penalty) and subject’’ and 
inserting ‘‘Subject’’. 
(3) Section 1860D–14 of such Act (42 U.S.C. 
1395w–114) is amended— 
(A) by amending subsection (a)(1)(A) to 
read as follows: 
‘‘(A) FULL PREMIUM SUBSIDY.—An income-re-
lated premium subsidy equal to 100 percent of the 
amount described in subsection (b)(1), but not to ex-
ceed the premium amount specified in subsection 
(b)(2)(B).’’; and 
(B) in subsection (b)(2)(B), by striking 
‘‘The premium amounts described in this sub-
paragraph do not include any amounts attrib-
utable to late enrollment penalties under section 
1860D–13(b).’’. 
(4) Section 1860D–16(b)(3) of such Act (42 
U.S.C. 1395w–116(b)(3)) is amended by striking 
‘‘(and the portion of late enrollment penalties)’’. 
(5) Section 1860D–41(a) of such Act (42 
U.S.C. 1395w–141(a)) is amended by striking para-
graph (3). 
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(6) Section 1882(v)(2)(B)(ii) of such Act (42 
U.S.C. 1395ss(v)(2)(B)(ii)) is amended to read as 
follows: 
‘‘(ii) If the individual does not enroll in a 
plan under part D during such period, the indi-
vidual may continue enrollment in the individ-
ual’s current plan without change, but the indi-
vidual will not be guaranteed the option of en-
rollment in another medicare supplemental pol-
icy pursuant to paragraph (3).’’. 
SEC. 3. EFFECTIVE DATE. 
The amendments made by this Act shall be effective 
as of the date of the enactment of this Act and shall apply 
to monthly beneficiary premiums for months beginning 
after such date. 
Æ 
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