I 
109TH CONGRESS 
2D SESSION 
H. R. 6175 
To amend title XVIII of the Social Security Act to provide for guaranteed 
issue of Medicare supplemental policies for disabled and renal disease 
beneficiaries upon first enrolling under part B of the Medicare Program. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 26, 2006 
Mr. ENGLISH of Pennsylvania (for himself, Mr. RUSH, Mr. HAYWORTH, Mr. 
WYNN, Mr. MCHUGH, Mr. GENE GREEN of Texas, Mr. MCNULTY, and 
Mr. JEFFERSON) introduced the following bill; which was referred to the 
Committee on Ways and Means, and in addition to the Committee on En-
ergy and Commerce, 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 title XVIII of the Social Security Act to provide 
for guaranteed issue of Medicare supplemental policies 
for disabled and renal disease beneficiaries upon first 
enrolling under part B of the Medicare Program. 
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 ‘‘Medigap Access Im-
provement Act of 2006’’. 
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SEC. 2. EXTENDING GUARANTEED ISSUE OF MEDIGAP 
POLICIES TO ALL MEDICARE ELIGIBLE INDI-
VIDUALS. 
(a) IN GENERAL.—Section 1882(s) of the Social Se-
curity Act (42 U.S.C. 1395ss(s)) is amended— 
(1) in paragraph (2)(A), by inserting before the 
period at the end the following: ‘‘and, in the case of 
an individual who is under 65 years of age and who 
is enrolled for benefits under part B, during the 6 
month period beginning with the first month as of 
the first day on which the individual is so enrolled’’; 
(2) in paragraph (2)(D), by striking ‘‘the 6- 
month period described in subparagraph (A) to an 
individual who is 65 years of age or older as of the 
date of issuance and’’ and inserting ‘‘a 6-month pe-
riod described in subparagraph (A) to an indi-
vidual’’; and 
(3) in paragraph (3)(B)(vi), by striking ‘‘at age 
65’’. 
(b) EFFECTIVE DATE.— 
(1) IN GENERAL.—The amendments made by 
subsection (a) shall take effect as of the date of the 
enactment of this Act. 
(2) TRANSITION
FOR
CURRENTLY
ELIGIBLE 
MEDICARE INDIVIDUALS.— 
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(A) IN
GENERAL.—No medicare supple-
mental policy of an issuer shall be deemed to 
meet the standards in subsection (c) of section 
1882 of the Social Security Act (42 U.S.C. 
1395ss) unless the issuer permits each indi-
vidual described in subparagraph (B), during 
the 6-month period beginning on the first day 
of the first month beginning after the date of 
the enactment of this Act, to be enrolled under 
a medicare supplemental policy in accordance 
with subsection (s) of such section, as amended 
by subsection (a), applied as if the individual 
were first enrolled under part B of title XVIII 
of the Social Security Act as of the first day of 
such first month. 
(B) NONENROLLED
CURRENT
DISABLED 
AND
RENAL
DISEASE
BENEFICIARIES
DE-
SCRIBED.—For purposes of subparagraph (A), 
an individual described in this subparagraph is 
an individual who, as of the first day of the 
first month beginning after the date of the en-
actment of this Act— 
(i) is under 65 years of age; 
(ii) is enrolled under part B of title 
XVIII of the Social Security Act; and 
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(iii) is not enrolled in a medicare sup-
plemental policy. 
Æ 
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