II 
Calendar No. 273 
117TH CONGRESS 
2D SESSION 
H. R. 3076 
IN THE SENATE OF THE UNITED STATES 
FEBRUARY 8 (legislative day, FEBRUARY 3), 2022 
Received; read the first time 
FEBRUARY 9, 2022 
Read the second time and placed on the calendar 
FEBRUARY 14, 2022 
Previous actions vitiated and ordered returned to the House 
FEBRUARY 14, 2022 
Read the first time 
FEBRUARY 15, 2022 
Read the second time and placed on the calendar 
AN ACT 
To provide stability to and enhance the services of the United 
States Postal Service, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Postal Service Reform Act of 2022’’. 
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(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Definitions. 
TITLE I—POSTAL SERVICE FINANCIAL REFORMS 
Sec. 101. Postal Service Health Benefits Program. 
Sec. 102. USPS Fairness Act. 
Sec. 103. Nonpostal services. 
TITLE II—POSTAL SERVICE OPERATIONAL REFORMS 
Sec. 201. Performance targets and transparency. 
Sec. 202. Integrated delivery network. 
Sec. 203. Review of Postal Service cost attribution guidelines. 
Sec. 204. Rural newspaper sustainability. 
Sec. 205. Funding of Postal Regulatory Commission. 
Sec. 206. Flats operations study and reform. 
Sec. 207. Reporting requirements. 
Sec. 208. Postal Service transportation selection policy revisions. 
Sec. 209. USPS Inspector General oversight of Postal Regulatory Commission. 
TITLE III—SEVERABILITY 
Sec. 301. Severability. 
SEC. 2. DEFINITIONS. 
(a) COMMISSION.—In this Act, the term ‘‘Commis-
sion’’ means the Postal Regulatory Commission. 
(b) TERMS DEFINED IN TITLE 39, UNITED STATES 
CODE.—In this Act, the terms ‘‘competitive product’’, 
‘‘market-dominant product’’, and ‘‘Postal Service’’ have 
the meanings given those terms in section 102 of title 39, 
United States Code. 
TITLE I—POSTAL SERVICE 
FINANCIAL REFORMS 
SEC. 101. POSTAL SERVICE HEALTH BENEFITS PROGRAM. 
(a) ESTABLISHMENT.— 
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(1) IN GENERAL.—Chapter 89 of title 5, United 
States Code, is amended by inserting after section 
8903b the following: 
‘‘§ 8903c. Postal Service Health Benefits Program 
‘‘(a) DEFINITIONS.—In this section— 
‘‘(1) the term ‘covered Medicare individual’ 
means an individual who is entitled to benefits under 
Medicare part A, but excluding an individual who is 
eligible to enroll under such part under section 1818 
or 1818A of the Social Security Act (42 U.S.C. 
1395i–2, 1395i–2a); 
‘‘(2) the term ‘initial contract year’ means the 
contract year beginning in January of 2025; 
‘‘(3) the term ‘initial participating carrier’ 
means a carrier that enters into a contract with the 
Office to participate in the Program during the ini-
tial contract year; 
‘‘(4) the term ‘Medicare part A’ means part A 
of title XVIII of the Social Security Act (42 U.S.C. 
1395c et seq.); 
‘‘(5) the term ‘Medicare part B’ means part B 
of title XVIII of the Social Security Act (42 U.S.C. 
1395j et seq.); 
‘‘(6) the term ‘Office’ means the Office of Per-
sonnel Management; 
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an annuitant (as those terms are defined in para-
graphs (1) and (3), respectively, of section 8901), 
consistent with the requirements of this section. 
‘‘(b) APPLICATION.—The requirements under this 
section shall— 
‘‘(1) apply to the initial contract year and each 
contract year thereafter; and 
‘‘(2) supersede any other provision of this chap-
ter inconsistent with such requirements, as deter-
mined by the Office. 
‘‘(c) ESTABLISHMENT
OF
THE POSTAL SERVICE 
HEALTH BENEFITS PROGRAM.— 
‘‘(1) IN GENERAL.— 
‘‘(A) ESTABLISHMENT.—The Office shall 
establish the Postal Service Health Benefits 
Program within the Federal Employees Health 
Benefits Program under this chapter, under 
which the Office may contract with carriers to 
offer health benefits plans as described under 
this section. 
‘‘(B) APPLICABILITY
OF
CHAPTER
RE-
QUIREMENTS TO CONTRACTS.—Except as other-
wise provided in this section, any contract de-
scribed in subparagraph (A) shall be consistent 
with the requirements of this chapter for con-
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tracts under section 8902 with carriers to offer 
health benefits plans other than under this sec-
tion. 
‘‘(C) PROGRAM
PLANS
AND
PARTICIPA-
TION.—The Program shall— 
‘‘(i) to the greatest extent prac-
ticable— 
‘‘(I) with respect to each plan 
provided by a carrier under this sub-
chapter in which the total enrollment 
includes, in the contract year begin-
ning in January 2023, 1,500 or more 
enrollees who are Postal Service em-
ployees or Postal Service annuitants, 
include a plan offered by that carrier 
with equivalent benefits and cost-shar-
ing requirements as provided under 
paragraph (2), except that the Direc-
tor of the Office may exempt any 
comprehensive medical plan from this 
requirement; and 
‘‘(II) include plans offered by any 
other carrier determined appropriate 
by the Office; 
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‘‘(ii) provide for enrollment in Pro-
gram plans of Postal Service employees 
and Postal Service annuitants, in accord-
ance with subsection (d); 
‘‘(iii) provide for enrollment in a Pro-
gram plan as an individual, for self plus 
one, or for self and family; and 
‘‘(iv) not provide for enrollment in a 
Program plan of an individual who is not 
a Postal Service employee or Postal Service 
annuitant (except as a member of family of 
such an employee or annuitant or as pro-
vided under paragraph (4)). 
‘‘(2) COVERAGE WITH EQUIVALENT BENEFITS 
AND COST-SHARING.—In the initial contract year, 
the Office shall ensure that each carrier partici-
pating in the Program provides under the Program 
plans offered by the carrier benefits and cost-sharing 
requirements that are equivalent to the benefits and 
cost-sharing requirements under the health benefits 
plans offered by the carrier under this chapter that 
are not Program plans, except that prescription drug 
benefits and cost-sharing requirements may differ 
between the Program plans and other health benefits 
plans offered by the carrier under this chapter to the 
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extent needed to integrate the Medicare part D pre-
scription drug benefits coverage required under sub-
section (h)(2). 
‘‘(3) APPLICABILITY OF FEDERAL EMPLOYEES 
HEALTH BENEFITS PROGRAM REQUIREMENTS.—Ex-
cept as otherwise set forth in this section, the provi-
sions of this chapter applicable to health benefits 
plans offered by carriers under section 8903 or 
8903a shall apply to plans offered under the Pro-
gram. 
‘‘(4) APPLICATION
OF
CONTINUATION
COV-
ERAGE.—In accordance with rules established by the 
Office, section 8905a shall apply to health benefits 
plans offered under this section in the same manner 
as such section applies to other health benefits plans 
offered under this chapter. 
‘‘(d) ELECTION OF COVERAGE.—Each Postal Service 
employee and Postal Service annuitant who elects to re-
ceive health benefits coverage under this chapter— 
‘‘(1) shall be subject to the requirements of this 
section; and 
‘‘(2) may not enroll in any other health benefits 
plan offered under any other section of this chapter. 
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‘‘(e) REQUIREMENT
OF MEDICARE ENROLLMENT 
FOR CERTAIN ANNUITANTS AND THEIR FAMILY MEM-
BERS.— 
‘‘(1) MEDICARE
COVERED
ANNUITANTS.—Ex-
cept as provided under paragraph (3), a Postal Serv-
ice Medicare covered annuitant may not enroll in a 
Program plan unless the annuitant is entitled to 
benefits under Medicare part A and enrolled in 
Medicare part B. 
‘‘(2) MEDICARE COVERED FAMILY MEMBERS.— 
Except as provided under paragraph (3), in the case 
of a Postal Service annuitant who is entitled to ben-
efits under Medicare part A and required under this 
subsection to enroll in Medicare part B to enroll 
under the Program, if a member of family of such 
Postal Service annuitant is a covered Medicare indi-
vidual, that member of family may not enroll under 
the Program as a member of family of the Postal 
Service annuitant unless that member of family is 
entitled to benefits under Medicare part A and en-
rolled in Medicare part B. 
‘‘(3) EXCEPTIONS.— 
‘‘(A) IN
GENERAL.—The requirements 
under paragraphs (1) and (2), as applicable, 
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shall not apply with respect to an individual in 
the following cases: 
‘‘(i) CURRENT POSTAL SERVICE AN-
NUITANTS.—The individual, as of January 
1, 2025, is a Postal Service annuitant who 
is not both entitled to benefits under Medi-
care part A and enrolled in Medicare part 
B. 
‘‘(ii) CURRENT EMPLOYEES AGED 64 
AND OVER.—The individual, as of January 
1, 2025, is a Postal Service employee and 
is at least 64 years of age. 
‘‘(iii) POSTAL
SERVICE
MEDICARE 
COVERED ANNUITANTS AND FAMILY MEM-
BERS
RESIDING
ABROAD.—For any con-
tract year with respect to which the indi-
vidual is a Postal Service Medicare covered 
annuitant or a member of family of a Post-
al Service Medicare covered annuitant and 
resides outside the United States (which 
includes the States, the District of Colum-
bia, the Commonwealth of Puerto Rico, the 
Virgin Islands, Guam, American Samoa, 
and the Northern Mariana Islands), pro-
vided that the individual demonstrates 
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such residency to the Postal Service in ac-
cordance with regulations issued by the 
Postal Service. 
‘‘(iv) POSTAL
SERVICE
MEDICARE 
COVERED ANNUITANTS AND FAMILY MEM-
BERS ENROLLED UNDER VA COVERAGE.— 
The individual— 
‘‘(I) is a Postal Service Medicare 
covered annuitant or a member of 
family of a Postal Service Medicare 
covered annuitant; and 
‘‘(II) is enrolled in health care 
benefits provided by the Department 
of Veterans Affairs under subchapter 
II of chapter 17 of title 38, United 
States Code. 
‘‘(v) POSTAL SERVICE MEDICARE COV-
ERED ANNUITANTS AND FAMILY MEMBERS 
ELIGIBLE FOR IHS HEALTH SERVICES.— 
The individual— 
‘‘(I) is a Postal Service Medicare 
covered annuitant or a member of 
family of a Postal Service Medicare 
covered annuitant; and 
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‘‘(II) is eligible for health services 
from the Indian Health Service. 
‘‘(B) REGULATIONS FOR VA AND IHS EX-
CEPTIONS.—Not later than 1 year after the 
date of enactment of this section, the Office 
shall, in consultation with the Secretary of Vet-
erans Affairs, the Secretary of Health and 
Human Services, and the Postmaster General, 
promulgate any regulations necessary to imple-
ment clauses (iv) and (v) of subparagraph (A). 
‘‘(C) LIST
OF
INDIVIDUALS
RESIDING 
ABROAD.—The Postal Service shall provide a 
list of individuals who satisfy the exception 
under subparagraph (A)(iii) to the Office. 
‘‘(4) PROCESS FOR INFORMATION COLLECTION 
AND DISSEMINATION.—The Postal Service and the 
Office, in consultation with the Social Security Ad-
ministration and the Centers for Medicare & Med-
icaid Services, shall establish a process that will en-
able the Postal Service to timely inform Postal Serv-
ice employees, Postal Service annuitants, and mem-
bers of family of such employees and annuitants of 
the requirements described in paragraphs (1) and 
(2) in order to be eligible to enroll in Program plans 
under this section. 
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‘‘(f) TRANSITIONAL OPEN SEASON.— 
‘‘(1) DEFINITIONS.—In this subsection— 
‘‘(A) the term ‘current option’, with re-
spect to an individual, means the option under 
a plan under this chapter in which the indi-
vidual is enrolled during the contract year pre-
ceding the initial contract year; and 
‘‘(B) the term ‘current plan’, with respect 
to an individual, means the plan under this 
chapter in which the individual is enrolled dur-
ing the contract year preceding the initial con-
tract year. 
‘‘(2) AUTOMATIC ENROLLMENT.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graphs (B) and (C), in the case of an individual 
who is a Postal Service employee or Postal 
Service annuitant eligible to enroll in a Pro-
gram plan under subsection (d), who is enrolled 
in a current plan, and who does not enroll in 
a Program plan during the open season that 
immediately precedes the initial contract year, 
the Office shall automatically enroll the indi-
vidual, as of the start of the initial contract 
year, in a Program plan offered by the carrier 
of the individual’s current plan. 
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‘‘(B) CARRIERS OFFERING MULTIPLE PRO-
GRAM PLANS OR OPTIONS.—If the carrier of the 
current plan of an individual described in sub-
paragraph (A) offers more than 1 Program 
plan or option, the Office, in carrying out sub-
paragraph (A), shall automatically enroll the in-
dividual in the plan and option that provide 
coverage with equivalent benefits and cost shar-
ing, as described in subsection (c)(2), to the in-
dividual’s current plan and current option. 
‘‘(C) CARRIERS NOT OFFERING PROGRAM 
PLANS.—If the carrier of the current plan of an 
individual described in subparagraph (A) does 
not offer a Program plan, the Office, in car-
rying out subparagraph (A), shall automatically 
enroll the individual in the lowest-cost nation-
wide plan option within the Program that is not 
a high deductible health plan and does not 
charge an association or membership fee. 
‘‘(g) OPM REGULATIONS.— 
‘‘(1) IN GENERAL.—Not later than 1 year after 
the date of enactment of this section, the Director 
of the Office shall issue regulations to carry out this 
section. 
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‘‘(2) CONSULTATION.—In issuing regulations 
under paragraph (1), the Director of the Office shall 
consult, as necessary, with the Secretary of Health 
and Human Services, the Secretary of Veterans Af-
fairs, the Commissioner of Social Security, and the 
Postmaster General. 
‘‘(3) CONTENTS.—The regulations issued under 
paragraph (1) shall include— 
‘‘(A) any provisions necessary to imple-
ment this section; 
‘‘(B) a process under which Postal Service 
annuitants and affected family members are 
timely informed of the enrollment requirements 
and may request, in writing, any additional en-
rollment information; 
‘‘(C) provisions under which a Postal Serv-
ice employee or Postal Service annuitant en-
rolled under the Program may request a belated 
change of plan and may be prospectively en-
rolled in the plan of the employee’s or annu-
itant’s choice; and 
‘‘(D) provisions for individuals to cancel 
coverage under the Program in writing to the 
Postal Service because the individuals choose 
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not to enroll in, or to disenroll from, Medicare 
part B. 
‘‘(h) MEDICARE COORDINATION.— 
‘‘(1) IN
GENERAL.—The Office shall require 
each Program plan to provide benefits for covered 
Medicare individuals pursuant to a coordination of 
benefits method approved by the Office. 
‘‘(2) MEDICARE PART D PRESCRIPTION DRUG 
BENEFITS.—The Office shall require each Program 
plan to provide prescription drug benefits to any 
Postal Service annuitant and member of family of 
such annuitant who is a part D eligible individual 
(as defined in section 1860D–1(a)(3)(A) of the So-
cial Security Act) through employment-based retiree 
health coverage (as defined in section 1860D– 
22(c)(1) of such Act) through— 
‘‘(A) a prescription drug plan (as defined 
in section 1860D–41(a)(14) of such Act); or 
‘‘(B) contracts between such a Program 
plan and PDP sponsor, as defined in section 
1860D–41(a)(13) of such Act, of such a pre-
scription drug plan. 
‘‘(i) POSTAL SERVICE CONTRIBUTION.— 
‘‘(1) IN GENERAL.—Subject to subsection (k), 
for purposes of applying section 8906(b) to the 
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Postal Service, the weighted average shall be cal-
culated in accordance with paragraphs (2) and (3). 
‘‘(2) WEIGHTED AVERAGE CALCULATION.—Not 
later than October 1 of each year (beginning with 
2024), the Office shall determine the weighted aver-
age of the rates established pursuant to subsection 
(c)(2) for Program plans that will be in effect dur-
ing the following contract year with respect to— 
‘‘(A) enrollments for self only; 
‘‘(B) enrollments for self plus one; and 
‘‘(C) enrollments for self and family. 
‘‘(3) WEIGHTING
IN
COMPUTING
RATES
FOR 
INITIAL
CONTRACT
YEAR.—In determining such 
weighted average of the rates for the initial contract 
year, the Office shall take into account (for purposes 
of section 8906(a)(2)) the enrollment of Postal Serv-
ice employees and annuitants in the health benefits 
plans offered by the initial participating carriers as 
of March 31, 2023. 
‘‘(4) PAYMENT
OF
LATE
ENROLLMENT
PEN-
ALTIES.—The Postal Service may direct the Office 
to pay the amounts required by an agreement be-
tween the United States Postal Service and the Sec-
retary of the Department of Health and Human 
Services under section 1839(e)(1) of the Social Se-
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curity Act (42 U.S.C. 1395r(e)(1)) from the Postal 
Service Retiree Health Benefits Fund established 
under section 8909a until depleted and thereafter 
shall pay such amounts from the Postal Service 
Fund established under section 2003 of title 39. 
‘‘(j) RESERVES.— 
‘‘(1) SEPARATE RESERVES.— 
‘‘(A) IN GENERAL.—The Office shall en-
sure that each Program plan maintains sepa-
rate reserves (including a separate contingency 
reserve) with respect to the enrollees in the 
Program plan in accordance with section 8909. 
‘‘(B) APPLICABILITY OF SECTION 8909 TO 
CONTINGENCY
RESERVES.—All provisions of 
section 8909 relating to contingency reserves 
shall apply to contingency reserves of Program 
plans in the same manner as to the contingency 
reserves of other plans under this chapter, ex-
cept to the extent that such provisions are in-
consistent with the requirements of this sub-
section. 
‘‘(C) REFERENCES.—For purposes of the 
Program, each reference to ‘the Government’ in 
section 8909 shall be deemed to be a reference 
to the Postal Service. 
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‘‘(D) AMOUNTS
TO
BE
CREDITED.—The 
reserves (including the separate contingency re-
serve) maintained for each Program plan shall 
be credited with a proportionate amount of the 
funds in the reserves for health benefits plans 
offered by the carrier. 
‘‘(2) DISCONTINUATION OF PROGRAM PLAN.— 
In applying section 8909(e) relating to a Program 
plan that is discontinued, the Office shall credit the 
separate Postal Service contingency reserve main-
tained under paragraph (1) for that plan only to the 
separate Postal Service contingency reserves of the 
Program plans continuing under this chapter. 
‘‘(k) NO EFFECT ON EXISTING LAW.—Nothing in 
this section shall be construed as affecting section 1005(f) 
of title 39 regarding variations, additions, or substitutions 
to the provisions of this chapter. 
‘‘(l) HEALTH BENEFITS EDUCATION PROGRAM.— 
‘‘(1) DEFINITION.—In this subsection, the term 
‘navigator’ means an employee of the Postal Service 
or of a contractor of the Postal Service who is des-
ignated by the Postal Service or contractor to carry 
out activities under paragraph (5). 
‘‘(2) ESTABLISHMENT.—Not later than 18 
months after the date of enactment of this section, 
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the Postal Service shall establish a Health Benefits 
Education Program. 
‘‘(3) REQUIREMENTS.—In carrying out the 
Health Benefits Education Program established 
under paragraph (2), the Postal Service shall— 
‘‘(A) notify Postal Service annuitants and 
Postal Service employees about the Postal Serv-
ice Health Benefits Program established under 
subsection (c)(1); 
‘‘(B) provide information regarding the 
Postal Service Health Benefits Program and 
the requirements of this section to Postal Serv-
ice annuitants and Postal Service employees, in-
cluding— 
‘‘(i) a description of the health care 
options available under such Program; 
‘‘(ii) the enrollment provisions of sub-
section (d); and 
‘‘(iii) the requirement that Postal 
Service annuitants and their family mem-
bers be enrolled in Medicare under sub-
section (e); 
‘‘(C) respond and provide answers to any 
inquiry from such employees and annuitants 
about the Postal Service Health Benefits Pro-
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gram, in consultation with the Office as nec-
essary; 
‘‘(D) in consultation with the Centers for 
Medicare & Medicaid Services and the Social 
Security Administration, provide information to 
individuals about enrollment under the Medi-
care program under title XVIII of the Social 
Security Act, and refer individuals to the Cen-
ters for Medicare & Medicaid Services and the 
Social Security Administration as necessary for 
additional enrollment information; and 
‘‘(E) carry out, or provide for through con-
tract or other arrangement, the activities de-
scribed in paragraph (5). 
‘‘(4) INFORMATION.— 
‘‘(A) INFORMATION FROM OPM.—The Of-
fice shall timely provide the Postal Service with 
such information as necessary to conduct the 
Health Benefits Education Program. 
‘‘(B) COORDINATION
WITH
OPM.—The 
Postal Service shall coordinate with the Office, 
in consultation with the Centers for Medicare & 
Medicaid Services and the Social Security Ad-
ministration, to obtain and confirm the accu-
racy of information as the Postal Service deter-
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mines to be necessary to conduct the Health 
Benefits Education Program. 
‘‘(5) NAVIGATOR ACTIVITIES.— 
‘‘(A) ACTIVITIES.—The activities described 
in this paragraph, with respect to Program 
plans and the health care options available 
under the Program, are the following: 
‘‘(i) Educational activities for annu-
itants and employees of the Postal Service 
to raise awareness of the availability of 
Program plans and requirements for en-
rolling in such plans, including require-
ments to be entitled to Medicare part A 
and enroll in Medicare part B. 
‘‘(ii) Distribution of fair and impartial 
information concerning enrollment in such 
plans. 
‘‘(iii) Facilitation of enrollment in 
such plans. 
‘‘(iv) Provision of information in a 
manner that is culturally and linguistically 
appropriate to the needs of the population 
being served by the Program plans. 
‘‘(B) STANDARDS.— 
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‘‘(6) REGULATIONS.— 
‘‘(A) IN
GENERAL.—Not later than 18 
months after the date of enactment of this sec-
tion, the Postmaster General shall issue regula-
tions to establish the Health Benefits Edu-
cation Program required under this subsection. 
‘‘(B) CONTENTS.—The regulations issued 
under subparagraph (A) shall include— 
‘‘(i) provisions for the notification of 
Postal Service annuitants and Postal Serv-
ice employees about the Program, includ-
ing a description of the available health 
benefits options, including a process for 
notifying Postal Service employees who be-
come eligible for Medicare part B and 
Postal Service Medicare covered annuitants 
about their choices; 
‘‘(ii) provisions for notifying Postal 
Service annuitants, Postal Service employ-
ees, and their family members of the re-
quirements under subsection (e) to enroll 
in Medicare as a condition of eligibility to 
enroll in the Program; and 
‘‘(iii) a process, developed in consulta-
tion with the Social Security Administra-
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tion, the Centers for Medicare & Medicaid 
Services, and the Office, for addressing 
any inquiry from Postal Service annuitants 
and Postal Service employees about the 
Program or Medicare enrollment.’’. 
(2) TECHNICAL
AND
CONFORMING
AMEND-
MENTS.— 
(A) SERVICE
BENEFIT
PLANS.—Section 
8903(1) of title 5, United States Code, is 
amended by striking ‘‘two levels of benefits’’ 
and inserting ‘‘at least 2 levels of benefits for 
enrollees under this chapter generally and at 
least 2 levels of benefits for enrollees under the 
Postal Service Health Benefits Program estab-
lished under section 8903c’’. 
(B) TABLE OF SECTIONS.—The table of 
sections for chapter 89 of title 5, United States 
Code, is amended by inserting after the item re-
lating to section 8903b the following: 
‘‘8903c. Postal Service Health Benefits Program.’’. 
(C) APPLICATION
TO
CERTAIN
POSTAL 
SERVICE ANNUITANTS OR FAMILY MEMBERS.— 
Section 1862(b)(1)(E) of the Social Security 
Act (42 U.S.C. 1395y(b)(1)(E)) is amended by 
adding at the end the following: 
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‘‘(iv) APPLICATION TO CERTAIN POST-
AL SERVICE ANNUITANTS OR FAMILY MEM-
BERS.—Nothing in this paragraph shall 
prohibit a group health plan from deter-
mining an individual’s eligibility to enroll 
in a health benefits plan offered under the 
Postal Service Health Benefits Program 
under section 8903c of title 5, United 
States Code, in accordance with subsection 
(e) of such section.’’. 
(b) COORDINATION WITH MEDICARE.— 
(1) PART B SPECIAL ENROLLMENT PERIOD.— 
Section 1837 of the Social Security Act (42 U.S.C. 
1395p) is amended by adding at the end the fol-
lowing new subsection: 
‘‘(o)(1) In the case of an individual who— 
‘‘(A) as of January 1, 2024, is— 
‘‘(i) a Postal Service annuitant who is enti-
tled to benefits under part A of title XVIII of 
the Social Security Act, but excluding an indi-
vidual who is eligible to enroll under such part 
under section 1818 of such Act or 1818A of 
such Act (42 U.S.C. 1395i–2, 1395i–2a); or 
‘‘(ii) a member of family (as defined in sec-
tion 8901(5) of title 5, United States Code) of 
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a Postal Service annuitant and is entitled to 
benefits under part A of title XVIII of the So-
cial Security Act, but excluding an individual 
who is eligible to enroll under such part under 
section 1818 of such Act or 1818A of such Act 
(42 U.S.C. 1395i–2, 1395i–2a); and 
‘‘(B) is not enrolled under this part, the indi-
vidual may elect to be enrolled under this part dur-
ing a special enrollment period during the 6–month 
period beginning on April 1, 2024. 
‘‘(2) In this subsection, the term ‘Postal Service an-
nuitant’ means an annuitant enrolled in a health benefits 
plan under chapter 89 of title 5, United States Code, 
whose Government contribution is required to be paid 
under section 8906(g)(2) of such title.’’. 
(2) TECHNICAL
AND
CONFORMING
AMEND-
MENTS.— 
(A) 
PART
A
ENROLLMENT.—Section 
1818(c) of the Social Security Act (42 U.S.C. 
1395i–2(c)) is amended, in the matter pre-
ceding paragraph (1), by striking ‘‘(except sub-
section (f) thereof)’’ and inserting ‘‘(except sub-
sections (f) and (o) thereof)’’. 
(B) COVERAGE PERIOD UNDER PART B.— 
Section 1838 of the Social Security Act (42 
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U.S.C. 1395q) is amended by adding at the end 
the following: 
‘‘(i) Notwithstanding subsection (a), in the case of 
an individual who enrolls during the special enrollment pe-
riod pursuant to section 1837(o), the coverage period shall 
begin on January 1, 2025.’’. 
(3) TREATMENT OF PART B LATE ENROLLMENT 
PENALTY
FOR
INDIVIDUALS
ENROLLING
DURING 
SPECIAL ENROLLMENT PERIOD.—Section 1839(e) of 
the Social Security Act (42 U.S.C. 1395r(e)) is 
amended— 
(A) in paragraph (1), by striking ‘‘(as de-
fined in paragraph (3)(A))’’ and by inserting 
‘‘(as defined in paragraph (3)(A)(i)). The Sec-
retary shall enter into an agreement with the 
United States Postal Service under which the 
United States Postal Service agrees to pay on 
a quarterly or other periodic basis to the Sec-
retary (to be deposited in the Treasury to the 
credit of the Federal Supplementary Medical 
Insurance Trust Fund) an amount equal to the 
amount of the part B late enrollment premium 
increases with respect to the premiums for eligi-
ble individuals (as defined in paragraph 
(3)(A)(ii)).’’; and 
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(B) by amending paragraph (3)(A) to read 
as follows: 
‘‘(A) The term ‘eligible individual’ means 
an individual who is enrolled under this part B 
and who— 
‘‘(i) in the case of an agreement en-
tered into under the first sentence of para-
graph (1), is within a class of individuals 
specified in such agreement; and 
‘‘(ii) in the case of an agreement en-
tered into under the second sentence of 
paragraph (1), is so enrolled under this 
part pursuant to the special enrollment pe-
riod under section 1837(o)’’. 
(4) PART D EGWP CONTRACTING CONFORMING 
AMENDMENT.—Section 1860D–22(b) of the Social 
Security Act (42 U.S.C. 1395w–132(b)) is amended 
by inserting before the period at the end the fol-
lowing: ‘‘, and shall be applied in a manner to facili-
tate the offering of prescription drug benefits under 
a Program plan under section 8903c of title 5, 
United States Code, as required under subsection 
(h)(2) of such section, through employment-based 
retiree health coverage through— 
‘‘(1) a prescription drug plan; or 
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