Trust Fund pursuant to subparagraph (A), the 
Secretary of the Treasury may issue cor-
responding public debt obligations to the public, 
in order to obtain the cash necessary for pay-
ment of benefits or administrative expenses 
from such Trust Fund, notwithstanding the 
public debt limit. 
(C) ADVANCE
NOTICE
OF
SALE
OR
RE-
DEMPTION.—Not less than 3 days prior to the 
date on which, by reason of the public debt 
limit, the Secretary of the Treasury expects to 
undertake a sale or redemption authorized 
under subparagraph (A), the Secretary of the 
Treasury shall report to each House of the Con-
gress and to the Comptroller General of the 
United States regarding the expected sale or re-
demption. Upon receipt of such report, the 
Comptroller General shall review the extent of 
compliance with paragraph (1) and subpara-
graphs (A) and (B) of this paragraph and shall 
issue such findings and recommendations to 
each House of the Congress as the Comptroller 
General considers necessary and appropriate. 
(3) PUBLIC DEBT OBLIGATION.—For purposes 
of this subsection, the term ‘‘public debt obligation’’ 
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means any obligation subject to the public debt limit 
established under section 3101 of title 31, United 
States Code. 
SEC. 3. SOCIAL SECURITY FOR AMERICANS ONLY. 
(a) LIMITATIONS
ON COVERAGE
OF INDIVIDUALS 
BASED ON EARNINGS OF INDIVIDUALS WHO ARE NOT 
CITIZENS OR NATIONALS OF THE UNITED STATES.—Sec-
tion 215(e) of the Social Security Act (42 U.S.C. 415(e)) 
is amended— 
(1) by redesignating paragraphs (1) and (2) as 
subparagraphs (A) and (B), respectively; 
(2) by inserting ‘‘(1)’’ after ‘‘(e)’’; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(2) For purposes of subsections (b) and (d), in com-
puting an individual’s average indexed monthly earnings, 
or in the case of an individual whose primary insurance 
amount is computed under section 215(a) as in effect 
prior to January 1979, average monthly wage, such indi-
vidual shall not be credited with— 
‘‘(A) any wages paid to such individual after 
December 31, 2006, while such individual is not a 
citizen or national of the United States, or 
‘‘(B) any self-employment income derived by 
such individual during any taxable year beginning 
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after December 31, 2006, while such individual is 
not a citizen or national of the United States.’’. 
(b) REVISION
OF
AUTHORIZATION
FOR
TOTAL-
IZATION AGREEMENTS.— 
(1) IN GENERAL.—Section 233 of the Social 
Security Act (42 U.S.C. 433) is amended to read as 
follows: 
‘‘INTERNATIONAL AGREEMENTS 
‘‘SEC. 233. The President is authorized to enter into 
agreements (subject to the other provisions of this title 
and of chapters 2 and 21 of the Internal Revenue Code 
of 1986) establishing arrangements between the United 
States and any foreign country for the purpose of resolv-
ing questions of entitlement to, and participation in, the 
social security system established by this title and the so-
cial security system of such foreign country. Any such 
agreement shall take into account the limitations on the 
crediting of wages and self-employment income under sec-
tion 215(e)(2).’’. 
(2) EFFECTIVE DATE; TERMINATION OF EXIST-
ING AGREEMENTS.—The amendment made by para-
graph (1) shall apply with respect to agreements 
taking effect after the date of the enactment of this 
Act. Any agreement in effect on such date which 
was entered into under section 233 of the Social Se-
curity Act (as in effect immediately before such date 
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of enactment) shall terminate on December 31, 2006 
(or as provided in such agreement, if earlier). 
SEC. 4. SENIORS’ HEALTH CARE FREEDOM. 
(a) FACILITATING THE USE OF PRIVATE CONTRACTS 
UNDER THE MEDICARE PROGRAM.—Section 1802(b) of 
the Social Security Act (42 U.S.C. 1395a(b)) is amended 
by striking paragraph (3) and by redesignating para-
graphs (4) and (5) as paragraphs (3) and (4), respectively. 
(b) NO ELIGIBILITY CONDITION BASED ON REFUSAL 
TO PARTICIPATE IN A GOVERNMENT PROGRAM.—No per-
sons otherwise eligible for old-age benefits under Social 
Security shall be denied such benefits because of their vol-
untary refusal to participate in any part of the Medicare 
program. 
SEC. 5. REPEAL OF INCLUSION IN GROSS INCOME OF SO-
CIAL SECURITY BENEFITS. 
(a) IN GENERAL.—Section 86 of the Internal Rev-
enue Code of 1986 (relating to social security benefits) 
is amended by adding at the end the following new sub-
section: 
‘‘(g) TERMINATION.—This section shall not apply to 
any taxable year beginning after the date of the enactment 
of this subsection.’’. 
(b) SOCIAL SECURITY TRUST FUNDS HELD HARM-
LESS.— 
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