as the ‘Trust Fund’). The Trust Fund shall consist 
of such gifts and bequests as may be made as pro-
vided in section 201(i)(1) and such amounts as may 
be deposited in, or appropriated to, such fund as 
provided in this title. 
‘‘(2) PREMIUMS.—Premiums collected under 
subsection (d) (not including any premium payable 
pursuant to paragraph (2) of such subsection) shall 
be transferred to the Trust Fund. 
‘‘(3) INCORPORATION
OF
PROVISIONS.—Sub-
sections (b) through (i) of section 1841 shall apply 
with respect to the Trust Fund and this title in the 
same manner as they apply with respect to the Fed-
eral Supplementary Medical Insurance Trust Fund 
and part B, respectively, except that in applying 
such section 1841, any reference in such section to 
‘this part’ shall be construed to be a reference to 
this section and any reference in section 1841(h) to 
section 1840(d) and in section 1841(i) to sections 
1840(b)(1) and 1842(g) are deemed to be references 
to comparable authority exercised under this section. 
‘‘(f) CLARIFICATION.—Nothing in this section shall 
affect the benefits or eligibility under this title of individ-
uals who would otherwise be entitled to or eligible for ben-
efits under this title or title XIX, or both. 
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‘‘(g) TREATMENT IN RELATION TO THE AFFORD-
ABLE CARE ACT.— 
‘‘(1) TREATMENT AS MINIMUM ESSENTIAL COV-
ERAGE.—For purposes of applying section 5000A of 
the Internal Revenue Code of 1986, the coverage 
provided through enrollment under this section con-
stitutes minimum essential coverage under sub-
section (f)(1)(A)(i) of such section. 
‘‘(2) MEDICAID
MANAGED
CARE.—States are 
prohibited from buying their Medicaid beneficiaries 
ages 57 to 64 who are eligible to enroll under this 
section into Medicare under this section, and individ-
uals otherwise eligible for enrollment under a State 
plan under title XIX are prohibited from coverage 
under this title pursuant to enrollment under this 
section. The preceding sentence shall not apply to 
Medicaid beneficiaries whose Medicaid coverage or 
eligibility does not meet the definition of minimum 
essential coverage under a government-sponsored 
program under section 1.5000A–2 of title 26, Code 
of Federal Regulations (or any successor regulation). 
‘‘(3) ACCESS TO MEDIGAP.—Coverage provided 
through medicare supplemental policies certified 
under section 1882 shall be made available to indi-
viduals eligible for enrollment pursuant to this sec-
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tion for enrollment, information, comparison, and 
otherwise as such a policy through any internet 
website described in paragraph (2).’’. 
(b) MEDIGAP.—Section 1882 of the Social Security 
Act is amended by adding at the end the following new 
subsection: 
‘‘(aa) DEVELOPMENT OF NEW STANDARDS FOR CER-
TAIN MEDICARE SUPPLEMENTAL POLICIES RELATING TO 
FIRST RESPONDER COVERAGE.—The Secretary shall re-
quest the National Association of Insurance Commis-
sioners to review and revise the standards for benefit pack-
ages described in subsection (p)(1), to otherwise update 
standards to include requirements for each medicare sup-
plemental policy that offers such a policy in a State, with 
respect to each year, to accept every individual in the 
State who is eligible for enrollment pursuant to section 
1899C and who applies for such coverage for such year 
if the individual applies for enrollment in such policy dur-
ing the 30-day period following the date of enrollment pur-
suant to section 1899C and to accept every such individual 
during a period of transition from enrollment pursuant to 
such section to enrollment under this title pursuant to eli-
gibility other than under such section. Such revisions shall 
be made consistent with the rules applicable under sub-
section (p)(1)(E) with the reference to the ‘1991 NAIC 
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Model Regulation’ deemed a reference to the NAIC Model 
Regulation as published in the Federal Register on De-
cember 4, 1998, and as subsequently updated by the Na-
tional Association of Insurance Commissioners to reflect 
previous changes in law and the reference to ‘date of en-
actment of this subsection’ deemed a reference to the date 
of enactment of this subsection (aa).’’. 
Æ 
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