II 116th CONGRESS 1st Session S. 2496 IN THE SENATE OF THE UNITED STATES September 18, 2019 Mr. Casey (for himself, Mr. Brown , Mr. Leahy , and Mr. Sanders ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title II of the Social Security Act to eliminate the Medicare and disability insurance benefits waiting periods for disabled individuals.

1. Short title This Act may be cited as the Stop the Wait Act . 2. Elimination of disability waiting period for social security disability insurance benefits and surviving spouse benefits (a) Elimination of waiting period for disability insurance benefits Section 223 of the Social Security Act ( 42 U.S.C. 423 ) is amended— (1) in subsection (a)— (A) in paragraph (1), in the matter following subparagraph (E)— (i) by striking disability insurance benefit (i) for each month and all that follows through , or (ii) and inserting disability insurance benefit ; and (ii) by striking , but only if and all that follows through under such disability ; and (B) in paragraph (2), by striking as though he had attained age 62 in— and all that follows through such disability insurance benefits, and inserting as though the individual had attained age 62 in the first month for which the individual becomes entitled to such disability insurance benefits, ; and (2) in subsection (c), by striking paragraph (2). (b) Elimination of waiting period for surviving spouse and surviving divorced spouse benefits Section 202 of the Social Security Act ( 42 U.S.C. 402 ) is amended— (1) in subsection (e)— (A) in paragraph (1), in the matter following subparagraph (D), by striking beginning with— and all that follows through on such basis terminated, and inserting beginning with the first month in which she becomes so entitled to such insurance benefits ; (B) by striking paragraph (5); and (C) by redesignating paragraphs (6) through (8) as paragraphs (5) through (7); and (2) in subsection (f)— (A) in paragraph (1), in the matter following subparagraph (D), by striking beginning with— and all that follows through on such basis terminated, and inserting beginning with the first month in which he becomes so entitled to such insurance benefits ; (B) by striking paragraph (5); and (C) by redesignating paragraphs (6) through (8) as paragraphs (5) through (7). (c) Effective date The amendments made by this section shall apply with respect to applications for disability insurance benefits, widow's insurance benefits, and widower's insurance benefits filed on or after the date of the enactment of this Act. 3. Phase-out of waiting period for Medicare disability benefits (a) In general Section 226(b) of the Social Security Act ( 42 U.S.C. 426(b) ) is amended— (1) in paragraph (2)(A), by striking , and has for 24 calendar months been entitled to, and inserting , and for not less than the waiting period (as defined in subsection (j)) has been entitled to, ; (2) in paragraph (2)(B), by striking , and has been for not less than 24 months, and inserting , and has been for not less than the waiting period (as defined in subsection (j)), ; (3) in paragraph (2)(C)(ii), by striking , including the requirement that he has been entitled to the specified benefits for 24 months, and inserting , including the requirement that the individual has been entitled to the specified benefits for the waiting period (as defined in subsection (j)), ; and (4) in the flush matter following paragraph (2)(C)(ii)(II)— (A) in the first sentence, by striking for each month beginning with the later of (I) July 1973 or (II) the twenty-fifth month of his entitlement or status as a qualified railroad retirement beneficiary described in paragraph (2), and and inserting for each month beginning with the first month after the month in which the individual first satisfies paragraph (2), and ; (B) in the second sentence, by striking the twenty-fifth month of his entitlement refers to the first month after the twenty-fourth month of entitlement to specified benefits referred to in paragraph (2)(C) and ; and (C) in the third sentence, by striking , but not in excess of 78 such months . (b) Schedule for phase-out of waiting period Section 226 of the Social Security Act ( 42 U.S.C. 426 ) is amended by adding at the end the following new subsection: (j) For purposes of subsection (b) (and for purposes of section 1837(g)(1) of this Act and section 7(d)(2)(ii) of the Railroad Retirement Act of 1974), the term waiting period means, with respect to an individual who first becomes entitled to benefits described in subparagraph (A) of subsection (b)(2), first achieves the status described in subparagraph (B) of such subsection, or first becomes entitled to specified benefits referred to in subparagraph (C) of such subsection in a month in— (1) calendar year 2020, 18 months; (2) calendar year 2021, 16 months; (3) calendar year 2022, 14 months; (4) calendar year 2023, 12 months; (5) calendar year 2024, 10 months; (6) calendar year 2025, 8 months; (7) calendar year 2026, 6 months; (8) calendar year 2027, 4 months; (9) calendar year 2028, 2 months; and (10) calendar year 2029 and each subsequent year, 0 months. . (c) Conforming amendments (1) Months that count towards waiting period (A) In general Section 226(f) of the Social Security Act ( 42 U.S.C. 426(f) ) is amended by striking 24 months and inserting waiting period . (B) Sunset Effective January 1, 2029, subsection (f) of section 226 of the Social Security Act ( 42 U.S.C. 426 ) is repealed. (2) Elimination of 1-month waiting period for individuals with ALS Section 226(h)(1) of the Social Security Act ( 42 U.S.C. 426(h)(1) ) is amended by inserting (or, beginning January 1, 2029, 0 months) after 1 month . (3) Medicare description Section 1811(2) of such Act ( 42 U.S.C. 1395c(2) ) is amended by striking entitled for not less than 24 months and inserting entitled for not less than the waiting period (as defined in section 226(j)) . (4) Medicare coverage Section 1837(g)(1) of such Act ( 42 U.S.C. 1395p(g)(1) ) is amended by striking of the later of (A) April 1973 or (B) the third month before the 25th month of such entitlement and inserting of the third month before the first month following the waiting period (as defined in section 226(j)) applicable under section 226(b) . (5) Railroad retirement system Section 7(d)(2)(ii) of the Railroad Retirement Act of 1974 ( 45 U.S.C. 231f(d)(2)(ii) ) is amended— (A) by striking “, for not less than 24 months” and inserting “, for the waiting period (as defined in section 226(j) of the Social Security Act ); and (B) by striking could have been entitled for 24 calendar months, and and inserting could have been entitled for the waiting period (as defined in section 226(j) of the Social Security Act ), and . (d) Effective date Except as provided in subsection (c)(1)(B), the amendments made by this section shall apply to insurance benefits under title XVIII of the Social Security Act with respect to items and services furnished in months beginning at least 90 days after the date of the enactment of this Act (but in no case earlier than January 1, 2020). 4. National Academy of Medicine study and report on delay and prevention of disability conditions (a) Study The Secretary of Health and Human Services (in this section referred to as the Secretary ) shall request that the National Academy of Medicine conduct a study on the range of disability conditions that can be delayed or prevented if individuals receive access to health care services and coverage before the condition reaches disability levels. (b) Report Not later than the date that is 2 years after the date of enactment of this Act, the Secretary shall submit to Congress a report containing the results of the National Academy of Medicine study authorized under this section. (c) Authorization of appropriations There is authorized to be appropriated to carry out this section $750,000 for the period of fiscal years 2020 and 2021.