Empowering Seniors' Enrollment Decision Act of 2018

Bill: 115-hr-6662
Sponsor: full_name: Rep. Paulsen, Erik [R-MN-3]
Introduced: 2018-08-10
Policy area: Health
Subjects: Health care coverage and access

Health programs administration and funding

Medicare

Social security and elderly assistance
Latest action: action_date: 2018-09-17
text: Received in the Senate and Read twice and referred to the Committee on Finance.

Summaries:
action_date: 2018-08-10
action_desc: Introduced in House
text: <p><b>Empowering Seniors' Enrollment Decision Act of 2018</b></p> <p>This bill provides statutory authority for the extension of a special enrollment period under Medicare Advantage (MA) to enrollees in certain Medicare Cost plans that are not transitioning into qualifying MA plans. Current regulations allow such enrollees (i.e., non-deemed individuals) to participate in the special enrollment period. </p>

action_date: 2018-09-10
action_desc: Reported to House amended, Part I
text: <p><b>Empowering Seniors' Enrollment Decision Act of 2018</b></p> <p>This bill provides statutory authority for the extension of a special enrollment period under Medicare Advantage (MA) to enrollees in certain Medicare Cost plans that are not transitioning into qualifying MA plans. Current regulations allow such enrollees (i.e., non-deemed individuals) to participate in the special enrollment period. </p>

tv_txt: I 115th CONGRESS 2d Session H. R. 6662 IN THE HOUSE OF REPRESENTATIVES August 10, 2018 Mr. Paulsen (for himself and Mr. Kind ) introduced the following bill; which was referred to the Committee on Ways and Means , and in addition to the Committee on Energy 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 extend the special election period under part C of the Medicare program for certain deemed individuals enrolled in a reasonable cost reimbursement contract to certain nondeemed individuals enrolled in such contract.

1. Short title This Act may be cited as the Empowering Seniors’ Enrollment Decision Act of 2018 . 2. Extending the special election period under part C of the Medicare program for certain deemed individuals enrolled in a reasonable cost reimbursement contract to certain nondeemed individuals enrolled in such contract Section 1851(e)(2)(F) of the Social Security Act ( 42 U.S.C. 1395w–21(e)(2)(F) ) is amended— (1) in the header, by striking deemed elections and inserting individuals enrolled in a reasonable cost reimbursement contract ; and (2) by amending clause (i) to read as follows: (i) In general (I) Election period At any time during the period beginning after the last day of the annual, coordinated election period under paragraph (3) for an applicable plan year and ending on the last day of February of the first plan year following such applicable plan year, an individual who is an eligible individual (as defined in subclause (II)) with respect to such applicable plan year may change the election under subsection (a)(1) (including changing the MA plan or MA–PD plan in which the individual is enrolled). (II) Eligible individual In this clause, the term eligible individual means, with respect to a plan year, an individual enrolled in a reasonable cost reimbursement contract under section 1876(h) that was extended or renewed for the last reasonable cost reimbursement contract year of the contract (as described in subclause (I) of section 1876(h)(5)(C)(iv)) pursuant to such section. .

tv_txt: I 115th CONGRESS 2d Session H. R. 6662 IN THE HOUSE OF REPRESENTATIVES AN ACT To amend title XVIII of the Social Security Act to extend the special election period under part C of the Medicare program for certain deemed individuals enrolled in a reasonable cost reimbursement contract to any Medicare Advantage eligible individual enrolled in such a contract during the final year such contract is extended, and for other purposes.

1. Short title This Act may be cited as the Empowering Seniors’ Enrollment Decision Act of 2018 . 2. Extending the special election period under part C of the Medicare program for certain deemed individuals enrolled in a reasonable cost reimbursement contract to any MA eligible individual enrolled in such a contract during the final year such a contract is extended; Extending conversions of reasonable cost reimbursement contracts to MA plans (a) Extending the special election period under part C of the Medicare program for certain deemed individuals enrolled in a reasonable cost reimbursement contract to any MA eligible individual enrolled in such a contract during the final year such a contract is extended (1) In general Section 1851(e)(2)(F) of the Social Security Act ( 42 U.S.C. 1395w–21(e)(2)(F) ) is amended— (A) in the header, by striking deemed elections and inserting individuals enrolled in a reasonable cost reimbursement contract ; and (B) by amending clause (i) to read as follows: (i) In general With respect to a reasonable cost reimbursement contract under section 1876(h) that is not extended or renewed, an individual enrolled in the contract for the final year in which such contract is extended or renewed may, at any time during the period beginning after the last day of the annual, coordinated election period under paragraph (3) occurring during such final year and ending on the last day of February of the first plan year following such final year, change the election under subsection (a)(1) (including changing the MA plan or MA–PD plan in which the individual is enrolled) for such first plan year following such final year. . (2) Clarification relating to deemed individuals enrolled in a reasonable reimbursement contract Section 1851(c)(4)(A) of the Social Security Act ( 42 U.S.C. 1395w–21(c)(4)(A) ) is amended— (A) by amending clause (ii) to read as follows: (ii) such previous plan year was the final year in which such contract was extended or renewed; ; and (B) in clause (iii) by striking subclause (III) of such section and inserting section 1876(h)(5)(C)(iv)(IV) . (b) Extending conversions of reasonable cost reimbursement contracts to MA plans Section 1876(h)(5)(C) of the Social Security Act ( 42 U.S.C. 1395mm(h)(5)(C) ) is amended— (1) in clause (iv)— (A) in subclause (I), by striking the last sentence; (B) by redesignating subclauses (I) through (V) as subclauses (II) through (VI), respectively; (C) by inserting before subclause (II), as so redesignated, the following subclause: (I) The final year in which such contract is extended or renewed is referred to in this subsection as the last reasonable cost reimbursement contract year for the contract . ; and (D) in subclause (V), as so redesignated, by striking subclause (III) and inserting subclause (IV) ; and (2) in clause (v), by striking that is extended or renewed pursuant to clause (iv) provides the notice described in clause (iv)(III) and inserting that is not to be extended or renewed provides the notice described in clause (iv)(IV) .

Passed the House of Representatives September 12, 2018. Karen L. Haas, Clerk.

tv_txt: IIB 115th CONGRESS 2d Session H. R. 6662 IN THE SENATE OF THE UNITED STATES September 17, 2018 Received; read twice and referred to the Committee on Finance AN ACT To amend title XVIII of the Social Security Act to extend the special election period under part C of the Medicare program for certain deemed individuals enrolled in a reasonable cost reimbursement contract to any Medicare Advantage eligible individual enrolled in such a contract during the final year such contract is extended, and for other purposes.

1. Short title This Act may be cited as the Empowering Seniors’ Enrollment Decision Act of 2018 . 2. Extending the special election period under part C of the Medicare program for certain deemed individuals enrolled in a reasonable cost reimbursement contract to any MA eligible individual enrolled in such a contract during the final year such a contract is extended; Extending conversions of reasonable cost reimbursement contracts to MA plans (a) Extending the special election period under part C of the Medicare program for certain deemed individuals enrolled in a reasonable cost reimbursement contract to any MA eligible individual enrolled in such a contract during the final year such a contract is extended (1) In general Section 1851(e)(2)(F) of the Social Security Act ( 42 U.S.C. 1395w–21(e)(2)(F) ) is amended— (A) in the header, by striking deemed elections and inserting individuals enrolled in a reasonable cost reimbursement contract ; and (B) by amending clause (i) to read as follows: (i) In general With respect to a reasonable cost reimbursement contract under section 1876(h) that is not extended or renewed, an individual enrolled in the contract for the final year in which such contract is extended or renewed may, at any time during the period beginning after the last day of the annual, coordinated election period under paragraph (3) occurring during such final year and ending on the last day of February of the first plan year following such final year, change the election under subsection (a)(1) (including changing the MA plan or MA–PD plan in which the individual is enrolled) for such first plan year following such final year. . (2) Clarification relating to deemed individuals enrolled in a reasonable reimbursement contract Section 1851(c)(4)(A) of the Social Security Act ( 42 U.S.C. 1395w–21(c)(4)(A) ) is amended— (A) by amending clause (ii) to read as follows: (ii) such previous plan year was the final year in which such contract was extended or renewed; ; and (B) in clause (iii) by striking subclause (III) of such section and inserting section 1876(h)(5)(C)(iv)(IV) . (b) Extending conversions of reasonable cost reimbursement contracts to MA plans Section 1876(h)(5)(C) of the Social Security Act ( 42 U.S.C. 1395mm(h)(5)(C) ) is amended— (1) in clause (iv)— (A) in subclause (I), by striking the last sentence; (B) by redesignating subclauses (I) through (V) as subclauses (II) through (VI), respectively; (C) by inserting before subclause (II), as so redesignated, the following subclause: (I) The final year in which such contract is extended or renewed is referred to in this subsection as the last reasonable cost reimbursement contract year for the contract . ; and (D) in subclause (V), as so redesignated, by striking subclause (III) and inserting subclause (IV) ; and (2) in clause (v), by striking that is extended or renewed pursuant to clause (iv) provides the notice described in clause (iv)(III) and inserting that is not to be extended or renewed provides the notice described in clause (iv)(IV) .

Passed the House of Representatives September 12, 2018. Karen L. Haas, Clerk.

tv_txt: IB Union Calendar No. 726 115th CONGRESS 2d Session H. R. 6662 [Report No. 115–935, Part I] IN THE HOUSE OF REPRESENTATIVES August 10, 2018 Mr. Paulsen (for himself and Mr. Kind ) introduced the following bill; which was referred to the Committee on Ways and Means , and in addition to the Committee on Energy 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 September 10, 2018 Reported from the Committee on Ways and Means with an amendment Strike out all after the enacting clause and insert the part printed in italic September 10, 2018 Committee on Energy and Commerce discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed For text of introduced bill, see copy of bill as introduced on August 10, 2018 A BILL To amend title XVIII of the Social Security Act to extend the special election period under part C of the Medicare program for certain deemed individuals enrolled in a reasonable cost reimbursement contract to certain nondeemed individuals enrolled in such contract.

1. Short title This Act may be cited as the Empowering Seniors’ Enrollment Decision Act of 2018 . 2. Extending the special election period under part C of the Medicare program for certain deemed individuals enrolled in a reasonable cost reimbursement contract to certain nondeemed individuals enrolled in such contract Section 1851(e)(2)(F) of the Social Security Act ( 42 U.S.C. 1395w–21(e)(2)(F) ) is amended— (1) in the header, by striking deemed elections and inserting individuals enrolled in a reasonable cost reimbursement contract ; and (2) by amending clause (i) to read as follows: (i) In general (I) Election period At any time during the period beginning after the last day of the annual, coordinated election period under paragraph (3) occurring during an applicable plan year and ending on the last day of February of the first plan year following such applicable plan year, an individual who is an eligible individual (as defined in subclause (II)) with respect to such applicable plan year may change the election under subsection (a)(1) (including changing the MA plan or MA–PD plan in which the individual is enrolled) for such first plan year. (II) Eligible individual In this clause, the term eligible individual means, with respect to a plan year, an individual enrolled in a reasonable cost reimbursement contract under section 1876(h) that was extended or renewed for the last reasonable cost reimbursement contract year of the contract (as described in subclause (I) of section 1876(h)(5)(C)(iv)) pursuant to such section. .

September 10, 2018 Reported from the Committee on Ways and Means with an amendment September 10, 2018 Committee on Energy and Commerce discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed