Healthcare Enrollment Reform Modernization and Navigation Act

Bill: 117-s-5088
Sponsor: full_name: Sen. Casey, Robert P., Jr. [D-PA]
Introduced: 2022-11-15
Policy area: Health
Latest action: action_date: 2022-11-15
text: Read twice and referred to the Committee on Finance.

Summaries:
action_date: 2022-11-15
action_desc: Introduced in Senate
text: <p><b>Healthcare Enrollment Reform Modernization and Navigation Act</b></p> <p>This bill establishes and otherwise modifies requirements relating to coordinated coverage between employer health insurance and Medicare. </p> <p>Specifically, the bill prohibits employer-sponsored health plans for certain smaller employers from reducing benefits for employees who are eligible for Medicare but have not yet enrolled. </p>

tv_txt: II 117th CONGRESS 2d Session S. 5088 IN THE SENATE OF THE UNITED STATES November 15, 2022 Mr. Casey (for himself and Mr. Portman ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to improve the enrollment of retiring individuals in the Medicare program.

1. Short title This Act may be cited as the Healthcare Enrollment Reform Modernization and Navigation Act . 2. Coordination of Medicare benefits with other health care insurance (a) In general Section 1862(b)(1)(A) of the Social Security Act ( 42 U.S.C. 1395y(b)(1)(A) ) is amended by adding at the end the following new clause: (vi) Coordination of benefits with other health care insurance Notwithstanding any other provision of law, in the event that an individual is enrolled in an employer group health plan (including a multiemployer or multiple employer group health plan) by virtue of current employment status with an employer that does not have 20 or more individuals in current employment status for each working day in each of 20 or more calendar weeks in the current calendar year and the preceding calendar year and the individual is eligible but not enrolled in coverage under part B, such employer group health plan shall not reduce benefits under the plan with respect to the individual on the basis that the individual could have been enrolled in coverage under part B. Nothing in the preceding sentence shall require such employer group health plan to provide coverage to an individual who elects to enroll in coverage under part B or to prohibit such plan from terminating such coverage or reducing benefits if such individual makes such election. . (b) Effective date The amendment made by subsection (a) shall apply to items and services furnished on or after the date of the enactment of this Act.