1. Short title
This Act may be cited as the “Jack Reynold’s Memory MediGap Expansion”.
Jack Reynold’s Memory MediGap Expansion
A BILL
To amend title XVIII to provide for certain Medigap coverage for Medicare beneficiaries with end-stage renal disease, and for other purposes.
2. Medigap coverage for beneficiaries with end-stage renal disease
Guaranteed availability of Medigap policies to all ESRD medicare beneficiaries—
in paragraph (2)—
in subparagraph (A), by striking “is 65” and all that follows through the period at the end and inserting the following:
“(i) 65 years of age or older and is enrolled for benefits under part B; or
“(ii) is entitled to benefits under 226A(b) and is enrolled for benefits under part B.”
in subparagraph (D), in the matter preceding clause (i), by inserting “(or is entitled to benefits under 226A(b))” after “is 65 years of age or older”; and
in paragraph (3)(B)—
in clause (ii), by inserting “(or is entitled to benefits under 226A(b))” after is 65 years of age or older; and
in clause (vi), by inserting “(or under 226A(b))” after “at age 65”.
Effective date— The amendments made by paragraph (1) shall apply to Medicare supplemental policies effective on or after January 1, 2022.
Additional enrollment period for certain individuals—
One-time enrollment period—
In general— In the case of an individual described in paragraph (2), the Secretary of Health and Human Services shall establish a one-time enrollment period during which such an individual may enroll in any Medicare supplemental policy under section 1882 of the Social Security Act (42 U.S.C. 1395ss) of the individual’s choosing.
Enrollment period— The enrollment period established under subparagraph (A) shall begin on January 1, 2022, and shall end June 30, 2022.
Individual described— An individual described in this paragraph is an individual who—
is entitled to hospital insurance benefits under part A of title XVIII of the Social Security Act under section 226A(b) of such Act (42 U.S.C. 426–1(b));
is enrolled for benefits under part B of such title XVIII; and
would not, but for the provisions of, and amendments made by, subsection (a) be eligible for the guaranteed issue of a Medicare supplemental policy under paragraph (2) or (3) of section 1882(s) of such Act (42 U.S.C. 1395ss(s)).
3. Allowing individuals with kidney failure to retain access to private insurance
in the last sentence, by inserting “and before January 1, 2021” after “prior to such date”; and
by adding at the end the following new sentence: “Effective for items and services furnished on or after January 1, 2021 (with respect to periods beginning on or after the date that is 42 months prior to such date), clauses (i) and (ii) shall be applied by substituting “42-month” for “12-month” each place it appears.”.
Effective date— The amendments made by this subsection shall take effect on the date of enactment of this Act. For purposes of determining an individual’s status under section 1862(b)(1)(C) of the Social Security Act (42 U.S.C. 1395y(b)(1)(C)), as amended by subsection (a), an individual who is within the coordinating period as of the date of enactment of this Act shall have that period extended to the full 42 months described in the last sentence of such section, as added by the amendment made by subsection (a)(2).