This bill makes a series of changes to, and requires additional notifications regarding, the Medicare enrollment process.

Specifically, the bill changes the Medicare general enrollment period to October 15-December 31, and requires coverage to begin on the first day of the month following enrollment. (Currently, the general enrollment period is January 1-March 31, and coverage begins July 1.) The bill also generally requires coverage to begin on the first day of the month following enrollment for individuals who enroll in the latter months of their initial enrollment period. (Currently, the longer an individual waits to enroll, the more delayed the effective date of coverage.)

The bill also requires Social Security account statements for individuals ages 60 to 64 to include information about Medicare eligibility, late enrollment penalties, coordination of benefits, and special enrollment populations (e.g., veterans).

This bill modifies requirements relating to Medicare enrollment, coverage of immunosuppressive drugs for kidney transplant recipients, secondary payer reporting, and hospice survey requirements.

Among other provisions, the bill

• generally requires Medicare coverage to begin on the first day of the month following enrollment for individuals who enroll in the latter months of their initial enrollment period;
• requires Social Security account statements for individuals attaining ages 63 to 65 to include information about Medicare eligibility, late enrollment penalties, and other information;
• indefinitely extends Medicare coverage of immunosuppressive drugs for kidney transplant recipients for individuals who do not have other coverage;
• requires the Centers for Medicare & Medicaid Services to share Medicare Advantage and Medicare prescription drug benefit enrollment information with liability insurers in response to Medicare secondary payer inquiries; and
• establishes survey requirements for, and enforcement mechanisms against, certified hospice programs under Medicare.