110 HR 6196 IH: To amend title II of the Social Security Act to provide U.S. House of Representatives 2008-06-05 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I 110th CONGRESS 2d Session H. R. 6196 IN THE HOUSE OF REPRESENTATIVES June 5, 2008 Mr. Berry 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 II of the Social Security Act to provide for Medicare coverage of individuals receiving a heart transplant.

1.

Special provisions relating to coverage under the Medicare program for individuals receiving heart transplants

(a)

In general

Title II of the Social Security Act is amended by inserting after section 226A the following new section:

226B.

Special provisions relating to coverage under Medicare program for individuals receiving heart transplants

(a)Every individual who— (1)satisfies the requirements of subparagraph (A), (B), or (C) of paragraph (1) of section 226A(a); (2)is not entitled to benefits under part A under section 226A; (3)is officially listed through the United Network for Organ Sharing for receipt of a heart transplant; and (4)has filed an application for benefits under this section; shall, in accordance with the succeeding provisions of this section, be entitled to benefits under part A and eligible to enroll under part B of title XVIII, subject to the deductible, premium, and coinsurance provisions of that title.(b)Entitlement of an individual to benefits under part A and eligibility to enroll under part B of title XVIII by reasons of this section— (1)shall begin with the month in which such individual receives a heart transplant, or (if earlier) the first month in which such individual is officially listed through the United Network for Organ Sharing for receipt of a heart transplant, but only if such transplantation occurs in that month or in either of the next five months (but no earlier than one year preceding the month of the filing of an application for benefits under this section); and (2)shall end with the thirty-sixth month after the month in which such individual receives such transplant. (c)(1)Subject to paragraph (2), in accordance with rules established by the Secretary, the provisions of title XVIII (except for sections 1853(a)(1)(H), 1862(b), and 1881) that are applicable to section 226A and an individual medically determined to have end stage renal disease, with respect to the receipt of a kidney transplant, shall apply in a similar manner to this section and an individual officially listed through the United Network for Organ Sharing, with respect to the receipt of a heart transplant. (2)Section 1862(b) shall apply to individuals entitled to benefits under title XVIII under this section in a similar manner as such section applies to individuals entitled to benefits under such title under section 226(b).

. (b)

Effective date

The amendment made by subsection (a) shall apply to applications filed on or after the date of the enactment of this Act, but only with respect to benefits for months beginning with January 2009.