117 S5088 IS: Healthcare Enrollment Reform Modernization and Navigation Act U.S. Senate 2022-11-15 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.

II117th CONGRESS2d SessionS. 5088IN THE SENATE OF THE UNITED STATESNovember 15, 2022Mr. Casey (for himself and Mr. Portman) introduced the following bill; which was read twice and referred to the Committee on FinanceA BILLTo 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.