S.Amdt. 2699
What it does: Adds SEC. __. REQUIREMENT OF SIGNED CERTIFICATION PRIOR TO PLAN ENROLLMENT UNDER PART D wherever appropriate
Sen. Frank R. Lautenberg (D-NJ)What it changes
1 change to H.R. 4297
Adds SEC. __. REQUIREMENT OF SIGNED CERTIFICATION PRIOR TO PLAN ENROLLMENT UNDER PART D wherever appropriate
Adds a sectionInserted: SEC. __. REQUIREMENT OF SIGNED CERTIFICATION PRIOR TO PLAN ENROLLMENT UNDER PART D.
Inserted: (a) In General.--Section 1860D-1(b)(1) of the Social Security Act (42 U.S.C. 1395w-101) is amended by adding at the end the following new subparagraph:
Inserted: "(D) Special rule for plans with an initial coverage limit.--
Inserted: "(i) In general.--The process for enrollment established under subparagraph (A) shall include, in the case of a prescription drug plan or an MA-PD plan that has an initial coverage limit (as described in section 1860D-2(b)(3)), a requirement that, prior to enrolling a part D eligible individual in the plan, the plan must obtain a certification signed by the enrollee or the legal guardian of the enrollee that meets the requirements described in clause (ii) and includes the following text: 'I understand that the Medicare Prescription Drug Plan or MA-PD Plan that I am signing up for may result in a gap in coverage during a given year. I understand that if subject to this gap in coverage, I will be responsible for paying 100 percent of the cost of my prescription drugs and will continue to be responsible for paying the plan's monthly premium while subject to this gap in coverage. For specific information on the potential coverage gap under this plan, I understand that I should contact (insert name of the sponsor of the prescription drug plan or the sponsor of the MA-PD plan) at (insert toll free phone number for such sponsor of such plan).'.
Inserted: "(ii) Certification requirements described.--The certification required under clause (i) shall meet the following requirements:
Inserted: "(I) The certification shall be printed in a typeface of not less than 18 points.
Inserted: "(II) The certification shall be printed on a single piece of paper separate from any matter not related to the certification.
Inserted: "(III) The certification shall have a heading printed at the top of the page in all capital letters and bold face type that states the following: 'WARNING: POTENTIAL MEDICARE PRESCRIPTION DRUG COVERAGE GAP'.".
Inserted: (b) Effective Date.--The amendment made by this section shall take effect on the date of enactment of this Act.
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Original wording
At the appropriate place, insert the following:
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As printed
SA 2699. Mr. LAUTENBERG submitted an amendment intended to be proposed by him to the bill H.R. 4297, to provide for reconciliation pursuant to section 201(b) of the concurrent resolution on the budget for fiscal year 2006; which was ordered to lie on the table; as follows:
At the appropriate place, insert the following:
SEC. __. REQUIREMENT OF SIGNED CERTIFICATION PRIOR TO PLAN ENROLLMENT UNDER PART D.
(a) In General.--Section 1860D-1(b)(1) of the Social Security Act (42 U.S.C. 1395w-101) is amended by adding at the end the following new subparagraph:
“(D) Special rule for plans with an initial coverage limit.--
“(i) In general.--The process for enrollment established under subparagraph (A) shall include, in the case of a prescription drug plan or an MA-PD plan that has an initial coverage limit (as described in section 1860D-2(b)(3)), a requirement that, prior to enrolling a part D eligible individual in the plan, the plan must obtain a certification signed by the enrollee or the legal guardian of the enrollee that meets the requirements described in clause (ii) and includes the following text: ‘I understand that the Medicare Prescription Drug Plan or MA-PD Plan that I am signing up for may result in a gap in coverage during a given year. I understand that if subject to this gap in coverage, I will be responsible for paying 100 percent of the cost of my prescription drugs and will continue to be responsible for paying the plan's monthly premium while subject to this gap in coverage. For specific information on the potential coverage gap under this plan, I understand that I should contact (insert name of the sponsor of the prescription drug plan or the sponsor of the MA-PD plan) at (insert toll free phone number for such sponsor of such plan).'.
“(ii) Certification requirements described.--The certification required under clause (i) shall meet the following requirements:
“(I) The certification shall be printed in a typeface of not less than 18 points.
“(II) The certification shall be printed on a single piece of paper separate from any matter not related to the certification.
“(III) The certification shall have a heading printed at the top of the page in all capital letters and bold face type that states the following: ‘WARNING: POTENTIAL MEDICARE PRESCRIPTION DRUG COVERAGE GAP'.”.
(b) Effective Date.--The amendment made by this section shall take effect on the date of enactment of this Act.
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Senate amendment submitted
February 1, 2006