S. 4899Senate117th Congress (2021-2023)Passed Senate

Improving Medicare Patients with RNHCI Options to Vaccinate Easily Act

Introduced September 20, 2022

AI-Generated Summary

Updated February 8, 2026 at 5:40 PM UTC

The IMPROVE Act changes Medicare rules so that patients who previously gave up a coverage election because they received a COVID‑19 vaccine can now make a new election that takes effect right away, and the earlier revocation won’t affect the timing of any future election. It also slightly lowers the amount set aside in the Medicare Improvement Fund.

Key Provisions

  • Amends the election‑revocation language in the Social Security Act to add a new clause specifically covering COVID‑19 vaccine administration.
  • Allows individuals whose election was revoked due to receiving a COVID‑19 vaccine to make a new election immediately, and ensures the revoked election does not count toward determining the effective date of future elections.
  • Reduces the authorized Medicare Improvement Fund allocation from $7.5 billion to $7.493 billion.

Legislative Activity

Stay on top of the latest movement without scrolling through every action

4 earlier actions
HouseFloor Latest Action

Held at the desk.

September 21, 2022 • 12:08 PM

View full timeline
SenateIntro Referral

Introduced in Senate

September 20, 2022

SenateFloor

Introduced in the Senate, read twice, considered, read the third time, and passed without amendment by Voice Vote. (consideration: CR S4871-4872; text: CR S4871-4872)

September 20, 2022

SenateFloor

Message on Senate action sent to the House.

September 21, 2022

HouseFloor

Received in the House.

September 21, 2022 • 12:03 PM

HouseFloor

Held at the desk.

September 21, 2022 • 12:08 PM

Floor Debate

1 member

What members said about S. 4899 on the floor

1 Democrat
Richard J. Durbin
Sen. Richard J. DurbinD-IL · Sep 20, 2022

Mr. President, I ask unanimous consent that the Senate proceed to the immediate consideration of S. 4899, introduced earlier today. I further ask that the bill be considered read a third time. I know…

Bill Text

2 versions available

Reading Mode
Latest
Engrossed in SenateIssued September 20, 2022

117th CONGRESS

2d Session

S. 4899

AN ACT

To amend title XVIII of the Social Security Act to Remedy election revocations relating to administration of COVID–19 vaccines.

1.

Short title

This Act may be cited as the Improving Medicare Patients with RNHCI Options to Vaccinate Easily Act or the IMPROVE Act.

2.

Remedying election revocations relating to administration of COVID–19 vaccines

(a)

In general

Section 1821(b)(5)(A) of the Social Security Act (42 U.S.C. 1395i–5(b)(5)(A)) is amended—

(1)

in clause (i), by striking or or at the end;

(2)

in clause (ii), by striking the period at the end and inserting , or; and

(3)

by adding at the end the following new clause:

(iii)

effective beginning on the date of the enactment of this clause, that is a COVID–19 vaccine and its administration described in section 1861(s)(10)(A).

.

(b)

Special rules for COVID–19 vaccines relating to revocation of election

Notwithstanding paragraphs (3) and (4) of section 1821(b) of the Social Security Act (42 U.S.C. 1395i–5(b)), in the case of an individual with a revocation of an election under such section prior to the date of enactment of this Act by reason of receiving a COVID–19 vaccine and its administration described in section 1861(s)(10)(A) of such Act (42 U.S.C. 1395x(s)(10)(A)), the following rules shall apply:

(1)

Beginning on such date of enactment, such individual may make an election under such section, which shall take effect immediately upon its execution, if such individual would be eligible to make such an election if they had not received such COVID–19 vaccine and its administration.

(2)

Such revoked election shall not be taken into account for purposes of determining the effective date for an election described in subparagraph (A) or (B) of such paragraph (4).

(c)

Medicare Improvement Fund

Section 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking $7,500,000,000 and inserting $7,493,000,000.

Passed the Senate September 20, 2022.

Secretary