BENEFICIARY ENROLLMENT SIMPLIFICATION.

SEC. 120. BENEFICIARY ENROLLMENT SIMPLIFICATION. (a) Beneficiary Enrollment Simplification.— (1) Effective date of coverage.—Section 1838(a) of the Social Security Act (42 U.S.C. 1395q(a)) is amended— (A) by amending paragraph (2) to read as follows: “(2)(A) in the case of an individual who enrolls pursuant to subsection (d) of section 1837 before the month in which he first satisfies paragraph (1) or (2) of section 1836(a), the first day of such month, “(B) in the case of an individual who first satisfies such paragraph in a month beginning before January 2023 and who enrolls pursuant to such subsection (d)— “(i) in such month in which he first satisfies such paragraph, the first day of the month following the month in which he so enrolls, “(ii) in the month following such month in which he first satisfies such paragraph, the first day of the second month following the month in which he so enrolls, or “(iii) more than one month following such month in which he satisfies such paragraph, the first day of the third month following the month in which he so enrolls, “(C) in the case of an individual who first satisfies such paragraph in a month beginning on or after January 1, 2023, and who enrolls pursuant to such subsection (d) in such month in which he first satisfies such paragraph or in any subsequent month of his initial enrollment period, the first day of the month following the month in which he so enrolls, or “(D) in the case of an individual who enrolls pursuant to subsection (e) of section 1837 in a month beginning— “(i) before January 1, 2023, the July 1 following the month in which he so enrolls; or “(ii) on or after January 1, 2023, the first day of the month following the month in which he so enrolls; or” ; and (B) by amending paragraph (3) to read as follows: “(3) in the case of an individual who is deemed to have enrolled— “(A) on or before the last day of the third month of his initial enrollment period, the first day of the month in which he first meets the applicable requirements of section 1836(a) or July 1, 1973, whichever is later, or “(B) on or after the first day of the fourth month of his initial enrollment period, and where such month begins— “(i) before January 1, 2023, as prescribed under subparagraphs (B)(i), (B)(ii), (B)(iii), and (D)(i) of paragraph (2), or “(ii) on or after January 1, 2023, as prescribed under subparagraphs (C) and (D)(ii) of paragraph (2).” . (2) Special enrollment periods for exceptional circumstances.— (A) Enrollment.—Section 1837 of the Social Security Act (42 U.S.C. 1395p) is amended by adding at the end the following new subsection: “(m) Beginning January 1, 2023, the Secretary may establish special enrollment periods in the case of individuals who satisfy paragraph (1) or (2) of section 1836(a) and meet such exceptional conditions as the Secretary may provide.” . (B) Coverage period.—Section 1838 of the Social Security Act (42 U.S.C. 1395q) is amended by adding at the end the following new subsection: “(g) Notwithstanding subsection (a), in the case of an individual who enrolls during a special enrollment period pursuant to section 1837(m), the coverage period shall begin on a date the Secretary provides in a manner consistent (to the extent practicable) with protecting continuity of health benefit coverage.” . (C) Conforming amendment.—Title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) is amended— (i) in section 1818A(c)(3), by striking “subsections (h) and (i) of section 1837” and inserting “subsections (h), (i), and (m) of section 1837”; and (ii) in section 1839(b), in the first sentence, by striking “or (l)” and inserting “, (l), or (m)”. (3) Technical correction.—Section 1839(b) of the Social Security Act (42 U.S.C. 1395r(b)) is amended by adding at the end the following new sentence:“For purposes of determining any increase under this subsection for individuals whose enrollment occurs on or after January 1, 2023, the second sentence of this subsection shall be applied by substituting ‘close of the month’ for ‘close of the enrollment period’ each place it appears.”. (4) Report.—Not later than January 1, 2023, the Secretary of Health and Human Services shall submit to the Committee on Ways and Means and Committee on Energy and Commerce of the House of Representatives and the Committee on Finance and Special Committee on Aging of the Senate a report on how to align existing Medicare enrollment periods under title XVIII of the Social Security Act, including the general enrollment period under part B of such title and the annual, coordinated election period under the Medicare Advantage program under part C of such title and under the prescription drug program under part D of such title. Such report shall include recommendations consistent with the goals of maximizing coverage continuity and choice and easing beneficiary transition. (b) Funding.—Section 1808 of the Social Security Act (42 U.S.C. 1395b-9) is amended by adding the end the following new subsection: “(e) Funding for Implementation of Beneficiary Enrollment Simplification.—For purposes of carrying out the provisions of and the amendments made by section 120 of division CC of the Consolidated Appropriations Act, 2021, the Secretary shall provide for the transfer, from the Federal Hospital Insurance Trust Fund under section 1817 and the Federal Supplementary Medical Insurance Trust Fund under section 1841 (in such proportion as the Secretary determines appropriate), to the Centers for Medicare & Medicaid Services Program Management Account, of $2,000,000 for each of fiscal years 2021 through 2030, to remain available until expended.” .