Page:United States Statutes at Large Volume 103 Part 3.djvu/95

 PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2163 "(B) As of the month following the month in which the individual files notice that the individual no longer wishes to participate in the insurance program established by this part. "(C) As of the month before the first month in which the individual becomes eligible for hospital insurance benefits under section 226(a) or 226A. "(D) As of a date, determined under regulations of the Sec- retary, for nonpayment of premiums. The regulations under subparagraph (D) may provide a grace period of not longer than 90 days, which may be extended to not to exceed 180 days in any case where the Secretary determines that there was good cause for failure to pay the overdue premiums within such 90- day period. Termination of coverage under this section shall result in simultaneous termination of any coverage affected under any other part of this title. "(3) The provisions of subsections (h) and (i) of section 1837 apply to enrollment and nonenrollment under this section in the same manner as they apply to enrollment and nonenrollment and special enrollment periods under section 1818. "(d)(l)(A) Premiums shall be paid to the Secretary at such times, and in such manner, as the Secretary shall by regulations prescribe, and shall be deposited in the Treasury to the credit of the Federal Hospital Insurance Trust Fund. "(B)(i) Subject to clause (ii), such premiums shall be payable for the period commencing with the first month of an individual's coverage period and ending with the month in which the individual dies or, if earlier, in which the individual's coverage period termi- nates. "(ii) Such premiums shall not be payable for any month in which the individual is eligible for benefits under this part pursuant to section 226(b). "(C) For purposes of applying section 1839(g) of this title and section 59B(0(l)(B)(i) of the Internal Revenue Code of 1986, any, reference to section 1818 shall be deemed to include a reference to this section. ' "(2) The provisions of subsections (d) through (f) of section 1818 (relating to premiums) shall apply to individuals enrolled under this section in the same manner as they apply to individuals enrolled under that section.". (b) EFFECTIVE DATE.—The amendments made by this section shall 42 USC I395i-2a take effect on the date of the enactment of this Act, but shall not ^°^- apply so as to provide for coverage under part A of title XVIII of the Social Security Act for any month before July 1990. •' SEC. 6013. BUY-IN UNDER PART A FOR QUALIFIED MEDICARE BENE- FICIARIES. (a) IN GENERAL.— Section 1818 of the Social Security Act (42 U.S.C. 1395i-2) is amended by adding at the end the following: "(g)(1) The Secretary shall, at the request of a State made after Contracts. 1989, enter into a modification of an agreement entered into with the State pursuant to section 1843(a) under which the agreement provides for enrollment in the program established by this part of qualified medicare beneficiaries (as defined in section 1905(p)(l)). "(2)(A) Except as provided in subparagraph (B), the provisions of subsections (c), (d), (e), and (f) of section 1843 shall apply to qualified medicare beneficiaries enrolled, pursuant to such agreement, in the program established by this part in the same manner and to the

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