Page:United States Statutes at Large Volume 114 Part 5.djvu/603

 PUBLIC LAW 106-554—APPENDIX F 114 STAT. 2763A-563 subparagraph, the period beginning on the effective date of the disenrollment and ending on the date that is 63 days after such effective date.". (b) EXTENDED MEDIGAP ACCESS FOR INTERRUPTED TRIAL PERI- ODS.— Section 1882(s)(3) (42 U.S.C. 1395ss(s)(3)), as amended by subsection (a), is further amended by adding at the end the following new subparagraph: "(F)(i) Subject to clause (ii), for purposes of this paragraph— "(I) in the case of an individual described in subparagraph (B)(v) (or deemed to be so described, pursuant to this subparagraph) whose enrollment with an organization or provider described in subclause (II) of such subparagraph is involuntarily terminated within the first 12 months of such enrollment, and who, without an intervening enrollment, enrolls with another such organization or provider, such subsequent enrollment shall be deemed to be an initial enrollment described in such subparagraph; and "(II) in the case of an individual described in clause (vi) of subparagraph (B) (or deemed to be so described, pursuant to this subparagraph) whose enrollment with a plsm or in a program described in such clause is involuntarily terminated within the first 12 months of such enrollment, and who, without an intervening enrollment, enrolls in another such plan or program, such subsequent enrollment shall be deemed to be an initial enrollment described in such clause. "(ii) For purposes of clauses (v) and (vi) of subparagraph (B), no enrollment of an individual with an organization or provider described in clause (v)(II), or with a plan or in a program described in clause (vi), may be deemed to be an initial enrollment under this clause after the 2-year period beginning on the date on which the individual first enrolled with such an organization, provider, plan, or program.". SEC. 619. RESTORING EFFECTIVE DATE OF ELECTIONS AND CHANGES OF ELECTIONS OF MEDICARE+CHOICE PLANS. (a) OPEN ENROLLMENT.— Section 1851(f)(2) (42 U.S.C. 1395w- 21(f)(2)) is amended by striking ", except that if such election or change is made after the 10th day of any calendar month, then the election or change shall not take effect until the first day of the second calendar month following the date on which the election or change is made". (b) EFFECTIVE DATE. —The amendment made by this section shall apply to elections and changes of coverage made on or after June 1, 2001. SEC. 620. PERMITTING ESRD BENEFICIARIES TO ENROLL IN ANOTHER MEDICARE+CHOICE PLAN IF THE PLAN IN WHICH THEY ARE ENROLLED IS TERMINATED. (a) IN GENERAL. —Section 1851(a)(3)(B) (42 U.S.C. 1395w- 21(a)(3)(B)) is amended by striking "except that" and all that follows and inserting the following: "except that— "(i) an individual who develops end-stage renal disease while enrolled in a Medicare+Choice plan may continue to be enrolled in that plan; and "(ii) in the case of such an individual who is enrolled in a Medicare+Choice plan under clause (i) (or subsequently under this clause), if the enrollment

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