Here is what is on Wiki
Sec. 1176. Limitation on enrollment outside open enrollment period of individuals into chronic care specialized MA plans for special needs individuals.
Sec. 1177. Extension of authority of special needs plans to restrict enrollment.
Hopefully this will clear things up.
http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_bills&docid=f:h3200ih.txt.pdf
Starting on Page 353
13 PART 3—TREATMENT OF SPECIAL NEEDS PLANS
14 SEC. 1176. LIMITATION ON ENROLLMENT OUTSIDE OPEN
15 ENROLLMENT PERIOD OF INDIVIDUALS INTO
16 CHRONIC CARE SPECIALIZED MA PLANS FOR
17 SPECIAL NEEDS INDIVIDUALS.
18 Section 1859(f)(4) of the Social Security Act (42
19 U.S.C. 1395w–28(f)(4)) is amended by adding at the end
20 the following new subparagraph:
21 ‘‘(C) The plan does not enroll an individual
22 on or after January 1, 2011, other than during
23 an annual, coordinated open enrollment period
24 or when at the time of the diagnosis of the dis
25 ease or condition that qualifies the individual as
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1 an individual described in subsection
2 (b)(6)(B)(iii).’’.
3 SEC. 1177. EXTENSION OF AUTHORITY OF SPECIAL NEEDS
4 PLANS TO RESTRICT ENROLLMENT.
5 (a) IN GENERAL.—Section 1859(f)(1) of the Social
6 Security Act (42 U.S.C. 1395w–28(f)(1)) is amended by
7 striking ‘‘January 1, 2011’’ and inserting ‘‘January 1,
8 2013 (or January 1, 2016, in the case of a plan described
9 in section 1177(b)(1) of the America’s Affordable Health
10 Choices Act of 2009)’’.
11 (b) GRANDFATHERING OF CERTAIN PLANS.—
12 (1) PLANS DESCRIBED.—For purposes of sec
13 tion 1859(f)(1) of the Social Security Act (42
14 U.S.C. 1395w–28(f)(1)), a plan described in this
15 paragraph is a plan that had a contract with a State
16 that had a State program to operate an integrated
17 Medicaid-Medicare program that had been approved
18 by the Centers for Medicare & Medicaid Services as
19 of January 1, 2004.
20 (2) ANALYSIS; REPORT.—The Secretary of
21 Health and Human Services shall provide, through
22 a contract with an independent health services eval
23 uation organization, for an analysis of the plans de
24 scribed in paragraph (1) with regard to the impact
25 of such plans on cost, quality of care, patient satis-
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1 faction, and other subjects as specified by the Sec
2 retary. Not later than December 31, 2011, the Sec
3 retary shall submit to Congress a report on such
4 analysis and shall include in such report such rec
5 ommendations with regard to the treatment of such
6 plans as the Secretary deems appropriate.
Here is the referenced section of the Social Security Act
(4)[414] Additional requirements for severe or disabling chronic condition snps.—In the case of a specialized MA plan for special needs individuals described in subsection (b)(6)(B)(iii), the applicable requirements described in this paragraph are as follows:
(A) Each individual that enrolls in the plan on or after January 1, 2010, is a special needs individual described in subsection (b)(6)(B)(iii).
(B) The plan meets the requirements described in paragraph (5).
http://www.ssa.gov/OP_Home/ssact/title18/1859.htm
ACK!
Exactly WHERE was this meeting? I called his office in Washington to get clarification on his position because only last week I was told he was undecided and this morning I was told he was “undecided”
So what is the truth?