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HHS/CMS RIN: 0938-AO77 Publication ID: Fall 2008 
Title: Special Enrollment Period and Medicare Premium Changes (CMS-4129-F) 
Abstract: Section 5115 of the Deficit Reduction Act of 2005 (DRA) provides a special enrollment period for Medicare Part B/Part A and waiver of late enrollment penalty for individuals who are serving as a volunteer outside the United States through a program that covers at least a 12-month period and who have health insurance while providing the voluntary service outside of the United States. Section 811 of the Medicare Prescription Drug Improvement and Modernization Act (MMA) of 2003 as amended by section 5111 of the DRA requires an additional amount be assessed to the Part B premium of individuals who have a modified adjusted gross income that reaches certain levels. The effective date for these provisions is January 1, 2007. Since SSA has the responsibility for calculating the additional premium amount, the explanation of this statutory requirement is in its part of the regulations (20 CFR part 418). CMS will include a reference to the SSA regulation in its change to 42 CFR part 408. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 406 to 408   
Legal Authority: PL 109-171, sec 5115    PL 108-173, sec 811   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2007 
Timetable:
Action Date FR Cite
NPRM  09/28/2007  72 FR 55152   
NPRM Comment Period End  11/27/2007    
Final Action  06/27/2008  73 FR 36463   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Denice Cox
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Centers for Healthplan and Prescription Drug Choices, Mailstop, C2-10-23, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-3195
Email: denise.cox@cms.hhs.gov