Sec. 205. Enrollment through independent brokers
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/bill/118/s/3950/is/section-205·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Not later than 1 year after the date of enactment of this Act, the Director of the Federal Coordinated Health Care Office of the Centers for Medicare & Medicaid Services and the Administrator of the Centers for Medicare & Medicaid Services jointly shall issue guidance or regulations providing that— a dual eligible individual (as defined in section 2201 of the Social Security Act) may not be enrolled in a health benefits plan that provides integrated care for such individual under title XXII of the Social Security Act through a broker unless the broker is an independent broker (as defined under such guidance or regulations); an independent broker may receive a commission for the initial enrollment of a dual eligible individual in such a plan, but no commission shall be available to any broker for any subsequent enrollment of such individual in any such plan; if a broker disenrolls a dual eligible individual from any such health benefits plan to a plan that provides partial or no integrated care, the broker, in accordance with the model standards issued under section 204(b), shall inform the individual— of the health benefits plan the individual is being disenrolled from; and that the individual is being enrolled in a health benefits plan that provides partial or no integrated care and the potential implications of such disenrollment and enrollment on the individual's care.