On the recordFebruary 13, 2013
Today I'm introducing a modified version of bipartisan legislation I introduced last Congress. The bill would amend a provision in Federal law that applies only to Puerto Rico and that has harmed thousands of Medicare beneficiaries on the island. My legislation would eliminate this problem for future beneficiaries and provide appropriate financial relief to current beneficiaries who have been adversely affected. Senator Schumer is introducing a companion bill, and I want to thank him for his support on this issue. Most individuals become eligible to enroll in Medicare part A, which covers inpatient hospital care, when they turn 65. In every State and territory except Puerto Rico, individuals enrolled in part A are automatically enrolled in part B, which covers doctors' services and outpatient hospital care and requires the payment of a monthly premium. Individuals can opt out of part B if they don't want it. In Puerto Rico, by contrast, individuals enrolled in part A are not automatically enrolled in part B but, rather, must opt in to receive this coverage. The problem with the opt-in requirement is that the law requires individuals to elect part B coverage within a 7-month initial enrollment period or to pay a penalty to the Federal Government. The penalty is substantial--a 10 percent increase in the monthly part B premium for every year of delayed enrollment. It is also permanent, lasting as long as the individual has part B, which can be decades.…





