Title IV, SEC. 4002. INDIVIDUAL ELECTION TO REMAIN IN CERTAIN HEALTH PLANS. (a) In General. Section 1876 (42 U.S.C. 1395mm) is amended by adding at the end the following new subsection: ``(k)(1) Notwithstanding any other provision of this section, each eligible organization with a risk-sharing contract that is the sponsor of a health plan under subtitle E of title I of the Health Security Act shall provide each individual who meets the requirements of paragraph (2) with the opportunity to elect (by submitting an application at such time and in such manner as specified by the Secretary) to continue enrollment in such plan and to have payments made by the Secretary to the plan on the individual's behalf in accordance with paragraph (3). ``(2) An individual meets the requirements of this paragraph if the individual is ``(A) enrolled in the health plan of an eligible organization in a month in which the individual is either not entitled to benefits under part A, or is an eligible employee (as defined in the Health Security Act) or the spouse of an eligible employee, ``(B) entitled to benefits under part A and enrolled under part B in the succeeding month, ``(C) an eligible individual under the Health Security Act in that succeeding month, and ``(D) not an eligible employee (as defined in the Health Security Act) or the spouse of an eligible employee in that succeeding month. ``(3) The Secretary shall make a payment to an eligible organization on behalf of each individual enrolled with the organization for whom an election is in effect under this subsection in an amount determined by the rate specified by subsection (a)(1)(C). Such payment shall be made from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund as provided under subsection (a)(5) (other than as provided under subparagraph (B) of that paragraph). ``(4) The period for which payment may be made under paragraph (3) ``(A) begins with the first month for which the individual meets the requirements of paragraph (2) (or a later month, in the case of a late application, as may be specified by the Secretary); and ``(B) ends with the earliest of ``(i) the month following the month ``(I) in which the individual notifies the Secretary that the individual no longer wishes to be enrolled in the health plan of the eligible organization and to have payment made on the individual's behalf under this subsection; and ``(II) which is a month specified by the Secretary as a uniform open enrollment period under subsection (c)(3)(A)(i), or ``(ii) the month in which the individual ceases to meet the requirements of paragraph (2). ``(5) Notwithstanding any other provision of this title, payments to a health plan under this subsection on behalf of an individual shall be the sole payments made with respect to items and services furnished to the individual during the period for which the indivdual's election under this subsection is in effect.''. (b) Conforming Amendment. Section 1838(b) (42 U.S.C. 1395q(b)) is amended by inserting after ``section 1843(e)'' the following: ``, 1876(c)(3)(B), 1876(k)(4)(B), or 1890(j)(1)(B)(iv)''.