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Title IV: Medicare, Medicaid, and Children's Health Provisions - Subtitle A: Medicare+Choice Program - Chapter 1: Medicare+Choice Program - Amends title XVIII (Medicare) of the Social Security Act (SSA) to establish a Medicare+Choice program under which each Medicare+Choice eligible individual (one entitled to benefits under Medicare part A (Hospital Insurance) and enrolled under Medicare part B (Supplementary Medical Insurance)) is entitled to elect, in accordance with certain procedures, to receive Medicare benefits either through the original Medicare fee-for-service program or through a Medicare+Choice plan.

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Provides for these options to be offered through both: (1) a new Medicare part C Medicare Advantage (MA) program that integrates basic medical coverage with added prescription drug coverage, including coverage through specialized MA plans for special needs individuals; and (2) a new separate, stand-alone Medicare Prescription Drug plan (PDP) program under Medicare part D that relies on private plans to provide coverage and to bear a portion of the financial risk for drug costs.

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