; (2) efforts to slow the progression of kidney disease in minority populations that are disproportionately affected by such disease; and (3) treatment patterns associated with providing care, under the Medicare program under title XVIII of the Social Security Act, the Medicaid program under title XIX of such Act, and through private health insurance, to minority populations that are disproportionately affected by kidney failure. (b) Report Not later than 1 year after the date of the enactment of this Act, the Secretary shall submit to Congress a report on the study conducted under subsection (a), together with such recommendations as the Secretary determines to be appropriate. II Empower patient decision making and choice 201. Providing individuals with kidney failure access to managed care (a) Permanent extension of Medicare Advantage ESRD special needs plans authority Section 1859(f)(1) of the Social Security Act ( 42 U.S.C. 1395w–28(f)(1) ) is amended by inserting , in the case of a specialized MA plan for special needs individuals who have not been determined to have end stage renal disease, before for periods before January 1, 2019 . (b) Accelerated access to Medicare Advantage Section 17006(a)(3) of the 21st Century Cures Act ( Public Law 114–255 ) is amended by striking 2021 and inserting 2020 . (c) Accelerated MedPAC risk adjustment report Section 17006(f)(2)(A)(i)(II) of the 21st Century Cures Act ( Public Law 114–255 ) is amended by striking 2020 and inserting 2019 . 202. Medigap coverage for beneficiaries with end-stage renal disease (a) Guaranteed availability of medigap policies to all ESRD medicare beneficiaries (1) In general Section 1882(s) of the Social Security Act ( 42 U.S.C. 1395ss(s) ) is amended— (A) in paragraph (2)— (i) in subparagraph (A), by striking is 65 and inserting the following: is— (i) 65 years of age or older and is enrolled for benefits under part B; or (ii) is entitled to benefits under 226A(b) and is enrolled for benefits under part B.