This bill establishes a 10-year Medicare demonstration program that would allow eligible beneficiaries living abroad to apply their Medicare benefits toward healthcare coverage in other countries. The program would initially include at least 11 participating countries including Canada, Germany, India, Israel, South Korea, the Philippines, Panama, Mexico, the Dominican Republic, and Ghana, with the Secretary of Health and Human Services selecting additional nations based on healthcare quality and cost standards. The program is voluntary and beneficiaries can participate with at least 150,000 participants enrolled, receiving Medicare payments for healthcare items, services, premiums, and cost-sharing in their chosen country, though payments cannot exceed what Medicare would spend for equivalent U.S. services. The legislation aims to evaluate whether the program improves care quality, reduces government costs, enables family reunification, and relieves strain on U.S. medical infrastructure, with annual evaluations and recommendations to Congress regarding expansion. Funding would come from existing Medicare trust funds and administrative appropriations, with implementation required within one year of enactment.