Beginning July 2, 1991, Section 11332 of Public Law 101-508 mandates Social Security
            coverage for State and local government employees who are neither members of a qualified
            retirement system nor covered by a Section 218 Agreement, unless coverage is specifically
            excluded by law. The mandatory Social Security provisions apply to those State and
            local employees who have the option to become members of the retirement system but
            have chosen not to do so (optionals) as well as those employees who are personally
            ineligible for membership in the retirement system (ineligibles).
         
         Because voluntary coverage under a State’s Section 218 Agreement precludes application
            of the mandatory provisions, always verify whether a position is covered under the
            State’s Section 218 Agreement first before considering whether the individual employee
            in that position is subject to mandatory Social Security coverage. If the employee’s
            position is covered by the State’s Section 218 Agreement, then the employee is covered
            regardless of possible participation in a qualified retirement system.
         
         
            
            
               
               Section 226 of the Social Security Act (Act) provides Medicare Hospital Insurance
                  (HI) coverage automatically to individuals who have Social Security coverage.