Sec. 2. Equitable treatment of residents of territories in premium and cost-sharing subsidies under Medicare prescription drug program
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Section 1860D–14(a)(3) of the Social Security Act ( 42 U.S.C. 1395w–114(a)(3) ) is amended by striking subparagraph (F). removed territorial ineligibility for low-income part D assistance —so 1860D-14 now made applicable in territories Section 1935 of the Social Security Act ( 42 U.S.C. 1396v ) is amended— in subsection (c)(1)(A)— by inserting (and each other State for each month beginning with January 2016) after January 2006 ; and in clause (i), by inserting or (2)(B) (as the case may be) after paragraph (2)(A) ; in subsection (c)(2)— in subparagraph (A)— by amending the heading to read as follows: ; and Computation for 50 States and the District of Columbia by striking a State described in paragraph
(1)and inserting one of the 50 States or the District of Columbia ; in subparagraph (B)— by striking subparagraph
(A)and inserting subparagraph
(A)or
(B)(as the case may be) ; and by redesignating such subparagraph as subparagraph (C); and by inserting after subparagraph
(A)the following new subparagraph: The amount computed under this paragraph for a State not described in subparagraph
(A)and for a month in a year (beginning with 2016) is equal to— 1/12 of the product of— the amount determined under subsection
(e)for the State for 2015; and 100 percent minus the highest possible Federal medical assistance percentage that may be applied to any of the 50 States for fiscal year 2014 under section 1905(b)(1); and increased for each year ((beginning with 2016) up to and including the year involved) by the applicable growth factor specified in paragraph
(4)for that year. ; and in subsection (e)— in paragraph (1)— in subparagraph (A), by striking of such State; and and inserting of such State for years before 2016; ; in subparagraph (B)— by inserting for periods before January 1, 2016 after
(B); and by striking the period at the end and inserting ; and ; and by adding at the end the following new subparagraph: for the first 3 quarters of fiscal year 2016 and for each subsequent fiscal year, the amount otherwise applied under section 1108(f) for the State shall be increased by the amount specified in paragraph (4)(A) for such period or fiscal year. ; in paragraph (2), by striking The Secretary and inserting For periods before January 2016, the Secretary ; in paragraph (3)— in the heading, by inserting after before second quarter of fiscal year 2016 ; Increased amount in subparagraph (A)— in the matter before clause (i), by inserting or other fiscal period after for a year ; and in clause (i), by inserting for such year or period after subparagraph
(B); and in subparagraph (B)— in clause (ii), by striking or at the end; in clause (iii), by striking in a subsequent year and inserting in a subsequent fiscal year (before the second quarter of fiscal year 2016) and by striking the period at the end and inserting ; and ; and by adding at the end the following: for the first quarter of fiscal year 2016, is equal to 25 percent of the aggregate amount specified in this subparagraph for the previous fiscal year increased by the annual percentage increase specified in section 1860D–2(b)(6) for the year involved. ; by striking paragraph (4); and by inserting after paragraph
(3)the following new paragraph: The amount specified in this paragraph for a State for the last 3 quarters of fiscal year 2016 or for a subsequent fiscal year is equal to the product of— the aggregate amount specified in subparagraph
(B)for such period or fiscal year; and the ratio (as estimated by the Secretary) of— the number of individuals who are entitled to benefits under part A or enrolled under part B and who reside in the State (as determined by the Secretary based on the most recent available data before the beginning of the period or year); to the sum of such numbers for all States that are subject to this subsection. The aggregate amount specified in this subparagraph for— the last 3 quarters of fiscal year 2016, is equal to 3 times the amount specified in paragraph (3)(B)(iv); fiscal year 2017, is equal to 4 times the amount specified in paragraph (3)(B)(iv) increased by the same annual percentage increase as is applied to increases in the amounts applied for the fiscal year and State under section 1108(f); or a subsequent fiscal year, is equal to the aggregate amount specified in this subparagraph for the previous fiscal year increased by the same annual percentage increase as is applied for the fiscal year and State under section 1108(f). . Section 1108(f) of the Social Security Act ( 42 U.S.C. 1308(f) ) is amended by striking 1935(e)(1)(B) and inserting 1935(e)(1) . Section 1860D–14(a)(3)(C) of the Social Security Act ( 42 U.S.C. 1395w–114(a)(3)(C) ) is amended by adding at the end the following: The poverty line to be applied in the territories shall be the same as the poverty line applied to States in the continental United States. . The amendments made by subsections
(a)and (c)(2) shall be effective as of January 1, 2016, and the amendments made by subsections
(b)and (c)(1) shall take effect on the date of the enactment of this Act.
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- 42 USC 1395w–114(a)(3)
- 42 USC 1395w–114(a)(3)(C)
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Sec. 2
Equitable treatment of residents of territories in premium and cost-sharing subsidies under Medicare prescription drug program
Cite42 USC 1395w–114(a)(3)
Cite42 USC 1395w–114(a)(3)(C)
Cites 4Cited by 0 across 0 sources