Sec. 4. Reducing Medicare cost-sharing for low-income beneficiaries
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Title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq.), as amended by section 2, is amended by adding at the end the following new section: Notwithstanding any other provision of this title, in the case of items and services furnished on or after January 1, 2019, to an applicable low-income individual, the amount of any coinsurance or copayment otherwise applicable to the item or service under part A or B shall be reduced by 50 percent. In this section, the term applicable low-income individual means an individual— entitled to, or enrolled for, benefits under part A or enrolled in part B; who is determined to have income that is greater than 135 percent and less than or equal to 200 percent of the poverty line applicable to a family of the size involved; and whose resources (as determined under section 1613 for purposes of the supplemental security income program subject to the resource exclusions provided under section 1860D–14(a)(3)(F)) do not exceed the amount in effect for the year under section 1905(p)(1)(C)(ii).
For purposes of applying this section— income shall be determined in the manner described in section 1905(p)(1)(B), without regard to the application of section 1902(r)(2); and poverty line has the meaning given such term in section 673(2) of the Community Services Block Grant Act ( 42 U.S.C. 9902(2) ), including any revision required by such section. Nothing in subparagraph
(A)shall be construed to affect the application of section 1902(r)(2) for the determination of eligibility for medical assistance under title XIX. The Secretary, in consultation with the Commissioner of Social Security and the Secretary of the Treasury, shall establish procedures for— the determination of whether an individual is an applicable low-income individual; and the notification of providers of services and suppliers in the case where an individual is an applicable low-income individual so that the reduction in any coinsurance or copayment under subsection
(a)is applied at the time the item or service is provided to the applicable low-income individual. The provisions of section 1860D–14(a)(3)(B)(i) shall apply to the determination of whether an individual is an applicable low-income individual under this section in the same manner as such provisions apply to the determination of whether a part D eligible is a subsidy eligible individual under section 1860D–14(a)(3)(B)(i). Determinations under this subsection shall be effective for a period determined appropriate by the Secretary. Notwithstanding any other provision of this title, in the case of an item or service for which the reduction in coinsurance or copayment under subsection
(a)applies, the amount of payment otherwise applicable for the item or service under part A or B shall be increased by the amount of the reduction in coinsurance or copayment under such subsection. . Section 6103(l)(7)(D)(ii) of the Internal Revenue Code of 1986 is amended— by striking or subsidies and inserting , subsidies ; and by inserting , or reduced cost-sharing provided under section 1899D before the period at the end.
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