Sec. 201. Expanded access to medical assistance for Medicare costs during the COVID–19 public health emergency
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Section 1902 of the Social Security Act ( 42 U.S.C. 1396a ) is amended— in subsection (a)(10)(E)— in clause (iii), by striking ; and and inserting a semicolon; in clause (iv), by striking the semicolon and inserting ; and ; and by adding at the end the following new clause: during the period described in subsection (ss), for making medical assistance available for medicare cost-sharing (as defined in section 1905(p)(3)) for— individuals who are described in clause (ii), (iii), or (iv); and individuals— who are not described in clauses
(i)through
(iv)but who are eligible for, or enrolled in, the low-income subsidy program under section 1860D–14; and whose application for such medical assistance is received by the State (or automatically initiated pursuant to the transmittal of data under section 1144(c)(3)(B)) before the end of the emergency period defined in section 1135(g)(1)(B). ; and by adding at the end the following new subsection: For purposes of subsection (a)(10)(E)(v), the period described in this subsection is the period— beginning with the date of enactment of this subsection; and ending with the last day of the 12th month that begins after the emergency period defined in section 1135(g)(1)(B). . Section 1144(c)(3) of the Social Security Act ( 42 U.S.C. 1320b–14(c)(3) ) is amended— by striking Beginning on January 1, 2010 and inserting the following: Beginning on January 1, 2010 ; and by adding at the end the following new subparagraph: During the period described in section 1902(ss), the Secretary, in coordination with the Commissioner of Social Security, shall electronically transmit to the appropriate State Medicaid agency data related to each individual who is enrolled in the low-income subsidy program under section 1860D–14, and such transmittal shall initiate an application of the individual for benefits under the Medicare Savings Program with the State Medicaid agency. In order to ensure that such data transmittal provides effective assistance for purposes of State adjudication of applications for benefits under the Medicare Savings Program, the Secretary shall consult with the States regarding the content, form, frequency, and manner in which data (on a uniform basis for all States) shall be transmitted under this subparagraph. . There are hereby appropriated to carry out the requirement of subparagraph
(B)of section 1144(c)(3) of the Social Security Act ( 42 U.S.C. 1320b–14(c)(3) ), as added by subsection (b), out of any funds in the Treasury not otherwise appropriated— $1,000,000 to the Secretary of Health and Human Services, to remain available until expended; and $1,000,000 to the Commissioner of Social Security, to remain available until expended. Any amounts appropriated pursuant to this subsection shall be in addition to any other amounts otherwise appropriated pursuant to any other provision of law. The Secretary of Health and Human Services shall assess the effect of the amendments made by subsection
(a)on payments to Medicare Advantage plans under part C of title XVIII of the Social Security Act ( 42 U.S.C. 1395w–21 et seq.) and make necessary adjustments to ensure that, during the COVID–19 emergency assistance period described in subsection
(ss)of section 1902 of the Social Security Act ( 42 U.S.C. 1396a ) (as added by subsection (a)), risk-adjusted payments under such part with respect to individuals newly enrolled in the Medicare Savings Program (as defined in section 1144 of the Social Security Act ( 42 U.S.C. 1320b–14 )) pursuant to such amendments do not exceed such payments that would have been made under such part with respect to such individuals if such subsection had not been enacted. Section 1905 of the Social Security Act ( 42 U.S.C. 1396d ) is amended— in subsection (b), by striking and
(ff)and inserting (ff), and
(gg); and by adding at the end the following: Notwithstanding subsection (b), the Federal medical assistance percentage for a State shall be 100 percent— with respect to the additional amounts expended by the State for medical assistance provided during the period described in section 1902(ss) under the State plan under this title or a waiver of such plan that are attributable to the requirements imposed by section 1902(a)(10)(E)(v); with respect to expenditures described in section 1903(a)(7) that— are made by the State during the period described in section 1902(ss); and the State demonstrates to the satisfaction of the Secretary are attributable to administrative costs related to meeting such requirements; and with respect to expenditures that are made by the State to determine whether individuals who are provided medical assistance for medicare cost-sharing under section 1902(a)(10)(E)(v)(II) remain eligible for such assistance after the period described in section 1902(ss). .
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- 42 USC 1320b–14(c)(3)
- 42 USC 1395w–21
- 42 USC 1320b–14
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Sec. 201
Expanded access to medical assistance for Medicare costs during the COVID–19 public health emergency
Cite42 USC 1320b–14(c)(3)
Cite42 USC 1395w–21
Cite42 USC 1320b–14
Cites 5Cited by 0 across 0 sources