Sec. 4. Moving Medicare cost-sharing benefits from Medicaid to Medicare
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/bill/117/hr/5165/ih/section-4A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1902(a)(10) of the Social Security Act ( 42 U.S.C. 1396a(a)(10) ) is amended— by inserting for calendar quarters beginning before the date that is 6 months after the date of the enactment of the before Improving Medicare Coverage Act , for making each place it appears in clauses (i), (iii), and
(iv)of subparagraph (E); and in the matter following subparagraph (G)— by inserting furnished during calendar quarters beginning before the date that is 6 months after the date of the enactment of the after Improving Medicare Coverage Act (described in section 1905(p)(3)) ; by striking
(XV)and inserting ,
(XV); by striking and (XVIII) and inserting , (XVIII) ; and by inserting , and
(XIX)no medical assistance for medicare cost-sharing, other than medical assistance for medicare cost-sharing for qualified disabled and working individuals described in section 1905(s), shall be made available after the date that is 6 months after the date of the enactment of the before the semicolon at the end. Improving Medicare Coverage Act Section 1903(i) of such Act ( 42 U.S.C. 1396b(i) ) is amended— in paragraph (26), by striking ; and and inserting a semicolon; in paragraph (27), by striking the period at the end and inserting ; and ; and by inserting after paragraph
(27)the following new paragraph: with respect to any amount expended for medical assistance for medicare cost-sharing (other than medical assistance for medicare cost-sharing for qualified disabled and working individuals described in section 1905(s)) furnished during calendar quarters beginning on or after the date that is 6 months after the date of the enactment of the Improving Medicare Coverage Act . . Section 1905(a) of such Act ( 42 U.S.C. 1396d(a) ) is amended, in the first sentence, by inserting furnished during calendar quarters beginning before the date that is 6 months after the date of the enactment of the after Improving Medicare Coverage Act medicare cost-sharing . Section 1933(g) of such Act ( 42 U.S.C. 1396u–3(g) ) is amended— in paragraph (2)(Q), by striking paragraph (4), for each subsequent year and inserting paragraphs
(4)and (5), for each subsequent year (prior to the date that is 6 months after the date of the enactment of the ; and Improving Medicare Coverage Act by adding at the end the following: No individual shall be selected to be a qualifying individual for any calendar year or period under this section beginning on or after the date that is 6 months after the date of the enactment of the Improving Medicare Coverage Act , and no State allocation shall be made for any fiscal year or period under this section beginning on or after the date that is 6 month after such date of enactment. . Section 1935(a) of such Act ( 42 U.S.C. 1396u–5(a) ) is amended— in paragraph (2), by striking make determinations and inserting prior to the date that is 6 months after the date of the enactment of the ; and Improving Medicare Coverage Act , make determinations in paragraph (3), by inserting prior to the date that is 6 months after the date of the enactment of the before Improving Medicare Coverage Act , the State shall . Section 1144 of the Social Security Act ( 42 U.S.C. 1320b–14 ) is amended— in subsection (a)— in paragraph (1)(A)— by striking sections 1902(a)(10)(E) and 1933 and inserting section 1902(a)(10)(E) and (prior to the date that is 6 months after the date of the enactment of the ; Improving Medicare Coverage Act ) section 1933 by striking for the transitional assistance under section 1860D–31(f), or and inserting a comma; and by inserting , or for Medicare premium and cost-sharing assistance under section 1899B (in the case of months beginning on or after the date that is 6 months after the date of the enactment of the before the semicolon; and Improving Medicare Coverage Act ) by striking paragraph
(2)and inserting the following: Any notice furnished under paragraph
(1)shall state that eligibility for such medical assistance, subsidies, or program is conditioned upon meeting the applicable eligibility criteria. ; in subsection (b)(1)(A)— by striking sections 1902(a)(10)(E) and 1933 and inserting section 1902(a)(10)(E) and (prior to the date that is 6 months after the date of the enactment of the ; Improving Medicare Coverage Act ) section 1933 by striking for transitional assistance under section 1860D–31(f), or ; and by inserting , or for Medicare premium and cost-sharing assistance under section 1899B before the semicolon; and in subsection (c)— in paragraph (1)(B), by inserting , and (beginning on the date that is 6 months after the date of the enactment of the before the period; Improving Medicare Coverage Act ) provide an application for enrollment under the Medicare Savings Program in paragraph (2), in the paragraph header, by inserting before medicare savings program application and ; and lis application in paragraph (7), by striking means the program of medical assistance and all that follows through the period and inserting “means— prior to the date that is 6 months after the date of the enactment of the Improving Medicare Coverage Act , the program of medical assistance for payment of the cost of medicare cost-sharing under the Medicaid program pursuant to sections 1902(a)(10)(E) and 1933; and beginning on the date that is 6 months after the date of the enactment of the Improving Medicare Coverage Act , the program for medical assistance for payment of the cost of medicare cost-sharing for qualified disabled and working individuals described in section 1905(s) pursuant to section 1902(a)(10)(E)(ii) and medicare premium and cost-sharing assistance provided under section 1899B. . Not later than 3 months after the date of the enactment of this Act, the Secretary of Health and Human Services and the Commissioner of Social Security shall jointly develop and implement a transition plan to ensure that all individuals who are eligible for and are receiving medical assistance for the payment of medicare cost-sharing under a State Medicaid program pursuant to clauses (i), (iii), and
(iv)of section 1902(a)(10)(E) of the Social Security Act ( 42 U.S.C. 1396a(a)(10)(E) ) as of the day prior to the date that is 6 months after the date of the enactment of this Act, receive Medicare cost assistance under section 1899B of such Act, as added by section 3, as of the date that is 6 months after such date of enactment.
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- 42 USC 1396u–3(g)
- 42 USC 1396u–5(a)
- 42 USC 1320b–14
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Sec. 4
Moving Medicare cost-sharing benefits from Medicaid to Medicare
Cite42 USC 1396u–3(g)
Cite42 USC 1396u–5(a)
Cite42 USC 1320b–14
Cites 6Cited by 0 across 0 sources