Sec. 5. Enhancing prescription drug affordability by expanding access to assistance with out-of-pocket costs under Medicare part D for low-income seniors and individuals with disabilities
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Section 1860D–14 of the Social Security Act ( 42 U.S.C. 1395w–114 ) is amended— in subsection (a)— in the heading, by striking and inserting 150 percent ; 200 percent in paragraph (1)— in the heading, by striking and inserting 135 percent ; and 200 percent in the matter preceding subparagraph (A)— by striking 135 percent and inserting 200 percent ; and by striking and who meets the resources requirement described in paragraph (3)(D) or who is covered under this paragraph under paragraph (3)(B)(i) and inserting or who is covered under this paragraph under paragraph (3)(B)(v) ; by striking paragraph (2); in paragraph (3)— in subparagraph (A)— in clause (i), by adding and at the end; in clause (ii)— by striking 150 percent and inserting 200 percent ; and by striking ; and at the end and inserting a period; and by striking clause (iii); by striking subparagraphs
(B)and
(C)and inserting the following: For provisions relating to joint determinations with respect to eligibility for Medicare cost assistance under section 1899B and premium and cost-sharing subsidies under this section, see section 1899B(b)(2). For purposes of applying this section— in the case of an individual who is not treated as a Medicare cost-sharing assistance eligible individual and a subsidy eligible individual under section 1899B(b)(2)(D), income shall be determined in the manner described under section 1612 for purposes of the supplemental security income program, except that support and maintenance furnished in kind shall not be counted as income; and the term 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. ; and by striking subparagraphs (D), (E), and (G); and in paragraph (4), by striking subparagraph (B); and in subsection (c)(1), in the second sentence, by striking subsections (a)(1)(D) and (a)(2)(E) and inserting subsection (a)(1)(D) . Section 1860D–14(a)(1)(D) of the Social Security Act ( 42 U.S.C. 1395w–114(a)(1)(D) ) is amended— by striking who would be such an institutionalized individual or couple, if the full-benefit dual eligible individual were not ; and by striking or subsection
(c)or
(d)of section 1915 or under a State plan amendment under subsection
(i)of such section and inserting , section 1115A, section 1915, or under a State plan amendment . The amendments made by this section shall apply to plan years beginning on or after the date that is 6 months after the date of the enactment of this Act, and apply on or after such date.
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U.S. Code
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- 42 USC 1395w–114
- 42 USC 1395w–114(a)(1)(D)
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Sec. 5
Enhancing prescription drug affordability by expanding access to assistance with out-of-pocket costs under Medicare part D for low-income seniors and individuals with disabilities
Cite42 USC 1395w–114
Cite42 USC 1395w–114(a)(1)(D)
Cites 3Cited by 0 across 0 sources