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[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 4781 Introduced in Senate (IS)]

<DOC>

118th CONGRESS
  2d Session
                                S. 4781

To improve access to the Program of All-Inclusive Care for the Elderly, 
                        and for other purposes.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                             July 25, 2024

 Mr. Casey (for himself and Mr. Braun) introduced the following bill; 
     which was read twice and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL

 
To improve access to the Program of All-Inclusive Care for the Elderly, 
                        and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Program of All-Inclusive Care for 
the Elderly Anytime Act'' or the ``PACE Anytime Act''.

SEC. 2. ANYTIME ENROLLMENT IN PACE.

    (a) In General.--
            (1) Anytime enrollment and effective date.--Section 
        1894(c)(5) of the Social Security Act (42 U.S.C. 1395eee(c)(5)) 
        is amended by adding at the end the following new subparagraph:
                    ``(C) Anytime enrollment and effective date of 
                enrollment.--
                            ``(i) Anytime enrollment.--A PACE program 
                        eligible individual may enroll in a PACE 
                        program at any time during a month.
                            ``(ii) Effective date.--Subject to clause 
                        (iii), the enrollment of a PACE program 
                        eligible individual in a PACE program shall be 
                        effective on the date the PACE provider 
                        operating the PACE program receives an 
                        enrollment agreement signed by such PACE 
                        program eligible individual with respect to 
                        such PACE program.
                            ``(iii) Special rule in the case of dual 
                        eligible beneficiaries.--In the case of a PACE 
                        program eligible individual who is eligible for 
                        benefits under this title and title XIX, clause 
                        (i) shall only apply if the State in which such 
                        individual resides has made an election under 
                        section 1934(c)(5)(C) to permit PACE program 
                        eligible individuals enroll in a PACE program 
                        at any time during a month in such State.''.
            (2) Prorated payments.--Section 1894(d) of the Social 
        Security Act (42 U.S.C. 1395eee(d)) is amended by adding at the 
        end the following new paragraph:
            ``(4) Prorated payments.--In the case of a PACE program 
        eligible individual enrolled in a PACE program operated by a 
        PACE provider with an enrollment effective date that is not the 
        first day of a month, the capitation amount that would 
        otherwise be made under this subsection to the PACE provider 
        for such individual for the first month in which such 
        individual is so enrolled shall be prorated accordingly.''.
    (b) Conforming Amendments.--
            (1) Anytime enrollment and effective date.--Section 
        1934(c)(5) of the Social Security Act (42 U.S.C. 1396u-4(c)(5)) 
        is amended by adding at the end the following new subparagraph:
                    ``(C) State option to permit anytime enrollment and 
                effective date of enrollment.--
                            ``(i) Anytime enrollment.--A State may 
                        elect to permit a PACE program eligible 
                        individual to enroll in a PACE program at any 
                        time during a month.
                            ``(ii) Effective date.--Pursuant to a State 
                        election made under clause (i), the enrollment 
                        of a PACE program eligible individual in a PACE 
                        program shall be effective on the date the PACE 
                        provider operating the PACE program receives an 
                        enrollment agreement signed by such PACE 
                        program eligible individual with respect to 
                        such PACE program.''.
            (2) Prorated payments.--Section 1934(d) of the Social 
        Security Act (42 U.S.C. 1396u-4(d)) is amended by adding at the 
        end the following new paragraph:
            ``(3) Prorated payments.--If a State elects under 
        subsection (c)(5)(C) to permit enrollment at any time during a 
        month, in the case of a PACE program eligible individual 
        enrolled in a PACE program operated by a PACE provider with an 
        enrollment effective date that is not the first day of a month, 
        the State shall prorate the capitation amount that would 
        otherwise be made under this subsection to the PACE provider 
        for such individual for the first month in which such 
        individual is so enrolled.''.
    (c) Effective Date.--The amendments made by this section shall take 
effect on January 1, 2025.
                                 <all>
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