```

[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1263 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 1263

To amend title XVIII of the Social Security Act to direct the Secretary 
of Health and Human Services to determine whether individuals entitled 
to benefits under the medicare program meet the requirements for status 
as qualified medicare beneficiaries under the medicaid program, and for 
                            other purposes.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                             March 9, 1993

Mr. McCloskey introduced the following bill; which was referred jointly 
      to the Committees on Ways and Means and Energy and Commerce

_______________________________________________________________________

                                 A BILL

 
To amend title XVIII of the Social Security Act to direct the Secretary 
of Health and Human Services to determine whether individuals entitled 
to benefits under the medicare program meet the requirements for status 
as qualified medicare beneficiaries under the medicaid program, 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. DETERMINATION BY SECRETARY OF QUALIFIED MEDICARE BENEFICIARY 
              STATUS.

    (a) In General.--Part B of title XVIII of the Social Security Act 
(42 U.S.C. 1395j et seq.) is amended by inserting after section 1836 
the following new section:

        ``determination of qualified medicare beneficiary status

    ``Sec. 1836A. (a) In General.--At the time an individual becomes 
entitled to insurance benefits under part A pursuant to section 226(a), 
the Secretary shall determine whether the individual meets the 
requirements for status as a qualified medicare beneficiary under 
section 1905(p)(1).
    ``(b) Certification to States.--If the Secretary makes a 
determination that an individual meets the requirements for status as a 
qualified medicare beneficiary, the Secretary shall certify such 
determination to the State in which the individual resides.''.
    (b) Acceptance of Determination by State.--Section 1905(p) of such 
Act (42 U.S.C. 1396d(p)) is amended by adding at the end the following 
new paragraph:
    ``(5)(A) If the Secretary certifies to the State that an individual 
meets the requirements for status as a qualified medicare beneficiary, 
the individual shall be deemed to have met the requirements of 
paragraph (1).
    ``(B) Nothing in subparagraph (A) shall be construed to prohibit a 
State from requiring an individual to continue to meet the requirements 
of paragraph (1) after the individual is deemed to have met the 
requirements of such paragraph under subparagraph (A).''.

SEC. 2. EFFECTIVE DATE.

    The amendments made by section 1 shall apply to individuals 
entitled to benefits under title XVIII of the Social Security Act 
pursuant to section 226(a) of such Act on or after January 1, 1994.

                                 <all>
```