‘‘(VIII) Any other information 
required by the Secretary. 
‘‘(v) TECHNICAL
ASSISTANCE.—The 
Secretary shall provide, or designate an en-
tity to provide, technical assistance to par-
ticipating PACE providers as they apply 
for and implement the model. 
‘‘(vi) 
ACCOUNTING
FOR
UNCER-
TAINTY.—In 
order 
for 
implementing 
PACE providers to receive unanticipated 
additional resources needed to implement 
the model, the Secretary shall establish 
procedures for the implementing PACE 
providers to submit to the Secretary a re-
quest for additional resources. 
‘‘(vii) MONITORING OUTCOMES.—The 
Secretary, in conjunction with PACE pro-
viders and in consultation with States that 
have elected to expand PACE program eli-
gibility under section 1934(l), shall develop 
a plan to— 
‘‘(I) annually monitor outcomes 
under the model, which may include 
financial, quality, access, and utiliza-
tion outcomes; 
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‘‘(II) annually monitor the health 
outcomes of the PACE provider’s ex-
panded population; and 
‘‘(III) any other outcomes as de-
termined by the Secretary. 
‘‘(viii) REPORTING REQUIREMENTS.— 
‘‘(I) REPORT
TO
CONGRESS.— 
Not less frequently than every 3 years 
(for the duration of the implementa-
tion of the model under this subpara-
graph), the Secretary shall submit to 
Congress a report on the implementa-
tion of the model under this subpara-
graph. The report shall include demo-
graphic information on the popu-
lations served under the demonstra-
tion, best practices for future imple-
mentation efforts and any other infor-
mation the Secretary determines ap-
propriate together with recommenda-
tions for such legislation and adminis-
trative action as the Secretary deter-
mines appropriate. 
‘‘(ix) FUNDING.—The Secretary shall 
allocate funds made available under sub-
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section (f)(1) to design, implement, evalu-
ate, and report on the model described in 
clause (ii) in accordance with this subpara-
graph.’’. 
SEC. 8. STATE OPTION TO EXPAND ELIGIBILITY FOR PACE 
PROGRAM. 
(a) IN GENERAL.—Section 1934 of the Social Secu-
rity Act (42 U.S.C. 1396u–4), as amended by section 3(b), 
is amended— 
(1) in subsection (a)(5)(B), by inserting ‘‘, sub-
section (k), and subsection (l)’’ after ‘‘subsection 
(c)(4)’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(l) STATE OPTION TO EXPAND ELIGIBILITY.— 
‘‘(1) IN GENERAL.—A State described in para-
graph (3) may, at the option of the State, deem in-
dividuals described in paragraph (2) to be PACE 
program eligible individuals for the purposes of this 
section without regard to the requirement under 
subsection (a)(5)(B) that a PACE program eligible 
individual require the level of care required under 
the State medicaid plan for coverage of nursing fa-
cility services. 
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‘‘(2) EXPANSION
OF
ELIGIBILITY.—An indi-
vidual is described in this paragraph if— 
‘‘(A) the individual meets the requirements 
of subparagraphs (A), (C), and (D) of sub-
section (a)(5); 
‘‘(B) the individual is unable to perform at 
least 2 (or such higher number as the State 
may establish) activities of daily living, as de-
termined by the State; and 
‘‘(C) the individual’s income does not ex-
ceed 150 percent of the poverty line (as defined 
in section 2110(c)(5)) or, if greater, the income 
level applicable for an individual who has been 
determined to require an institutional level of 
care to be eligible for nursing facility services 
under the State plan and with respect to whom 
there has been a determination that, but for the 
provision of such services, the individual would 
require the level of care provided in a hospital, 
a nursing facility, an intermediate care facility 
for the mentally retarded, or an institution for 
mental diseases, the cost of which could be re-
imbursed under the State plan. 
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