I 
109TH CONGRESS 
2D SESSION 
H. R. 5907 
To amend title XVIII of the Social Security Act to reduce cost-sharing 
under part D of such title for certain non-institutionalized full-benefit 
dual eligible individuals. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 26, 2006 
Mr. RAMSTAD introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committee on 
Ways and Means, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to reduce 
cost-sharing under part D of such title for certain non- 
institutionalized full-benefit dual eligible individuals. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medicare Part D Home 
and Community Services Copayment Equity Act of 2006’’. 
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SEC. 2. ELIMINATION OF PART D COST-SHARING FOR CER-
TAIN 
NON-INSTITUTIONALIZED 
FULL-BEN-
EFIT DUAL ELIGIBLE INDIVIDUALS. 
(a) IN GENERAL.—Section 1860D–14(a)(1)(D)(i) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1395w– 
114(a)(1)(D)(i)) is amended— 
(1) in the heading, by striking ‘‘INSTITU-
TIONALIZED
INDIVIDUALS.—In’’ 
and 
inserting 
‘‘ELIMINATION
OF
COST-SHARING
FOR
CERTAIN 
FULL-BENEFIT DUAL ELIGIBLE INDIVIDUALS.— 
‘‘(I) INSTITUTIONALIZED
INDI-
VIDUALS.—In’’; and 
(2) by adding at the end the following new sub-
clauses: 
‘‘(II) CERTAIN
OTHER
INDIVID-
UALS.—In the case of an individual 
who is a full-benefit dual eligible indi-
vidual and who is a resident of a facil-
ity described in subclause (III) or who 
is receiving home and community- 
based services in a home setting pro-
vided under a home and community- 
based waiver approved for the State 
under section 1915 or 1115, the elimi-
nation of any beneficiary coinsurance 
described in section 1860D–2(b)(2) 
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(for all amounts through the total 
amount of expenditures at which ben-
efits are available under section 
1860D–2(b)(4)). 
‘‘(III) FACILITY
DESCRIBED.— 
For purposes of subclause (II), a fa-
cility described in this subclause is an 
assisted living facility or a resident 
care program facility (as such terms 
are defined by the Secretary), a board 
and care facility (as defined in section 
1903(q)(4)(B)), or any other licenced 
facility determined appropriate by the 
Secretary, 
including 
a 
psychiatric 
health facility, a mental health reha-
bilitation center, and a mental retar-
dation developmental disability facil-
ity.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply to drugs dispensed on or after 
the date of the enactment of this Act. 
Æ 
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