‘‘(4) ADDITIONAL
ENROLLMENT
OPTION
FOR 
DUAL ELIGIBLE INDIVIDUALS.—Dual eligible individ-
uals (as defined in section 2201) may also be eligible 
to enroll in an integrated care plan under title 
XXII.’’. 
(c) PREVENTING DUPLICATE PAYMENTS UNDER 
MEDICAID.—Section 1903(i) of the Social Security Act 
(42 U.S.C. 1396b(i)) is amended— 
(1) by striking ‘‘or’’ at the end of paragraph 
(26); 
(2) by striking the period at the end of para-
graph (27) and inserting ‘‘; or’’; 
(3) by inserting after paragraph (27) the fol-
lowing new paragraph: 
‘‘(28) with respect to any amount expended for 
medical assistance for a dual eligible individual (as 
defined in section 2201) enrolled in an integrated 
care plan under title XXII, except as specifically 
permitted under such title.’’; and 
(4) in the third sentence, by striking ‘‘, and 
(18)’’ and inserting ‘‘, (18), and (28)’’. 
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TITLE 
II—IMPROVING 
ELIGI-
BILITY DETERMINATIONS, EN-
ROLLMENT PROCESSES, AND 
QUALITY OF CARE FOR DUAL 
ELIGIBLE INDIVIDUALS 
SEC. 201. IDENTIFYING OPPORTUNITIES FOR STATE CO-
ORDINATION WITH RESPECT TO ELIGIBILITY 
DETERMINATIONS. 
Not later than 1 year after the date of enactment 
of this Act, the Secretary of Health and Human Services, 
in consultation with States, shall— 
(1) review State processes for determining 
whether an individual is a full-benefit dual individual 
(as defined in section 1935(c)(6) of the Social Secu-
rity Act (42 U.S.C. 1396u–5(c)(6)) but without the 
application of subparagraph (A)(i) of such section) 
and whether an individual is eligible for the low-in-
come subsidy program under section 1860D–14 of 
the Social Security Act (42 U.S.C. 1395w–114) and 
the Medicare Savings Program (as defined in section 
1144(c)(7) of such Act (42 U.S.C. 1320b– 
14(c)(7))); and 
(2) issue guidance for States that identifies op-
portunities for better coordination of such processes 
between the States and the Federal government. 
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SEC. 202. ALIGNMENT OF BIDDING, REPORTING, AND 
OTHER DATES AND DEADLINES FOR INTE-
GRATED CARE PLANS. 
Not later than 180 days after the date of enactment 
of this Act, the Director of the Federal Coordinated 
Health Care Office of the Centers for Medicare & Med-
icaid Services and the Administrator of the Centers for 
Medicare & Medicaid Services shall— 
(1) review bidding, reporting, and other signifi-
cant dates and deadlines applicable to integrated 
care plans under the Medicare program, the Med-
icaid program, and State Integrated Care Programs 
for Dual Eligible Individuals under title XXII of the 
Social Security Act; and 
(2) identify such administrative and legislative 
changes as are needed to ensure that all such dates 
and deadlines are aligned and consistent under all 
such programs. 
SEC. 203. GRANTS TO STATE AND LOCAL COMMUNITY OR-
GANIZATIONS FOR OUTREACH AND ENROLL-
MENT. 
(a) IN GENERAL.—From the amounts appropriated 
under subsection (c) for a fiscal year, the Secretary of 
Health and Human Services (in this section referred to 
as the ‘‘Secretary’’) shall award grants to State and local 
community organizations to conduct outreach and enroll-
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ment efforts that are designed to increase the enrollment 
of dual eligible individuals (as defined in section 2201 of 
the Social Security Act) in health benefits plans that pro-
vide integrated care for such individuals under State Inte-
grated Care Programs for Dual Eligible Individuals estab-
lished under XXII of the Social Security Act. 
(b) MODEL STANDARDS.—The Secretary, in con-
sultation with the Administrator of the Administration for 
Community Living and States, shall develop and issue 
model standards for outreach and education conducted by 
State and local community organizations awarded grants 
under this section that include the following: 
(1) Information and education support is avail-
able for individuals in a range of languages, and on-
line, over the phone, and in person. 
(2) Materials presented are easy to read, writ-
ten in as low a reading comprehension level as pos-
sible, and are in the proper language for the indi-
vidual involved. 
(3) Information presented online is accessible 
for individuals with disabilities. 
(4) Information is presented in a manner that 
takes into consideration the accessibility needs of the 
individual, such as language access requirements 
and the health literacy level of the individual. 
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(c) APPROPRIATION.—There is appropriated, out of 
any money in the Treasury not otherwise appropriated, 
for the first fiscal year that begins after the date of enact-
ment of this Act, and for each fiscal year thereafter, 
$50,000,000 to carry out this section. 
SEC. 204. APPLICATION OF MODEL STANDARDS TO INFOR-
MATION REQUIREMENTS FOR INTEGRATED 
CARE PLANS. 
Not later than 1 year after the date of enactment 
of this Act, the Director of the Federal Coordinated 
Health Care Office of the Centers for Medicare & Med-
icaid Services and the Administrator of the Centers for 
Medicare & Medicaid Services jointly shall issue guidance 
or regulations requiring that any notice or informational 
materials provided to a dual eligible individual (as defined 
in section 2201 of the Social Security Act) by such Direc-
tor, Administrator, States, or health benefits plans that 
provide integrated care for such individuals under the 
Medicare program, the Medicaid program, or under State 
Integrated Care Programs for Dual Eligible Individuals 
established under XXII of the Social Security Act com-
plies with the model standards issued under section 
203(b). 
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