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plans and prepaid ambulatory health plans (as de-
fined by the Secretary of Health and Human Serv-
ices). 
(2) INDIVIDUALS
DESCRIBED.—An individual 
described in this paragraph is an individual who is 
an Indian (as defined in section 4 of the Indian 
Health Care Improvement Act (25 U.S.C. 1603)) or 
an Alaska Native. 
(d) EXCEPTION FOR STATE LEGISLATION.—In the 
case of a State plan under title XIX of the Social Security 
Act (42 U.S.C. 1396 et seq.), which the Secretary of 
Health and Human Services determines requires State 
legislation in order for the respective plan to meet one or 
more additional requirements imposed by amendments 
made by this section, the respective plan shall not be re-
garded as failing to comply with the requirements of such 
title solely on the basis of its failure to meet such an addi-
tional requirement before the first day of the first calendar 
quarter beginning after the close of the first regular ses-
sion of the State legislature that begins after the date of 
enactment of this Act. For purposes of the previous sen-
tence, in the case of a State that has a 2-year legislative 
session, each year of the session shall be considered to be 
a separate regular session of the State legislature. 
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SEC. 4. EXTENSION OF THE TRANSITION TO NEW PAYMENT 
RATES FOR DURABLE MEDICAL EQUIPMENT 
UNDER THE MEDICARE PROGRAM. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall extend the transition period de-
scribed in clause (i) of section 414.210(g)(9) of title 42, 
Code of Federal Regulations, from June 30, 2016, to Sep-
tember 30, 2016 (with the full implementation described 
in clause (ii) of such section applying to items and services 
furnished with dates of service on or after October 1, 
2016). 
(b) STUDY AND REPORT.— 
(1) STUDY.— 
(A) 
IN
GENERAL.—The 
Secretary 
of 
Health and Human Services shall conduct a 
study that examines the impact of applicable 
payment adjustments upon— 
(i) the number of suppliers of durable 
medical equipment that, on a date that is 
not before January 1, 2016, and not later 
than September 1, 2016, ceased to conduct 
business as such suppliers; and 
(ii) the availability of durable medical 
equipment, during the period beginning on 
January 1, 2016, and ending on Sep-
tember 1, 2016, to individuals entitled to 
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benefits under part A of title XVIII of the 
Social Security Act (42 U.S.C. 1395 et 
seq.) or enrolled under part B of such title. 
(B) DEFINITIONS.—For purposes of this 
subsection, the following definitions apply: 
(i) SUPPLIER; 
DURABLE
MEDICAL 
EQUIPMENT.—The terms ‘‘supplier’’ and 
‘‘durable medical equipment’’ have the 
meanings given such terms by section 1861 
of the Social Security Act (42 U.S.C. 
1395x). 
(ii) APPLICABLE
PAYMENT
ADJUST-
MENT.—The term ‘‘applicable payment ad-
justment’’ means a payment adjustment 
described in section 414.210(g) of title 42, 
Code of Federal Regulations, that is 
phased in by paragraph (9)(i) of such sec-
tion. For purposes of the preceding sen-
tence, a payment adjustment that is 
phased in pursuant to the extension under 
subsection (a) shall be considered a pay-
ment adjustment that is phased in by such 
paragraph (9)(i). 
(2) REPORT.—The Secretary of Health and 
Human Services shall, not later than September 10, 
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2016, submit to the Committees on Ways and 
Means and on Energy and Commerce of the House 
of Representatives, and to the Committee on Fi-
nance of the Senate, a report on the findings of the 
study conducted under paragraph (1). 
SEC. 5. EXCLUSION OF PAYMENTS FROM STATE EUGENICS 
COMPENSATION PROGRAMS FROM CONSID-
ERATION IN DETERMINING ELIGIBILITY FOR, 
OR THE AMOUNT OF, FEDERAL PUBLIC BENE-
FITS. 
(a) IN GENERAL.—Notwithstanding any other provi-
sion of law, payments made under a State eugenics com-
pensation program shall not be considered as income or 
resources in determining eligibility for, or the amount of, 
any Federal public benefit. 
(b) DEFINITIONS.—For purposes of this section: 
(1) FEDERAL
PUBLIC
BENEFIT.—The term 
‘‘Federal public benefit’’ means— 
(A) any grant, contract, loan, professional 
license, or commercial license provided by an 
agency of the United States or by appropriated 
funds of the United States; and 
(B) any retirement, welfare, health, dis-
ability, public or assisted housing, postsec-
ondary education, food assistance, unemploy-
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ment benefit, or any other similar benefit for 
which payments or assistance are provided to 
an individual, household, or family eligibility 
unit by an agency of the United States or by 
appropriated funds of the United States. 
(2) STATE
EUGENICS
COMPENSATION
PRO-
GRAM.—The term ‘‘State eugenics compensation 
program’’ means a program established by State law 
that is intended to compensate individuals who were 
sterilized under the authority of the State. 
SEC. 6. DEPOSIT OF SAVINGS INTO MEDICARE IMPROVE-
MENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 
U.S.C. 1395iii(b)(1)) is amended by striking ‘‘$0’’ and in-
serting ‘‘$3,000,000’’. 
Passed the House of Representatives July 5, 2016. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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