I 
111TH CONGRESS 
1ST SESSION H. R. 2716 
To amend title XIX of the Social Security Act to provide financial stability 
for seniors and people with disabilities through improvements in the 
Medicare Savings Program. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 4, 2009 
Mr. BECERRA (for himself and Mr. DOGGETT) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committee on Ways and Means, for a period to be subse-
quently 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 XIX of the Social Security Act to provide 
financial stability for seniors and people with disabilities 
through improvements in the Medicare Savings Program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Medicare Savings Program Improvement Act of 2009’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
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Sec. 2. Increase in income levels for eligibility. 
Sec. 3. Modification of resource standards. 
Sec. 4. Eligibility for other programs. 
Sec. 5. Effective date of MSP benefits. 
Sec. 6. Treatment of qualified Medicare beneficiaries, specified low-income 
Medicare beneficiaries, and other dual eligibles as medicare 
beneficiaries. 
Sec. 7. Monitoring and enforcement of limitation on beneficiary liability. 
Sec. 8. Medicaid treatment of certain Medicare providers. 
Sec. 9. State provision of medical assistance to dual eligibles in MA plans. 
Sec. 10. Medicare enrollment assistance. 
Sec. 11. Medicaid agency consideration of low-income subsidy application and 
data transmittal. 
Sec. 12. QMB buy-in of part A and part B premiums. 
Sec. 13. Increasing availability of MSP applications through availability on the 
Internet and designation of preferred language. 
Sec. 14. Medicare savings program applications. 
Sec. 15. Repeal of payment limitation. 
SEC. 2. INCREASE IN INCOME LEVELS FOR ELIGIBILITY. 
(a) INCREASE TO 150 PERCENT OF FPL FOR QUALI-
FIED MEDICARE BENEFICIARIES.— 
(1) IN GENERAL.—Section 1905(p)(2) of the 
Social Security Act (42 U.S.C. 1396d(p)(2)) is 
amended— 
(A) in subparagraph (A), by striking ‘‘100 
percent’’ and inserting ‘‘150 percent’’; 
(B) in subparagraph (B)— 
(i) by striking ‘‘and’’ at the end of 
clause (ii); 
(ii) by striking the period at the end 
of clause (iii) and inserting ‘‘, and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(iv) January 1, 2011, is 150 per-
cent.’’; and 
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(C) in subparagraph (C)— 
(i) by striking ‘‘and’’ at the end of 
clause (iii); 
(ii) by striking the period at the end 
of clause (iv) and inserting ‘‘, and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(v) January 1, 2011, is 150 per-
cent.’’. 
(2) APPLICATION OF INCOME TEST BASED ON 
FAMILY SIZE.—Section 1905(p)(2)(A) of such Act 
(42 U.S.C. 1396d(p)(2)(A)) is amended by adding 
at the end the following: ‘‘For purposes of this sub-
paragraph, family size means the applicant, the 
spouse (if any) of the applicant if living in the same 
household as the applicant, and the number of indi-
viduals who are related to the applicant (or appli-
cants), who are living in the same household as the 
applicant (or applicants), and who are dependent on 
the applicant (or the applicant’s spouse) for at least 
one-half of their financial support.’’. 
(3) NOT
COUNTING
IN-KIND
SUPPORT
AND 
MAINTENANCE AS INCOME.—Section 1905(p)(2)(D) 
of such Act (42 U.S.C. 1396d(p)(2)(D)) is amended 
by adding at the end the following new clause: 
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‘‘(iii) In determining income under 
this subsection, support and maintenance 
furnished in kind shall not be counted as 
income.’’. 
(b) EXPANSION OF SPECIFIED LOW-INCOME MEDI-
CARE BENEFICIARY (SLMB) PROGRAM.— 
(1) ELIGIBILITY
OF
INDIVIDUALS
WITH
IN-
COMES
BELOW
200
PERCENT
OF
FPL.—Section 
1902(a)(10)(E) of the Social Security Act (42 
U.S.C. 1396b(a)(10)(E)) is amended— 
(A) by adding ‘‘and’’ at the end of clause 
(ii); 
(B) in clause (iii)— 
(i) by striking ‘‘and 120 percent in 
1995 and years thereafter’’ and inserting 
‘‘, or 120 percent in 1995 and any suc-
ceeding year before 2011, or 200 percent 
in 2011 and years thereafter’’; and 
(ii) by striking ‘‘and’’ at the end; and 
(C) by striking clause (iv). 
(2) REFERENCES.—Section 1905(p)(1) of such 
Act (42 U.S.C. 1396d(p)(1)) is amended by adding 
at and below subparagraph (C) the following: ‘‘The 
term ‘specified low-income medicare beneficiary’ 
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means 
an 
individual 
described 
in 
section 
1902(a)(13)(iii).’’. 
(c) PROVIDING 100 PERCENT FEDERAL FINANC-
ING.—The third sentence of section 1905(b) of such Act 
(42 U.S.C. 1396d(b)) is amended by inserting before the 
period at the end the following: ‘‘and with respect to med-
ical assistance for Medicare cost-sharing provided under 
section 
1902(a)(10)(E)(iii) 
and 
under 
section 
1902(a)(10)(E)(i) with respect to individuals with income 
(as determined in accordance with subsection (p)(1)(B)) 
is greater than 100 percent of the official income poverty 
line applicable to a family of the size involved’’. 
(d) EFFECTIVE DATE.— 
(1) Except as provided in paragraph (2), the 
amendments made by this section shall take effect 
on January 1, 2011, and, with respect to title XIX 
of the Social Security Act, shall apply to calendar 
quarters beginning on or after January 1, 2011. 
(2) In the case of a State plan for medical as-
sistance under title XIX of the Social Security Act 
which the Secretary of Health and Human Services 
determines requires State legislation (other than leg-
islation appropriating funds) in order for the plan to 
meet the additional requirements imposed by the 
amendments made by this section, the State plan 
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shall not be regarded as failing to comply with the 
requirements of such title solely on the basis of its 
failure to meet these additional requirements before 
the first day of the first calendar quarter beginning 
after the close of the first regular session of the 
State legislature that begins after the date of the en-
actment of this Act. For purposes of the previous 
sentence, in the case of a State that has a 2-year 
legislative session, each year of such session shall be 
deemed to be a separate regular session of the State 
legislature. 
SEC. 3. MODIFICATION OF RESOURCE STANDARDS. 
(a) IN GENERAL.—Section 1905(p) of the Social Se-
curity Act (42 U.S.C. 1396d(p)) is amended— 
(1) in paragraph (1), by amending subpara-
graph (C) to read as follows: 
‘‘(C) whose resources (as determined under 
section 1613 for purposes of the supplemental 
income security program, except as provided in 
paragraph (6)(B)) do not exceed the amount 
described in paragraph (6)(A).’’; 
(2) by redesignating paragraph (6) as para-
graph (7); and 
(3) by inserting after paragraph (5) the fol-
lowing: 
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‘‘(6)(A) The resource level specified in this subpara-
graph for— 
‘‘(i) for 2011, is $27,500 (or $55,000 in the 
case of the combined value of the individual’s assets 
or resources and the assets or resources of the indi-
vidual’s spouse); and 
‘‘(ii) for a subsequent year is the applicable re-
source level specified in this subparagraph for the 
previous year increased by the annual percentage in-
crease in the consumer price index (all items; U.S. 
city average) as of September of such previous year. 
Any dollar amount established under clause (ii) that is not 
a multiple of $10 shall be rounded to the nearest multiple 
of $10. 
‘‘(B) In determining the resources of an individual 
(and their eligible spouse, if any) under section 1613 for 
purposes of paragraph (1)(C) (relating to qualified Medi-
care beneficiaries) or section 1902(a)(10)(E)(iii) (relating 
to specified low-income medicare beneficiaries), the fol-
lowing additional exclusions shall apply: 
‘‘(i) No part of the value of any life insurance 
policy shall be taken into account. 
‘‘(ii) No balance in, or benefits received under, 
an employee pension benefit plan (as defined in sec-
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tion 3 of the Employee Retirement Income Security 
Act of 1974) shall be taken into account’’. 
(b) EFFECTIVE DATE.— 
(1) Except as provided in paragraph (2), the 
amendments made by this section shall apply to cal-
endar quarters beginning on or after January 1, 
2011. 
(2) In the case of a State plan for medical as-
sistance under title XIX of the Social Security Act 
which the Secretary of Health and Human Services 
determines requires State legislation (other than leg-
islation appropriating funds) in order for the plan to 
meet the additional requirements imposed by the 
amendments made by this section, the State plan 
shall not be regarded as failing to comply with the 
requirements of such title solely on the basis of its 
failure to meet these additional requirements before 
the first day of the first calendar quarter beginning 
after the close of the first regular session of the 
State legislature that begins after the date of the en-
actment of this Act. For purposes of the previous 
sentence, in the case of a State that has a 2-year 
legislative session, each year of such session shall be 
deemed to be a separate regular session of the State 
legislature. 
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SEC. 4. ELIGIBILITY FOR OTHER PROGRAMS. 
(a) IN GENERAL.—Section 1905(p) of the Social Se-
curity Act (42 U.S.C. 1396d(p)), as amended by section 
2(a), is amended— 
(1) by redesignating paragraph (7) as para-
graph (8); and 
(2) by inserting after paragraph (6) the fol-
lowing new paragraph: 
‘‘(7) Notwithstanding any other provision of 
law, any medical assistance for some or all medicare 
cost-sharing under this title shall not be considered 
income or resources in determining eligibility for, or 
the amount of assistance or benefits provided under, 
any other public benefit provided under Federal law 
or the law of any State or political subdivision there-
of.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply to eligibility for benefits on or 
after January 1, 2010. 
SEC. 5. EFFECTIVE DATE OF MSP BENEFITS. 
(a) PROVIDING FOR 3 MONTHS RETROACTIVE ELIGI-
BILITY.— 
(1) IN GENERAL.— Section 1905(a) of the So-
cial Security Act (42 U.S.C. 1396d(a)) is amended, 
in the matter preceding paragraph (1), by striking 
‘‘assistance or, in the case of medicare cost-sharing’’ 
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and all that follows through ‘‘beneficiary)’’ and in-
serting ‘‘assistance)’’. 
(2) CONFORMING AMENDMENTS.—(A) Section 
1902(e)(8) of such Act (42 U.S.C. 1396a(e)(8)) is 
amended— 
(i) by striking the first sentence; and 
(ii) by striking ‘‘such determination’’. 
(B) Section 1848(g)(3) of such Act (42 U.S.C. 
1395w–4(g)(3)) is amended by adding at the end 
the following new subparagraph: 
‘‘(C) TREATMENT OF RETROACTIVE ELIGI-
BILITY.—In the case of an individual who is de-
termined to be eligible for medical assistance 
described in subparagraph (A) retroactively, the 
Secretary shall provide a process whereby 
claims which are submitted for services fur-
nished during the period of retroactive eligi-
bility and during a month in which the indi-
vidual otherwise would have been eligible for 
such assistance and which were not submitted 
in accordance with such subparagraph are re-
submitted and re-processed in accordance with 
such subparagraph.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on January 1, 2010, but shall 
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not result in eligibility for benefits for medicare cost-shar-
ing for months before January 2010. 
SEC. 6. TREATMENT OF QUALIFIED MEDICARE BENE-
FICIARIES, SPECIFIED LOW-INCOME MEDI-
CARE BENEFICIARIES, AND OTHER DUAL ELI-
GIBLES AS MEDICARE BENEFICIARIES. 
(a) IN GENERAL.—Section 1862 of the Social Secu-
rity Act (42 U.S.C. 1395y) is amended by adding at the 
end the following new subsection: 
‘‘(n) TREATMENT OF QUALIFIED MEDICARE BENE-
FICIARIES (QMBS), SPECIFIED LOW-INCOME MEDICARE 
BENEFICIARIES (SLMBS), AND OTHER DUAL ELIGI-
BLES.—Nothing in this title shall be construed as author-
izing a provider of services or supplier to discriminate 
(through a private contractual arrangement or otherwise) 
against an individual who is otherwise entitled to services 
under this title on the basis that the individual is a quali-
fied 
medicare 
beneficiary 
(as 
defined 
in 
section 
1905(p)(1)), a specified low-income medicare beneficiary, 
or is otherwise eligible for medical assistance for medicare 
cost-sharing or other benefits under title XIX.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to items and services furnished 
on or after the date of the enactment of this Act. 
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SEC. 7. MONITORING AND ENFORCEMENT OF LIMITATION 
ON BENEFICIARY LIABILITY. 
(a) IN GENERAL.—Section 1902(n) of the Social Se-
curity Act (42 U.S.C. 1396b(n)) is amended— 
(1) by striking paragraph (2); and 
(2) in paragraph (3)— 
(A) by striking ‘‘In the case in which’’ and 
all that follows through ‘‘ the application of 
paragraph (2)’’ and inserting ‘‘With respect to 
an item or service’’; 
(B) in subparagraph (A), by striking ‘‘(if 
any)’’; and 
(C) by redesignating such paragraph as 
paragraph (2). 
(b) CONFORMING AMENDMENT.—Section 1905(p)(2) 
of such Act (42 U.S.C. 1396d(p)(2)) is amended by strik-
ing ‘‘(subject to section 1902(n))’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to items and services furnished on 
or after January 1, 2011. 
SEC. 8. MEDICAID TREATMENT OF CERTAIN MEDICARE 
PROVIDERS. 
(a) IN GENERAL.—Section 1902(n) of the Social Se-
curity Act (42 U.S.C. 1396a(n)) is amended by adding 
at the end the following new paragraph: 
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‘‘(3) A State plan shall not deny a claim from a pro-
vider or supplier with respect to medicare cost-sharing de-
scribed in subparagraph (B), (C), or (D) of section 
1905(p)(3) for an item or service which is eligible for pay-
ment under title XVIII on the basis that the provider or 
supplier does not have a provider agreement in effect 
under this title or does not otherwise serve all individuals 
entitled to medical assistance under this title. The State 
shall create a mechanism through which provider or sup-
pliers that do not otherwise have provider agreements with 
the State can bill the State for medicare cost-sharing for 
qualified medicare beneficiaries.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to items and services furnished 
on or after the date of the enactment of this Act. 
SEC. 9. STATE PROVISION OF MEDICAL ASSISTANCE TO 
DUAL ELIGIBLES IN MA PLANS. 
(a) IN GENERAL.—Section 1902(n) of the Social Se-
curity Act (42 U.S.C. 1396b(n)), as amended by section 
8(a), is further amended by adding at the end the fol-
lowing new paragraph: 
‘‘(4)(A) Each State shall— 
‘‘(i) identify those individuals who are eligible 
for medical assistance for medicare cost-sharing and 
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who are enrolled with a Medicare Advantage plan 
under part C of title XVIII; and 
‘‘(ii) for the individuals so identified, provide 
for payment of medical assistance for the medicare 
cost-sharing (including cost-sharing under a Medi-
care Advantage plan) to which they are entitled. 
‘‘(B)(i) The Inspector General of the Department of 
Health and Human Services shall examine whether States 
are providing for medical assistance for Medicare cost- 
sharing for individuals enrolled in Medicare Advantage 
plans in accordance with this title. The Inspector General 
shall submit to the Secretary, not later than one year after 
the date of the enactment of this paragraph, a report on 
such examination and a finding as to whether States are 
failing to provide such medical assistance. 
‘‘(ii) If a report under clause (i) includes a finding 
that States are failing to provide such medical assistance, 
not later than 60 days after the date of receiving such 
report the Secretary shall submit to Congress a report 
that includes a plan of action on how to enforce such re-
quirement.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall be effective as if included in the enact-
ment of the Medicare Prescription Drug, Improvement, 
and Modernization Act of 2003 (Public Law 108–173). 
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SEC. 10. MEDICARE ENROLLMENT ASSISTANCE. 
(a) ADDITIONAL FUNDING FOR STATE HEALTH IN-
SURANCE ASSISTANCE PROGRAMS.— 
(1) GRANTS.— 
(A) 
IN
GENERAL.—The 
Secretary 
of 
Health and Human Services (in this section re-
ferred to as the ‘‘Secretary’’) shall use amounts 
made available under subparagraph (B) to 
make grants to States for State health insur-
ance assistance programs receiving assistance 
under section 4360 of the Omnibus Budget 
Reconciliation Act of 1990. 
(B) FUNDING.—For purposes of making 
grants under this subsection, the Secretary 
shall provide for the transfer, from the Federal 
Hospital Insurance Trust Fund under section 
1817 of the Social Security Act (42 U.S.C. 
1395i) and the Federal Supplementary Medical 
Insurance Trust Fund under section 1841 of 
such Act (42 U.S.C. 1395t), in the same pro-
portion as the Secretary determines under sec-
tion 1853(f) of such Act (42 U.S.C. 1395w– 
23(f)), of $14,000,000 to the Centers for Medi-
care & Medicaid Services Program Management 
Account for fiscal year 2011, to remain avail-
able until expended. 
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(2) AMOUNT OF GRANTS.—The amount of a 
grant to a State under this subsection from the total 
amount made available under paragraph (1) shall be 
equal to the sum of the amount allocated to the 
State under paragraph (3)(A) and the amount allo-
cated to the State under subparagraph (3)(B). 
(3) ALLOCATION TO STATES.— 
(A) ALLOCATION BASED ON PERCENTAGE 
OF LOW-INCOME BENEFICIARIES.—The amount 
allocated to a State under this subparagraph 
from 2⁄3 of the total amount made available 
under paragraph (1) shall be based on the num-
ber of individuals who meet the requirement 
under 
subsection 
(a)(3)(A)(ii) 
of 
section 
1860D–14 of the Social Security Act (42 
U.S.C. 1395w–114) but who have not enrolled 
to receive a subsidy under such section 1860D– 
14 relative to the total number of individuals 
who meet the requirement under such sub-
section (a)(3)(A)(ii) in each State, as estimated 
by the Secretary. 
(B) ALLOCATION BASED ON PERCENTAGE 
OF RURAL BENEFICIARIES.—The amount allo-
cated to a State under this subparagraph from 
1⁄3 of the total amount made available under 
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paragraph (1) shall be based on the number of 
part D eligible individuals (as defined in section 
1860D–1(a)(3)(A) of such Act (42 U.S.C. 
1395w–101(a)(3)(A))) residing in a rural area 
relative to the total number of such individuals 
in each State, as estimated by the Secretary. 
(4) PORTION OF GRANT BASED ON PERCENT-
AGE OF LOW-INCOME BENEFICIARIES TO BE USED 
TO PROVIDE OUTREACH TO INDIVIDUALS WHO MAY 
BE
SUBSIDY
ELIGIBLE
INDIVIDUALS
OR
ELIGIBLE 
FOR
THE
MEDICARE
SAVINGS
PROGRAM.—Each 
grant awarded under this subsection with respect to 
amounts allocated under paragraph (3)(A) shall be 
used to provide outreach to individuals who may be 
subsidy eligible individuals (as defined in section 
1860D–14(a)(3)(A) of the Social Security Act (42 
U.S.C. 1395w–114(a)(3)(A)) or eligible for the 
Medicare Savings Program (as defined in subsection 
(f)). 
(b) ADDITIONAL FUNDING FOR AREA AGENCIES ON 
AGING.— 
(1) GRANTS.— 
(A) IN GENERAL.—The Secretary, acting 
through the Assistant Secretary for Aging, shall 
make grants to States for area agencies on 
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aging (as defined in section 102 of the Older 
Americans Act of 1965 (42 U.S.C. 3002)) and 
Native American programs carried out under 
the Older Americans Act of 1965 (42 U.S.C. 
3001 et seq.). 
(B) FUNDING.—For purposes of making 
grants under this subsection, the Secretary 
shall provide for the transfer, from the Federal 
Hospital Insurance Trust Fund under section 
1817 of the Social Security Act (42 U.S.C. 
1395i) and the Federal Supplementary Medical 
Insurance Trust Fund under section 1841 of 
such Act (42 U.S.C. 1395t), in the same pro-
portion as the Secretary determines under sec-
tion 1853(f) of such Act (42 U.S.C. 1395w– 
23(f)), of $10,000,000 to the Administration on 
Aging for fiscal year 2011, to remain available 
until expended. 
(2) AMOUNT OF GRANT AND ALLOCATION TO 
STATES
BASED
ON
PERCENTAGE
OF
LOW-INCOME 
AND
RURAL
BENEFICIARIES.—The amount of a 
grant to a State under this subsection from the total 
amount made available under paragraph (1) shall be 
determined in the same manner as the amount of a 
grant to a State under subsection (a), from the total 
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amount made available under paragraph (1) of such 
subsection, is determined under paragraph (2) and 
subparagraphs (A) and (B) of paragraph (3) of such 
subsection. 
(3) REQUIRED USE OF FUNDS.— 
(A) ALL FUNDS.—Subject to subparagraph 
(B), each grant awarded under this subsection 
shall be used to provide outreach to eligible 
Medicare beneficiaries regarding the benefits 
available under title XVIII of the Social Secu-
rity Act. 
(B) OUTREACH TO INDIVIDUALS WHO MAY 
BE SUBSIDY ELIGIBLE INDIVIDUALS OR ELIGI-
BLE FOR THE MEDICARE SAVINGS PROGRAM.— 
Subsection (a)(4) shall apply to each grant 
awarded under this subsection in the same 
manner as it applies to a grant under sub-
section (a). 
(c) ADDITIONAL FUNDING
FOR AGING
AND DIS-
ABILITY RESOURCE CENTERS.— 
(1) GRANTS.— 
(A) IN
GENERAL.—The Secretary shall 
make grants to Aging and Disability Resource 
Centers under the Aging and Disability Re-
source Center grant program that are estab-
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lished centers under such program on the date 
of the enactment of this Act. 
(B) FUNDING.—For purposes of making 
grants under this subsection, the Secretary 
shall provide for the transfer, from the Federal 
Hospital Insurance Trust Fund under section 
1817 of the Social Security Act (42 U.S.C. 
1395i) and the Federal Supplementary Medical 
Insurance Trust Fund under section 1841 of 
such Act (42 U.S.C. 1395t), in the same pro-
portion as the Secretary determines under sec-
tion 1853(f) of such Act (42 U.S.C. 1395w– 
23(f)), of $10,000,000 to the Administration on 
Aging for fiscal year 2011, to remain available 
until expended. 
(2) REQUIRED
USE
OF
FUNDS.—Each grant 
awarded under this subsection shall be used to pro-
vide outreach to individuals regarding the benefits 
available under the Medicare prescription drug ben-
efit under part D of title XVIII of the Social Secu-
rity Act and under the Medicare Savings Program. 
(d) COORDINATION OF EFFORTS TO INFORM OLDER 
AMERICANS ABOUT BENEFITS AVAILABLE UNDER FED-
ERAL AND STATE PROGRAMS.— 
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(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Assistant Secretary for Aging, in co-
operation with related Federal agency partners, shall 
make a grant to, or enter into a contract with, a 
qualified, experienced entity under which the entity 
shall— 
(A) maintain and update web-based deci-
sion support tools, and integrated, person-cen-
tered systems, designed to inform older individ-
uals (as defined in section 102 of the Older 
Americans Act of 1965 (42 U.S.C. 3002)) 
about the full range of benefits for which the 
individuals may be eligible under Federal and 
State programs; 
(B) utilize cost-effective strategies to find 
older individuals with the greatest economic 
need (as defined in such section 102) and in-
form the individuals of the programs; 
(C) develop and maintain an information 
clearinghouse on best practices and the most 
cost-effective methods for finding older individ-
uals with greatest economic need and informing 
the individuals of the programs; and 
(D) provide, in collaboration with related 
Federal agency partners administering the Fed-
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eral programs, training and technical assistance 
on the most effective outreach, screening, and 
follow-up strategies for the Federal and State 
programs. 
(2) FUNDING.—For purposes of making a 
grant or entering into a contract under paragraph 
(1), the Secretary shall provide for the transfer, 
from the Federal Hospital Insurance Trust Fund 
under section 1817 of the Social Security Act (42 
U.S.C. 1395i) and the Federal Supplementary Med-
ical Insurance Trust Fund under section 1841 of 
such Act (42 U.S.C. 1395t), in the same proportion 
as the Secretary determines under section 1853(f) of 
such Act (42 U.S.C. 1395w–23(f)), of $10,000,000 
to the Administration on Aging for fiscal year 2011, 
to remain available until expended. 
(e) MEDICARE SAVINGS PROGRAM DEFINED.—For 
purposes of this section, the term ‘‘Medicare Savings Pro-
gram’’ means the program of medical assistance for pay-
ment of the cost of medicare cost-sharing under the Med-
icaid program pursuant to sections 1902(a)(10)(E) and 
1933 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1396a(a)(10)(E), 1396u–3). 
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SEC. 11. MEDICAID AGENCY CONSIDERATION OF LOW-IN-
COME 
SUBSIDY 
APPLICATION 
AND 
DATA 
TRANSMITTAL. 
(a) CONFORMING AMENDMENT TO SECTION 1144.— 
The first sentence of section 1144(c)(3) of the Social Se-
curity Act (42 U.S.C. 1320b–14(c)(3)), as added by sec-
tion 113(a) of Public Law 110–275, is amended— 
(1) by striking ‘‘transmittal’’; and 
(2) by inserting ‘‘as specified in section 
1935(a)(4)’’ before the period at the end. 
(b) CLARIFYING AMENDMENT TO SECTION 1935.— 
Section 1935(a)(4) of the Social Security Act (42 U.S.C. 
1396u–5(a)(4)), as added by section 113(b) of Public Law 
110–275, is amended by striking the last sentence and in-
serting the following: ‘‘For the purpose of a State’s obliga-
tion under section 1902(a)(8) to furnish medical assist-
ance with reasonable promptness, the date of the elec-
tronic transmission of low income subsidy program data, 
as described in section 1144(c), from the Commissioner 
of Social Security to the State Medicaid Agency, shall con-
stitute the date of filing of such application for benefits 
under the Medicare Savings Program. For the purpose of 
determining when such medical assistance will be made 
available, the State shall consider the date of the individ-
ual’s application for the low income subsidy program to 
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