(D) Section 1935(a) of such Act (42 
U.S.C. 1396u–5(a)) is amended— 
(i) in paragraph (2), by striking 
‘‘make 
determinations’’ 
and 
inserting 
‘‘prior to the date that is 6 months after 
the date of the enactment of the Improving 
Medicare Coverage Act, make determina-
tions’’; and 
(ii) in paragraph (3), by inserting 
‘‘prior to the date that is 6 months after 
the date of the enactment of the Improving 
Medicare Coverage Act,’’ before ‘‘the State 
shall’’. 
(2) TITLE XI.—Section 1144 of the Social Se-
curity Act (42 U.S.C. 1320b–14) is amended— 
(A) in subsection (a)— 
(i) in paragraph (1)(A)— 
(I) 
by 
striking 
‘‘sections 
1902(a)(10)(E) and 1933’’ and in-
serting ‘‘section 1902(a)(10)(E) and 
(prior to the date that is 6 months 
after the date of the enactment of the 
Improving Medicare Coverage Act) 
section 1933’’; 
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(II) by striking ‘‘for the transi-
tional 
assistance 
under 
section 
1860D–31(f), or’’ and inserting a 
comma; and 
(III) by inserting ‘‘, or for Medi-
care premium and cost-sharing assist-
ance under section 1899B (in the case 
of months beginning on or after the 
date that is 6 months after the date 
of the enactment of the Improving 
Medicare Coverage Act)’’ before the 
semicolon; and 
(ii) by striking paragraph (2) and in-
serting the following: 
‘‘(2) CONTENT
OF
NOTICE.—Any notice fur-
nished under paragraph (1) shall state that eligi-
bility for such medical assistance, subsidies, or pro-
gram is conditioned upon meeting the applicable eli-
gibility criteria.’’; 
(B) in subsection (b)(1)(A)— 
(i) 
by 
striking 
‘‘sections 
1902(a)(10)(E) and 1933’’ and inserting 
‘‘section 1902(a)(10)(E) and (prior to the 
date that is 6 months after the date of the 
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enactment of the Improving Medicare Cov-
erage Act) section 1933’’; 
(ii) by striking ‘‘for transitional as-
sistance under section 1860D–31(f), or’’; 
and 
(iii) by inserting ‘‘, or for Medicare 
premium and cost-sharing assistance under 
section 1899B’’ before the semicolon; and 
(C) in subsection (c)— 
(i) in paragraph (1)(B), by inserting 
‘‘, and (beginning on the date that is 6 
months after the date of the enactment of 
the Improving Medicare Coverage Act) 
provide an application for enrollment 
under the Medicare Savings Program’’ be-
fore the period; 
(ii) in paragraph (2), in the para-
graph header, by inserting ‘‘MEDICARE 
SAVINGS PROGRAM APPLICATION AND’’ be-
fore ‘‘LIS APPLICATION’’; and 
(iii) in paragraph (7), by striking 
‘‘means the program of medical assist-
ance’’ and all that follows through the pe-
riod and inserting ‘‘means— 
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‘‘(A) prior to the date that is 6 months 
after the date of the enactment of the Improv-
ing Medicare Coverage Act, the program of 
medical assistance for payment of the cost of 
medicare cost-sharing under the Medicaid pro-
gram pursuant to sections 1902(a)(10)(E) and 
1933; and 
‘‘(B) beginning on the date that is 6 
months after the date of the enactment of the 
Improving Medicare Coverage Act, the program 
for medical assistance for payment of the cost 
of medicare cost-sharing for qualified disabled 
and working individuals described in section 
1905(s) pursuant to section 1902(a)(10)(E)(ii) 
and medicare premium and cost-sharing assist-
ance provided under section 1899B.’’. 
(c) ENSURING
THAT
MEDICARE
COST-SHARING 
BENEFICIARIES UNDER MEDICAID RECEIVE MEDICARE 
COST ASSISTANCE.—Not later than 3 months after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services and the Commissioner of Social Se-
curity shall jointly develop and implement a transition 
plan to ensure that all individuals who are eligible for and 
are receiving medical assistance for the payment of medi-
care cost-sharing under a State Medicaid program pursu-
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ant to clauses (i), (iii), and (iv) of section 1902(a)(10)(E) 
of the Social Security Act (42 U.S.C. 1396a(a)(10)(E)) 
as of the day prior to the date that is 6 months after the 
date of the enactment of this Act, receive Medicare cost 
assistance under section 1899B of such Act, as added by 
section 3, as of the date that is 6 months after such date 
of enactment. 
SEC. 5. ENHANCING PRESCRIPTION DRUG AFFORDABILITY 
BY EXPANDING ACCESS TO ASSISTANCE WITH 
OUT-OF-POCKET COSTS UNDER MEDICARE 
PART D FOR LOW-INCOME SENIORS AND IN-
DIVIDUALS WITH DISABILITIES. 
(a) EXPANDING ACCESS.—Section 1860D–14 of the 
Social Security Act (42 U.S.C. 1395w–114) is amended— 
(1) in subsection (a)— 
(A) in the heading, by striking ‘‘150 PER-
CENT’’ and inserting ‘‘200 PERCENT’’; 
(B) in paragraph (1)— 
(i) in the heading, by striking ‘‘135 
PERCENT’’ and inserting ‘‘200 PERCENT’’; 
and 
(ii) in the matter preceding subpara-
graph (A)— 
(I) by striking ‘‘135 percent’’ and 
inserting ‘‘200 percent’’; and 
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