SEC. 104. PORTABILITY OF BENEFITS. 
(a) IN GENERAL.—To ensure continuous access to 
benefits for health care services covered under this Act, 
each State health security program— 
(1) shall not impose any minimum period of 
residence in the State, or waiting period, in excess 
of 3 months before residents of the State are enti-
tled to, or eligible for, such benefits under the pro-
gram; 
(2) shall provide continuation of payment for 
covered health care services to individuals who have 
terminated their residence in the State and estab-
lished their residence in another State, for the dura-
tion of any waiting period imposed in the State of 
new residency for establishing entitlement to, or eli-
gibility for, such services; and 
(3) shall provide for the payment for health 
care services covered under this Act provided to indi-
viduals while temporarily absent from the State 
based on the following principles: 
(A) Payment for such health care services 
is at the rate that is approved by the State 
health security program in the State in which 
the services are provided, unless the States con-
cerned agree to apportion the cost between 
them in a different manner. 
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(B) Payment for such health care services 
provided outside the United States is made on 
the basis of the amount that would have been 
paid by the State health security program for 
similar services rendered in the State, with due 
regard, in the case of hospital services, to the 
size of the hospital, standards of service, and 
other relevant factors. 
(b) 
CROSS-BORDER
ARRANGEMENTS.—A 
State 
health security program for a State may negotiate with 
such a program in an adjacent State a reciprocal arrange-
ment for the coverage under such other program of health 
care services to enrollees residing in the border region. 
SEC. 105. EFFECTIVE DATE OF BENEFITS. 
Benefits shall first be available under this Act for 
items and services furnished on or after January 1, 2009. 
SEC. 106. RELATIONSHIP TO EXISTING FEDERAL HEALTH 
PROGRAMS. 
(a) MEDICARE, MEDICAID AND STATE CHILDREN’S 
HEALTH INSURANCE PROGRAM (SCHIP).— 
(1) IN GENERAL.—Notwithstanding any other 
provision of law, subject to paragraph (2)— 
(A) no benefits shall be available under 
title XVIII of the Social Security Act for any 
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item or service furnished after December 31, 
2008; 
(B) no individual is entitled to medical as-
sistance under a State plan approved under 
title XIX of such Act for any item or service 
furnished after such date; 
(C) no individual is entitled to medical as-
sistance under an SCHIP plan under title XXI 
of such Act for any item or service furnished 
after such date; and 
(D) no payment shall be made to a State 
under section 1903(a) or 2105(a) of such Act 
with respect to medical assistance or child 
health assistance for any item or service fur-
nished after such date. 
(2) TRANSITION.—In the case of inpatient hos-
pital services and extended care services during a 
continuous period of stay which began before Janu-
ary 1, 2009, and which had not ended as of such 
date, for which benefits are provided under title 
XVIII, under a State plan under title XIX, or a 
State child health plan under title XXI, of the Social 
Security Act, the Secretary of Health and Human 
Services and each State plan, respectively, shall pro-
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