101 
(as defined in section 1861(jj)) and diagnostic 
mammography’’ and inserting ‘‘diagnostic mam-
mography and preventive services (as defined in 
section 1861(ccc)(1))’’. 
(B) CONFORMING
AMENDMENTS.—Section 
1833(a)(2) of the Social Security Act (42 U.S.C. 
1395l(a)(2)) is amended— 
(i) in subparagraph (F), by striking 
‘‘and’’ after the semicolon at the end; 
(ii) in subparagraph (G)(ii), by add-
ing ‘‘and’’at the end; and 
(iii) by adding at the end the following 
new subparagraph: 
‘‘(H) with respect to additional preventive 
services (as defined in section 1861(ccc)(2)) fur-
nished by an outpatient department of a hos-
pital, the amount determined under paragraph 
(1)(W);’’. 
(3) WAIVER
OF
APPLICATION
OF
DEDUCTIBLE 
FOR ALL PREVENTIVE SERVICES.—The first sentence 
of section 1833(b) of the Social Security Act (42 
U.S.C. 1395l(b)) is amended — 
(A) in clause (1), by striking ‘‘items and 
services described in section 1861(s)(10)(A)’’ and 
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102 
inserting ‘‘preventive services (as defined in sec-
tion 1861(ccc)(1))’’; 
(B) by inserting ‘‘and’’ before ‘‘(4)’’; and 
(C) by striking clauses (5) through (8). 
(c) INCLUSION
AS PART
OF INITIAL PREVENTIVE 
PHYSICAL EXAMINATION.—Section 1861(ww)(2) of the So-
cial Security Act (42 U.S.C. 1395x(ww)(2)) is amended by 
adding at the end the following new subparagraph: 
‘‘(M) Additional preventive services (as de-
fined in subsection (ccc)(2)).’’. 
(d) EFFECTIVE DATE.—The amendments made by this 
section shall apply to services furnished on or after January 
1, 2008. 
SEC. 202. WAIVER OF DEDUCTIBLE FOR COLORECTAL CAN-
CER 
SCREENING 
TESTS 
REGARDLESS 
OF 
CODING, SUBSEQUENT DIAGNOSIS, OR ANCIL-
LARY TISSUE REMOVAL. 
(a) IN GENERAL.—Section 1833(b) of the Social Secu-
rity Act (42 U.S.C. 1395l(b)), as amended by section 
201(b), is amended by adding at the end the following new 
sentence: ‘‘Clause (1) of the first sentence of this subsection 
shall apply with respect to a colorectal cancer screening test 
regardless of the code applied, of the establishment of a diag-
nosis as a result of the test, or of the removal of tissue or 
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103 
other matter or other procedure that is performed in connec-
tion with and as a result of the screening test.’’. 
(b) EFFECTIVE DATE.—The amendment made by sub-
section (a) shall apply to items and services furnished on 
or after January 1, 2008. 
SEC. 203. PARITY FOR MENTAL HEALTH COINSURANCE. 
Section 1833(c) of the Social Security Act (42 U.S.C. 
1395l(c)) is amended by inserting ‘‘before 2008’’ after ‘‘in 
any calendar year’’. 
Subtitle B—Improving, Clarifying, 
and Simplifying Financial As-
sistance for Low Income Medi-
care Beneficiaries 
SEC. 211. IMPROVING ASSETS TESTS FOR MEDICARE SAV-
INGS PROGRAM AND LOW-INCOME SUBSIDY 
PROGRAM. 
(a) APPLICATION
OF HIGHEST LEVEL PERMITTED 
UNDER LIS.— 
(1) TO FULL-PREMIUM SUBSIDY ELIGIBLE INDI-
VIDUALS.—Section 1860D–14(a) of the Social Secu-
rity Act (42 U.S.C. 1395w-114(a)) is amended— 
(A) in paragraph (1), in the matter before 
subparagraph (A), by inserting ‘‘(or, beginning 
with 2009, paragraph (3)(E))’’ after ‘‘paragraph 
(3)(D)’’; and 
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104 
(B) in paragraph (3)(A)(iii), by striking 
‘‘(D) or’’. 
(2) 
ANNUAL
INCREASE
IN
LIS
RESOURCE 
TEST.—Section 1860D–14(a)(3)(E)(i) of such Act (42 
U.S.C. 1395w-114(a)(3)(E)(i)) is amended— 
(A) by striking ‘‘and’’ at the end of sub-
clause (I); 
(B) in subclause (II), by inserting ‘‘(before 
2009)’’ after ‘‘subsequent year’’; 
(C) by striking the period at the end of sub-
clause (II) and inserting a semicolon; and 
(D) by inserting after subclause (II) the fol-
lowing new subclauses: 
‘‘(III) for 2009, $17,000 (or 
$34,000 in the case of the combined 
value of the individual’s assets or re-
sources and the assets or resources of 
the individual’s spouse); and 
‘‘(IV) for a subsequent year, the 
dollar amounts specified in this sub-
clause (or subclause (III)) for the pre-
vious year increased by $1,000 (or 
$2,000 in the case of the combined 
value referred to in subclause (III)).’’. 
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105 
(3) APPLICATION OF LIS TEST UNDER MEDICARE 
SAVINGS
PROGRAM.—Section 1905(p)(1)(C) of such 
Act (42 U.S.C. 1396d(p)(1)(C)) is amended by insert-
ing before the period at the end the following: ‘‘or, ef-
fective beginning with January 1, 2009, whose re-
sources (as so determined) do not exceed the max-
imum resource level applied for the year under sec-
tion 1860D–14(a)(3)(E) applicable to an individual 
or to the individual and the individual’s spouse (as 
the case may be)’’. 
(b) EFFECTIVE DATE.—The amendments made by sub-
section (a) shall apply to eligibility determinations for in-
come-related subsidies and medicare cost-sharing furnished 
for periods beginning on or after January 1, 2009. 
SEC. 212. MAKING QI PROGRAM PERMANENT AND EXPAND-
ING ELIGIBILITY. 
(a) MAKING PROGRAM PERMANENT.— 
(1) IN GENERAL.—Section 1902(a)(10)(E)(iv) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1396b(a)(10)(E)(iv)) is amended— 
(A) by striking ‘‘sections 1933 and’’ and by 
inserting ‘‘section’’; and 
(B) by striking ‘‘(but only for’’ and all that 
follows through ‘‘September 2007)’’. 
(2) ELIMINATION OF FUNDING LIMITATION.— 
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