vide for continuation of benefits under such title or 
plan until the end of the period of stay. 
(b) FEDERAL EMPLOYEES HEALTH BENEFITS PRO-
GRAM.—No benefits shall be made available under chapter 
89 of title 5, United States Code, for any part of a cov-
erage period occurring after December 31, 2006. 
(c) CHAMPUS.—No benefits shall be made available 
under sections 1079 and 1086 of title 10, United States 
Code, for items or services furnished after December 31, 
2006. 
(d) TREATMENT OF BENEFITS FOR VETERANS AND 
NATIVE AMERICANS.—Nothing in this Act shall affect the 
eligibility of veterans for the medical benefits and services 
provided under title 38, United States Code, or of Indians 
for the medical benefits and services provided by or 
through the Indian Health Service. 
TITLE II—COMPREHENSIVE BEN-
EFITS, INCLUDING PREVEN-
TIVE BENEFITS AND BENE-
FITS FOR LONG-TERM CARE 
SEC. 201. COMPREHENSIVE BENEFITS. 
(a) IN GENERAL.—Subject to the succeeding provi-
sions of this title, individuals enrolled for benefits under 
this Act are entitled to have payment made under a State 
health security program for the following items and serv-
ices if medically necessary or appropriate for the mainte-
nance of health or for the diagnosis, treatment, or rehabili-
tation of a health condition: 
(1) HOSPITAL SERVICES.—Inpatient and out-
patient hospital care, including 24-hour-a-day emer-
gency services. 
(2) 
PROFESSIONAL
SERVICES.—Professional 
services of health care practitioners authorized to 
provide health care services under State law, includ-
ing patient education and training in self-manage-
ment techniques. 
(3) 
COMMUNITY-BASED
PRIMARY
HEALTH 
SERVICES.—Community-based primary health serv-
ices (as defined in section 202(a)). 
(4) PREVENTIVE
SERVICES.—Preventive serv-
ices (as defined in section 202(b)). 
(5) LONG-TERM, ACUTE, AND CHRONIC CARE 
SERVICES.— 
(A) Nursing facility services. 
(B) Home health services. 
(C) Home and community-based long-term 
care services (as defined in section 202(c)) for 
individuals described in section 203(a). 
(D) Hospice care.
(E) Services in intermediate care facilities 
for individuals with mental retardation. 
(6) PRESCRIPTION DRUGS, BIOLOGICALS, INSU-
LIN, MEDICAL FOODS.— 
(A) Outpatient prescription drugs and bio-
logics, as specified by the Board consistent with 
section 615. 
(B) Insulin. 
(C) Medical foods (as defined in section 
202(e)). 
(7) DENTAL SERVICES.—Dental services (as de-
fined in section 202(h)). 
(8) MENTAL HEALTH AND SUBSTANCE ABUSE 
TREATMENT
SERVICES.—Mental health and sub-
stance abuse treatment services (as defined in sec-
tion 202(f)). 
(9) DIAGNOSTIC TESTS.—Diagnostic tests. 
(10) OTHER ITEMS AND SERVICES.— 
(A) OUTPATIENT
THERAPY.—Outpatient 
physical therapy services, outpatient speech pa-
thology services, and outpatient occupational 
therapy services in all settings. 
(B) DURABLE MEDICAL EQUIPMENT.—Du-
rable medical equipment.
(C) HOME DIALYSIS.—Home dialysis sup-
plies and equipment. 
(D) AMBULANCE.—Emergency ambulance 
service. 
(E) PROSTHETIC DEVICES.—Prosthetic de-
vices, including replacements of such devices. 
(F) ADDITIONAL ITEMS AND SERVICES.— 
Such other medical or health care items or serv-
ices as the Board may specify. 
(b) COST-SHARING.— 
(1) IN GENERAL.—Except as provided in this 
subsection, there are no deductibles, coinsurance, or 
copayments applicable to acute care and preventive 
benefits provided under this title. 
(2) COST-SHARING
FOR
LONG-TERM
CARE 
SERVICES.— 
(A) IN GENERAL.— 
(i) payments for home and commu-
nity-based long-term care services are sub-
ject to coinsurance of 20 percent; and 
(ii) payments for nursing facility serv-
ices are subject to coinsurance of 35 per-
cent.
(B) EXCEPTION.—With respect to the co-
insurance 
established 
under 
subparagraph 
(A)— 
(i) such coinsurance shall not apply to 
an individual with income (as defined by 
the Secretary) of not more than 100 per-
cent of the income official poverty line ap-
plicable to a family of the size involved; 
and 
(ii) in the case of an individual with 
such income that exceeds 100 percent, but 
is less than 200 percent, of such applicable 
poverty line, the coinsurance shall be re-
duced in the same proportion as the pro-
portion of such income is less than 200 
percent of such applicable poverty line. 
(c) PROHIBITION OF BALANCE BILLING.—As pro-
vided in section 531, no person may impose a charge for 
covered services for which benefits are provided under this 
Act. 
(d) NO DUPLICATE HEALTH INSURANCE.—Each 
State health security program shall prohibit the sale of 
health insurance in the State if payment under the insur-
ance duplicates payment for any items or services for 
which payment may be made under such a program.