section (a)(2)(A) shall be construed, with respect to 
a determination of household income for purposes of 
a determination of eligibility for medical assistance 
under the State plan under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.) (or a waiver 
of such plan) made by applying modified adjusted 
gross income under subparagraph (A) of section 
1902(e)(14) of such Act (42 U.S.C. 1396a(e)(14)), 
as limiting the eligibility for such medical assistance 
of any individual that is a member of the household 
other than the individual who received qualified lot-
tery winnings or qualified lump-sum income (as de-
fined 
in 
subparagraph 
(J) 
of 
such 
section 
1902(e)(14), as added by subsection (a)(2)(A) of 
this section). 
SEC. 203. ADJUSTMENTS TO MEDICARE PART B AND PART 
D PREMIUM SUBSIDIES FOR HIGHER INCOME 
INDIVIDUALS. 
(a) IN GENERAL.—Section 1839(i)(3)(C)(i)(II) of the 
Social Security Act (42 U.S.C. 1395r(i)(3)(C)(i)(II)) is 
amended, in the table, by striking the last row and insert-
ing the following new rows: 
‘‘More than $160,000 but less than $500,000 ..............
80 percent
At least $500,000 ...........................................................
100 percent.’’. 
(b) JOINT RETURNS.—Section 1839(i)(3)(C)(ii) of 
the Social Security Act (42 U.S.C. 1395r(i)(3)(C)(ii)) is 
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amended by inserting before the period the following: ‘‘ex-
cept, with respect to the dollar amounts applied in the last 
row of the table under subclause (II) of such clause (and 
the second dollar amount specified in the second to last 
row of such table), clause (i) shall be applied by sub-
stituting dollar amounts which are 175 percent of such 
dollar amounts for the calendar year’’. 
(c) INFLATION ADJUSTMENT.—Section 1839(i) of 
the Social Security Act (42 U.S.C. 1395r(i)) is amended— 
(1) in paragraph (5)— 
(A) in subparagraph (A), by striking ‘‘In 
the case’’ and inserting ‘‘Subject to subpara-
graph (C), in the case’’; 
(B) in subparagraph (B), by striking ‘‘sub-
paragraph (A)’’ and inserting ‘‘subparagraph 
(A) or (C)’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(C) TREATMENT OF ADJUSTMENTS FOR 
CERTAIN HIGHER INCOME INDIVIDUALS.— 
‘‘(i) IN GENERAL.—Subparagraph (A) 
shall not apply with respect to each dollar 
amount in paragraph (3) of $500,000. 
‘‘(ii) ADJUSTMENT BEGINNING 2027.— 
In the case of any calendar year beginning 
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after 2026, each dollar amount in para-
graph (3) of $500,000 shall be increased 
by an amount equal to— 
‘‘(I) such dollar amount, multi-
plied by 
‘‘(II) the percentage (if any) by 
which the average of the Consumer 
Price Index for all urban consumers 
(United States city average) for the 
12-month period ending with August 
of the preceding calendar year exceeds 
such average for the 12-month period 
ending with August 2025.’’; and 
(2) in paragraph (6)(B), by inserting ‘‘(other 
than $500,000)’’ after ‘‘the dollar amounts’’. 
Æ 
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