(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply to eligibility for benefits on or 
after January 1, 2008. 
SEC. 7. EFFECTIVE DATE OF MSP BENEFITS. 
(a) PROVIDING FOR 3 MONTHS RETROACTIVE ELIGI-
BILITY.— 
(1) IN GENERAL.—Section 1905(a) of the So-
cial Security Act (42 U.S.C. 1396d(a)) is amended, 
in the matter preceding paragraph (1), by striking 
‘‘described in subsection (p)(1), if provided after the 
month’’ and inserting ‘‘described in subsection 
(p)(1) or a specified low-income medicare beneficiary 
described in section 1902(a)(10)(E)(iii), if provided 
in or after the third month before the month in 
which the individual expresses an interest in apply-
ing to become such a beneficiary, as determined in 
the manner provided for assistance under section 
1860D–14’’. 
(2) CONFORMING AMENDMENTS.—(A) The first 
sentence of section 1902(e)(8) of such Act (42 
U.S.C. 1396a(e)(8)), as amended by section 4(c)(2), 
is amended by striking ‘‘(8)’’ and the first sentence. 
(B) Section 1848(g)(3) of such Act (42 U.S.C. 
1395w–4(g)(3)) is amended by adding at the end 
the following new subparagraph: 
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‘‘(C) TREATMENT OF RETROACTIVE ELIGI-
BILITY.—In the case of an individual who is de-
termined to be eligible for medical assistance 
described in subparagraph (A) retroactively, the 
Secretary shall provide a process whereby 
claims which are submitted for services fur-
nished during the period of retroactive eligi-
bility and during a month in which the indi-
vidual otherwise would have been eligible for 
such assistance and which were not submitted 
in accordance with such subparagraph are re-
submitted and re-processed in accordance with 
such subparagraph.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on January 1, 2008, but shall 
not result in eligibility for benefits for medicare cost-shar-
ing for months before January 2008. 
SEC. 8. EXPEDITING ELIGIBILITY UNDER THE MEDICARE 
SAVINGS PROGRAM. 
(a) INCREASING ELIGIBILITY THROUGH THE SOCIAL 
SECURITY OFFICE.— 
(1) IN GENERAL.—Title XVIII of the Social Se-
curity Act is amended by inserting after section 
1808 the following new section: 
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‘‘EXPEDITED ENROLLMENT UNDER THE MEDICARE 
SAVINGS PROGRAM THROUGH SOCIAL SECURITY OFFICES 
‘‘SEC. 1809. (a) IN GENERAL.—The Secretary shall 
provide, in cooperation with the Commissioner of Social 
Security, for an expedited process under this section for 
individuals to apply and qualify for benefits under the 
Medicare Savings Program. For purposes of this section, 
the term ‘Medicare Savings Program’ means medical as-
sistance for medicare cost-sharing (as defined in section 
1905(p)(3)) for qualified medicare beneficiaries and speci-
fied low-income medicare beneficiaries under title XIX. 
‘‘(b) PROCESS.—The process shall be consistent with 
the following: 
‘‘(1) COORDINATION
WITH
SOCIAL
SECURITY 
AND MEDICARE ENROLLMENT PROCESS.—The appli-
cation shall be part of the process for applying for 
benefits under title II and this title. 
‘‘(2) SIMPLIFIED APPLICATION PROCESS.—The 
application may be made over the Internet, by tele-
phone, or by mail, without the need for an interview 
in person by the applicant or a representative of the 
applicant. 
‘‘(3) CONTENTS OF APPLICATION.—The appli-
cation shall contain a description (in English, Span-
ish and other languages determined appropriate by 
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the Secretary) of the availability of and the require-
ments for obtaining benefits under the Medicare 
Savings Program. 
‘‘(4) TRAINING.—Employees of the Social Secu-
rity office involved shall be trained to assist individ-
uals completing such applications. 
‘‘(5) 
SELF-CERTIFICATION
AND 
VERIFICATION.—In determining whether an indi-
vidual is eligible for benefits under the Medicare 
Savings Program, the Secretary shall permit individ-
uals to qualify on the basis of self certifications of 
income and resources meeting applicable standards 
without the need to provide additional documenta-
tion. The Secretary shall verify that information pro-
vided in the application is correct. 
‘‘(6) TRANSMITTAL OF APPLICATION.— 
‘‘(A) ELIGIBLE APPLICANTS.—In the case 
of an applicant determined by the Social Secu-
rity office to be eligible for benefits under the 
Medicare Savings Program based on income 
and resources meeting the standards otherwise 
applicable, the office shall transmit to the appli-
cable State Medicaid office the application so 
that the applicant can be enrolled within 30 
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days based on the information collected by the 
office. 
‘‘(B) USE OF ELECTRONIC TRANSFER SYS-
TEM.—Not later than two years after the date 
of implementation of improvements of the elec-
tronic data transfer system under section 8(c) 
of the Medicare Savings Program Improvement 
Act of 2007, the process under this paragraph 
shall use the such system for information trans-
mittal. 
‘‘(C) INELIGIBLE
APPLICANTS.—In the 
case of other applicants whose income and re-
sources do not meet such standards, the Social 
Security office shall transmit to the applicable 
State Medicaid office the application so that the 
application may be considered under State 
standards that may be more generous than the 
standards otherwise generally applicable. 
The process under this subsection shall be established and 
implemented one year after the date of the enactment of 
this section. 
‘‘(c) DISTRIBUTION OF APPLICATION FORM.—The 
Secretary shall distribute the application form used under 
subsection (b) to any organization that requests them, in-
cluding entities receiving grants from the Secretary for 
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