(II) by striking ‘‘and who meets 
the resources requirement described in 
paragraph (3)(D) or who is covered 
under this paragraph under para-
graph (3)(B)(i)’’ and inserting ‘‘or 
who is covered under this paragraph 
under paragraph (3)(B)(v)’’; 
(C) by striking paragraph (2); 
(D) in paragraph (3)— 
(i) in subparagraph (A)— 
(I) in clause (i), by adding ‘‘and’’ 
at the end; 
(II) in clause (ii)— 
(aa) by striking ‘‘150 per-
cent’’ and inserting ‘‘200 per-
cent’’; and 
(bb) by striking ‘‘; and’’ at 
the end and inserting a period; 
and 
(III) by striking clause (iii); 
(ii) by striking subparagraphs (B) and 
(C) and inserting the following: 
‘‘(B) DETERMINATIONS.—For provisions 
relating to joint determinations with respect to 
eligibility for Medicare cost assistance under 
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section 1899B and premium and cost-sharing 
subsidies 
under 
this 
section, 
see 
section 
1899B(b)(2). 
‘‘(C) INCOME DETERMINATIONS.—For pur-
poses of applying this section— 
‘‘(i) in the case of an individual who 
is not treated as a Medicare cost-sharing 
assistance eligible individual and a subsidy 
eligible 
individual 
under 
section 
1899B(b)(2)(D), income shall be deter-
mined in the manner described under sec-
tion 1612 for purposes of the supplemental 
security income program, except that sup-
port and maintenance furnished in kind 
shall not be counted as income; and 
‘‘(ii) the term ‘poverty line’ has the 
meaning given such term in section 673(2) 
of the Community Services Block Grant 
Act (42 U.S.C. 9902(2)), including any re-
vision required by such section.’’; and 
(iii) by striking subparagraphs (D), 
(E), and (G); and 
(E) in paragraph (4), by striking subpara-
graph (B); and 
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(2) in subsection (c)(1), in the second sentence, 
by striking ‘‘subsections (a)(1)(D) and (a)(2)(E)’’ 
and inserting ‘‘subsection (a)(1)(D)’’. 
(b) TREATMENT OF REDUCTION OF COST-SHARING 
FOR INDIVIDUALS RECEIVING HOME AND COMMUNITY 
BASED SERVICES.—Section 1860D–14(a)(1)(D) of the 
Social Security Act (42 U.S.C. 1395w–114(a)(1)(D)) is 
amended— 
(1) by striking ‘‘who would be such an institu-
tionalized individual or couple, if the full-benefit 
dual eligible individual were not’’; and 
(2) by striking ‘‘or subsection (c) or (d) of sec-
tion 1915 or under a State plan amendment under 
subsection (i) of such section’’ and inserting ‘‘, sec-
tion 1115A, section 1915, or under a State plan 
amendment’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to plan years beginning on or after 
the date that is 6 months after the date of the enactment 
of this Act, and apply on or after such date. 
SEC. 6. SUNSET. 
Effective on the date that is 5 years after the date 
that is 6 months after the date of the enactment of the 
Improving Medicare Coverage Act, this Act (including the 
amendments made by this Act) is repealed, and any provi-
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sion of law amended or repealed by this Act is hereby re-
stored or revived as if this Act had not been enacted into 
law. 
Æ 
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