I 
118TH CONGRESS 
1ST SESSION H. R. 5360 
To amend the Medicare Improvements for Patients and Providers Act of 
2008 to extend funding outreach and assistance for low-income programs. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 8, 2023 
Ms. CRAIG introduced the following bill; which was referred to the Committee 
on Ways and Means, and in addition to the Committee on Energy and 
Commerce, for a period to be subsequently determined by the Speaker, 
in each case for consideration of such provisions as fall within the juris-
diction of the committee concerned 
A BILL 
To amend the Medicare Improvements for Patients and Pro-
viders Act of 2008 to extend funding outreach and assist-
ance for low-income programs. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Helping Low-Income 
Seniors Afford Care Act’’. 
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SEC. 2. EXTENSION OF FUNDING OUTREACH AND ASSIST-
ANCE FOR LOW-INCOME PROGRAMS. 
(a) STATE HEALTH INSURANCE PROGRAMS.—Sub-
section (a)(1)(B) of section 119 of the Medicare Improve-
ments for Patients and Providers Act of 2008 (42 U.S.C. 
1395b–3 note), as amended by section 3306 of the Patient 
Protection and Affordable Care Act (Public Law 111– 
148), section 610 of the American Taxpayer Relief Act 
of 2012 (Public Law 112–240), section 1110 of the Path-
way for SGR Reform Act of 2013 (Public Law 113–67), 
section 110 of the Protecting Access to Medicare Act of 
2014 (Public Law 113–93), section 208 of the Medicare 
Access and CHIP Reauthorization Act of 2015 (Public 
Law 114–10), section 50207 of division E of the Bipar-
tisan Budget Act of 2018 (Public Law 115–123), section 
1402 of division B of the Continuing Appropriations Act, 
2020, and Health Extenders Act of 2019 (Public Law 
116–59), section 1402 of division B of the Further Con-
tinuing Appropriations Act, 2020, and Further Health 
Extenders Act of 2019 (Public Law 116–69), section 103 
of division N of the Further Consolidated Appropriations 
Act, 2020 (Public Law 116–94), section 3803 of the 
CARES Act (Public Law 116–136), section 2203 of the 
Continuing Appropriations Act, 2021, and Other Exten-
sions Act (Public Law 116–159), section 1102 of the Fur-
ther Continuing Appropriations Act, 2021, and Other Ex-
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tensions Act (Public Law 116–215), and section 103 of 
division CC of the Consolidated Appropriations Act, 2021 
(Public Law 116–260), is amended— 
(1) in clause (xii), by striking at the end ‘‘and’’; 
and 
(2) by striking clause (xiii) and inserting the 
following clauses: 
‘‘(xiii) 
for 
fiscal 
year 
2023, 
$15,000,000; and 
‘‘(xiv) for fiscal year 2024 and each 
subsequent fiscal year, $30,000,000.’’. 
(b) 
AREA
AGENCIES
ON
AGING.—Subsection 
(b)(1)(B) of such section 119, as so amended, is amend-
ed— 
(1) in clause (xii), by striking at the end ‘‘and’’; 
and 
(2) by striking clause (xiii) and inserting the 
following clauses: 
‘‘(xiii) 
for 
fiscal 
year 
2023, 
$15,000,000; and 
‘‘(xiv) for fiscal year 2024 and each 
subsequent fiscal year, $20,000,000.’’. 
(c) AGING AND DISABILITY RESOURCE CENTERS.— 
Subsection (c)(1)(B) of such section 119, as so amended, 
is amended— 
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(1) in clause (xii), by striking at the end ‘‘and’’; 
and 
(2) by striking clause (xiii) and inserting the 
following clauses: 
‘‘(xiii) 
for 
fiscal 
year 
2023, 
$5,000,000; and 
‘‘(xiv) for fiscal year 2024 and each 
subsequent fiscal year, $5,000,000.’’. 
(d) CONTRACT WITH THE NATIONAL CENTER FOR 
BENEFITS
AND OUTREACH ENROLLMENT.—Subsection 
(d)(2) of such section 119, as so amended, is amended— 
(1) in clause (xii), by striking at the end ‘‘and’’; 
and 
(2) by striking clause (xiii) and inserting the 
following clauses: 
‘‘(xiii) 
for 
fiscal 
year 
2023, 
$15,000,000; and 
‘‘(xiv) for fiscal year 2024 and each 
subsequent fiscal year, $20,000,000.’’. 
Æ 
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