Title: Advancing Enrollment and Reducing Drug Costs Act of 2021
Policy area: Health

Summary:
Advancing Enrollment and Reducing Drug Costs Act of 2021
This bill specifies that certain Medicaid enrollees automatically qualify for low-income subsidies under the Medicare prescription drug benefit. Specifically, the bill automatically qualifies individuals who were enrolled in Medicaid before they turned 65 (as part of Medicaid expansion under the Patient Protection and Affordable Care Act) and whose income is below 200% of the federal poverty line.

[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1167 Introduced in House (IH)]

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117th CONGRESS
  1st Session
                                H. R. 1167

  To amend title XVIII of the Social Security Act to provide for the 
 automatic qualification of certain Medicaid beneficiaries for premium 
 and cost-sharing subsidies under part D of the Medicare program, and 
                          for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           February 18, 2021

 Mr. Pappas (for himself and Mr. Tonko) introduced the following bill; 
  which was referred to the Committee on Energy and Commerce, and in 
    addition to the Committee on Ways and Means, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

_______________________________________________________________________

                                 A BILL


 
  To amend title XVIII of the Social Security Act to provide for the 
 automatic qualification of certain Medicaid beneficiaries for premium 
 and cost-sharing subsidies under part D of the Medicare program, and 
                          for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Advancing Enrollment and Reducing 
Drug Costs Act of 2021''.

SEC. 2. AUTOMATIC QUALIFICATION OF CERTAIN MEDICAID BENEFICIARIES FOR 
              PREMIUM AND COST-SHARING SUBSIDIES UNDER PART D OF THE 
              MEDICARE PROGRAM.

    (a) In General.--Clause (v) of section 1860D-14(a)(3)(B) of the 
Social Security Act (42 U.S.C. 1395w-114(a)(3)(B)) is amended--
            (1) in subclause (I), by striking ``and'' at the end;
            (2) in subclause (II), by striking the period and inserting 
        ``; and''; and
            (3) by inserting after subclause (II) the following new 
        subclause:
                                    ``(III) shall, notwithstanding the 
                                preceding clauses of this subparagraph, 
                                provide that any part D eligible 
                                individual not described in subclause 
                                (I) or (II) who is enrolled, as of the 
                                day before the date on which such 
                                individual attains the age of 65, for 
                                medical assistance under a State plan 
                                under title XIX (or a waiver of such 
                                plan) pursuant to clause (i)(VIII) or 
                                (ii)(XX) of section 1902(a)(10)(A), and 
                                who has income below 200 percent of the 
                                poverty line applicable to a family of 
                                the size involved, shall be treated as 
                                a subsidy eligible individual described 
                                in paragraph (1) for a limited period 
                                of time, as specified by the 
                                Secretary.''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply with respect to plan years beginning on or after January 1, 2022.
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