To amend title XVIII of the Social Security Act to provide certain low-income territorial residents with automatic eligibility for premium and cost-sharing subsidies under the Medicare program, and for other purposes.

Bill: 116-hr-4666
Sponsor: full_name: Rep. Shalala, Donna E. [D-FL-27]
Introduced: 2019-10-11
Policy area: Health
Subjects: American Samoa

Guam

Health care costs and insurance

Health care coverage and access

Health programs administration and funding

Medicare

Northern Mariana Islands

Puerto Rico

U.S. territories and protectorates

Virgin Islands
Latest action: action_date: 2019-10-14
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2019-10-11
action_desc: Introduced in House
text: <p>This bill automatically qualifies Medicaid enrollees of U.S. territories for low-income subsidies under the Medicare prescription drug benefit.</p>

tv_txt: I 116th CONGRESS 1st Session H. R. 4666 IN THE HOUSE OF REPRESENTATIVES October 11, 2019 Ms. Shalala (for herself and Mr. Soto ) 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 certain low-income territorial residents with automatic eligibility for premium and cost-sharing subsidies under the Medicare program, and for other purposes.

1. Automatic eligibility of certain low-income territorial residents for premium and cost-sharing subsidies under the Medicare program; sunset of enhanced allotment program (a) Automatic eligibility of certain low-Income territorial residents for premium and cost-Sharing subsidies under the Medicare program (1) In general Section 1860D–14(a)(3) of the Social Security Act ( 42 U.S.C. 1395w–114(a)(3) ) is amended— (A) in subparagraph (B)(v)— (i) in subclause (I), by striking and at the end; (ii) in subclause (II), by striking the period and inserting ; and ; and (iii) by inserting after subclause (II) the following new subclause: (III) with respect to plan years beginning on or after January 1, 2021, shall provide that any part D eligible individual who is enrolled for medical assistance under the State Medicaid plan of a territory (as defined in section 1935(f)) under title XIX (or a waiver of such a plan) shall be treated as a subsidy eligible individual described in paragraph (1). ; and (B) in subparagraph (F), by adding at the end the following new sentence: The previous sentence shall not apply with respect to eligibility determinations for premium and cost-sharing subsidies under this section made on or after January 1, 2021. . (2) Conforming amendment Section 1860D–31(j)(2)(D) of the Social Security Act ( 42 U.S.C. 1395w–141(j)(2)(D) ) is amended by adding at the end the following new sentence: The previous sentence shall not apply with respect to amounts made available to a State under this paragraph on or after January 1, 2021. . (b) Sunset of enhanced allotment program (1) In general Section 1935(e) of the Social Security Act ( 42 U.S.C. 1396u–5(e) ) is amended— (A) in paragraph (1)(A), by inserting after such State the following: before January 1, 2021 ; and (B) in paragraph (3)— (i) in subparagraph (A), in the matter preceding clause (i), by inserting after a year the following: (before 2021) ; and (ii) in subparagraph (B)(iii), by striking a subsequent year and inserting each of fiscal years 2008 through 2020 . (2) Territory defined Section 1935 of the Social Security Act ( 42 U.S.C. 1396u–5 ) is amended by adding at the end the following new subsection: (f) Territory defined In this section, the term territory means Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa. .