Page:United States Statutes at Large Volume 100 Part 3.djvu/248

 PUBLIC LAW 99-509—OCT. 21, 1986

100 STAT. 2056

(3) TIMING OF BENEFITS.—Section 1905(a) of such Act (42 U.S.C. 1396d(a)) is amended, in the matter before subdivision (i), by inserting "or, in the case of a qualified medicare beneficiary described in subsection (p)(l), if provided after the month in which the individual becomes such a beneficiary" after "makes application for assistance". (4) COPAYMENTS.—

42 USC 1396a note. 42 USC 1396.

(A) Section 1902(a)(15) of such Act (42 U.S.C. 1396a(a)(15)) is amended by inserting "are not qualified medicare bene:niA ficiaries (as defined in section 1905(p)(l)) but" after "older who". (fv A (B) Subsections (a) and (b) of section 1916 of such Act (42 U.S.C. 1396o) are each amended by striking "section 1902(a)(10)(A)" and inserting "subparagraph (A) or (E) of section 1902(a)(10)". (h) EFFECTIVE DATE.—The amendments made by this section apply to payments under title XIX of the Social Security Act for calendar quarters beginning on or after July 1, 1987, without regard to whether or not final regulations to carry out such amendments have been promulgated by such date. SEC. 9404. MEDICAID ELIGIBILITY FOR QUALIFIED SEVERELY IMPAIRED INDIVIDUALS. (a) As CATEGORICALLY NEEDY.—Section 1902(a)(10)(A)(i)(II) of the

Social Security Act (42 U.S.C. 1396a(a)(10)(A)(i)(II)) is amended by inserting "or who are qualified severely impaired individuals (as defined in section 1905(q))" after "title XVI". (b) DESCRIPTION OF QUALIFIED SEVERELY IMPAIRED INDIVIDUALS.—

42 USC 1382. 42 USC 1382e. 42 USC 1382 note. 42 USC 1382h. State and local governments.

42 USC 1381.

Section 1905 of such Act (42 U.S.C. 1396d), as amended by section 9403(b) of this subtitle, is amended by adding at the end the following new subsection: "(q) The term 'qualified severely impaired individual' means an individual under age 65— "(1) who for the month preceding the first month to which this subsection applies to such individual— "(A) received (i) a payment of supplemental security income benefits under section 1611(b) on the basis of blindness or disability, (ii) a supplementary payment under section 1616 of this Act or under section 212 of Public Law 93-66 on such basis, (iii) a payment of monthly benefits under section 1619(a), or (iv) a supplementary payment under section 1616(c)(3), and "(B) was eligible for medical assistance under the State plan approved under this title; and "(2) with respect to whom the Secretary determines that— "(A) the individual continues to be blind or continues to '£^1^ have the disabling physical or mental impairment on the basis of which he was found to be under a disability and, except for his earnings, continues to meet all non-disabilityA related requirements for eligibility for benefits under title XVI, "(B) the income of such individual would not, except for his earnings, be equal to or in excess of the amount which would cause him to be ineligible for payments under section 16110?) (if he were otherwise eligible for such payments),

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