Page:United States Statutes at Large Volume 104 Part 2.djvu/572

 104 STAT. 1388-164 PUBLIC LAW 101-508—NOV. 5, 1990 42 USC 1396a note. there is being paid a State supplementary payment and are eligible for medical assistance equal in amount, duration, and scope to the medical assistance made available to individuals described in section 1902(a)(10)(A), and, except in the case of individuals 65 years of age or older and disabled individuals entitled to health insurance benefits under title XVIII who are not enrolled under part B of title XVIII, other insurance premiums for medical or any other type of remedial care or the cost thereof.". (3) Section 1903(a)(l) (42 U.S.C. 1396b(a)(l)) is amended by striking "(including expenditures for" and all that follows through "or the cost thereof)". (e) EFFECTIVE DATE. —(1) The amendments made by this section apply (except as provided under paragraph (2)) to payments under title XIX of the Social Security Act for calendar quarters beginning on or after January 1, 1991, without regard to whether or not final regulations to carry out such amendments have been promulgated by such date. (2) In the case of a State plan for medical assistance under title XIX of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation authorizing or appropriating funds) in order for the plan to meet the additional requirements imposed by the amendments made by subsection (a), the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet this additional requirement before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of the enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature. PART 2—PROTECTION OF LOW-INCOME MEDICARE BENEFICIARIES 42 USC 1396a. SEC. 4501. PHASED-IN EXTENSION OF MEDICAID PAYMENTS FOR MEDI- CARE PREMIUMS FOR CERTAIN INDIVIDUALS WITH INCOME BELOW 120 PERCENT OF THE OFFICIAL POVERTY LINE. (a) 1-YEAR ACCELERATION OF BUY-IN OF PREMIUMS AND COST SHAR- ING FOR QUALIFIED MEDICARE BENEFICIARIES UP TO 100 PERCENT OF POVERTY LINE. —Section 1905(p)(2) (42 U.S.C. 1396d(p)(2)) is further amended— (1) in subparagraph (B)— (A) by adding "and" at the end of clause (ii); (B) in clause (iii), by striking "95 percent, and" and inserting "100 percent."; and (C) by striking clause (iv); and (2) in subparagraph (C)— (A) in clause (iii), by striking "90" and inserting "95"; (B) by adding "and" at the end of clause (iii); (C) in clause (iv), by striking "95 percent, and" and inserting "100 percent.'; and (D) by striking clause (v). (b) ENTITLEMENT.— Section 1902(a)(10)(E) (42 U.S.C. 1395b(a)(10XEXii)) is amended—

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