Advancing Enrollment and Reducing Drug Costs Act
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 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2340 Introduced in House (IH)]
<DOC>
119th CONGRESS
1st Session
H. R. 2340
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
March 25, 2025
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''.
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, 2027.
<all>
Introduced in House
Introduced in House
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.
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.
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