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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="H915B7D54A258496E96F7EC5DCEBB529B" key="H" public-private="public"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>116 HR 4583 IH: Medicare Extra Rx Higher Eligibility Limits in Part D Act of 2019</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2019-10-01</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">116th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 4583</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20191001">October 1, 2019</action-date><action-desc><sponsor name-id="S001190">Mr. Schneider</sponsor> (for himself and <cosponsor name-id="K000385">Ms. Kelly of Illinois</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name>, and in addition to the Committee on <committee-name committee-id="HWM00">Ways and Means</committee-name>, 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</action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To amend title XVIII of the Social Security Act to enhance prescription drug affordability by
			 expanding access to assistance with out-of-pocket costs under Medicare
			 part D for low-income seniors and individuals with disabilities.</official-title></form>
	<legis-body id="H5FE0D19CC7FD4C9780FCA727981B728A" style="OLC">
 <section commented="no" display-inline="no-display-inline" id="H604B57ED42AB45D5AB5A10E77D4E26AC" section-type="section-one"><enum>1.</enum><header display-inline="yes-display-inline">Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Medicare Extra Rx Higher Eligibility Limits in Part D Act of 2019</short-title></quote> or the <quote><short-title>Medicare Extra Rx HELP Act of 2019</short-title></quote>.</text> </section><section id="H6AB872E795634197B94899974D38EB45"><enum>2.</enum><header>Enhancing prescription drug affordability by expanding access to assistance with out-of-pocket costs under Medicare part D for low-income seniors and individuals with disabilities</header> <subsection id="H0DEF3DC8BDB54A8CBC8F2931E1DAE37B"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 1860D–14 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-114">42 U.S.C. 1395w–114</external-xref>) is amended—</text>
 <paragraph id="H6D48F28522B74A1FB49FF2F68F05CEFA"><enum>(1)</enum><text>in subsection (a)—</text> <subparagraph id="HB1B5ECFDFC5946DF9529D1E0B8A40B73"><enum>(A)</enum><text>in the heading, by striking <quote><header-in-text level="subsection" style="OLC">150 percent</header-in-text></quote> and inserting <quote><header-in-text level="subsection" style="OLC">200 percent</header-in-text></quote>;</text>
 </subparagraph><subparagraph id="H2FE3D74B7B724048B979483250CF2B6F"><enum>(B)</enum><text>in paragraph (1)—</text> <clause id="HF944AE3A736E4EBFB2860DBD8F7CC93D"><enum>(i)</enum><text>in the heading, by striking <quote><header-in-text level="paragraph" style="OLC">135 percent</header-in-text></quote> and inserting <quote><header-in-text level="paragraph" style="OLC">200 percent</header-in-text></quote>; and</text>
 </clause><clause id="H3F251390474841EBBEF1924429C02D5E"><enum>(ii)</enum><text>in the matter preceding subparagraph (A)—</text> <subclause id="H94F59A797AB3494486D8029211523D03"><enum>(I)</enum><text>by striking <quote>135 percent</quote> and inserting <quote>200 percent</quote>; and</text>
 </subclause><subclause id="H3049F32C313640A883F078E935360F33"><enum>(II)</enum><text>by striking <quote>and who meets the resources requirement described in paragraph (3)(D) or who is covered under this paragraph under paragraph (3)(B)(i)</quote> and inserting <quote>or who is covered under this paragraph under paragraph (3)(B)(v)</quote>;</text>
 </subclause></clause></subparagraph><subparagraph id="H6C220D617A3C4264995E1EB786242E56"><enum>(C)</enum><text>by striking paragraph (2);</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HBEBE890D6E4842A59AD8E48B01CAE150"><enum>(D)</enum><text>in paragraph (3)—</text>
 <clause commented="no" display-inline="no-display-inline" id="H7DA4ECEA3C4A476AA705AE1FAFB1BFE4"><enum>(i)</enum><text>in subparagraph (A)—</text> <subclause commented="no" display-inline="no-display-inline" id="HCC31AAB72C044265ACCFCDB3BB37D0C3"><enum>(I)</enum><text>in clause (i), by adding <quote>and</quote> at the end;</text>
 </subclause><subclause commented="no" display-inline="no-display-inline" id="H5225549A9A184167AEE262D809F09C7E"><enum>(II)</enum><text>in clause (ii)—</text> <item commented="no" display-inline="no-display-inline" id="H28AA072BB3E14FD7BBB1546A0F2CE9C1"><enum>(aa)</enum><text>by striking <quote>150 percent</quote> and inserting <quote>200 percent</quote>; and</text>
 </item><item commented="no" display-inline="no-display-inline" id="H0457D32BD0FC4411AD1E56B49991BA61"><enum>(bb)</enum><text>by striking <quote>; and</quote> at the end and inserting a period; and</text> </item></subclause><subclause commented="no" display-inline="no-display-inline" id="H014E8AE66B554F43B6BB1A04AEAE620C"><enum>(III)</enum><text>by striking clause (iii); and</text>
 </subclause></clause><clause commented="no" display-inline="no-display-inline" id="H61435664910241DDBAEC951963248DCA"><enum>(ii)</enum><text>by striking subparagraphs (D), (E), and (G); and</text> </clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H2FF94A081A0F49CB991DBC986DD7D055"><enum>(E)</enum><text>in paragraph (4), by striking subparagraph (B); and</text>
 </subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H0235D49BEA4249D2A8CE8E205B0FC5A7"><enum>(2)</enum><text>in subsection (c)(1), in the second sentence, by striking <quote>subsections (a)(1)(D) and (a)(2)(E)</quote> and inserting <quote>subsection (a)(1)(D)</quote>.</text> </paragraph></subsection><subsection id="H1593D999166E46F98D1EF05056852363"><enum>(b)</enum><header>Conforming amendment</header><text>Section 1905(p)(1) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396d">42 U.S.C. 1396d(p)(1)</external-xref>) is amended by adding at the end the following flush matter:</text>
				<quoted-block display-inline="no-display-inline" id="H24FEFD48CF334067ACE1EF485279083A" style="OLC">
					<quoted-block-continuation-text commented="no" quoted-block-continuation-text-level="subsection">The Secretary shall apply subparagraph (C) as if the amendments made by section 2(a) of the <short-title>Medicare Extra Rx Higher Eligibility Limits in Part D Act of 2019</short-title> had not been enacted and shall continue to calculate the maximum resource level applied for a year
			 under section 1860D–14(a)(3)(D) (as in effect on the day before the date
			 of enactment of such Act) without regard to such amendments.</quoted-block-continuation-text><after-quoted-block>.</after-quoted-block></quoted-block>
 </subsection><subsection id="H03A01D136CD6424992BFAB89F6249B7F"><enum>(c)</enum><header>Effective date</header><text>The amendments made by subsection (a) shall apply to plan year 2020 and subsequent plan years.</text> </subsection></section></legis-body></bill> 

