109 HR 6405 IH: Long-Term Care Improvement Act of 2006
U.S. House of Representatives
2006-12-06
text/xml
EN
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.
<enum>I</enum><header>Short title; findings</header>
<section id="H77F41AA747B745E90012B1006405591B" section-type="section-one"><enum>101.</enum><header>Short title; table of contents</header>
<subsection id="H4BCC463EC0E6481691E4314F01EF00EF"><enum>(a)</enum><header>Short title</header><text display-inline="yes-display-inline">This Act may be cited as the <quote><short-title>Long-Term Care Improvement Act of 2006</short-title></quote>.</text></subsection>
<subsection id="H46689AEEF44148328F26E373310096D"><enum>(b)</enum><header>Table of contents</header><text>The table of contents of this Act is as follows:</text>
<toc container-level="legis-body-container" quoted-block="no-quoted-block" lowest-level="section" regeneration="yes-regeneration" lowest-bolded-level="division-lowest-bolded">
<toc-entry idref="HCEBF3376C561497A9778DFB45B204BAB" level="title">Title I—Short title; findings</toc-entry>
<toc-entry idref="H77F41AA747B745E90012B1006405591B" level="section">Sec. 101. Short title; table of contents.</toc-entry>
<toc-entry idref="H60FD7AA0118B4675B7E4D504F451E825" level="section">Sec. 102. Findings.</toc-entry>
<toc-entry idref="H232ADF1292A64F7CBD046966D89F97DF" level="title">Title II—Long-term care financing</toc-entry>
<toc-entry idref="H0A70BB43C7C24E6DA0B595B205B7C9CD" level="section">Sec. 201. Long-term care awareness.</toc-entry>
<toc-entry idref="HEE08EA81B5BA4ED89EC5C3A51F7CD571" level="section">Sec. 202. Long-term care financing commission.</toc-entry>
<toc-entry idref="H1A47B060CEA342CDA637BF254D483E33" level="section">Sec. 203. Considerations in MedPAC recommendations on payment for skilled nursing facilities.</toc-entry>
<toc-entry idref="H6DBE655D80F644E189FF99B5511037AB" level="title">Title III—Long-term care insurance</toc-entry>
<toc-entry idref="H91C3A8ED9ACE41BB8032099D1763E54C" level="section">Sec. 301. Treatment of premiums on qualified long-term care insurance contracts.</toc-entry>
<toc-entry idref="H90E98F2AFAD54FD88D3E4489CB000073" level="section">Sec. 302. Additional consumer protections for long-term care insurance.</toc-entry>
<toc-entry idref="HBA015B5C36984CA600BBFA217610D6DC" level="title">Title IV—Miscellaneous Provisions</toc-entry>
<toc-entry idref="HB89B879A36A944F9BEB41D2060E32EF" level="section">Sec. 401. Elimination of limitation on eligibility for supplemental security income benefits for persons living in publicly operated community residences, based on the number of residents served by the facility.</toc-entry> </toc></subsection></section>
<section id="H60FD7AA0118B4675B7E4D504F451E825"><enum>102.</enum><header>Findings</header><text display-inline="no-display-inline">The Congress finds the following:</text>
<paragraph id="HEEAC7CA4D05A4C61A133EE8B4FA412D9"><enum>(1)</enum><text display-inline="yes-display-inline">The United States needs a national strategy for long-term care. </text></paragraph>
<paragraph id="H32DDC3C7994B4B6EB3C82500A3E48100"><enum>(2)</enum><text>Seventy-seven million baby-boomers will retire by 2030. </text></paragraph>
<paragraph id="HDA319EADA30B43BD8E86AB90C8A32FC0"><enum>(3)</enum><text>Long-term care is an ever-increasing proportion of Medicaid spending. </text></paragraph>
<paragraph id="H7C2D810F1DF4489AAE9BACB7FBCE6F9B"><enum>(4)</enum><text>Encouraging planning, saving, and personal responsibility will strengthen the Medicaid program for other eligible populations. </text></paragraph>
<paragraph id="HE0163F3845E349329964462F2FE6DCEC"><enum>(5)</enum><text>Thirty-two percent of Medicaid spending is on long-term care and that number is expected to increase over the next 20 years as baby-boomers begin to retire. </text></paragraph>
<paragraph id="HB42F8CDFDF5441429E7DF10153E05D58"><enum>(6)</enum><text>Four-fifths of projected increases in Medicaid expenditures are estimated to come from the aged and disabled, who primarily have chronic diseases and are in need of long-term care services. </text></paragraph>
<paragraph id="H99B2209AFE1347AE87828922BB8626CE"><enum>(7)</enum><text>The United States as a whole must get more private dollars into the long-term care system, or else be saddled by skyrocketing costs to the government that risk the collapse of Medicaid.</text></paragraph></section>
<enum>II</enum><header>Long-term care financing</header>
<section id="H0A70BB43C7C24E6DA0B595B205B7C9CD"><enum>201.</enum><header>Long-term care awareness</header>
<subsection id="H7E0F22A43B644CD8B25C232F7871E8FE"><enum>(a)</enum><header><quote>Own Your Own Future</quote> long-term care awareness campaign</header><text display-inline="yes-display-inline">It is the sense of the Congress that—</text>
<paragraph id="H906E143F1E7A48F8857816A5E542AD39"><enum>(1)</enum><text>the <quote>Own Your Own Future</quote> long-term care awareness campaign established jointly in January 2005, and implemented in 8 states in 2006, by Office of the Assistant Secretary for Planning and Evaluation, the Administration on Aging, and the Centers for Medicare & Medicaid Services (CMS), working closely with the National Governors Association (NGA) and the National Council of State Legislators, should be expanded and implemented in all the States, and</text></paragraph>
<paragraph id="HD61AF7C4F1B548E7ADF8ECFE669D9144"><enum>(2)</enum><text display-inline="yes-display-inline">as part of such campaign, the Administration on Aging should distribute, upon request, the document entitled “Long-Term Care Planning Kit”, originally published by the Department Health and Human Services as publication CMS–11026 (December 2002) and as updated from time to time. </text></paragraph></subsection>
<subsection id="HD6E825750E934596A46BEBF0D8812594"><enum>(b)</enum><header><quote>Day for a National Conversation on Long-Term Care</quote></header>
<paragraph id="H0E4BB66209C94F1699B68F00C4F53061"><enum>(1)</enum><header>Designation and promotion</header><text display-inline="yes-display-inline">From among the holidays when families normally gather together, the Secretary of Health and Human Services shall designate 1 particular day each year as the <quote>Day for a National Conversation on Long-Term Care</quote> and shall provide public announcements and activities to encourage and facilitate the opportunities for families to discuss aging and retirement preparation with family members who are older individuals.</text></paragraph>
<paragraph id="HB9E4939BF97E4D77B4D8C94113C6818F"><enum>(2)</enum><header>Authorization of appropriations</header><text>There is authorized to be appropriated $2,000,000 fore each of 5 fiscal years to carry out this subsection.</text></paragraph></subsection></section>
<section id="HEE08EA81B5BA4ED89EC5C3A51F7CD571"><enum>202.</enum><header>Long-term care financing commission</header>
<subsection id="H6C9A05EE5E2C42DD0045DCAD5376A630"><enum>(a)</enum><header>Establishment</header><text>There is hereby established a commission to be known as the <quote>Long-Term Care Financing Commission</quote> (in this section referred to as the <quote>Commission</quote>).</text></subsection>
<subsection id="HFA3B895E7002491C976E146597DECFC5"><enum>(b)</enum><header>Composition</header><text>The Commission shall be composed of 10 members appointed by the Comptroller General of the United States.</text></subsection>
<subsection id="HE1539A8D60D4406E90956686B6A92E3B"><enum>(c)</enum><header>Duties</header>
<paragraph id="H0B9579032B9740A082CFE12BE12BA0EF"><enum>(1)</enum><header>Analyses</header><text>The Commission shall conduct analyses of the financing of long-term care, including the financing of nursing facilities. Such analyses shall include an analysis of each of the following:</text>
<subparagraph id="H685AEDF7F8544FCDBADABBA8A0AA7B56"><enum>(A)</enum><text>The adequacy of Medicaid program financing of the long term care system.</text></subparagraph>
<subparagraph id="HA2A08C5CF4294AD58E0310F086BDC39E"><enum>(B)</enum><text>Medicare’s cross-subsidization of long-term care for Medicaid patients.</text></subparagraph>
<subparagraph id="H8730C1365D2142118774C6DCD3119D75"><enum>(C)</enum><text>Total industry margins in long-term care.</text></subparagraph>
<subparagraph id="HFFEF179809134DAFB7232D476ECDE7F9"><enum>(D)</enum><text>Long-term demographic challenges.</text></subparagraph>
<subparagraph id="H503D973689BF49A1A0C346B0591615A6"><enum>(E)</enum><text>The impact of current trends, including staffing shortages and litigation costs, on long-term care spending.</text></subparagraph>
<subparagraph id="HD6F6719571C74886A8E07518E4940506"><enum>(F)</enum><text>Different approaches to refinements in the per diem RUG payment amounts and related payment methodologies under section 1888(e) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395yy">42 U.S.C. 1395yy(e)</external-xref>) .</text></subparagraph></paragraph>
<paragraph id="HDA5F425E80F24B55983F519B00316E00"><enum>(2)</enum><header>Report</header><text>The Commission shall submit to Congress an annual report on its analyses. Each such report shall include recommendations for such changes in financing of long-term care as the Commission deems appropriate.</text></paragraph></subsection>
<subsection id="H77F5C3CEF1004B37AE8F007538D98734"><enum>(d)</enum><header>Terms, Compensation, Chairman, Meetings, Staff, and Powers</header><text>The provisions of subsections (c)(3), (c)(4), (c)(5), (c)(6), (d), and (e) of section 1805 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395b-6">42 U.S.C. 1395b–6</external-xref>) (relating to provisions for the Medicare Payment Advisory Commission) shall apply to the Commission in the same manner as they apply to the Medicare Payment Advisory Commission.</text></subsection></section>
<section id="H1A47B060CEA342CDA637BF254D483E33" display-inline="no-display-inline" section-type="subsequent-section"><enum>203.</enum><header>Considerations in MedPAC recommendations on payment for skilled nursing facilities</header><text display-inline="no-display-inline">In making recommendations regarding payment rates for skilled nursing facilities, the Medicare Payment Advisory Commission (established under section 1805 of the Social Security Act, (<external-xref legal-doc="usc" parsable-cite="usc/42/1395b-6">42 U.S.C. 1395b–6</external-xref>)) shall consider—</text>
<paragraph id="HDBFEF1AB0022489786A6A093F621EC4E"><enum>(1)</enum><text display-inline="yes-display-inline">the operating margins of such facilities from all government payers and the adequacy of all government funding; and</text></paragraph>
<paragraph id="HC3CDA2796AE34C5D8CD34CC725CB9665"><enum>(2)</enum><text>the quality improvement efforts by such facilities.</text></paragraph></section>
<enum>III</enum><header>Long-term care insurance</header>
<section id="H91C3A8ED9ACE41BB8032099D1763E54C" section-type="subsequent-section" display-inline="no-display-inline"><enum>301.</enum><header>Treatment of premiums on qualified long-term care insurance contracts</header>
<subsection id="H46B071F75B2E42109E5549C22CDF5C8"><enum>(a)</enum><header>In general</header><text>Part VII of subchapter B of <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/26/1">chapter 1</external-xref> of the Internal Revenue Code of 1986 (relating to additional itemized deductions) is amended by redesignating section 224 as section 225 and by inserting after section 223 the following new section:</text>
<quoted-block id="HB3D5A40DE1E44F9B8BC600E1B83F54B6">
<section id="H0100F96C08034505867D59DF15E62070"><enum>224.</enum><header>Premiums on qualified long-term care insurance contracts</header>
<subsection id="HB5DA56EB90E64499B2BAEC7DCC19AF43"><enum>(a)</enum><header>In general</header><text>In the case of an individual, there shall be allowed as a deduction an amount equal to the applicable percentage of the amount of eligible long-term care premiums (as defined in section 213(d)(10)) paid during the taxable year for coverage for the taxpayer and the taxpayer’s spouse and dependents under a qualified long-term care insurance contract (as defined in section 7702B(b)).</text></subsection>
<subsection id="HEE827168586A4C1D8247611E66E18203"><enum>(b)</enum><header>Applicable percentage</header><text>For purposes of subsection (a), the applicable percentage shall be determined in accordance with the following table:</text>
<table table-type="2-General" align-to-level="subsection" frame="none" line-rules="no-gen" rule-weights="0.0.0.4.0.0" blank-lines-before="1" subformat="S6211">
<tgroup cols="2" ttitle-size="0" thead-tbody-ldg-size="10.10.10" grid-typeface="1.1" fnote-size="0"><colspec colname="col1" coldef="txt" min-data-value="50" colsep="1" align="left" colwidth="78" rowsep="0"/><colspec colname="col2" coldef="fig" min-data-value="10" colsep="1" align="right" colwidth="93" rowsep="0"/><thead>
<row><entry colname="col1" align="center" rowsep="0"><bold>For taxable years beginning in calendar year—</bold></entry><entry colname="col2" align="center" rowsep="0"><bold>The applicable percentage is—</bold></entry></row></thead>
<tbody>
<row><entry colname="col1" align="left" rowsep="0" stub-definition="txt-ldr" stub-hierarchy="1" leader-modify="force-ldr">2006, 2007, or 2008</entry><entry colname="col2" align="right" rowsep="0" leader-modify="clr-ldr">25</entry></row>
<row><entry colname="col1" align="left" rowsep="0" stub-definition="txt-ldr" stub-hierarchy="1" leader-modify="force-ldr">2009</entry><entry colname="col2" align="right" rowsep="0" leader-modify="clr-ldr">35</entry></row>
<row><entry colname="col1" align="left" rowsep="0" stub-definition="txt-ldr" stub-hierarchy="1" leader-modify="force-ldr">2010</entry><entry colname="col2" align="right" rowsep="0" leader-modify="clr-ldr">65</entry></row>
<row><entry colname="col1" align="left" rowsep="0" stub-definition="txt-ldr" stub-hierarchy="1" leader-modify="force-ldr">2011 or thereafter</entry><entry colname="col2" align="right" rowsep="0" leader-modify="clr-ldr">100.</entry></row></tbody></tgroup></table></subsection>
<subsection id="H25F7C310330941FEA403ECBB2BF6F133"><enum>(c)</enum><header>Coordination with other deductions</header><text>Any amount paid by a taxpayer for any qualified long-term care insurance contract to which subsection (a) applies shall not be taken into account in computing the amount allowable to the taxpayer as a deduction under section 162(l) or 213(a).</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></subsection>
<subsection id="HC249F78377E4498696201FA3FD002323"><enum>(b)</enum><header>Long-term care insurance permitted To be offered under cafeteria plans and flexible spending arrangements</header>
<paragraph id="HCCDBDAD1541B4E8CAA56C6CC60E7C6DF"><enum>(1)</enum><header>Cafeteria plans</header><text>The last sentence of section 125(f) of such Code (defining qualified benefits) is amended by inserting before the period at the end <quote>; except that such term shall include the payment of premiums for any qualified long-term care insurance contract (as defined in section 7702B) to the extent the amount of such payment does not exceed the eligible long-term care premiums (as defined in section 213(d)(10)) for such contract</quote>.</text></paragraph>
<paragraph id="H100CA19A305C447CA420A621A0C4D9BC"><enum>(2)</enum><header>Flexible spending arrangements</header><text>Section 106 of such Code (relating to contributions by an employer to accident and health plans) is amended by striking subsection (c) and redesignating subsection (d) as subsection (c).</text></paragraph></subsection>
<subsection id="H950F6AC2431A4262974C1DB145DD1592"><enum>(c)</enum><header>Conforming amendments</header>
<paragraph id="H70DD12A469C343BCA871CB001DD5ED00"><enum>(1)</enum><text>Section 62(a) of such Code is amended by inserting before the last sentence at the end the following new paragraph:</text>
<quoted-block id="H10EE5A9E16AB4B60B798788EA203C5EB">
<paragraph id="H07BDBCA4E42A49DF9F38B2723CBE8C45"><enum>(21)</enum><header>Premiums on qualified long-term care insurance contracts</header><text>The deduction allowed by section 224.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph>
<paragraph id="H1A6BE6291AAD4539A5370769D9F87C2F"><enum>(2)</enum><text>Sections 223(b)(4)(B), 223(d)(4)(C), 223(f)(3)(B), 3231(e)(11), 3306(b)(18), 3401(a)(22), 4973(g)(1), and 4973(g)(2)(B)(i) of such Code are each amended by striking <quote>section 106(d)</quote> and inserting <quote>section 106(c)</quote>.</text></paragraph>
<paragraph id="H30072847899547038EDB00FDB096EDDD"><enum>(3)</enum><text>Section 6041 of such Code is amended—</text>
<subparagraph id="H0F51C1B5E3824A3CAB5CF92DBC1CF3A4"><enum>(A)</enum><text display-inline="yes-display-inline">in subsection (f)(1) by striking <quote>(as defined in section 106(c)(2))</quote>, and</text></subparagraph>
<subparagraph id="H1B5FFD3FBA014BC78ED2F400EDF400AC"><enum>(B)</enum><text>by adding at the end the following new subsection:</text>
<quoted-block style="OLC" id="H443134A691E749319872C058E2DCB3B8" display-inline="no-display-inline">
<subsection id="HF4875203274F454BA9C200DB5E61B79D"><enum>(h) </enum><header>Flexible spending arrangement defined</header><text display-inline="yes-display-inline">For purposes of this section, a flexible spending arrangement is a benefit program which provides employees with coverage under which—</text>
<paragraph id="HAF00BB9644D247B7BB0933780870E200"><enum>(1)</enum><text>specified incurred expenses may be reimbursed (subject to reimbursement maximums and other reasonable conditions), and </text></paragraph>
<paragraph id="HDBE41DBDC4E94DCB94DC68BCA031E20"><enum>(2)</enum><text>the maximum amount of reimbursement which is reasonably available to a participant for such coverage is less than 500 percent of the value of such coverage. </text></paragraph><continuation-text continuation-text-level="subsection">In the case of an insured plan, the maximum amount reasonably available shall be determined on the basis of the underlying coverage.</continuation-text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph>
<paragraph id="HF79B6F435E704F8DA93D22925DEC9DF3"><enum>(4)</enum><text>The table of sections for part VII of subchapter B of chapter 1 of such Code is amended by striking the last item and inserting the following new items:</text>
<quoted-block style="OLC" id="HCF813F761EF841CDB65526AF700E2C6">
<toc regeneration="no-regeneration">
<toc-entry level="section">Sec. 224. Premiums on qualified long-term care insurance contracts.</toc-entry>
<toc-entry level="section">Sec. 225. Cross reference.</toc-entry></toc><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection>
<subsection id="HC445340AEDD64233A3EAA5C087D0BD8C"><enum>(d)</enum><header>Effective dates</header>
<paragraph id="HCF1E20C789AF4AE893F679368833065"><enum>(1)</enum><header>In general</header><text>Except as provided in paragraph (2), the amendments made by this section shall apply to taxable years beginning after December 31, 2005.</text></paragraph>
<paragraph id="H52BFF9FB83834D12AF55C4FEB5341943"><enum>(2)</enum><header>Cafeteria plans and flexible spending arrangements</header><text>The amendments made by subsection (b) shall apply to taxable years beginning after December 31, 2007.</text></paragraph></subsection></section>
<section id="H90E98F2AFAD54FD88D3E4489CB000073" display-inline="no-display-inline" section-type="subsequent-section"><enum>302.</enum><header>Additional consumer protections for long-term care insurance</header>
<subsection id="HDF79E581B7674F61A5BF3CEFB7626BE8"><enum>(a)</enum><header>Additional protections applicable to long-term care insurance</header><text>Subparagraphs (A) and (B) of <external-xref legal-doc="usc" parsable-cite="usc/26/7702B">section 7702B(g)(2)</external-xref> of the Internal Revenue Code of 1986 (relating to requirements of model regulation and Act) are amended to read as follows:</text>
<quoted-block id="H29CECB967E044F76AB3F5D468305A8F">
<subparagraph id="HD2F68E079069461DA7AB44A64715E561"><enum>(A)</enum><header>In general</header><text>The requirements of this paragraph are met with respect to any contract if such contract meets—</text>
<clause id="H0620D879F7C64ECDB7B3D5E66EB1C2B1"><enum>(i)</enum><header>Model regulation</header><text>The following requirements of the model regulation:</text>
<subclause id="HBF1B3CB8FA32401DB8BAF84907A6162F"><enum>(I)</enum><text>Section 6A (relating to guaranteed renewal or noncancellability), other than paragraph (5) thereof, and the requirements of section 6B of the model Act relating to such section 6A.</text></subclause>
<subclause id="H93A48CB51BAC4E7CAD493BB3C6EE1C68"><enum>(II)</enum><text>Section 6B (relating to prohibitions on limitations and exclusions) other than paragraph (7) thereof.</text></subclause>
<subclause id="HEF3288A7EC8F4A5598EB30AB2300AA00"><enum>(III)</enum><text>Section 6C (relating to extension of benefits).</text></subclause>
<subclause id="HBE07A473C9B741D6BC8D0066B3A3AE7D"><enum>(IV)</enum><text>Section 6D (relating to continuation or conversion of coverage).</text></subclause>
<subclause id="H5425E97E8968497BA3561D18B72E3DB4"><enum>(V)</enum><text>Section 6E (relating to discontinuance and replacement of policies).</text></subclause>
<subclause id="H888E357CC1E14C16B04BF2F93C1B493C"><enum>(VI)</enum><text>Section 7 (relating to unintentional lapse).</text></subclause>
<subclause id="H4D594F2B89C94088876FD21634000493"><enum>(VII)</enum><text>Section 8 (relating to disclosure), other than sections 8F, 8G, 8H, and 8I thereof.</text></subclause>
<subclause id="HF251CA752B304C1F8EF900205D737CAA"><enum>(VIII)</enum><text>Section 11 (relating to prohibitions against post-claims underwriting).</text></subclause>
<subclause id="H137D4AFB2EE54B2D004887B0FC21889E"><enum>(IX)</enum><text>Section 12 (relating to minimum standards).</text></subclause>
<subclause id="H1E5EFABCC764446B9918C86F5F405BFD"><enum>(X)</enum><text>Section 13 (relating to requirement to offer inflation protection).</text></subclause>
<subclause id="HBF504E4D2FE94D3F8434003CE1F77390"><enum>(XI)</enum><text>Section 25 (relating to prohibition against preexisting conditions and probationary periods in replacement policies or certificates).</text></subclause></clause>
<clause id="HAD4ADE0EC07F4CE7B2B500277D1F9D26"><enum>(ii)</enum><header>Model Act</header><text>The following requirements of the model Act:</text>
<subclause id="H9D692724F68D41EC97FA08C1FFFD00A0"><enum>(I)</enum><text>Section 6C (relating to preexisting conditions).</text></subclause>
<subclause id="HBA58C1FD43384AA3AB5676FFEA04B"><enum>(II)</enum><text>Section 6D (relating to prior hospitalization).</text></subclause></clause></subparagraph>
<subparagraph id="HB5461D4F5FF94B3F987B660000521C22"><enum>(B)</enum><header>Definitions</header><text>For purposes of this paragraph—</text>
<clause id="H59F04DCA5EBD4BDC8D977EB7792C4F67"><enum>(i)</enum><header>Model provisions</header><text>The terms <term>model regulation</term> and <term>model Act</term> mean the long-term care insurance model regulation, and the long-term care insurance model Act, respectively, promulgated by the National Association of Insurance Commissioners (as adopted as of October 2000).</text></clause>
<clause id="HD66E7A385D7742E0B534233E14A85F34"><enum>(ii)</enum><header>Coordination</header><text>Any provision of the model regulation or model Act listed under clause (i) or (ii) of subparagraph (A) shall be treated as including any other provision of such regulation or Act necessary to implement the provision.</text></clause>
<clause id="HBB2D9678F36A4F048F816F19C26DA8CA"><enum>(iii)</enum><header>Determination</header><text>For purposes of this section and section 4980C, the determination of whether any requirement of a model regulation or the model Act has been met shall be made by the Secretary.</text></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection>
<subsection id="HC01BDFD1972D4319B0FDEC377EA3B45B"><enum>(b)</enum><header>Excise tax</header><text>Paragraph (1) of <external-xref legal-doc="usc" parsable-cite="usc/26/4980C">section 4980C(c)</external-xref> of the Internal Revenue Code of 1986 (relating to requirements of model provisions) is amended to read as follows:</text>
<quoted-block id="HC0FC5832DF774607861F381414CF264">
<paragraph id="H57942F0407A44DD8ACF50089C069254C"><enum>(1)</enum><header>Requirements of model provisions</header>
<subparagraph id="H5403408788F546D9B92F87A5EC99CFB"><enum>(A)</enum><header>Model regulation</header><text display-inline="yes-display-inline">The following requirements of the model regulation must be met: </text>
<clause id="H99D32807E4A4444EAC53DF618D57F6FE"><enum>(i)</enum><text>Section 9 (relating to required disclosure of rating practices to consumer).</text></clause>
<clause id="HEBDDF7E6C14A40AD9400DF02AC7824AD"><enum>(ii)</enum><text>Section 14 (relating to application forms and replacement coverage). </text></clause>
<clause id="H957AC8614D824F62B6C4D4343758B315"><enum>(iii)</enum><text>Section 15 (relating to reporting requirements). </text></clause>
<clause id="H41491BB7B7C742F7A646084B627FB2F4"><enum>(iv)</enum><text>Section 22 (relating to filing requirements for marketing). </text></clause>
<clause id="HE1443311D73A42F0AFC5BD23BB058983"><enum>(v)</enum><text>Section 23 (relating to standards for marketing), including inaccurate completion of medical histories, other than paragraphs (1), (6), and (9) of section 23C. </text></clause>
<clause id="HDEEE7E0ED7B3452B8270AFA0EDF3A8C3"><enum>(vi)</enum><text>Section 24 (relating to suitability). </text></clause>
<clause id="HD38F72983F4A4B899C343430C097086B"><enum>(vii)</enum><text>Section 29 (relating to standard format outline of coverage). </text></clause>
<clause id="H795E43AE92F842F8B59312C0719440D4"><enum>(viii)</enum><text>Section 30 (relating to requirement to deliver shopper's guide).</text></clause><continuation-text continuation-text-level="subparagraph">The requirements referred to in clause (vi) shall not include those portions of the personal worksheet described in Appendix B relating to consumer protection requirements not imposed by section 4980C or 7702B.</continuation-text></subparagraph>
<subparagraph id="HC0E9BF42403F4B649C3405E2FE7BA1AD" display-inline="no-display-inline"><enum>(B)</enum><header>Model Act</header><text>The following requirements of the model Act must be met:</text>
<clause id="H9533A482F50943CCAF5222D8F064B9DD"><enum>(i)</enum><text>Section 6F (relating to right to return).</text></clause>
<clause id="H7AA1079E0A1648C99040D12B5F971222"><enum>(ii)</enum><text>Section 6G (relating to outline of coverage).</text></clause>
<clause id="HC6212B231B7A48ACA07B2861E7B60052"><enum>(iii)</enum><text>Section 6H (relating to requirements for certificates under group plans).</text></clause>
<clause id="HD7B0DE9CA72B46058C17B1228731A9BF"><enum>(iv)</enum><text>Section 6J (relating to policy summary).</text></clause>
<clause id="HBE8B489DFE0D433BB67FDB67F356B9DC"><enum>(v)</enum><text>Section 6K (relating to monthly reports on accelerated death benefits).</text></clause>
<clause id="H3E428B58FE764EB9800085F447F0058"><enum>(vi)</enum><text>Section 7 (relating to incontestability period).</text></clause></subparagraph>
<subparagraph id="HA02C9A19C21A4CA5AC29E296F2CA3EA2"><enum>(C)</enum><header>Definitions</header><text>For purposes of this paragraph, the terms <term>model regulation</term> and <term>model Act</term> have the meanings given such terms by section 7702B(g)(2)(B).</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection>
<subsection id="HD5A067AEB8974D61B413653569AA3310"><enum>(c)</enum><header>Effective date</header><text>The amendments made by this section shall apply to policies issued more than 1 year after the date of the enactment of this Act.</text></subsection></section>
<enum>IV</enum><header>Miscellaneous Provisions</header>
<section id="HB89B879A36A944F9BEB41D2060E32EF" section-type="subsequent-section" display-inline="no-display-inline"><enum>401.</enum><header>Elimination of limitation on eligibility for supplemental security income benefits for persons living in publicly operated community residences, based on the number of residents served by the facility</header>
<subsection id="HD44AAEFE326F42988BB8FADD6C80EE19"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 1611 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1382">42 U.S.C. 1382</external-xref>) is amended—</text>
<paragraph id="H468A77D79F2F4C5585E71E99267430C5"><enum>(1)</enum><text>in subsection (e)(1), by striking subparagraph (C) and redesignating subparagraphs (D) through (J) as subparagraphs (C) through (I), respectively; and</text></paragraph>
<paragraph id="H19785A1EE59149EE973543E4919FC575"><enum>(2)</enum><text>in subparagraph (A), by striking <quote>(E), and (G)</quote> and inserting <quote>and (F)</quote>;</text></paragraph>
<paragraph id="H2B3CE77D58074268838CD0EA30BC4700"><enum>(3)</enum><text>in subparagraph (B)—</text>
<subparagraph id="HA8CCAFD7A70F4CE6BEE303E345D28E4B"><enum>(A)</enum><text>by striking <quote>(G)</quote> and inserting <quote>(F)</quote>; and</text></subparagraph>
<subparagraph id="HE8E730ACF3A0417AA03265C100B6932C"><enum>(B)</enum><text>by striking <quote>(E)</quote> and inserting <quote>(D)</quote>;</text></subparagraph></paragraph>
<paragraph id="H0D3B4E273CF848A9B1A4A049BA7DF525"><enum>(4)</enum><text>in subparagraph (E) (as so redesignated), by striking <quote>(E)</quote> and inserting <quote>(D)</quote>;</text></paragraph>
<paragraph id="H81BA3E88E344408CBC03AF0211356A7"><enum>(5)</enum><text>in subparagraph (F) (as so redesignated), by striking <quote>(H) or (J)</quote> and inserting <quote>(G) or (I)</quote>;</text></paragraph>
<paragraph id="HAE31268EB6FF4CD4B2167215DA11DA89"><enum>(6)</enum><text>in subparagraph (G) (as so redesignated), by striking <quote>(G)</quote> and inserting <quote>(F)</quote>; and</text></paragraph>
<paragraph id="HA2552165453A47B0A3DB02A742FC288"><enum>(7)</enum><text>in subparagraph (I) (as so redesignated), by striking <quote>(G)(i)</quote> and inserting <quote>(F)(i)</quote>.</text></paragraph></subsection>
<subsection id="HB4400D22A6BD43A200560000825CF175"><enum>(b)</enum><header>Effective date</header><text>The amendments made by subsection (a) shall apply to benefits payable for calendar months beginning after the date of the enactment of this Act.</text></subsection></section>