Plain English
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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.
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Full Bill Text
119 HR 2340 IH: Advancing Enrollment and Reducing Drug Costs Act U.S. House of Representatives 2025-03-25 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. I 119th CONGRESS 1st Session H. R. 2340 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. 1. Short title This Act may be cited as the Advancing Enrollment and Reducing Drug Costs Act . 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.
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