BUY-IN UNDER PART A FOR QUALIFIED MEDICARE BENEFICIARIES.

SEC. 6013. BUY-IN UNDER PART A FOR QUALIFIED MEDICARE BENEFICIARIES. (a) In General.—Section 1818 of the Social Security Act (42 U.S.C. 1395i–2) is amended by adding at the end the following: “(g)(1) The Secretary shall, at the request of a State made after 1989, enter into a modification of an agreement entered into with the State pursuant to section 1843(a) under which the agreement provides for enrollment in the program established by this part of qualified medicare beneficiaries (as defined in section 1905(p)(1)). “(2)(A) Except as provided in subparagraph (B), the provisions of subsections (c), (d), (e), and (f) of section 1843 shall apply to qualified medicare beneficiaries enrolled, pursuant to such agreement, in the program established by this part in the same manner and to the 103 STAT. 2164same extent as they apply to qualified medicare beneficiaries enrolled, pursuant to such agreement, in part B. “(B) For purposes of this subsection, section 1843(d)(1) shall be applied by substituting ‘section 1818’ for ‘section 1839’ and ‘subsection (c) (with reference to subsection (b) of section 1839)’ for ‘subsection (b).’.”. (b) Conforming Amendment.—Section 1843 of such Act (42 U.S.C. 1395v) is amended by adding at the end the following: “(i) For provisions relating to enrollment of qualified medicare beneficiaries under part A, see section 1818(g).”. (c) Effective Date.—The amendments made by this section shall become effective January 1, 1990.