coordination of title xix and the supplementary medical insurance program

coordination of title xix and the supplementary medical insurance program Sec. 222. (a) Section 1843 of the Social Security Act is amended by adding at the end thereof the following new subsection: “(h) (1) The Secretary shall, at the request of a State made before January 1, 1970, enter into a modification of an agreement entered into with such State pursuant to subsection (a) under which the coverage group described in subsection (b) and specified in such agreement is broadened to include individuals who are eligible to receive medical assistance under the plan of such State approved under title XIX. “(2) For purposes of this section, an individual shall be treated as eligible to receive medical assistance under the plan of the State approved under title XIX if, for the month in which the modification is entered into under this subsection or for any month thereafter, he has been determined to lie. eligible to receive medical assistance under such plan. In the case of any individual who would (but for this subsection) be excluded from the agreement, subsections (c) and (d)(2) shall be applied as if they referred to the modification under 81 Stat. 901this subsection (in lieu of the agreement under subsection (a)), and subsection (d)(2)(C) shall be applied by substituting ‘second month following the first month’ for ‘first month’.” (b) (1) Section 1843(d)(3)(A) of such Act is amended by striking out “ineligible for money payments of a kind specified in the agreement” and inserting in lieu thereof the following: “ineligible both for money payments of a kind specified in the agreement and (if there is in effect a modification entered into under subsection (h)) for medical assistance”. (2) Section 1843(f) of such Act is amended— (A) by inserting after “or part A of title IV,” (as added by section 241(e)(2) of this Act) the following: “or eligible to receive medical assistance under the plan of such State approved under title XIX,”; and (B) by inserting after “, and part A of title IV” (as added by section 241(e)(2) of this Act) the following: “, and individuals eligible to receive medical assistance under the plan of the State approved under title XIX”. (3) Section 1843(g)(1) of such Act is amended by striking out “1968” and inserting in lieu thereof “1970”. (4) The heading of section 1843 of such Act is amended by adding at the end thereof the following: “(or are eligible for medical assistance)”. (c) Section 1903(b) of such Act is amended by inserting “(1)” after “(b)”, and by adding at the end thereof the following new paragraph: “(2) Notwithstanding the preceding provisions of this section, the amount determined under subsection (a)(1) for any State for any quarter beginning after December 31, 1967, shall not take into account any amounts expended as medical assistance with respect to individuals aged 65 or over which would not have been so expended if the individuals involved had been enrolled in the insurance program established by part B of title XVIII.” (d) Effective with respect to calendar quarters beginning after December 31, 1967, section 1903(a)(1) of such Act is amended by striking out “and other insurance, premiums” and inserting in lieu thereof “and, except in the case of individuals sixty-five years of age or older who are not enrolled under part B of title XVIII, other insurance premiums”. (e) (1) Section 1843(a) of such Act is amended by striking out “1968” and inserting in lieu thereof “1970”. (2) Section 1843(c) of such Act is amended— (A) by striking out “and before January 1, 1968”; and (B) by striking out “thereafter before January 1968”; and inserting in lieu thereof “thereafter”. (3) Section 1843(d)(2)(D) of such Act is amended by striking out “(not later than January 1, 1968)”.