OPTIONAL MEDICAID COVERAGE OF TB-RELATED SERVICES FOR CERTAIN TB-INFECTED INDIVIDUALS.

SEC. 13603. OPTIONAL MEDICAID COVERAGE OF TB-RELATED SERVICES FOR CERTAIN TB-INFECTED INDIVIDUALS. (a) Coverage as Optional, Categorically Needy Group.— Section 1902(a)(10)(A)(ii) (42 U.S.C. 1396a(a)(10)(A)(ii)) is amended— (1) by striking “or” at the end of subclause (X), 107 STAT. 620 (2) by adding “or” at the end of subclause (XI), and (3) by adding at the end the following new subclause: “(XII) who are described in subsection (z)(1) (relating to certain TB-infected individuals);”. (b) Group and Benefit Described.— Section 1902 is amended by adding at the end the following new subsection: “(z) (1) Individuals described in this paragraph are individuals not described in subsection (a)(10)(A)(i)— “(A) who are infected with tuberculosis; “(B) whose income (as determined under the State plan under this title with respect to disabled individuals) does not exceed the maximum amount of income a disabled individual described in subsection (a)(10)(A)(i) may have and obtain medical assistance under the plan; and “(C) whose resources (as determined under the State plan under this title with respect to disabled individuals) do not exceed the maximum amount of resources a disabled individual described in subsection (a)(10)(A)(i) may have and obtain medical assistance under the plan. “(2) For purposes of subsection (a)(10), the term TB-related services’ means each of the following services relating to treatment of infection with tuberculosis: “(A) Prescribed drugs. “(B) Physicians’ services and services described in section 1905(a)(2). “(C) Laboratory and X-ray services (including services to confirm the presence of infection). “(D) Clinic services and Federally-qualified health center services. “(E) Case management services (as defined in section 1915(g)(2)). “(F) Services (other than room and board) designed to encourage completion of regimens of prescribed drugs by outpatients, including services to observe directly the intake of prescribed drugs.”. (c) Limitation on Benefits.— Section 1902(a)(10) (42 U.S.C. 1396a(a)(10)) is amended in the matter following subparagraph (F)— (1) by striking “; and (XI)” and inserting “, (XI)”, (2) by striking “individuals, and (XI)” and inserting “individuals, (XII)”, and (3) by inserting before the semicolon at the end the following: “, and (XIII) the medical assistance made available to an individual described in subsection (z)(1) who is eligible for medical assistance only because of subparagraph (A)(ii)(XII) shall be limited to medical assistance for TB-related services (described in subsection (z)(2))”. (d) Conforming Expansion of Case Management Services option.— Section 1915(g)(1) (42 U.S.C. 1396n(g)(1)) is amended by inserting “or to individuals described in section 1902(z)(1)(A)” after “or with either,”. (e) Conforming Amendment.— Section 1905(a) (42 U.S.C. 1396d(a)) is amended— (1) by striking “or” at the end of clause (ix), (2) by adding “or” at the end of clause (x), (3) by inserting after clause (x) the following new clause: “(xi) individuals described in section 1902(z)(1),”, and 107 STAT. 621 (4) by amending paragraph (19) to read as follows: “(19) case management services (as defined in section 1915(g)(2)) and TB-related services described in section 1902(z)(2)(F);”. (f) Effective Date.— The amendments made by this section shall apply to medical assistance furnished on or after January 1, 1994, without regard to whether or not final regulations to carry out such amendments have been promulgated by such date.