MEDICAID LONG-TERM CARE WAIVER PROGRAM.

SEC. 8432. MEDICAID LONG-TERM CARE WAIVER PROGRAM. (a) Modification of Formula.—Section 1915(d)(5)(B) of the Social Security Act (42 U.S.C. 1396n(d)(5)(B)) is amended by adding at the end the following new clause: “(iv) If there is enacted after December 22, 1987, an Act which amends this title and which results in an increase in the aggregate amount of medical assistance under this title for nursing facility services and home and community-based services for individuals who have attained the age of 65 years, the Secretary, at the request of a State with a waiver under this subsection for a waiver year or years and in close consultation with the State, shall adjust the projected amount computed under this subparagraph for the waiver year or years to take into account such increase.”. (b) Technical Modifications.—Clauses (i) and (ii) of section 1915(d)(5)(B) of such Act (42 U.S.C. 1396n(d)(5)(B)) are amended— (1) by inserting “(rounded to the nearest quarter of a year)” after “the number of years” each place it appears, (2) by striking “before the waiver year” each place it appears and inserting “at the end of the waiver year”, (3) by striking “between the base year and the waiver year” each place it appears and inserting “between the beginning of the base year and the beginning of the waiver year”, and (4) by inserting “(rounded to the nearest quarter of a year)” after “for each year” each place it appears. (c) Effective Date.—The amendments made by this section shall apply to waiver years beginning during or after fiscal year 1989.