,i #aacth ,,congress #b;d ,session ,h4 ,r4 #ciff ,,in ,,the ,,house ,,of ,,representatives ,january #bi1 #bjad,mr4 ,pierluisi 7for himself1 ,mrs4 ,christensen1 ,ms4 ,bordallo1 ,mr4 ,sablan1 ,mr4 ,faleomavaega1 ,mr4 ,grayson1 and ,mr4 ,rangel7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,ways and ,means1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to amend titles ,,xviii and ,,xix of the ,social ,security ,act to provide for equitable treatment of residents of the territories with respect to low-income subsidies under the ,medicare prescription drug benefit program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,territories ,medicare ,prescription ,drug ,assistance ,equity ,act of #bjad4 #b4 ,equitable treatment of residents of territories in premium and cost-sharing subsidies under ,medicare prescription drug program 7a7 ,medicare assistance ,section #ahfj;,d-#ad7;a77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad7;a77#c77 is amended by striking subparagraph 7,f74 7b7 ,medicaid assistance ,section #aice of the ,social ,security ,act 7#db ,u4,s4,c4 #acifv7 is amended-- 7#a7 in subsection 7c77#a77;,a7-- 7,a7 by inserting 7and each other ,state for each month beginning with ,january #bjaf7 after ,january #bjjf2 and 7,b7 in clause 7i71 by inserting or 7#b77;,b7 7as the case may be7 after paragraph 7#b77;,a72 7#b7 in subsection 7c77#b7-- 7,a7 in subparagraph 7,a7-- 7i7 by amending the heading to read as follows3 ,computation for #ej ,states and the ,district of ,columbia2 and 7ii7 by striking a ,state described in paragraph 7#a7 and inserting one of the #ej ,states or the ,district of ,columbia2 7,b7 in subparagraph 7,b7-- 7i7 by striking subparagraph 7,a7 and inserting subparagraph 7,a7 or 7,b7 7as the case may be72 and 7ii7 by redesignating such subparagraph as subparagraph 7,c72 and 7,c7 by inserting after subparagraph 7,a7 the following new subparagraph3 7,b7 ,computation for territories ,the amount computed under this paragraph for a ,state not described in subparagraph 7,a7 and for a month in a year 7beginning with #bjaf7 is equal to-- 7i7 #a_/ab of the product of-- 7,i7 the amount determined under subsection 7e7 for the ,state for #bjae2 and 7,,ii7 #ajj percent minus the highest possible ,federal medical assistance percentage that may be applied to any of the #ej ,states for fiscal year #bjad under section #aije7;b77#a72 and 7ii7 increased for each year 77beginning with #bjaf7 up to and including the year involved7 by the applicable growth factor specified in paragraph 7#d7 for that year4 2 and 7#c7 in subsection 7e7-- 7,a7 in paragraph 7#a7-- 7i7 in subparagraph 7,a71 by striking of such ,state2 and and inserting of such ,state for years before #bjaf22 7ii7 in subparagraph 7,b7-- 7,i7 by inserting for periods before ,january #a1 #bjaf after 7,b72 and 7,,ii7 by striking the period at the end and inserting 2 and2 and 7iii7 by adding at the end the following new subparagraph3 7,c7 for the first #c quarters of fiscal year #bjaf and for each subsequent fiscal year1 the amount otherwise applied under section #aajh7;f7 for the ,state shall be increased by the amount specified in paragraph 7#d77;,a7 for such period or fiscal year4 2 7,b7 in paragraph 7#b71 by striking ,the ,secretary and inserting ,for periods before ,january #bjaf1 the ,secretary2 7,c7 in paragraph 7#c7-- 7i7 in the heading1 by inserting before second quarter of fiscal year #bjaf after ,increased amount2 7ii7 in subparagraph 7,a7-- 7,i7 in the matter before clause 7i71 by inserting or other fiscal period after for a year2 and 7,,ii7 in clause 7i71 by inserting for such year or period after subparagraph 7,b72 and 7iii7 in subparagraph 7,b7-- 7,i7 in clause 7ii71 by striking or at the end2 7,,ii7 in clause 7iii71 by striking in a subsequent year and inserting in a subsequent fiscal year 7before the second quarter of fiscal year #bjaf7 and by striking the period at the end and inserting 2 and2 and 7,,iii7 by adding at the end the following3 7iv7 for the first quarter of fiscal year #bjaf1 is equal to #be percent of the aggregate amount specified in this subparagraph for the previous fiscal year increased by the annual percentage increase specified in section #ahfj;,d-#b7;b77#f7 for the year involved4 2 7,d7 by striking paragraph 7#d72 and 7,e7 by inserting after paragraph 7#c7 the following new paragraph3 7#d7 ,increased amount beginning with second quarter of fiscal year #bjaf 7,a7 ,in general ,the amount specified in this paragraph for a ,state for the last #c quarters of fiscal year #bjaf or for a subsequent fiscal year is equal to the product of-- 7i7 the aggregate amount specified in subparagraph 7,b7 for such period or fiscal year2 and 7ii7 the ratio 7as estimated by the ,secretary7 of-- 7,i7 the number of individuals who are entitled to benefits under part ,a or enrolled under part ,b and who reside in the ,state 7as determined by the ,secretary based on the most recent available data before the beginning of the period or year72 to 7,,ii7 the sum of such numbers for all ,states that are subject to this subsection4 7,b7 ,aggregate amount ,the aggregate amount specified in this subparagraph for-- 7i7 the last #c quarters of fiscal year #bjaf1 is equal to #c times the amount specified in paragraph 7#c77;,b77iv72 7ii7 fiscal year #bjag1 is equal to #d times the amount specified in paragraph 7#c77;,b77iv7 increased by the same annual percentage increase as is applied to increases in the amounts applied for the fiscal year and ,state under section #aajh7;f72 or 7iii7 a subsequent fiscal year1 is equal to the aggregate amount specified in this subparagraph for the previous fiscal year increased by the same annual percentage increase as is applied for the fiscal year and ,state under section #aajh7;f74 4 7c7 ,conforming amendments 7#a7 ,section #aajh7;f7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acjh7;f77 is amended by striking #aice7;e77#a77;,b7 and inserting #aice7;e77#a74 7#b7 ,section #ahfj;,d-#ad7;a77#c77;,c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad7;a77#c77;,c77 is amended by adding at the end the following3 ,the poverty line to be applied in the territories shall be the same as the poverty line applied to ,states in the continental ,united ,states44 7d7 ,effective dates ,the amendments made by subsections 7a7 and 7c77#b7 shall be effective as of ,january #a1 #bjaf1 and the amendments made by subsections 7b7 and 7c77#a7 shall take effect on the date of the enactment of this ,act4