,i #aaf? ,,congress #a/ ,session ,h4 ,r4 #daie ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,augu/ #bj1 #bjai,miss ,gonzlez-,coln ( ,pu]to ,rico 7= h]self & ,mr4 ,soto7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,ways & ,means1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to am5d titles ,,xviii & ,,xix ( ! ,social ,security ,act to make premium & co/-%>+ subsidies available to l[-income ,m$ic>e "p ,d b5efici>ies :o reside 9 ,pu]to ,rico or ano!r t]ritory ( ! ,unit$ ,/ates4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,t]ritories ,m$ic>e ,prescription ,drug ,assi/ance ,equality ,act ( #bjai4 #b4 ,equal treatm5t ( resid5ts ( t]ritories 9 premium & co/-%>+ subsidies "u ,m$ic>e prescription drug program 7a7 ,m$ic>e assi/ance ,section #ahfj;,d-#ad7;a77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad7;a77#c77 is am5d$-- 7#a7 9 subp>agraph 7,a71 9 ! matt] prec$+ clause 7i71 by /rik+ subject to subp>agraph 7,f712 7#b7 9 subp>agraph 7,b77v71 9 ! matt] prec$+ subclause 7,i71 by /rik+ ,subject to subp>agraph 7,f71 ! ,secret>y & ins]t+ ,! ,secret>y2 7#c7 9 subp>agraph 7,c71 by add+ at ! end ! foll[+ new s5t5ce3 ,9 ! case ( an individual :o is n a resid5t ( ! #ej ,/ates or ! ,di/rict ( ,columbia1 ! pov]ty l9e 7z su* t]m is def9$ 9 clause 7ii77 t %all apply to su* individual %all be ! pov]ty l9e = ! #dh contigu\s ,/ates & ! ,di/rict ( ,columbia42 & 7#d7 by /rik+ subp>agraph 7,f74 7b7 ,m$icaid assi/ance ,section #aice ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifu-#e7 is am5d$-- 7#a7 9 subsection 7c77#a77;,a7-- 7,a7 by ins]t+ 7& ea* o!r ,/ate = ea* mon? beg9n+ ) ,janu>y #bjbj7 aft] ,janu>y #bjjf2 & 7,b7 9 clause 7i71 by ins]t+ or 7#b77;,b7 7z ! case may be7 aft] p>agraph 7#b77;,a72 7#b7 9 subsection 7c77#b7-- 7,a7 9 subp>agraph 7,a7-- 7i7 by am5d+ ! head+ to read z foll[s3 ,computation = #ej ,/ates & ! ,di/rict ( ,columbia2 & 7ii7 by /rik+ a ,/ate describ$ 9 p>agraph 7#a7 & ins]t+ "o ( ! #ej ,/ates or ! ,di/rict ( ,columbia2 7,b7 9 subp>agraph 7,b7-- 7i7 by /rik+ subp>agraph 7,a7 & ins]t+ subp>agraph 7,a7 or 7,b7 7z ! case may be72 & 7ii7 by r$esignat+ su* subp>agraph z subp>agraph 7,c72 & 7,c7 by ins]t+ aft] subp>agraph 7,a7 ! foll[+ new subp>agraph3 7,b7 ,computation = t]ritories ,! am\nt comput$ "u ?is p>agraph = a ,/ate n describ$ 9 subp>agraph 7,a7 & = a mon? 9 a ye> 7beg9n+ ) #bjbj7 is equal to-- 7i7 #a_/ab ( ! product (-- 7,i7 ! am\nt det]m9$ "u subsection 7e7 = ! ,/ate = #bjai2 & 7,,ii7 #ajj p]c5t m9us ! highe/ possible ,f$]al m$ical assi/ance p]c5tage t may be appli$ to any ( ! #ej ,/ates = fiscal ye> #bjah "u section #aije7;b77#a72 & 7ii7 increas$ = ea* ye> 7beg9n+ ) #bjai up to & includ+ ! ye> involv$7 by ! applicable gr[? factor specifi$ 9 p>agraph 7#d7 = t ye>4 2 & 7#c7 9 subsection 7e7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,a71 by /rik+ ( su* ,/ate2 & & ins]t+ ( su* ,/ate = ye>s be=e #bjbj22 7ii7 9 subp>agraph 7,b7-- 7,i7 by ins]t+ = p]iods be=e ,janu>y #a1 #bjbj aft] 7,b72 & 7,,ii7 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7iii7 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 = ! fir/ #c qu>t]s ( fiscal ye> #bjbj & = ea* subsequ5t fiscal ye>1 ! am\nt o!rwise appli$ "u section #aajh7;f7 = ! ,/ate %all be increas$ by ! am\nt specifi$ 9 p>agraph 7#d77;,a7 = su* p]iod or fiscal ye>4 2 7,b7 9 p>agraph 7#b71 by /rik+ ,! ,secret>y & ins]t+ ,= p]iods be=e ,janu>y #bjbj1 ! ,secret>y2 7,c7 9 p>agraph 7#c7-- 7i7 9 ! head+1 by ins]t+ be=e second qu>t] ( fiscal ye> #bjbj aft] ,increas$ am\nt2 7ii7 9 subp>agraph 7,a7-- 7,i7 9 ! matt] be=e clause 7i71 by ins]t+ or o!r fiscal p]iod aft] = a ye>2 & 7,,ii7 9 clause 7i71 by ins]t+ = su* ye> or p]iod aft] subp>agraph 7,b72 & 7iii7 9 subp>agraph 7,b7-- 7,i7 9 clause 7ii71 by /rik+ or at ! end2 7,,ii7 9 clause 7iii71 by /rik+ a subsequ5t ye> & ins]t+ a subsequ5t fiscal ye> 7be=e ! second qu>t] ( fiscal ye> #bjbj72 7,,iii7 9 clause 7iii71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,,iv7 by add+ at ! end ! foll[+3 7iv7 = ! fir/ qu>t] ( fiscal ye> #bjbj1 is equal to #be p]c5t ( ! aggregate am\nt specifi$ 9 ?is subp>agraph = ! previ\s fiscal ye> increas$ by ! annual p]c5tage increase specifi$ 9 section #ahfj;,d-#b7;b77#f7 = ! ye> involv$4 2 7,d7 by /rik+ p>agraph 7#d72 & 7,e7 by ins]t+ aft] p>agraph 7#c7 ! foll[+ new p>agraph3 7#d7 ,increas$ am\nt beg9n+ ) second qu>t] ( fiscal ye> #bjbj 7,a7 ,9 g5]al ,! am\nt specifi$ 9 ?is p>agraph = a ,/ate = ! la/ #c qu>t]s ( fiscal ye> #bjbj or = a subsequ5t fiscal ye> is equal to ! product (-- 7i7 ! aggregate am\nt specifi$ 9 subp>agraph 7,b7 = su* p]iod or fiscal ye>2 & 7ii7 ! ratio 7z e/imat$ by ! ,secret>y7 (-- 7,i7 ! numb] ( individuals :o are entitl$ to b5efits "u "p ,a or enroll$ "u "p ,b & :o reside 9 ! ,/ate 7z det]m9$ by ! ,secret>y bas$ on ! mo/ rec5t available data be=e ! beg9n+ ( ! p]iod or ye>72 to 7,,ii7 ! sum ( su* numb]s = all ,/ates t are subject to ?is subsection4 7,b7 ,aggregate am\nt ,! aggregate am\nt specifi$ 9 ?is subp>agraph =-- 7i7 ! la/ #c qu>t]s ( fiscal ye> #bjbj1 is equal to #c times ! am\nt specifi$ 9 p>agraph 7#c77;,b77iv72 7ii7 fiscal ye> #bjba1 is equal to #d times ! am\nt specifi$ 9 p>agraph 7#c77;,b77iv7 increas$ by ! same annual p]c5tage increase z is appli$ to increases 9 ! am\nts appli$ = ! fiscal ye> & ,/ate "u section #aajh7;f72 or 7iii7 a subsequ5t fiscal ye>1 is equal to ! aggregate am\nt specifi$ 9 ?is subp>agraph = ! previ\s fiscal ye> increas$ by ! same annual p]c5tage increase z is appli$ = ! fiscal ye> & ,/ate "u section #aajh7;f74 4 7c7 ,con=m+ am5dm5t ,section #aajh7;f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acjh7;f77 is am5d$ by /rik+ #aice7;e77#a77;,b7 & ins]t+ #aice7;e77#a74 7d7 ,effective dates ,! am5dm5ts made by subsection 7a7 %all take effect on ,janu>y #a1 #bjbj1 & ! am5dm5ts made by subsections 7b7 & 7c7 %all take effect on ! date ( ! enactm5t ( ?is ,act4