,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #dfff  ,,in ,,the ,,house ,,of  
,,representatives  ,october #aa1        
#bjai,ms4 ,shalala 7for herself and ,mr4
 ,soto7 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 title ,,xviii of the ,social      
,security ,act to provide certain       
low-income territorial residents with   
automatic eligibility for premium and   
cost-sharing subsidies under the        
,medicare program1 and for other        
purposes4  #a4 ,automatic eligibility of
 certain low-income territorial         
residents for premium and cost-sharing  
subsidies under the ,medicare program2  
sunset of enhanced allotment program    
7a7 ,automatic eligibility of certain   

low-,income territorial residents for   
premium and cost-,sharing subsidies     
under the ,medicare program  7#a7 ,in   
general ,section #ahfj;,d-#ad7;a77#c7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #aciew-#aad7;a77#c77 is       
amended-- 7,a7 in subparagraph 7,b77v7--
  7i7 in subclause 7,i71 by striking and
 at the end2  7ii7 in subclause 7,,ii71 
by striking the period and inserting 2  
and2 and  7iii7 by inserting after      
subclause 7,,ii7 the following new      
subclause3  7,,iii7 with respect to plan
 years beginning on or after ,january   
#a1 #bjba1 shall provide that any part  
,d eligible individual who is enrolled  
for medical assistance under the ,state 
,medicaid plan of a territory 7as       
defined in section #aice7;f77 under     
title ,,xix 7or a waiver of such a plan7
 shall be treated as a subsidy eligible 
individual described in paragraph 7#a74 
2 and  7,b7 in subparagraph 7,f71 by    
adding at the end the following new     
sentence3 ,the previous sentence shall  

not apply with respect to eligibility   
determinations for premium and          
cost-sharing subsidies under this       
section made on or after ,january #a1   
#bjba44  7#b7 ,conforming amendment     
,section #ahfj;,d-#ca7;j77#b77;,d7 of   
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#ada7;j77#b77;,d77 is  
amended by adding at the end the        
following new sentence3 ,the previous   
sentence shall not apply with respect to
 amounts made available to a ,state     
under this paragraph on or after        
,january #a1 #bjba44  7b7 ,sunset of    
enhanced allotment program  7#a7 ,in    
general ,section #aice7;e7 of the       
,social ,security ,act 7#db ,u4,s4,c4   
#acifu-#e7;e77 is amended-- 7,a7 in     
paragraph 7#a77;,a71 by inserting after 
such ,state the following3 before       
,january #a1 #bjba2 and  7,b7 in        
paragraph 7#c7-- 7i7 in subparagraph    
7,a71 in the matter preceding clause    
7i71 by inserting after a year the      
following3 7before #bjba72 and  7ii7 in 

subparagraph 7,b77iii71 by striking a   
subsequent year and inserting each of   
fiscal years #bjjh through #bjbj4  7#b7 
,territory defined ,section #aice of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#acifu-#e7 is amended by adding at the  
end the following new subsection3  7f7  
,territory defined ,in this section1 the
 term territory means ,puerto ,rico1 the
 ,virgin ,islands1 ,guam1 the ,northern 
,mariana ,islands1 and ,american ,samoa4
  4