I 119THCONGRESS 1 STSESSION H. R. 2340 To amend title XVIII of the Social Security Act to provide for the automatic qualification of certain Medicaid beneficiaries for premium and cost- sharing subsidies under part D of the Medicare program, and for other purposes. IN THE HOUSE OF REPRESENTATIVES MARCH25, 2025 Mr. P APPAS(for himself and Mr. TONKO) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provi- sions as fall within the jurisdiction of the committee concerned A BILL To amend title XVIII of the Social Security Act to provide for the automatic qualification of certain Medicaid bene- ficiaries for premium and cost-sharing subsidies under part D of the Medicare program, and for other purposes. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Advancing Enrollment 4 and Reducing Drug Costs Act’’. 5 VerDate Sep 11 2014 21:28 Mar 31, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H2340.IH H2340 ssavage on LAPJG3WLY3PROD with BILLS 2 •HR 2340 IH SEC. 2. AUTOMATIC QUALIFICATION OF CERTAIN MED-1 ICAID BENEFICIARIES FOR PREMIUM AND 2 COST-SHARING SUBSIDIES UNDER PART D OF 3 THE MEDICARE PROGRAM. 4 (a) I NGENERAL.—Clause (v) of section 1860D– 5 14(a)(3)(B) of the Social Security Act (42 U.S.C. 1395w– 6 114(a)(3)(B)) is amended— 7 (1) in subclause (I), by striking ‘‘and’’ at the 8 end; 9 (2) in subclause (II), by striking the period and 10 inserting ‘‘; and’’; and 11 (3) by inserting after subclause (II) the fol-12 lowing new subclause: 13 ‘‘(III) shall, notwithstanding the 14 preceding clauses of this subpara-15 graph, provide that any part D eligi-16 ble individual not described in sub-17 clause (I) or (II) who is enrolled, as 18 of the day before the date on which 19 such individual attains the age of 65, 20 for medical assistance under a State 21 plan under title XIX (or a waiver of 22 such plan) pursuant to clause 23 (i)(VIII) or (ii)(XX) of section 24 1902(a)(10)(A), and who has income 25 below 200 percent of the poverty line 26 VerDate Sep 11 2014 21:28 Mar 31, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H2340.IH H2340 ssavage on LAPJG3WLY3PROD with BILLS 3 •HR 2340 IH applicable to a family of the size in-1 volved, shall be treated as a subsidy 2 eligible individual described in para-3 graph (1) for a limited period of time, 4 as specified by the Secretary.’’. 5 (b) E FFECTIVEDATE.—The amendments made by 6 subsection (a) shall apply with respect to plan years begin-7 ning on or after January 1, 2027. 8 Æ VerDate Sep 11 2014 21:28 Mar 31, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\H2340.IH H2340 ssavage on LAPJG3WLY3PROD with BILLS