Page:United States Statutes at Large Volume 124.djvu/297

124 STAT. 271 PUBLIC LAW 111–148—MAR. 23, 2010 (3) Based on CBO estimates, this Act will extend the sol- vency of the Medicare HI Trust Fund. (4) This Act will increase the surplus in the Social Security Trust Fund, which should be reserved to strengthen the finances of Social Security. (5) The initial net savings generated by the Community Living Assistance Services and Supports (CLASS) program are necessary to ensure the long-term solvency of that program. (b) SENSE OF THE SENATE.—It is the sense of the Senate that— (1) the additional surplus in the Social Security Trust Fund generated by this Act should be reserved for Social Secu- rity and not spent in this Act for other purposes; and (2) the net savings generated by the CLASS program should be reserved for the CLASS program and not spent in this Act for other purposes. TITLE II—ROLE OF PUBLIC PROGRAMS Subtitle A—Improved Access to Medicaid SEC. 2001. MEDICAID COVERAGE FOR THE LOWEST INCOME POPU - LATIONS. (a) COVERAGE FOR INDIVIDUALS WITH INCOME AT OR BELOW 133 PERCENT OF THE POVERTY LINE.— (1) BEGINNING 2014.—Section 1902(a)(10)(A)(i) of the Social Security Act (42 U.S.C. 1396a) is amended— (A) by striking ‘‘or’’ at the end of subclause (VI); (B) by adding ‘‘or’’ at the end of subclause (VII); and (C) by inserting after subclause (VII) the following: ‘‘(VIII) beginning January 1, 2014, who are under 65 years of age, not pregnant, not entitled to, or enrolled for, benefits under part A of title XVIII, or enrolled for benefits under part B of title XVIII, and are not described in a previous subclause of this clause, and whose income (as determined under subsection (e)(14)) does not exceed 133 percent of the poverty line (as defined in section 2110(c)(5)) applicable to a family of the size involved, subject to subsection (k);’’. (2) PROVISION OF AT LEAST MINIMUM ESSENTIAL COV- ERAGE.— (A) IN GENERAL.—Section 1902 of such Act (42 U.S.C. 1396a) is amended by inserting after subsection (j) the following: ‘‘(k)(1) The medical assistance provided to an individual described in subclause (VIII) of subsection (a)(10)(A)(i) shall consist of benchmark coverage described in section 1937(b)(1) or benchmark equivalent coverage described in section 1937(b)(2). Such medical assistance shall be provided subject to the requirements of section 1937, without regard to whether a State otherwise has elected the option to provide medical assistance through coverage under that section, unless an individual described in subclause (VIII) of subsection (a)(10)(A)(i) is also an individual for whom, under subparagraph (B) of section 1937(a)(2), the State may not require enrollment in benchmark coverage described in subsection (b)(1) Effective date.