Page:United States Statutes at Large Volume 124.djvu/980

124 STAT. 954 PUBLIC LAW 111–148—MAR. 23, 2010 psychiatric units on the Internet website of the Centers for Medicare & Medicaid Services.’’. (b) CONFORMING AMENDMENT.—Section 1890(b)(7)(B)(i)(I) of the Social Security Act, as added by section 3014, is amended by inserting ‘‘1886(s)(4)(D),’’ after ‘‘1886(o)(2),’’. SEC. 10323. MEDICARE COVERAGE FOR INDIVIDUALS EXPOSED TO ENVIRONMENTAL HEALTH HAZARDS. (a) IN GENERAL.—Title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) is amended by inserting after section 1881 the following new section: ‘‘SEC. 1881A. MEDICARE COVERAGE FOR INDIVIDUALS EXPOSED TO ENVIRONMENTAL HEALTH HAZARDS. ‘‘(a) DEEMING OF INDIVIDUALS AS ELIGIBLE FOR MEDICARE BENE- FITS.— ‘‘(1) IN GENERAL.—For purposes of eligibility for benefits under this title, an individual determined under subsection (c) to be an environmental exposure affected individual described in subsection (e)(2) shall be deemed to meet the conditions specified in section 226(a). ‘‘(2) DISCRETIONARY DEEMING.—For purposes of eligibility for benefits under this title, the Secretary may deem an indi- vidual determined under subsection (c) to be an environmental exposure affected individual described in subsection (e)(3) to meet the conditions specified in section 226(a). ‘‘(3) EFFECTIVE DATE OF COVERAGE.—An Individual who is deemed eligible for benefits under this title under paragraph (1) or (2) shall be— ‘‘(A) entitled to benefits under the program under Part A as of the date of such deeming; and ‘‘(B) eligible to enroll in the program under Part B beginning with the month in which such deeming occurs. ‘‘(b) PILOT PROGRAM FOR CARE OF CERTAIN INDIVIDUALS RESIDING IN EMERGENCY DECLARATION AREAS.— ‘‘(1) PROGRAM; PURPOSE.— ‘‘(A) PRIMARY PILOT PROGRAM.—The Secretary shall establish a pilot program in accordance with this subsection to provide innovative approaches to furnishing comprehen- sive, coordinated, and cost-effective care under this title to individuals described in paragraph (2)(A). ‘‘(B) OPTIONAL PILOT PROGRAMS.—The Secretary may establish a separate pilot program, in accordance with this subsection, with respect to each geographic area subject to an emergency declaration (other than the declaration of June 17, 2009), in order to furnish such comprehensive, coordinated and cost-effective care to individuals described in subparagraph (2)(B) who reside in each such area. ‘‘(2) INDIVIDUAL DESCRIBED.—For purposes of paragraph (1), an individual described in this paragraph is an individual who enrolls in part B, submits to the Secretary an application to participate in the applicable pilot program under this sub- section, and— ‘‘(A) is an environmental exposure affected individual described in subsection (e)(2) who resides in or around the geographic area subject to an emergency declaration made as of June 17, 2009; or 42 USC 1395rr–1. 42 USC 1395aaa.