PUBLIC LAW 108–173—DEC. 8, 2003
117 STAT. 2141
‘‘(A) to have payment made of any annual enrollment fee charged under subsection (c)(2) for enrollment under the program; and ‘‘(B) to have payment made, up to the amount specified in paragraph (2), under such endorsed program of 90 percent (or 95 percent in the case of a special transitional assistance eligible individual) of the costs incurred for covered discount card drugs obtained through the program taking into account the negotiated price (if any) for the drug under the program. ‘‘(2) LIMITATION ON DOLLAR AMOUNT.— ‘‘(A) IN GENERAL.—Subject to subparagraph (B), the amount specified in this paragraph for a transitional assistance eligible individual— ‘‘(i) for costs incurred during 2004, is $600; or ‘‘(ii) for costs incurred during 2005, is— ‘‘(I) $600, plus ‘‘(II) except as provided in subparagraph (E), the amount by which the amount available under this paragraph for 2004 for that individual exceeds the amount of payment made under paragraph (1)(B) for that individual for costs incurred during 2004. ‘‘(B) PRORATION.— ‘‘(i) IN GENERAL.—In the case of an individual not described in clause (ii) with respect to a year, the Secretary may prorate the amount specified in subparagraph (A) for the balance of the year involved in a manner specified by the Secretary. ‘‘(ii) INDIVIDUAL DESCRIBED.—An individual described in this clause is a transitional assistance eligible individual who— ‘‘(I) with respect to 2004, enrolls in an endorsed program, and provides a certification under subsection (f)(2), before the initial implementation date of the program under this section; and ‘‘(II) with respect to 2005, is enrolled in an endorsed program, and has provided such a certification, before February 1, 2005. ‘‘(C) ACCOUNTING FOR AVAILABLE BALANCES IN CASES OF CHANGES IN PROGRAM ENROLLMENT.—In the case of a transitional assistance eligible individual who changes the endorsed discount card program in which the individual is enrolled under this section, the Secretary shall provide a process under which the Secretary provides to the sponsor of the endorsed program in which the individual enrolls information concerning the balance of amounts available on behalf of the individual under this paragraph. ‘‘(D) LIMITATION ON USE OF FUNDS.—Pursuant to subsection (a)(2)(C), no assistance shall be provided under paragraph (1)(B) with respect to covered discount card drugs dispensed after December 31, 2005. ‘‘(E) NO ROLLOVER PERMITTED IN CASE OF VOLUNTARY DISENROLLMENT.—Except in such exceptional cases as the Secretary may provide, in the case of a transitional assistance eligible individual who voluntarily disenrolls from
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