12 2 STA T . 2 50 5 PUBLIC LA W 110 – 2 7 5 —J UL Y 15 , 200 8‘ ‘ (A)INIT I ALMED I C A R E S A V IN G S P R O GRAM COSTS
ADDI - TIONAL LO W -INCOME S UB SID Y COSTS .— ‘‘( i ) INITIAL MEDICARE SAVINGS PROGRAM COSTS.— Ther e a re here by a p pr o pria t e d to the C o m mi s sio n er to c arry o u t this subsection , out o f any funds in the Treasury not other w ise appropriated, $24 , 10 0,000. The amount appropriated under ths c l ause shall be a v ail- able on O ctober 1, 200 8 , and shall remain available until e x pended. ‘‘(ii) ADDITIONAL AMOUNT F OR LOW-INCOME SUBSIDY ACTIVITIES.—There are hereby appropriated to the Commissioner, out of any funds in the Treasury not otherwise appropriated, $24,800,000 for fiscal year 200 9 to carry out low-income subsidy activities under section 18 6 0 D– 14 and the M edicare S avin g s P rogram (in accordance with this subsection), to remain avail- able until expended. Such funds shall be in addition to the Social Security Administration ’ s L imitation on Administrative E xpenditure appropriations for such fiscal year. ‘‘( B ) SUBSE Q UENT FUNDING UNDER AGREEMENTS.— ‘‘(i) IN GENERAL.—Effective for fiscal years begin- ning on or after October 1, 2010, the Commissioner and the Secretary shall enter into an agreement which shall provide funding (sub j ect to the amount appro- priated under clause (ii)) to cover the administrative costs of the Commissioner’s activities under this sub- section. Such agreement shall— ‘‘(I) provide funds to the Commissioner for the full cost of the Social Security Administration’s wor k related to the Medicare Savings Program re q uired under this section; ‘‘(II) provide such funding quarterly in advance of the applicable quarter based on estimating methodology agreed to by the Commissioner and the Secretary; and ‘‘(III) require an annual accounting and rec- onciliation of the actual costs incurred and funds provided under this subsection. ‘‘(ii) APPROPRIATION.—There are hereby appro- priated to the Secretary solely for the purpose of pro- viding payments to the Commissioner pursuant to an agreement specified in clause (i) that is in effect, out of any funds in the Treasury not otherwise appro- priated, not more than $ 3 ,000,000 for fiscal year 2011 and each fiscal year thereafter. ‘‘(C) LIMITATION.—In no case shall funds from the Social Security Administration’s Limitation on Administra- tive Expenses be used to carry out activities related to the Medicare Savings Program. F or fiscal years beginning on or after October 1, 2010, no such activities shall be undertaken by the Social Security Administration unless the agreement specified in subparagraph (B) is in effect and full funding has been provided to the Commissioner as specified in such subparagraph. ‘‘(6) G AO ANALYSIS AND REPORT.— Ef f ectiv e da te . Effective date.
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