12 2 STA T .5 1 67CON C UR R E NT RESO L UT I ONS —J UNE 5 , 2 0 0 8(D)athre e -y ear e x te nsio no f the p i l ot pro g ra m for national an dS tate b a ck gro u nd checks on direct patient access employees of long-term care facilities or pro v iders under section 307 of the M edicare P rescription Drug ,I mprovement, and Moderni z ation A ct of 2 003 ( 4 2 U. S. C . 1 3 95 aa note) and removing the limit on the number of participating States under such pilot program
or ( E ) measures to encourage physicians to train in pri- mary care residencies and attract more physicians and other health care providers to States that face a shortage of health care providers by the amounts provided in such legislation for those purposes up to $ 10,000,000,000, provided that such legislation w ould not increase the deficit over either the period of the total of fiscal years 200 8 through 2013 or the period of the total of fiscal years 2008 through 2018. (3) M EDICAR E LOW -I N CO M E P RO G RAM S . —T he Chairman of the Senate Committee on the B udget may revise the aggregates, allocations, and other appropriate levels in this resolution for a bill, j oint resolution, amendment, motion, or conference report that makes improvements to the Medicare Savings Program and the Medicare Part D low-income subsidy program, which may include the provisions that— (A) provide for an increase in the asset allowance under the Medicare Part D low-income subsidy program so that individuals with very limited incomes, but modest retire- ment savings, can obtain the assistance that the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 was intended to deliver with respect to the payment of premiums and cost-sharing under the Medicare Part D prescription drug benefit; (B) provide for an update in the income and asset allowances under the Medicare Savings Program and pro- vide for an annual inflationary adjustment for those allow- ances; and (C) improve outreach and enrollment under the Medi- care Savings Program and the Medicare Part D low-income subsidy program to ensure that low-income senior citizens and other low-income Medicare beneficiaries receive the low-income assistance for which they are eligible in accord- ance with the improvements provided for in such legislation by the amounts provided in such legislation for those purposes, provided that such legislation would not increase the deficit over either the period of the total of fiscal years 2008 through 2013 or the period of the total of fiscal years 2008 through 2018. (c) H EAL TH CARE QU ALIT Y ,E F FECTI V ENESS, EFFICIENCY, AND TRANSPARENCY.— (1) COMPARATIVE EFFECTIVENESS RESEARCH.—The Chair- man of the Senate Committee on the Budget may revise the allocations of a committee or committees, aggregates, and other appropriate levels in this resolution for one or more bills, joint resolutions, amendments, motions, or conference reports that establish a new F ederal or public-private initiative for compara- tive effectiveness research, by the amounts provided in such legislation for those purposes, provided that such legislation would not increase the deficit over either the period of the
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