559
HR 3590 EAS/PP
for Medicare and Medicaid, shall rest with
1
MACPAC.''.
2
Subtitle K--Protections for Amer-
3
ican Indians and Alaska Natives
4
SEC. 2901. SPECIAL RULES RELATING TO INDIANS.
5
(a) N
O
C
OST
-
SHARING FOR
I
NDIANS
W
ITH
I
NCOME AT
6
OR
B
ELOW
300 P
ERCENT OF
P
OVERTY
E
NROLLED IN
C
OV
-
7
ERAGE
T
HROUGH A
S
TATE
E
XCHANGE
.--For provisions
8
prohibiting cost sharing for Indians enrolled in any quali-
9
fied health plan in the individual market through an Ex-
10
change, see section 1402(d) of the Patient Protection and
11
Affordable Care Act.
12
(b) P
AYER OF
L
AST
R
ESORT
.--Health programs oper-
13
ated by the Indian Health Service, Indian tribes, tribal or-
14
ganizations, and Urban Indian organizations (as those
15
terms are defined in section 4 of the Indian Health Care
16
Improvement Act (25 U.S.C. 1603)) shall be the payer of
17
last resort for services provided by such Service, tribes, or
18
organizations to individuals eligible for services through
19
such programs, notwithstanding any Federal, State, or
20
local law to the contrary.
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(c) F
ACILITATING
E
NROLLMENT OF
I
NDIANS
U
NDER
22
THE
E
XPRESS
L
ANE
O
PTION
.--Section 1902(e)(13)(F)(ii)
23
of the Social Security Act (42 U.S.C. 1396a(e)(13)(F)(ii))
24
is amended--
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