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HR 3590 EAS/PP
ble beneficiary from using cash benefits paid into
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a Life Independence Account for obtaining as-
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sistance with decision making concerning med-
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ical care, including the right to accept or refuse
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medical or surgical treatment and the right to
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formulate advance directives or other written in-
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structions recognized under State law, such as a
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living will or durable power of attorney for
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health care, in the case that an injury or illness
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causes the individual to be unable to make health
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care decisions.
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``(C) E
LECTRONIC
MANAGEMENT
OF
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FUNDS
.--The Secretary shall establish procedures
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for--
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``(i) crediting an account established
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on behalf of a beneficiary with the bene-
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ficiary's cash daily benefit;
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``(ii) allowing the beneficiary to access
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such account through debit cards; and
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``(iii) accounting for withdrawals by
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the beneficiary from such account.
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``(D) P
RIMARY PAYOR RULES FOR BENE
-
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FICIARIES WHO ARE ENROLLED IN MEDICAID
.--
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In the case of an eligible beneficiary who is en-
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