2144
HR 3590 EAS/PP
1915(i) of the Social Security Act, at the option
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of the State, an election to increase the income
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eligibility for such services from 150 percent of
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the poverty line to such higher percentage as the
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State may establish for such purpose, not to ex-
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ceed 300 percent of the supplemental security in-
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come benefit rate established by section
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1611(b)(1) of the Social Security Act (42 U.S.C.
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1382(b)(1)).
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(2) T
ARGET SPENDING PERCENTAGES
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(A) In the case of a balancing incentive
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payment State in which less than 25 percent of
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the total expenditures for long-term services and
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supports under the State Medicaid program for
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fiscal year 2009 are for home and community-
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based services, the target spending percentage for
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the State to achieve by not later than October 1,
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2015, is that 25 percent of the total expenditures
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for long-term services and supports under the
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State Medicaid program are for home and com-
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munity-based services.
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(B) In the case of any other balancing in-
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centive payment State, the target spending per-
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centage for the State to achieve by not later than
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October 1, 2015, is that 50 percent of the total
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