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MISCELLANEOUS PROVISIONS

Sec1860D-42[42 U.S.C. 1395w-152] (a) Access To Coverage In Territories.—The Secretary may waive such requirements of this part, including section 1860D-3(a)(1), insofar as the Secretary determines it is necessary to secure access to qualified prescription drug coverage for part D eligible individuals residing in a State (other than the 50 States and the District of Columbia).

(b) Application of Demonstration Authority.—The provisions of section 402 of the Social Security Amendments of 1967 (Public Law 90-248) shall apply with respect to this part and part C in the same manner it applies with respect to parts A and B, except that any reference with respect to a Trust Fund in relation to an experiment or demonstration project relating to prescription drug coverage under this part shall be deemed a reference to the Medicare Prescription Drug Account within the Federal Supplementary Medical Insurance Trust Fund.

(c)[541] Coverage Gap Rebate for 2010.—

(1) In general.—In the case of an individual described in subparagraphs (A) through (D) of section 1860D–14A(g)(1) who as of the last day of a calendar quarter in 2010 has incurred costs for covered part D drugs so that the individual has exceeded the initial coverage limit under section 1860D–2(b)(3) for 2010, the Secretary shall provide for payment from the Medicare Prescription Drug Account of $250 to the individual by not later than the 15th day of the third month following the end of such quarter.

(2) Limitation.—The Secretary shall provide only 1 payment under this subsection with respect to any individual.


[541]  P.L. 111-152, §1101(a)(1), added this new subsection (c), effective March 30, 2010.

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Last reviewed or modified Wednesday Jul 27, 2011

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