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S. Rept. 114-108 1 (2015-07-30)

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                                                       Calendar No. 187
                  114TH CONGRESS             S                     REPORT
                     1st Session             SENATE                114-108





                  A  BILL  TO  AMEND   TITLE   XI OF  THE  SOCIAL   SECURITY
                    ACT  TO  CLARIFY  WAIVER   AUTHORITY REGARDING PRO-
                    GRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY
                    (PACE  PROGRAMS)


                                  JULY 30, 2015.-Ordered to be printed


                            Mr. HATCH, from the Committee on Finance,
                                     submitted the following


                                        REPORT

                                        [To accompany S. 1362]
                    The Committee  on Finance, to which was referred the bill (S.
                  1362) to amend title XI of the Social Security Act to clarify waiver
                  authority regarding programs of all-inclusive care for the elderly
                  (PACE  programs), having considered the same, reports favorably
                  thereon with an  amendment  and  recommends  that the bill, as
                  amended, do pass.
                                I. LEGISLATIVE   BACKGROUND
                    The Committee  on Finance, to which was referred the bill (S.
                  1362) to amend title XI of the Social Security Act to clarify waiver
                  authority regarding programs of all-inclusive care for the elderly
                  (PACE  programs), having considered the same, reports favorably
                  thereon with an  amendment  and  recommends  that the bill, as
                  amended, do pass.
                  Background and need for legislative action
                    The Program  of All-Inclusive Care for the Elderly (PACE) is an
                  integrated care program that provides comprehensive long-term
                  services and supports to individuals aged 55 and older who require
                  an institutional level of care, many of whom are eligible for both
                  Medicare  and Medicaid  and are  known  as dual-eligible bene-
                  ficiaries. The PACE program was established in the Social Security
                  Act (SSA) in section 1894 for Medicare and section 1934 for Med-
                  icaid. Setting up a PACE program is optional for states under Med-
                     49-010

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