furnished under the plan (I) in the form of medical or any other type of remedial care, or (II) in the form of money payments to the extent that amounts are included in such payments because of the medical needs of the recipients; or

“(ii) provide that any individual who meets the standards of eligibility for old-age assistance under the plan (I) shall be furnished medical or any other type of remedial care (or shall receive money payments on account of his medical needs) at least equal in amount, duration, and scope to the care and services for which payment would be made as medical assistance for the aged under the plan, and (II) shall have his other needs met under or in accordance with the provisions of the plan."

(b) Section 1602(a) (15) of such Act is amended by striking out "and" at the end of clause (C), by striking out the period at the end of clause (D) and inserting in lieu thereof "; and", and by inserting after clause (D) the following new clause:

“(E)(i) provide that the services and care for which payment may be made as medical assistance for the aged under the plan shall not be greater in amount, duration, or scope than the aid to the aged, blind, or disabled furnished under the plan (I) in the form of medical or any other type of remedial care, or (II) in the form of money payments to the extent that amounts are included in such payments because of the medical needs of the recipients; or

"(ii) provide that any individual who is sixty-five years of age or older and who meets the standards of elgibility for aid to the aged, blind, or disabled under the plan (I) shall be furnished medical or any other type of remedial care (or shall receive money payments on account of his medical needs) at least equal in amount, duration, and scope to the care and services for which payment would be made as medical assistance for the aged under the plan, and (II) shall have his other needs met under or in accordance with the provisions of the plan." (c) The amendments made by subsections (a) and (b) shall become effective July 1, 1965.

CARE IN GENERAL MEDICAL INSTITUTIONS

SEC. 3. (a) Section 6(a) of the Social Security Act is amended by striking out "but does not include" and all that follows and inserting in lieu thereof: "but does not include any such payments to or care in behalf of any individual who is an inmate of a public institution (except as a patient in a medical institution) or any individual who is a patient in an institution for tuberculosis or mental diseases."

(b) Section 6(b) of such Act is amended by striking out so much as follows clause (11) and inserting in lieu thereof the following:

"(12) any other medical care or remedial care recognized under State law; except that such term does not include any such payments with respect to care or services for any individual who is an inmate of a public institution (except as a patient in a medical institution) or any individual who is a patient in an institution for tuberculosis or mental diseases."

(c) Section 1605 (a) of such Act is amended by striking out "but does not include" and all that follows and inserting in lieu thereof: "but does not include any such payments to or care in behalf of any individual who is an inmate of a public institution (except as a patient in a medical institution) or any individual who is a patient in an institution for tuberculosis or mental diseases."

(d) Section 1605 (b) of such Act is amended by striking out so much as follows clause (11) and inserting in lieu thereof the following:

"(12) any other medical care or remedial care recognized under State law; except that such term does not include any such payments with respect to care or services for any individual who is an inmate of a public institution (except as a patient in a medical institution) or any individual who is a patient in an institution for tuberculosis or mental diseases."

(e) The amendments made by this section shall apply in the case of expenditures under a State plan approved under title I or XVI of the Social Security Act, as the case may be, made after June 30, 1963.

STANDARDS FOR RENTAL HOUSING

SEC. 4. (a) Section 2(a) (10) of the Social Security Act is amended by striking out "and" at the end of clause (B) and by inserting after clause (C) the following new clause:

"(D) provide for the establishment or designation of a State authority or authorities which shall be responsible for establishing and maintaining standards of health and safety for the quarters or other premises in which recipients of such assistance reside and which are secured on a rental basis; and”.

(b) Section 1602 (a) of such Act is amended by striking out "and" at the end of paragraph (14), by redesignating paragraph (15) as paragraph (16), and by inserting after paragraph (14) the following new paragraph:

"(15) provide for the establishment or designation of a State authority or authorities which shall be responsible for establishing and maintaining standards of health and safety for the quarters or other premises in which recipients of aid to the aged, blind, or disabled who have attained the age of sixty-five reside and which are secured on a rental basis; and",

(c) The amendments made by this section shall become effective July 1, 1966.

RESIDENCE REQUIREMENTS

SEC. 5. (a) (1) Effective January 1, 1968, paragraph (2) (A) of section 2(b) of the Social Security Act is amended by striking out "five" and inserting in lieu thereof "three".

(2) Effective January 1, 1970, such paragraph (2)(A) is amended to read as follows: "(A) in the case of applicants for old-age assistance, excludes any resident of the State who has resided therein for one year immediately preceding the aplication for such assistance, and".

(b) (1) Effective January 1, 1968, paragraph (2)(A) of section 1602(b) of such Act is amended by striking out "five" and inserting in lieu thereof "three". (2) Effective January 1, 1970, such paragraph (2)(A) is amended to read as follows: "(A) in the case of applicants for aid to the aged, blind, or disabled, excludes any resident of the State who has resided therein for one year immediately preceding the application for such aid, and”.

PROTECTIVE PAYMENTS

SEC. 6. (a) Section 6(a) of the Social Security Act is amended by adding at the end thereof the following new sentence: "Such term also includes payments which are not included within the meaning of such term under the preceding sentence, but which would be so included except that they are made on behalf of such a needy individual to another individual who (as determined in accordance with standards prescribed by the Secretary) is interested in or concerned with the welfare of such needy individual, but only with respect to a State whose State plan approved under section 2 includes provision for

"(A) determination by the State agency that such needy individual has, by reason of his physical or mental condition, such inability to manage funds that making payments to him would be contrary to his welfare and, therefore, it is necessary to provide such assistance through payments described in this sentence;

"(B) periodic review by such State agency of the determination under clause (A) to ascertain whether conditions justifying such determination still exist, with provision for termination of such payments if they do not and for seeking judicial appointment of a guardian or other legal representative, as described in section 1111, if and when it appears that such action will best serve the interests of such needy individual; and

"(C) opportunity for a fair hearing before the State agency on the determination referred to in clause (A) for any individual with respect to whom it is made."

(b) Section 1605(a) of such Act is amended by adding at the end thereof the following new sentence: "Such term also includes payments which are not included within the meaning of such term under the preceding sentence, but which would be so included except that they are made on behalf of such a needy individual to another individual who (as determined in accordance with standards prescribed by the Secretary) is interested in or concerned with the welfare of such needy individual, but only with respect to a State whose State plan approved under section 1602 includes provision for

"(A) determination by the State agency that such needy individual has, by reason of his physical or mental condition, such inability to manage funds that making payments to him would be contrary to his welfare and, therefore, it is necessary to provide such aid through payments described in this sentence;

"(B) periodic review by such State agency of the determination under clause (A) to ascertain whether conditions justifying such determination still exist, with provision for termination of such payments if they do not and for seeking judicial appointment of a guardian or other legal representative, as described in section 1111, if and when it appears that such action will best serve the interests of such needy individual; and

"(C) opportunity for a fair hearing before the State agency on the determination referred to in clause (A) for any individual with respect to whom it is made."

(c) The amendments made by this section shall apply in the case of expenditures under a State plan approved under title I or XVI of the Social Security Act, as the case may be, made after June 30, 1963.