; or (B) on the basis of an individual’s need for home and community-based services authorized under subsection (c), (d), (i), or (k) of section 1915 of such Act ( 42 U.S.C. 1396n ) or under section 1115 of such Act ( 42 U.S.C. 1315 ); or (2) disregarding an individual’s spousal income and assets under a plan amendment to provide medical assistance for home and community-based services for individuals by reason of being determined eligible under section 1902(a)(10)(C) of such Act ( 42 U.S.C. 1396a(a)(10)(C) ) or by reason of section 1902(f) of such Act ( 42 U.S.C. 1396a(f) ) or otherwise on the basis of a reduction of income based on costs incurred for medical or other remedial care under which the State disregarded the income and assets of the individual’s spouse in determining the initial and ongoing financial eligibility of an individual for such services in place of the spousal impoverishment provisions applied under section 1924 of such Act ( 42 U.S.C. 1396r–5 ). 2303. Delay of DSH reductions Section 1923(f)(7)(A) of the Social Security Act ( 42 U.S.C. 1396r–4(f)(7)(A) ), as amended by section 3813 of the CARES Act ( Public Law 116–136 ), is amended— (1) in clause (i), in the matter preceding subclause (I), by striking December 1, 2020 and inserting December 12, 2020 ; and (2) in clause (ii)(I), by striking December 1, 2020 and inserting December 12, 2020 . 2304. Extension of Community Mental Health Services Demonstration Program Section 223(d)(3) of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note), as amended by section 3814 of the CARES Act ( Public Law 116–136 ), is amended by striking November 30, 2020 and inserting December 11, 2020 . IV Medicare Part B Premium Adjustment 2401. 2021 Medicare part B premium and deductible (a) 2021 premium and deductible and repayment through future premiums Section 1839(a) of the Social Security Act ( 42 U.S.C. 1395r(a) ) is amended— (1) in the second sentence of paragraph (1), by striking (5) and (6) and inserting (5), (6), and (7)