; and (II) for each subsequent fiscal year, equal to the applicable amount for the immediately preceding fiscal year as adjusted to reflect changes for the 12-month period ending the preceding June 30 in the Consumer Price Index for All Urban Consumers: Medical Care published by the Bureau of Labor Statistics of the Department of Labor. (ii) Exception For any fiscal year, a State agency may establish a greater standard medical expense deduction than described in clause (i) if the greater deduction satisfies cost neutrality standards established by the Secretary for that fiscal year. . (c) Value of allotment Section 8(a) of the Food and Nutrition Act of 2008 ( 7 U.S.C. 2017(a) ) is amended in the proviso clause by striking 8 percent and inserting 1/3 . 3. Streamlining nutrition access for older adults and adults with disabilities (a) Definition of elderly and disabled Section 3(j)(2)(B) of the Food and Nutrition Act of 2008 ( 7 U.S.C. 2012(j)(2)(B) ) is amended by inserting (which includes medical assistance provided to an individual described in section 1902(e)(14)(D)(i)(III) of the Social Security Act ( 42 U.S.C. 1396a(e)(14)(D)(i)(III) )) after ( 42 U.S.C. 1396 et seq. ) . (b) Elderly Simplified Application Program The Food and Nutrition Act of 2008 ( 7 U.S.C. 2011 et seq. ) is amended by adding at the end the following: 31. Elderly Simplified Application Program (a) In general Not later than 180 days after the date of enactment of this section, the Secretary shall establish a program, to be known as the elderly simplified application program (referred to in this section as ESAP ), under which a State, in carrying out the supplemental nutrition assistance program, may elect to implement a streamlined application and certification process for households in which all adult members— (1) are elderly or disabled members