; and (VI) for up to 6 household members who are eligible for Medicare, the sum of the cost of the premium for the lowest cost Medicare Advantage plan available that provides prescription drug coverage and, to the extent practicable, the median non-premium out-of-pocket costs for those enrolled in such a plan as determined by the Secretary based on the Household Component of the Medical Expenditure Panel Survey. (ii) The Secretary shall calculate the average incremental cost of each additional household member for households with more than 8 members. (iii) For each factor determined under clauses (i) and (ii), the Secretary shall— (I) use State-level data, any available county-level data, and, for clauses (i)(V) and (VI), geographic rating area data, and (II) subject to clause (viii), produce poverty line variants for each such geographic area. (iv) The Secretary shall set the other basic goods factor at the county level at a number that reflects spending on goods and services on which a household relies for basic needs, including transportation (where appropriate), and is otherwise not reflected in such clause but at not less than at 1.2. (v) The Secretary may issue rules that require the use of data sources in lieu of the data sources specified in clause (i) for determining any factor applicable under this subparagraph if the Secretary determines that such specified sources do not accurately reflect changes in otherwise applicable average household expenditures due to a significant economic event (such as a national emergency or above-average price inflation) or a substantial change in the underlying methodology or availability of such sources. (vi) The Secretary shall apply appropriate multipliers to each factor determined under in clause (i) to reflect economies or diseconomies of scale with additional household members. (vii) The Director may create simplified poverty line variants or per-person cost calculations for administrative purposes in determining household program eligibility as long as such