Sheila Malone, 66, suffers from a multitude of health problems due to her exposure to DES, a drug her mother took while pregnant with Sheila to reduce her risk of a miscarriage. Sheila has had many kinds of cancer, beginning in childhood, as well as numerous bone deformities and polio. She is also diabetic. Sheila is covered by Medicare, but because of her low income, she also qualifies for Medicaid’s “Medicare Savings Program.” This Medicaid program pays Sheila’s Medicare Part B premium of $115.40 per month, her Medicare deductibles, and the 20% coinsurance she would otherwise have to pay out-of-pocket for the services she receives. Sheila also qualifies for the federal Low-Income Subsidy program and a state assistance program, both of which help pay for the prescription drugs she gets through Medicare Part D. Sheila could not afford the costs of her health care without the help of Medicaid and the other assistance programs she relies on.