Sec. 112. Modifications to and coordination with existing Federal health programs

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Notwithstanding any other provision of law, subject to paragraphs

(2)and

(3)and section 2202(c) of the Social Security Act, as added by section 111— no benefits shall be available under title XVIII of the Social Security Act for any item or service furnished— beginning on or after January 1, 2022 (except in the case of an individual enrolled under such title and title XIX of such Act); and beginning on or after January 1, 2024, with respect to all individuals, including individuals enrolled under such title and title XIX of such Act; no individual is entitled to medical assistance under a State plan approved under title XIX of such Act— for any item or service furnished on or after January 1, 2024, in the case of an individual enrolled under such title and title XVIII of the Social Security Act or an individual described in subclause

(VIII)of section 1902(a)(10)(A)(i); and for any item or service furnished on or after January 1, 2026; no individual is entitled to medical assistance under a State child health plan under title XXI of such Act for any item or service furnished on or after January 1, 2024; and no payment shall be made to a State under section 1903(a) or 2105(a) of such Act with respect to medical assistance or child health assistance— for any item or service furnished on or after January 1, 2024, in the case of an individual enrolled under such title and title XVIII of the Social Security Act or an individual described in subclause

(VIII)of section 1902(a)(10)(A)(i); and for any item or service furnished on or after January 1, 2026. In the case of inpatient hospital services and extended care services during a continuous period of stay which began before January 1, 2024 for Medicare and 2026 for Medicaid or CHIP, and which had not ended as of such date, for which benefits are provided under title XVIII of the Social Security Act, under a State plan under title XIX of such Act, or under a State child health plan under title XXI such Act, the Secretary of Health and Human Services shall provide for continuation of benefits under such title or plan until the end of the period of stay. Nothing in this Act, or the amendments made by this Act, shall affect benefits made available under chapter 89 of title 5, United States Code. Nothing in this Act, or the amendments made by this Act, shall affect benefits made available under sections 1079 and 1086 of title 10, United States Code. Nothing in this Act, or the amendments made by this Act, shall affect the eligibility of veterans for the medical benefits and services provided under title 38, United States Code, or of Indians for the medical benefits and services provided by or through the Indian Health Service. No reevaluation of the Indian Health Service shall be undertaken without consultation with tribal leaders and stakeholders. Effective January 1, 2022, the Federal and State Exchanges established pursuant to title I of the Patient Protection and Affordable Care Act ( Public Law 111–148 ) shall terminate, and any other provision of law that relies upon participation in or enrollment through such an Exchange, including such provisions of the Internal Revenue Code of 1986, shall cease to have force or effect. Every provision in this Act and every application of the provisions in this Act are severable from each other as a matter of Federal law. If any application of any provision in this Act to any person or group of persons or circumstances is found by a court to be invalid, the remainder of this Act and the application of the Act’s provisions to all other persons and circumstances may not be affected.

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Pub. L. 111-148

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Sec. 112

Modifications to and coordination with existing Federal health programs

Pub. L.Pub. L. 111-148

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