Sec. 210. Medicaid coverage for citizens of Freely Associated States

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Section 402(b)(2) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 ( 8 U.S.C. 1612(b)(2) ) is amended by adding at the end the following new subparagraph: With respect to eligibility for benefits for the designated Federal program defined in paragraph (3)(C) (relating to the Medicaid program), section 401(a) and paragraph

(1)shall not apply to any individual who lawfully resides in 1 of the 50 States or the District of Columbia in accordance with the Compacts of Free Association between the Government of the United States and the Governments of the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau and shall not apply, at the option of the Governor of Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, or American Samoa as communicated to the Secretary of Health and Human Services in writing, to any individual who lawfully resides in the respective territory in accordance with such Compacts. . Section 403(d) of such Act ( 8 U.S.C. 1613(d) ) is amended— in paragraph (1), by striking or at the end; in paragraph (2), by striking the period at the end and inserting ; or ; and by adding at the end the following new paragraph: an individual described in section 402(b)(2)(G), but only with respect to the designated Federal program defined in section 402(b)(3)(C). . Section 431(b) of such Act ( 8 U.S.C. 1641(b) ) is amended— in paragraph (6), by striking ; or at the end and inserting a comma; in paragraph (7), by striking the period at the end and inserting , or ; and by adding at the end the following new paragraph: an individual who lawfully resides in the United States in accordance with a Compact of Free Association referred to in section 402(b)(2)(G), but only with respect to the designated Federal program defined in section 402(b)(3)(C) (relating to the Medicaid program). . Section 1902(a)(10)(A)(i) of the Social Security Act ( 42 U.S.C. 1396a(a)(10)(A)(i) ) is amended by inserting after subclause

(IX)the following: who are described in section 402(b)(2)(G) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 and eligible for benefits under this title by reason of application of such section; . Section 1108 of the Social Security Act ( 42 U.S.C. 1308 ) is amended— in subsection (f), in the matter preceding paragraph (1), by striking subsections

(g)and

(h)and section 1935(e)(1)(B) and inserting subsections (g), (h), and

(i)and section 1935(e)(1)(B) ; and by adding at the end the following: Expenditures for medical assistance provided to an individual described in section 431(b)(8) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 ( 8 U.S.C. 1641(b)(8) ) shall not be taken into account for purposes of applying payment limits under subsections

(f)and (g). . The amendments made by this section shall apply to benefits for items and services furnished on or after the date of the enactment of this Act.

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Sec. 210

Medicaid coverage for citizens of Freely Associated States

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