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Code · BILL · 116th Congress · H.R. 4996 (Engrossed in House) — To amend title XIX of the Social Security Act to provide for a State option under the Medicaid program to provide for... · Sec. 2

Sec. 2. Modifications to certain coverage under Medicaid and CHIP for pregnant and postpartum women

439 words·~2 min read·/bill/116/hr/4996/eh/section-2

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Section 1902(e) of the Social Security Act ( 42 U.S.C. 1396a(e) ) is amended by adding at the end the following new paragraph: At the option of the State, the State plan (or waiver of such State plan) may provide that an individual who, while pregnant, is eligible for and has received medical assistance under the State plan approved under this title (or waiver of such plan) (including during a period of retroactive eligibility under subsection (a)(34)) shall, in addition to remaining eligible under paragraph
(5)for all pregnancy-related and postpartum medical assistance available under the State plan (or wavier) through the last day of the month in which the 60-day period (beginning on the last day of her pregnancy) ends, remain eligible under the State plan (or waiver) for medical assistance and such medical assistance shall include all services covered under the State plan (or waiver) that is not less in amount, duration, or scope, or is determined by the Secretary to be substantially equivalent, to the medical assistance available for an individual described in subsection (a)(10)(A)(i) for the period beginning on the first day occurring after the end of such 60-day period and ending on the last day of the month in which the one-year period (beginning on the last day of her pregnancy) ends. . Section 2107(e)(1) of the Social Security Act ( 42 U.S.C. 1397gg(e)(1) ) is amended— by redesignating subparagraphs
(J)through
(S)as subparagraphs
(K)through (T), respectively; and by inserting after subparagraph
(I)the following new subparagraph: In the case of a State that has elected to apply the option under section 1902(e)(16) with respect to coverage for pregnant and postpartum women under title XIX, the provisions of such section with respect to coverage of pregnant and postpartum women under this title, except that such coverage shall be required and not at the option of the State. . Section 2112(d)(2)(A) of the Social Security Act ( 42 U.S.C. 1397ll(d)(2)(A) ) is amended by inserting after 60-day period the following: , or, in the case that section 1902(e)(16) applies to the State child health plan (or waiver of such plan) pursuant to section 2107(e)(1), the 1-year period . The amendments made by this section shall apply with respect to State elections made under paragraph
(16)of section 1902(e) of the Social Security Act ( 42 U.S.C. 1396a(e) ), as added by subsection (a), under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.) on or after the first day of the first fiscal year quarter beginning at least one year after the date of the enactment of this Act.
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