Sec. 2. State option under Medicaid program to provide for and extend continuous coverage for certain individuals
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/bill/116/hr/4996/rh/section-2A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.) is amended— in section 1902(e)(5), by inserting after 60-day period the following: or, at the option of the State, 1-year period ; in section 1902(e)(6), by inserting after 60-day period the following: or, at the option of the State, 1-year period ; in section 1902(l)(1)(A), by inserting after 60-day period the following: , or, at the option of the State, 1-year period, ; in section 1903(v)(4)(A)(i), by inserting after 60-day period the following: , or, at the option of the State, 1-year period, ; and in section 1905(a), in the fourth sentence in the matter following paragraph (30), by inserting after 60-day period the following: , or, at the option of the State, 1-year period, .
Section 1902(e)(6) of the Social Security Act ( 42 U.S.C. 1396a(e)(6) ), as amended by subsection (a), is further amended— by striking and inserting
(6)In the case of a pregnant woman In the case of a pregnant woman ; and by adding at the end the following: At the option of the State, the State plan may provide that an individual who is eligible for medical assistance under the State plan (or a waiver of such plan) or for child health assistance under title XXI and who is, or who while so eligible becomes, pregnant shall continue to be eligible for such medical assistance or child health assistance, respectively, through the end of the month in which the 1-year period (beginning on the last day of such pregnancy) ends, regardless of the basis for the individual’s eligibility for such medical assistance. . Section 1905 of the Social Security Act ( 42 U.S.C. 1396d ) is amended— in subsection (b), in the first sentence, by striking and
(ff)and inserting (ff), and
(gg); and by adding at the end the following new subsection: Notwithstanding subsection (b), beginning January 1, 2020, in the case of a specified coverage extension State, for the initial extension calendar quarters with respect to such State, the Federal medical assistance percentage that would otherwise apply to the State without application of this subsection, shall be increased by 5 percentage points. For purposes of this subsection, the term specified coverage extension State means a State, the State plan of which has in effect the application of the 1–year period of continuous medical assistance pursuant to each of paragraphs
(5)and
(6)of section 1902(e). For purposes of this subsection, the term initial extension calendar quarter means, with respect to a State, each calendar quarter occurring in the first fiscal year (or portion of fiscal year) occurring during the first 12-month period that the State is a specified coverage extension State. . Section 2112 of the Social Security Act ( 42 U.S.C. 1397ll ) is amended— in subsection (d)(2)(A), by inserting after 60-day period the following: , or, at the option of the State, 1-year period ; and in subsection (f)(2), by inserting after 60-day period the following: , or, at the option of the State, 1-year period . The amendments made by this section shall apply with respect to eligibility determinations for items and services under State plans under title XIX of the Social Security Act (or a waiver of such a plan) ( 42 U.S.C. 1396 et seq.) and under State child health plans under title XXI (or waiver of such a plan) made on or after January 1, 2020.
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Sec. 2
State option under Medicaid program to provide for and extend continuous coverage for certain individuals
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