Page:United States Statutes at Large Volume 102 Part 3.djvu/440

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PUBLIC LAW 100-000—MMMM. DD, 1988

102 STAT. 2392

42 USC 602.

42 USC l396r-6 note.

PUBLIC LAW 100-485—OCT. 13, 1988

"(B) Subparagraph (A) shall not apply with respect to families that cease to be eligible for aid under part A of title IV during the period beginning on April 1, 1990, and ending on September 30, 1998. During such period, for provisions relating to extension of eligibility for medical assistance for certain families who have received aid pursuant to a State plan approved under part A of title IV and have earned income, see section 1925.". (2) Section 1905(a) of such Act (42 U.S.C. 1396d(a)) is amended by striking "or" at the end of clause (vii), by inserting "or" at the end of clause (viii), and by inserting after clause (viii) the following new clause: "(ix) individuals provided extended benefits under section 1925,". (3) Paragraph (37) of section 402(a) of such Act is amended to read as follows: "(37) provide that if any family becomes ineligible to receive aid to families with dependent children because of hours of or income from employment of the caretaker relative or because of paragraph (8)(B)(iiXII), having received such aid in at least 3 of the 6 months immediately preceding the month in which such ineligibility begins, the family shall remain eligible for medical assistance under the State's plan approved under title XIX for an extended period or periods as provided in section 1925, and that the family will be appropriately notified of such extension (in the State agency's notice to the family of the termination of its eligibility for such aid) as required by section 1925(a)(2);". (c) STUDY AND REPORT.—(1) The Secretary of Health and Human Services shall conduct a study of the impact of the medicaid extension provisions under section 1925 of the Social Security Act, with particular focus on the costs of such provisions and the impact on welfare dependency, and shall report to Congress on the results of such study not later than April 1, 1993. (2) The study under paragraph (1) shall include an examination of— (A) the extent to which the availability of extended medicaid benefits affects access to and use of medical services, (B) the relative effectiveness of different types of coverage provided by States, (C) the effect of requiring families to pay premiums or incur any other expenses with respect to such extended benefits, and (D) whether individuals who have exhausted such benefits recycle onto welfare for short periods of time in order to requalify for such extended benefits. (d) CONFORMING AMENDMENT TO SECTION 403

AMENDMENTS.—

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: "(lOXA) The fact that an individual, child, or pregnant woman may be denied aid under part A of title IV pursuant to section 402(a)(43) shall not be construed as denying (or permitting a State to deny) medical assistance under this title to such individual, child, or woman who is eligible for assistance under this title on a basis other thsui the receipt of aid under such part. "(B) If an individual, child, or pregnant woman is receiving aid under part A of title IV and such aid is terminated pursuant to section 402(a)(43), the State may not discontinue medical assistance under this title for the individual, child, or woman until the State has determined that the individual, child, or woman is not eligible