Page:United States Statutes at Large Volume 104 Part 2.djvu/574

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104 STAT. 1388-166 PUBLIC LAW 101-508—NOV. 5, 1990 "(C) The provisions of section 1905(p)(2)(D) shall apply to determinations of income under this subsection in the same manner as they apply to determinations of income under section 1905(p).". 42 USC 1396a (f) EFFECTIVE DATE.—The amendments made by this section shall "****• apply to calendar quarters beginning on or after January 1, 1991, without regard to whether or not regulations to implement such amendments are promulgated by such date; except that the amendments made by subsection (e) shall apply to determinations of income for months beginning with January 1991. PART 3—IMPROVEMENTS IN CHILD HEALTH SEC. 4601. MEDICAID CHILD HEALTH PROVISIONS. (a) PHASED-IN MANDATORY COVERAGE OF CHILDREN UP TO 100 PERCENT OF POVERTY LEVEL.— (1) IN GENERAL.— Section 1902 (42 U.S.C. 1396a) is amended— « (A) in subsection (a)(10)(A)(i)— (i) by striking "or" at the end of subclause (V), (ii) by striking the semicolon at the end of subclause (VI) and inserting ", or", and (iii) by adding at the end the following new subclause: (VII) who are described in subparagraph (D) of subsection (IXD and whose family income does not exceed the income level the State is required to establish under subsection (1)(2)(C) for such a family;"; (B) in subsection (a)(10XA)(ii)(IX), by striking "or clause (i)(VI)" and inserting ", clause (i)(VI), or clause (i)(VII)"; (C) in subsection (1)— (i) in subparagraph (C) of paragraph (1) by inserting "children" after "(C)"; (ii) by striking subparagraph (D) of paragraph (1) and inserting the following: "(D) children born after September 30, 1983, who have attained 6 years of age but have not attained 19 years of age,"; (iii) by striking subparagraph (C) of paragraph (2) and inserting the following: "(C) For purposes of paragraph (1) with respect to individuals described in subparagraph (D) of that paragraph, the State shall establish an income level which is equal to 100 percent of the income official poverty line described in subparagraph (A) applicable to a family of the size involved."; (iv) in paragraph (3) by inserting ", (a)(10)(A)(i)(VII)," after "(a)(lOXAXiXVI)"; (v) in paragraph (4)(A), by inserting "or subsection (a)(lOXAXiXVII)" after "(a)(lOXAXiXVI)'^; and (vi) in paragraph (4)(B), by striking "or (a)(10XAXi)(VI)" ", and inserting "(a)(lOXAXiXVI), or (a)(lOXAXiXVII)"; and (D) in subsection (r)(2)(A), by inserting "(a)(lOXAXiXVII)," after "(a)(lOXAXiXVI),". (2) CONFORMING AMENDMENT TO QUALIFIED CHILDREN.— Section 1905(n)(2) (42 U.S.C. 1396d(n)(2)) is amended by striking "age of 7 (or any age designated by the State that exceeds 7 but does not exceed 8)" and inserting age of 19". (3) ADDITIONAL CONFORMING AMENDMENTS.—