Page:United States Statutes at Large Volume 123.djvu/86

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123STA T .6 6 PUBLIC LA W 111 – 3 —FE B. 4, 2 0 0 9‘ ‘ (3)SPECIALRU LE SFO R APPLICA T IO N IN CASE OF M E D ICAID AND C H IP .— ‘‘( A ) I N G ENERAL.—A grouphealt h pla n, an d a health i n s uran c e issuer o f fering group health insurance co v erage in connection w ith a group health plan, shall per m it an emplo y ee who is eligi b le, but not enrolled, for coverage under the terms of the plan (or a dependent of such an employee if the dependent is eligible, but not enrolled, for coverage under such terms) to enroll for coverage under the terms of the plan if either of the following conditions is met

‘‘(i) T ERMINATION OF MEDICAID OR CHIP CO V- ERAGE.—The employee or dependent is covered under a M edicaid plan under title X IX of the Social Security Act or under a State child health plan under title XXI of such Act and coverage of the employee or dependent under such a plan is terminated as a result of loss of eligibility for such coverage and the employee re q uests coverage under the group health plan (or health insurance coverage) not later than 60 days after the date of termination of such coverage. ‘‘(ii) E LIGI B ILIT Y FOR EMPLOYMENT ASSISTANCE UNDER MEDICAID OR CHIP.—The employee or dependent becomes eligible for assistance, with respect to coverage under the group health plan or health insurance cov- erage, under such Medicaid plan or State child health plan (including under any waiver or demonstration pro j ect conducted under or in relation to such a plan), if the employee requests coverage under the group health plan or health insurance coverage not later than 60 days after the date the employee or dependent is determined to be eligible for such assistance. ‘‘( B ) C OORDINATION W ITH MEDICAID AND CHIP.— ‘‘(i) O UTREACH TO EMPLOYEES REGARDING AVAIL- ABILITY OF MEDICAID AND CHIP COVERAGE.— ‘‘(I) IN GENERAL.—Each employer that main- tains a group health plan in a State that provides medical assistance under a State Medicaid plan under title XIX of the Social Security Act, or child health assistance under a State child health plan under title XXI of such Act, in the form of premium assistance for the purchase of coverage under a group health plan, shall provide to each employee a written notice informing the employee of poten- tial opportunities then currently available in the State in which the employee resides for premium assistance under such plans for health coverage of the employee or the employee ’ s dependents. ‘‘(II) MODEL NOTICE.— N ot later than 1 year after the date of enactment of the Children’s H ealth Insurance P rogram R eauthori z ation Act of 2 00 9 , the Secretary and the Secretary of Health and Human Services, in consultation with D irec- tors of State Medicaid agencies under title XIX of the Social Security Act and Directors of State CHIP agencies under title XXI of such Act, shall jointly develop national and State-specific model Deadlin e .Not i f i c ation. Deadline s .