MEDICAID CHILD HEALTH PROVISIONS.

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)(IO)(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 (1)(1) 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)(IO)(A)(ii)(IX), by striking “or clause (i)(VD” 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)(IO)(A)(i)(Vif),” after “(a)(IO)(A)(i)(VI)”; (v) in paragraph (4)(A), by inserting “or subsection (a)(lO)(A)(i)(VII)” after “(a)(IO)(A)(i)(VI)”; and (vi) in paragraph (4)(B), by striking “or (a)(IO)(A)(i)(VI)” lt; and inserting “(a)(IO)(A)(i)(VI), or (a)(lO)(A)(i)(VII)”; and (D) in subsection (r)(2)(A), by inserting “(a)(lO)( A)( i)(VII),” after “(a)(IO)(A)(i)(VI),”. (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.— 104 STAT. 1388–167 (A) Section 1903(f)(4) of such Act (42 U.S.C. 1396b(f)(4)) is amended— (i) by striking “1902(a)(10)(A)(i)(IV),” and inserting “1902(a)(10)(A)(i)(HI), 1902(a)(10)(A)(i)(IV), 1902(a)(10)(A)(i)(V)p”, and (ii) by inserting “1902(a)(10)(A)(i)(VH),” after “1902(a)(10)(A)(i)(Vir. (B) Subsections (a)(3)(C) and (b)(3)(C)(i) of section 1925 of such Act (42 U.S.C. 1396r–6), as amended by section 6411(i)(3) of the Omnibus Budget Reconciliation Act of 1989, are each amended by inserting “(i)(VII),” after “(i)(VI)”. (b) Effective Date.— (1) The amendments made by this subsection apply (except as otherwise provided in this subsection) to payments under title XIX of the Social Security Act for calendar quarters beginning on or after July 1, 1991, without regard to whether or not final regulations to carry out such amendments have been promulgated by such date. (2) In the case of a State plan for medical assistance under title XIX of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation authorizing or appropriating funds) in order for the plan to meet the additional requirements imposed by the amendments made by this subsection, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of the enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature.