MANDATORY CONTINUATION OF BENEFITS THROUGHOUT PREGNANCY OR FIRST YEAR OF LIFE.

SEC. 4603. MANDATORY CONTINUATION OF BENEFITS THROUGHOUT PREGNANCY OR FIRST YEAR OF LIFE. (a) In General.— Section 1902(e) (42 U.S.C. 1396a(e)) is amended— (1) in the first sentence of paragraph (4), by inserting “(or would remain if pregnant)” after “remains”; and (2) in paragraph (6)— (A) by striking “At the option of a State, in” and inserting “In”; (B) by striking “the State plan may nonetheless treat the woman as being” and inserting “the woman shall be deemed to continue to be”; and (C) by adding at the end the following new sentence: “The preceding sentence shall not apply in the case of a woman who has been provided ambulatory prenatal care pursuant to section 1920 during a presumptive eligibility period and is then, in accordance with such section, determined to be ineligible for medical assistance under the State plan.”. (b) Effective Date.— (1) Infants.—The amendment made by subsection (a)(D shall apply to individuals born on or after January 1, 1991, without regard to whether or not final regulations to carry out such amendment have been promulgated by such date. (2) Pregnant women.—The amendments made by subsection (a)(2) shall apply with respect to determinations to terminate the eligibility of women, based on change of income, made on or after January 1, 1991, without regard to whether or not final regulations to carry out such amendments have been promulgated by such date.