Page:United States Statutes at Large Volume 103 Part 3.djvu/191

 PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2259 "(11) if no such percentage is specified as of the date of the enactment of this clause, the percentage established under the State's authorizing legislation or provided for under the State's appropriations."; (5) in subparagraph (B) of subsection GX2)— (A) by striling ", or, if less, the percentage established under subparc^aph (A)", and (B) by redesignating such subparagraph as subparagraph (C); (6) in subsection (1)(2), by inserting after subparagraph (A) the following new subparagraph: "(B) For purposes of paragraph (1) with respect to individuals described in subparagraph (C) of such paragraph, the State shall establish an income level which is equal to 133 percent of the income official poverty line described in subparagraph (A) applicable to a family of the size involved,"; (6) in subsection (1)(3)— (A)byinserting",(a)(10XAXiXVI),"after"(a)(10XAXiXIV)", and (B) in subparagraph (C), by striking "or (C)" and inserting "ACXoriDt; (7) in subsection (1)(4)— • (A) in subparagraph (A), by inserting "and for children described in subsection (a)(10XAXi)(VI)" after "(a)(lOXAXiXIV)", and (B) in subparagraph (B), by inserting "or (a)(lOXAXiXVI)" after "(a)(lOXAXiXIV)"; (8) in subsection (e)(7), by striking "or (€)" and inserting ", (C), ^ or (D)"; and (9) in subsection (r)(2)(A), by inserting "(a)(lOXAXiXVI)," after "(a)(lOXAXiXIV),". (b) CONFORMING AMENDMENT. — Section 1903(f)(4) of such Act (42 U.S.C. 1396b(f)(4)) is amended by inserting "1902(a)(10XAXiXVI)," after "1902(a)(10XAXiXIV),". (c) EFFECTIVE DATE. — 42 USC 1396a (1) Except as provided in paragraph (2), the amendments »<><». made by this section shall applv to payments under title XIX of the Social Security Act for calendar quarters beginning on or after April 1, 1990, with respect to eligibility for medical assist- ance on or after such date, 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 legisla- tion (other than legislation appropriating funds) in order for the plan to meet the additional requirements imposed by the amendments made by this section, 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.

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