Page:United States Statutes at Large Volume 111 Part 1.djvu/578

 Ill STAT. 554 PUBLIC LAW 105-33—AUG. 5, 1997 "(B) that children found through the screening to be eligible for medical assistance under the State medicaid plan under title XIX are enrolled for such assistance under such plan; "(C) that the insurance provided under the State child health plan does not substitute for coverage under group health plans; "(D) the provision of child health assistance to targeted low-income children in the State who are Indians (as defined in section 4(c) of the Indian Health Care Improvement Act, 25 U.S.C. 1603(c)); and "(E) coordination wkh other public and private programs providing creditable coverage for low-income children. "(4) NONENTITLEMENT.—Nothing in this title shall be construed as providing an individual with an entitlement to child health assistance under a State child health plan. "(c) OUTREACH AND COORDINATION.^A State child health plan shall include a description of the procedures to be used by the State to accomplish the following: "(1) OUTREACH.— Outreach to families of children likely to be eligible for child health assistance under the plan or under other public or private health coverage programs to inform these families of the availability of, and to assist them in enrolling their children in, such a program. " (2) COORDINATION WITH OTHER HEALTH INSURANCE PRO- GRAMS.— Coordination of the administration of the State program under this title with other public and private hesdth insurance programs. 42 USC 1397CC. ' SEC. 2103. COVERAGE REQUIREMENTS FOR CHILDREN'S HEALTH INSURANCE. "(a) REQUIRED SCOPE OF HEALTH INSURANCE COVERAGE. — The child health assistance provided to a targeted low-income child under the plan in the form described in paragraph (1) of section 2101(a) shall consist, consistent with subsection (c)(5), of any of the following: "(1) BENCHMARK COVERAGE. —Health benefits coverage that is equivalent to the benefits coverage in a benchmark benefit package described in subsection (b). "(2) BENCHMARK-EQUIVALENT COVERAGE.— Health benefits coverage that meets the following requirements: "(A) INCLUSION OF BASIC SERVICES. — The coverage includes benefits for items and services within each of the categories of basic services described in subsection (c)(l). "(B) AGGREGATE ACTUARIAL VALUE EQUIVALENT TO BENCHMARK PACKAGE. — The coverage has an aggregate actuarial value that is at least actuarially equivalent to one of the benchmark benefit packages. "(C) SUBSTANTIAL ACTUARIAL VALUE FOR ADDITIONAL SERVICES INCLUDED IN BENCHMARK PACKAGE.— With respect to each of the categories of additional services described in subsection (c)(2) for which coverage is provided under the benchmark benefit package used under subparagraph (B), the coverage has an actuarial value that is equal

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