Page:United States Statutes at Large Volume 111 Part 1.djvu/593

 PUBLIC LAW 105-33—AUG. 5, 1997 111 STAT. 569 "(A) prescribed by or furnished by a physician or other Hcensed or registered practitioner within the scope of practice as defined by State law, "(B) performed under the general supervision or at the direction of a physician, or "(C) furnished by a health care facility that is operated by a State or local government or is licensed under State law and operating within the scope of the license. "(25) Premiums for private health care insurance coverage. "(26) Medical transportation. "(27) Enabling services (such as transportation, translation, and outreach services) only if designed to increase the accessibility of primary and preventive health care services for eligible low-income individuals. "(28) Any other health care services or items specified by the Secretary and not excluded under this section. "(b) TARGETED LOW-INCOME CHILD DEFINED.— For purposes of this title— "(1) IN GENERAL.— Subject to paragraph (2), the term 'targeted low-income child' meeins a child— "(A) who has been determined eligible by the State for child health assistance under the State plan; "(B)(i) who is a low-income child, or "(ii) is a child whose family income (as determined under the State child health plan) exceeds the medicsiid applicable income level (as defined in paragraph (4)), but does not exceed 50 percentage points above the medicaid applicable income level; and "(C) who is not found to be eligible for medical assistance under title XIX or covered under a group health plan or under health insurance coverage (as such terms are defined in section 2791 of the Public Health Service Act). "(2) CHILDREN EXCLUDED.—Such term does not include— "(A) a child who is an inmate of a public institution or a patient in an institution for mental diseases; or (B) a child who is a member of a family that is eligible for health benefits coverage under a State health benefits plan on the basis of a family member's employment with a public agency in the State. "(3) SPECL\L RULE. —A child shall not be considered to be described in paragraph (1)(C) notwithstanding that the child is covered under a health insurance coverage program that has been in operation since before July 1, 1997, and that is offered by a State which receives no Federal funds for the program's operation. "(4) MEDICAID APPLICABLE INCOME LEVEL. —The term 'medicaid applicable income level' means, with respect to a child, the effective income level (expressed as a percent of the poverty line) that has been specified under the State plan under title XIX (including under a waiver authorized by the Secretary or under section 1902(r)(2)), as of June 1, 1997, for the child to be eligible for medical assistance under section 1902(1)(2) for the age of such child. "(c) ADDITIONAL DEFINITIONS. —For purposes of this title: "(1) CHILD. —The term 'child' means an individual under 19 years of age.

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