Page:United States Statutes at Large Volume 111 Part 1.djvu/595

 PUBLIC LAW 105-33 —AUG. 5, 1997 111 STAT. 571 described in subsection (u)(2)(A) or subsection (u)(3) the Federal medical assistance percentage is equal to the enhanced FMAP described in section 2105(b)."; and (2) by adding at the end the following new subsection: "(u)(l) The conditions described in this paragraph for a State plan are as follows: "(A) The State is complying with the requirement of section 2105(d)(1). "(B) The plan provides for such reporting of information about expenditures and payments attributable to the operation of this subsection as the Secretary deems necessary in order to carry out paragraph (2) and section 2104(d). "(2)(A) For purposes of subsection (b), the expenditures described in this subparagraph are expenditures for medical assistance for optional targeted low-income children described in subparagraph (C), but not in excess, for a State for a fiscal year, of the amount described in subparagraph (B) for the State and fiscal year. "(B) The amount described in this subparagraph, for a State for a fiscal year, is the amount of the State's allotment under section 2104 (not taking into account reductions under section 2104(d)(2)) for the fiscal year reduced by the amount of any pay- ments made under section 2105 to the State from such allotment for such fiscal year. "(C) For purposes of this paragraph, the term 'optional targeted low-income child' mesins a targeted low-income child as defined in section 2110(b)(1) who would not qusdify for medical assistance under the State plan under this title based on such plan as in effect on April 15, 1997 (but taking into account the expansion of age of eligibility effected through the operation of section 1902(1)(2)(D)). "(3) For purposes of subsection (b), the expenditures described in this subparagraph are expenditures for medical assistance for children who are born before October 1, 1983, and who would be described in section 1902(1)(1)(D) if they had been born on or after such date, and who are not eligible for such assistance under the State plan under this title based on such State plan as in effect as of April 15, 1997.". (b) ESTABLISHMENT OF OPTIONAL ELIGIBILITY CATEGORY.— Section 1902(a)(10)(A)(ii) (42 U.S.C. 1396a(a)(10)(A)(ii)), as amended by section 4733, is amended— (1) in subclause (XII), by striking "or" at the end; (2) in subclause (XIII), by adding "or" at the end; and (3) by adding at the end the following: "(XTV) who are optional targeted low-income children described in section 1905(u)(2)(C);". (c) EFFECTIVE DATE. —The amendments made by this section 42 USC I396a shall apply to medical assistance for items and services furnished note. on or after October 1, 1997. SEC. 4912. MEDICAID PRESUMPTIVE ELIGIBILITY FOR LOW-INCOME CHILDREN. (a) IN GENERAL. —Title XIX of the Social Security Act is amended by inserting after section 1920 the following new section:

�