Page:United States Statutes at Large Volume 120.djvu/112

 PUBLIC LAW 109–171—FEB. 8, 2006

120 STAT. 81

and Nationality Act, but only if the State issuing the license or such document requires proof of United States citizenship before issuance of such license or document or obtains a social security number from the applicant and verifies before certification that such number is valid and assigned to the applicant who is a citizen. ‘‘(v) Such other document as the Secretary may specify, by regulation, that provides proof of United States citizenship or nationality and that provides a reliable means of documentation of personal identity. ‘‘(C) The following are documents described in this subparagraph: ‘‘(i) A certificate of birth in the United States. ‘‘(ii) Form FS–545 or Form DS–1350 (Certification of Birth Abroad). ‘‘(iii) Form I–97 (United States Citizen Identification Card). ‘‘(iv) Form FS–240 (Report of Birth Abroad of a Citizen of the United States). ‘‘(v) Such other document (not described in subparagraph (B)(iv)) as the Secretary may specify that provides proof of United States citizenship or nationality. ‘‘(D) The following are documents described in this subparagraph: ‘‘(i) Any identity document described in section 274A(b)(1)(D) of the Immigration and Nationality Act. ‘‘(ii) Any other documentation of personal identity of such other type as the Secretary finds, by regulation, provides a reliable means of identification. ‘‘(E) A reference in this paragraph to a form includes a reference to any successor form.’’. (b) EFFECTIVE DATE.—The amendments made by subsection (a) shall apply to determinations of initial eligibility for medical assistance made on or after July 1, 2006, and to redeterminations of eligibility made on or after such date in the case of individuals for whom the requirement of section 1903(z) of the Social Security Act, as added by such amendments, was not previously met. (c) IMPLEMENTATION REQUIREMENT.—As soon as practicable after the date of enactment of this Act, the Secretary of Health and Human Services shall establish an outreach program that is designed to educate individuals who are likely to be affected by the requirements of subsections (i)(23) and (x) of section 1903 of the Social Security Act (as added by subsection (a)) about such requirements and how they may be satisfied.

42 USC 1396b note.

42 USC 1396b note.

CHAPTER 4—FLEXIBILITY IN COST SHARING AND BENEFITS SEC. 6041. STATE OPTION FOR ALTERNATIVE MEDICAID PREMIUMS AND COST SHARING.

(a) IN GENERAL.—Title XIX of the Social Security Act is amended by inserting after section 1916 the following new section: ‘‘STATE

OPTION FOR ALTERNATIVE PREMIUMS AND COST SHARING

‘‘SEC. 1916A. (a) STATE FLEXIBILITY.— ‘‘(1) IN GENERAL.—Notwithstanding sections 1916 and 1902(a)(10)(B), a State, at its option and through a State plan

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42 USC 1396o–1.

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