Page:United States Statutes at Large Volume 123.djvu/524

 123STA T .504PUBLIC LA W 111 – 5 —FE B.1 7, 200 9each a m e nd ed bystrik in g‘ ‘ S e p tember 30,2 003 ’ ’ and inserting ‘‘ D ecember 3 1, 2010’’ .( 2 )EF F ECTIV E DA TE. —T he amendments made by this s u b - secti o n sha l ltakee f fect on J uly 1, 200 9 . (b) STATE OP TI ON OF I NITIA L 12- M ONT H ELI G I B ILIT Y .—Section 192 5 of the Social Security A ct( 4 2 U .S. C . 139 6 r – 6) is amended— (1) in subsection (a)(1), by inserting ‘‘but sub j ect to para- graph (5)’’ after ‘‘ N ot w ithstanding any other pro v ision of this title’’ (2) by adding at the end of subsection (a) the following ‘‘(5) OPTION OF 12 - M ONTH INITIAL ELIGIBILITY PE R IOD.—A State may elect to treat any reference in this subsection to a 6-month period (or 6 months) as a reference to a 12-month period (or 12 months). In the case of such an election, subsection (b) shall not apply.’’; and (3) in subsection (b)(1), by inserting ‘‘but subject to sub- section (a)(5)’’ after ‘‘Notwithstanding any other provision of this title’’. (c) R EMOVAL OF RE QU IREMENT FOR P REVIOU S RECEIPT OF MED- ICAL ASSISTANCE.—Section 1925(a)(1) of such Act (42 U.S.C. 1396r– 6(a)(1)), as amended by subsection (b)(1), is further amended— (1) by inserting ‘‘subparagraph ( B ) and’’ before ‘‘paragraph (5)’’; (2) by redesignating the matter after ‘‘REQUIREMENT.—’’ as a subparagraph (A) with the heading ‘‘IN GENERAL.—’’ and with the same indentation as subparagraph (B) (as added by paragraph (3)); and (3) by adding at the end the following: ‘‘(B) STATE OPTION TO W AIVE REQUIREMENT FOR 3 MONTHS BEFORE RECEIPT OF MEDICAL ASSISTANCE.—A State may, at its option, elect also to apply subparagraph (A) in the case of a family that was receiving such aid for fewer than three months or that had applied for and was eligible for such aid for fewer than 3 months during the 6 immediately preceding months described in such subpara- graph.’’. (d) CMS REPORT ON ENROLLMENT AND PARTICIPATION RATES UNDER TMA.—Section 1925 of such Act (42 U.S.C. 1396r–6), as amended by this section, is further amended by adding at the end the following new subsection: ‘‘(g) COLLECTION AND REPORTING OF PARTICIPATION INFORMA- TION.— ‘‘(1) COLLECTION OF INFORMATION FROM STATES.—Each State shall collect and submit to the Secretary (and make publicly available), in a format specified by the Secretary, information on average monthly enrollment and average monthly participation rates for adults and children under this section and of the number and percentage of children who become ineligible for medical assistance under this section whose medical assistance is continued under another eligibility category or who are enrolled under the State’s child health plan under title X XI. Such information shall be submitted at the same time and fre q uency in which other enrollment information under this title is submitted to the Secretary. ‘‘(2) ANNUAL REPORTS TO CONGRESS.—Using the information submitted under paragraph (1), the Secretary shall submit 42USC1396anote.