Page:United States Statutes at Large Volume 124.djvu/301

 124 STAT. 275 PUBLIC LAW 111–148—MAR. 23, 2010 (C) Section 1905(a) of such Act (42 U.S.C. 1396d(a)) is amended in the matter preceding paragraph (1)— (i) by striking ‘‘or’’ at the end of clause (xii); (ii) by inserting ‘‘or’’ at the end of clause (xiii); and (iii) by inserting after clause (xiii) the following: ‘‘(xiv) individuals described in section 1902(a)(10)(A)(i)(VIII),’’. (D) Section 1903(f)(4) of such Act (42 U.S.C. 1396b(f)(4)) is amended by inserting ‘‘1902(a)(10)(A)(i)(VIII),’’ after ‘‘1902(a)(10)(A)(i)(VII),’’. (E) Section 1937(a)(1)(B) of such Act (42 U.S.C. 1396u– 7(a)(1)(B)) is amended by inserting ‘‘subclause (VIII) of section 1902(a)(10)(A)(i) or under’’ after ‘‘eligible under’’. (b) MAINTENANCE OF MEDICAID INCOME ELIGIBILITY.—Section 1902 of the Social Security Act (42 U.S.C. 1396a) is amended— (1) in subsection (a)— (A) by striking ‘‘and’’ at the end of paragraph (72); (B) by striking the period at the end of paragraph (73) and inserting ‘‘; and’’; and (C) by inserting after paragraph (73) the following new paragraph: ‘‘(74) provide for maintenance of effort under the State plan or under any waiver of the plan in accordance with sub- section (gg).’’; and (2) by adding at the end the following new subsection: ‘‘(gg) MAINTENANCE OF EFFORT.— ‘‘(1) GENERAL REQUIREMENT TO MAINTAIN ELIGIBILITY STANDARDS UNTIL STATE EXCHANGE IS FULLY OPERATIONAL.— Subject to the succeeding paragraphs of this subsection, during the period that begins on the date of enactment of the Patient Protection and Affordable Care Act and ends on the date on which the Secretary determines that an Exchange established by the State under section 1311 of the Patient Protection and Affordable Care Act is fully operational, as a condition for receiving any Federal payments under section 1903(a) for cal- endar quarters occurring during such period, a State shall not have in effect eligibility standards, methodologies, or proce- dures under the State plan under this title or under any waiver of such plan that is in effect during that period, that are more restrictive than the eligibility standards, methodologies, or procedures, respectively, under the plan or waiver that are in effect on the date of enactment of the Patient Protection and Affordable Care Act. ‘‘(2) CONTINUATION OF ELIGIBILITY STANDARDS FOR CHIL- DREN UNTIL OCTOBER 1, 2019.—The requirement under para- graph (1) shall continue to apply to a State through September 30, 2019, with respect to the eligibility standards, methodolo- gies, and procedures under the State plan under this title or under any waiver of such plan that are applicable to deter- mining the eligibility for medical assistance of any child who is under 19 years of age (or such higher age as the State may have elected). ‘‘(3) NONAPPLICATION.—During the period that begins on January 1, 2011, and ends on December 31, 2013, the require- ment under paragraph (1) shall not apply to a State with respect to nonpregnant, nondisabled adults who are eligible Time period. Deadline. Certification. Applicability. Time period. Determination.