Page:United States Statutes at Large Volume 124.djvu/304

 124 STAT. 278 PUBLIC LAW 111–148—MAR. 23, 2010 categories or sub-categories of individuals eligible for med- ical assistance under the State plan or under a waiver of the plan as the Secretary may require; ‘‘(B) a description, which may be specified by popu- lation, of the outreach and enrollment processes used by the State during such fiscal year; and ‘‘(C) any other data reporting determined necessary by the Secretary to monitor enrollment and retention of individuals eligible for medical assistance under the State plan or under a waiver of the plan.’’. (2) REPORTS TO CONGRESS.—Beginning April 2015, and annually thereafter, the Secretary of Health and Human Serv- ices shall submit a report to the appropriate committees of Congress on the total enrollment and new enrollment in Med- icaid for the fiscal year ending on September 30 of the preceding calendar year on a national and State-by-State basis, and shall include in each such report such recommendations for adminis- trative or legislative changes to improve enrollment in the Medicaid program as the Secretary determines appropriate. (e) STATE OPTION FOR COVERAGE FOR INDIVIDUALS WITH INCOME THAT EXCEEDS 133 PERCENT OF THE POVERTY LINE.— (1) COVERAGE AS OPTIONAL CATEGORICALLY NEEDY GROUP.— Section 1902 of the Social Security Act (42 U.S.C. 1396a) is amended— (A) in subsection (a)(10)(A)(ii)— (i) in subclause (XVIII), by striking ‘‘or’’ at the end; (ii) in subclause (XIX), by adding ‘‘or’’ at the end; and (iii) by adding at the end the following new sub- clause: ‘‘(XX) beginning January 1, 2014, who are under 65 years of age and are not described in or enrolled under a previous subclause of this clause, and whose income (as determined under subsection (e)(14)) exceeds 133 percent of the pov- erty line (as defined in section 2110(c)(5)) applicable to a family of the size involved but does not exceed the highest income eligibility level established under the State plan or under a waiver of the plan, subject to subsection (hh);’’ and (B) by adding at the end the following new subsection: ‘‘(hh)(1) A State may elect to phase-in the extension of eligibility for medical assistance to individuals described in subclause (XX) of subsection (a)(10)(A)(ii) based on the categorical group (including nonpregnant childless adults) or income, so long as the State does not extend such eligibility to individuals described in such subclause with higher income before making individuals described in such subclause with lower income eligible for medical assistance. ‘‘(2) If an individual described in subclause (XX) of subsection (a)(10)(A)(ii) is the parent of a child who is under 19 years of age (or such higher age as the State may have elected) who is eligible for medical assistance under the State plan or under a waiver of such plan, the individual may not be enrolled under the State plan unless the individual’s child is enrolled under the State plan or under a waiver of the plan or is enrolled in other health insurance coverage. For purposes of the preceding sentence, Effective date. Effective date. 42 USC 1396a note.