Page:United States Statutes at Large Volume 124.djvu/308

 124 STAT. 282 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(G) DEFINITIONS OF MODIFIED GROSS INCOME AND HOUSEHOLD INCOME.—In this paragraph, the terms ‘modi- fied gross income’ and ‘household income’ have the meanings given such terms in section 36B(d)(2) of the Internal Revenue Code of 1986. ‘‘(H) CONTINUED APPLICATION OF MEDICAID RULES REGARDING POINT-IN-TIME INCOME AND SOURCES OF INCOME.—The requirement under this paragraph for States to use modified gross income and household income to determine income eligibility for medical assistance under the State plan or under any waiver of such plan and for any other purpose applicable under the plan or waiver for which a determination of income is required shall not be construed as affecting or limiting the application of— ‘‘(i) the requirement under this title and under the State plan or a waiver of the plan to determine an individual’s income as of the point in time at which an application for medical assistance under the State plan or a waiver of the plan is processed; or ‘‘(ii) any rules established under this title or under the State plan or a waiver of the plan regarding sources of countable income.’’. (b) CONFORMING AMENDMENT.—Section 1902(a)(17) of such Act (42 U.S.C. 1396a(a)(17)) is amended by inserting ‘‘(e)(14),’’ before ‘‘(l)(3)’’. (c) EFFECTIVE DATE.—The amendments made by subsections (a) and (b) take effect on January 1, 2014. SEC. 2003. REQUIREMENT TO OFFER PREMIUM ASSISTANCE FOR EMPLOYER-SPONSORED INSURANCE. (a) IN GENERAL.—Section 1906A of such Act (42 U.S.C. 1396e– 1) is amended— (1) in subsection (a)— (A) by striking ‘‘may elect to’’ and inserting ‘‘shall’’; (B) by striking ‘‘under age 19’’; and (C) by inserting ‘‘, in the case of an individual under age 19,’’ after ‘‘(and’’; (2) in subsection (c), in the first sentence, by striking ‘‘under age 19’’; and (3) in subsection (d)— (A) in paragraph (2)— (i) in the first sentence, by striking ‘‘under age 19’’; and (ii) by striking the third sentence and inserting ‘‘A State may not require, as a condition of an indi- vidual (or the individual’s parent) being or remaining eligible for medical assistance under this title, that the individual (or the individual’s parent) apply for enrollment in qualified employer-sponsored coverage under this section.’’; and (B) in paragraph (3), by striking ‘‘the parent of an individual under age 19’’ and inserting ‘‘an individual (or the parent of an individual)’’; and (4) in subsection (e), by striking ‘‘under age 19’’ each place it appears. 42 USC 1396a note.