Page:United States Statutes at Large Volume 124.djvu/329

 124 STAT. 303 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(7) STATE OPTION TO OFFER HOME AND COMMUNITY-BASED SERVICES TO SPECIFIC, TARGETED POPULATIONS.— ‘‘(A) IN GENERAL.—A State may elect in a State plan amendment under this subsection to target the provision of home and community-based services under this sub- section to specific populations and to differ the type, amount, duration, or scope of such services to such specific populations. ‘‘(B) 5-YEAR TERM.— ‘‘(i) IN GENERAL.—An election by a State under this paragraph shall be for a period of 5 years. ‘‘(ii) PHASE-IN OF SERVICES AND ELIGIBILITY PER- MITTED DURING INITIAL 5-YEAR PERIOD.—A State making an election under this paragraph may, during the first 5-year period for which the election is made, phase-in the enrollment of eligible individuals, or the provision of services to such individuals, or both, so long as all eligible individuals in the State for such services are enrolled, and all such services are pro- vided, before the end of the initial 5-year period. ‘‘(C) RENEWAL.—An election by a State under this para- graph may be renewed for additional 5-year terms if the Secretary determines, prior to beginning of each such renewal period, that the State has— ‘‘(i) adhered to the requirements of this subsection and paragraph in providing services under such an election; and ‘‘(ii) met the State’s objectives with respect to quality improvement and beneficiary outcomes.’’. (c) REMOVAL OF LIMITATION ON SCOPE OF SERVICES.—Para- graph (1) of section 1915(i) of the Social Security Act (42 U.S.C. 1396n(i)), as amended by subsection (a), is amended by striking ‘‘or such other services requested by the State as the Secretary may approve’’. (d) OPTIONAL ELIGIBILITY CATEGORY TO PROVIDE FULL MED- ICAID BENEFITS TO INDIVIDUALS RECEIVING HOME AND COMMUNITY- BASED SERVICES UNDER A STATE PLAN AMENDMENT.— (1) IN GENERAL.—Section 1902(a)(10)(A)(ii) of the Social Security Act (42 U.S.C. 1396a(a)(10)(A)(ii)), as amended by section 2304(a)(1), is amended— (A) in subclause (XX), by striking ‘‘or’’ at the end; (B) in subclause (XXI), by adding ‘‘or’’ at the end; and (C) by inserting after subclause (XXI), the following new subclause: ‘‘(XXII) who are eligible for home and commu- nity-based services under needs-based criteria established under paragraph (1)(A) of section 1915(i), or who are eligible for home and commu- nity-based services under paragraph (6) of such section, and who will receive home and community- based services pursuant to a State plan amend- ment under such subsection;’’. (2) CONFORMING AMENDMENTS.— (A) Section 1903(f)(4) of the Social Security Act (42 U.S.C. 1396b(f)(4)), as amended by section 2304(a)(4)(B), is amended in the matter preceding subparagraph (A), Time period. Determination. Deadline.