Page:United States Statutes at Large Volume 81.djvu/933

 81 STAT.]

PUBLIC LAW 9 0 - 2 4 8 - J A N. 2, 1968

899

premiums or otherwise) incurred by such family for medical care or for any other type of remedial care recognized under State law. "(3) For purposes of paragraph (1)(B), in the case of a family consisting of only one individual, the 'highest amount which would ordinarily be paid' to such family under the State's plan approved under part A of title IV of this Act shall be the amount determined by Post, p. 9 11. the State agency (on the basis of reasonable relationship to the amounts payable under such plan to families consisting of two or more persons) to be the amount of the aid which would ordinarily be payable under such plan to a family (without any income or resources) consisting of one person if such plan (without regard to section 408) "^^ ^^^ ^°^provided for aid to such a family. "(4) The limitations on payment imposed by the preceding provisions of this subsection shall not apply with respect to any amount expended by a State as medical assistance for any individual who, at the time of the provision of the medical assistance giving rise to such expenditure— " (A) is a recipient of aid or assistance under a plan of such State which is approved under title I, X, X IV, or X VI, or part A, „^2 USC 301, i»i-ji-rxT


 * 201, 1 3 5 1,.[ 38 1.

01 title IV, or " (B) is not a recipient of aid or assistance under such a plan but (i) is eligible to receive such aid or assistance, or (ii) would be eligible to receive such aid or assistance if he were not in a medical institution." (b)(1) I n the case of any State whose plan under title X IX of the Social Security Act is approved by the Secretary of Health, Education, ^^2^ "sc ^S'^^J and Welfare under section 1902 after July 25, 1967, the amendment made by subsection (a) shall apply with respect to calendar quarters beginning after the date of enactment of this Act. (2) I n the case of any State whose plan under title X IX of the Social Security Act was approved by the Secretary of Health, Education, and Welfare under section 1902 of the Social Security Act prior to July 26, 1967, the amendments made by subsection (a) shall apply with respect to calendar quarters beginning after June 80, 1968, except that.— (A) with respect to the third and fourth calendar quarters of 1968, such subsection shall be applied by substituting in subsection (f) of section 1903 of the Social Security Act 150 percent for ^"^^' P- S'^S1331/^ percent each time such latter figure appears in such subsection (f), and (B) with respect to all calendar quarters during 1969, such subsection shall be applied by substituting in subsection (f) of section 1903 of such Act 140 percent for 1331/^ percent each time such latter figure appears in such subsection (f). M A I N T E N A N C E OF STATE EFFORT

SEC. 221. (a) Section 1117(a) of the Social Security Act is amended H l'^^^ ^^fby adding at the end thereof the following new sentence: " For any fiscal year ending on or after June 30, 1967, and before July 1, 1968, in lieu of the substitution provided by paragraph (3) or (4), at the option of the State (i) paragraphs (1) and (2) of this subsection shall be applied on a fiscal year oasis (rather than on a quarterly basis), and (li) the base period fiscal year shall be either the fiscal year ending June 30, 1965, or the fiscal year ending June 30, 1964 (whichever is chosen by the State). (b) Section 1117 of such Act is further amended by adding at the end thereof the following new subsection: " (d)(1) I n the case of the c[uarters in any fiscal year ending before July 1, 1968, the reduction (if any) under this section shall, at the

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