Page:United States Statutes at Large Volume 86.djvu/1423

 86 STAT. ]

PUBLIC LAW 92-603-OCT. 30, 1972 COST-SHARING U N D E R

1381

MEDICAID

SEC. 208. (a) Section 1902(a) (14) of the Social Security Act is 42 USC 1396a. amended to read as follows: "(14) effective January 1, 1973, provide that— " (A) in the case of individuals receiving aid or assistance under a State plan approved under title I, X, X IV, or X VI, or part A of title IV, or who meet the income and resources, ^2 USC 301, requirements of the one of such State plans which is goi. ' appropriate— "(i) no enrollment fee, premium, or similar charge, and no deduction, cost sharing, or similar charge with respect to the care and services listed in clauses (1) through (5) and (7) of section 1905(a), will be imposed 42 USC i396d. under the plan, and "(ii) any deduction, cost sharing, or similar charge imposed under the plan with respect to other care and services will be nominal in amount (as determined in accordance with standards approved by the Secretary and included in the plan), and " (B) with respect to individuals who are not receiving aid or assistance under any such State plan and who do not meet the income and resources requirements of the one of such State plans which is appropriate or who, after December 31, 1973, are included under the State plan for medical assistance pursuant to section 1902(a) (10)(B) approved under title XIX— " (i) there shall be imposed an enrollment fee, premium, or similar charge which (as determined in accordance with standards prescribed by the Secretary) is related to the individual's income, and "(ii) any deductible, cost-sharing, or similar charge imposed under the plan will be nominal;", (b) The amendment made by subsection (a) shall be effective Jan- Effective date. uary 1, 1973 (or earlier if the State plan so provided). MEDICAID CONDITIONS OF E L I G I B I L I T Y FOR CERTAIN EMPLOYED F A M I L I E S

SEC. 209. (a) Section 1902 of the Social Security Act is amended by adding at the end thereof the following new subsection: "(e) Notwithstanding any other provision of this title, effective January 1, 1974, each State plan approved under this title must provide that each family which was eligible for assistance pursuant to part A of title IV in at least 3 of the 6 months immediately preceding the month in which such family became ineligible for such assistance because of increased income from employment, shall, while a member of such family is employed, remain eligible for such assistance for 4 calendar months following the month in which such family would otherwise be determined to be ineligible for such assistance because of the income and resources limitations contained in such plan." (b)(1) Section 1902 of the Social Security Act, as amended by this section, is further amended by adding at the end thereof the following new subsection: "(f) Notwithstanding any other provision of this title, except as provided in subsection (e), no State shall be required to provide medical assistance to any aged, blind, or disabled individual (within the meaning of title X VI) for any month unless such State would be (or would have been) required to provide medical assistance to such individual for such month had its plan for medical assistance approved under this title and in effect on January 1, 1972, been in effect in such

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