Page:United States Statutes at Large Volume 95.djvu/833

 PUBLIC LAW 97-35—AUG. 13, 1981

95 STAT. 807

nomic and demographic factors affecting such State which are out of the ordinary sphere of control of such State. Specifically, pursuant to paragraph (1) the Comptroller General shall examine the feasibility and consequences of revising the medicaid matching formula so as to take into account the relative economic positions and needs of the different States, the different amounts of support and income payments made by different States under the Social Security Act, the relative cost of living and the unemployment 42 USC 1305. rates in the different States, the relative taxable wealth and amount of taxes raised per capita by the different States, and other relevant factors bearing on an equitable distribution of Federal funds to States under that Act. (b) The Comptroller General shall report to the Congress on the study required under this section not later than October 1, 1982. CHAPTER 2—INCREASED FLEXIBILITY FOR STATES COVERAGE OF, A N D SERVICES FOR, THE MEDICALLY NEEDY

SEC. 2171. (a) Section 1902(a)(10) of the Social Security Act is 42 USC 1396a. amended— (1) by amending subparagraph (A) to read as follows: "(A) for making medical assistance available, including at least the care and services listed in paragraphs (1) through (5) and (17) of section 1905(a), to all individuals receiving aid or assistance 42 USC I396d. under any plan of the State approved under title I, X, XIV, or XVI, or part A or part E of title IV (including pregnant women 42 USC 301, deemed by the State to be receiving such aid as authorized in 1201, 1351, 1381, section 406(g) and individuals considered by the State to be 601; 94 Stat. 501. 42 USC 670. receiving such aid as authorized under section 414(g)), or with respect to whom supplemental security income benefits are being paid under title XVI;"; (2) by striking out "clause" each place it appears in subparagraph (B) and inserting in lieu thereof "subparagraph" and by striking out "and" at the end of subparagraph (B); and (3) by striking out paragraph (C) and by inserting in lieu thereof the following: "(C) that if medical assistance is included for any group of individuals described in section 1905(a) who are not described in subparagraph (A), then— "(i) the plan must include a description of (I) the criteria for determining eligibility of individuals in the group for such medical assistance and (II) the amount, duration, and scope of medical assistance made available to individuals in the group; "(ii) the plan must make available medical assistance— "(I) to individuals described in section 1905(a)(i), and "(II) to pregnant women, during the course of their pregnancy, who (but for income and resources) would be eligible for medical assistance as an individual described in subparagraph (A); "(iii) such medical assistance must include (I) with respect to children under 18 and individuals entitled to institutional services, ambulatory services, and (II) with respect to pregnant women, prenatal care and delivery services; and

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