103 STAT. 2258 PUBLIC LAW 101-239—DEC. 19, 1989 nary notifications were made under section 1154(a)(3)(B) of the Social Security Act more than 30 days after the date of the enactment of this Act. PART 4—PART B PREMIUM SEC. 6301. PART B PREMIUM. Section 1839(e) of the Social Security Act (42 U.S.C. 1395r(e)) is amended by striking "1990" each place it appears and inserting " 1991". Subtitle B—Medicaid PART 1—GENERAL PROVISIONS SEC. 6401. MANDATORY COVERAGE OF CERTAIN LOW-INCOME PREGNANT WOMEN AND CHILDREN. (a) IN GENERAL.— Section 1902 of the Social Security Act (42 U.S.C. 1396a) is amended— (1) in subsection (a)(lOXAXi)— (A) by striking "or" at the end of subclause (IV), A; (B) by striking the semicolon at the end of subclause (V) and inserting ", or", and (C) by adding at the end the following new subclause: "(VI) who are described in subparagraph (C) of subsection (1)(1) and whose family income does not exceed the income level the State is required to establish under subsection (1)(2)(B) for such a family;"; (2) in subsection (a)(lOXAXiiXIX), by inserting "or clause (i)(VI)" after "clause (i)(IV)"; (3) in subsection (IXD— (A) by striking "and" at the end of subparagraph (B), and (B) by striking subparagraph (C) and inserting the follow- ing: "(C) children who have attained one year of age but have not attained 6 years of age, and "(D) at the option of the State, children born after September 30, 1983, who have attained 6 years of age but have not attained 7 or 8 years of age (as selected by the State),"; (4) in subsection (1)(2)(A)— (A) in clause (ii), by amending subclause (II) to read as follows: "(II) April 1, 1990, 133 percent, or, if greater, the percentage provided under clause (iv)."; and (B) by adding at the end the following new clause: "(iv) In the case of a State which, as of the date of the enactment of this clause, has established under clause (i), or has enacted legislation authorizing, or appropriating funds, to provide for, a percentage (of the income official poverty line) that is greater than
- 133 percent, the percentage provided under clause (ii) for medical
assistance on or after April 1, 1990, shall not be less than— "(I) the percentage specified by the State in an amendment to its State plan (whether approved or not) as of the date of the enactment of this clause, or
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