123STA T . 1 0PUBLIC LA W 111 – 3 —FE B. 4, 200 9Sec.615 . Clarif ica t i on treat m ent of re g ional me d ical center. Sec. 616. Ex ten s ion of M edicaid D S H allotments for T ennessee and Ha w aii. Sec. 61 7 . GAO re p ort on Medicaid managed care pa y ment rates. S ub title C — Ot h er P ro v isions Sec. 6 2 1. Outreach regarding health insurance options available to children. Sec. 622. Sense of the Senate regarding access to affordable and meaningful health insurance coverage. T I T L E V II— R EVE NU E PROVISIONS Sec. 7 0 1. Increase in excise tax rate on tobacco products. Sec. 702. Administrative improvements. Sec. 70 3 . Treasury study concerning magnitude of tobacco smuggling in the United States. Sec. 70 4 . Time for payment of corporate estimated taxes. SEC.2 . PUR P O SE. Itis t hepur p o seo f this Ac ttopro v i d e depe n d abl e and stable fundin g for children ’ s health insurance under titles X XI and XIX of the S ocial Securit y Act in order to enroll all si xm illion uninsured children w ho are eligible , but not enrolled, for coverage today through such titles . SEC. 3 . G E N ER AL E F FEC TIV E D ATE
E X CEPTION FOR STATE LEGISLA - TION; CONTINGENT EFFECTIVE DATE; RELIANCE ON LA W . ( a )GEN E RALEF FE CTIV E D ATE. —U nless otherwise provided in this Act, sub j ect to subsections (b) through (d), this Act (and the amendments made by this Act) shall ta k e effect on April 1 , 20 0 9 , and shall apply to child health assistance and medical assistance provided on or after that date. (b) E X CE P TI O N FOR STATE L E G I S LATION.—In the case of a State plan under title XIX or State child health plan under XXI of the Social Security Act, which the Secretary of H ealth and Human Services determines re q uires State legislation in order for the respective plan to meet one or more additional requirements imposed by amendments made by this Act, the respective plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet such an additional requirement before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this Act. F or purposes of the previous sentence, in the case of aStatethathasa2 - year legislative session, each year of the session shall be considered to be a separate regular session of the State legislature. (c) C OOR D INATION OF CHI P F U NDING FOR FISCAL Y EAR 2009.— N otwithstanding any other provision of law, insofar as funds have been appropriated under section 210 4 (a)(11), 2104(k), or 2104(l) of the Social Security Act, as amended by section 201 of Public Law 110 – 1 73 , to provide allotments to States under CHIP for fiscal year 2009— (1) any amounts that are so appropriated that are not so allotted and obligated before April 1, 2009 are rescinded
and (2) any amount provided for CHIP allotments to a State under this Act (and the amendments made by this Act) for such fiscal year shall be reduced by the amount of such appro- priations so allotted and obligated before such date. (d) R ELIANCE ON LA W .— W ith respect to amendments made by this Act (other than title V II) that become effective as of a date— 42USC1396note. 42 USC 1396 note.
