123STA T . 3 4PUBLIC LA W 111 – 3 —FE B.4 , 2 0 0 9(b)GAOSTUDYAN D REPOR T .— ( 1 ) I N G ENERA L .— TheComptr o l ler Ge n er a lo f the U n i te d State s shall c ond u ct a stud y of w hether— (A) the co v era g e of a parent , a careta k er relative (as such term is used in carrying out section 1 93 1), or a legal guardian of a targeted low - income child under a State health plan under title X XI of the Social Security Act increases the enrollment of, or the q uality of care for, children, and ( B ) such parents, relatives, and legal guardians who enroll in such a plan are more likely to enroll their children in such a plan or in a State plan under title XIX of such Act. ( 2 ) REPORT.— N ot later than 2 years after the date of the enactment of this Act, the Comptroller General shall report the results of the study to the Committee on F inance of the Senate and the Committee on E nergy and Commerce of the H ouse of Representatives, including recommendations (if any) for changes in legislation. SEC.1 1 3 .E LIM I NAT I O NO F CO U NTIN G ME D ICAID C H ILD PR ESUMPTI V E ELIGI B ILIT Y COSTS AGAINST TITLE X XI ALLOTMENT. (a) IN GENERAL.—Section 21 05 (a)(1) ( 4 2 U.S.C. 139 7 ee(a)(1)) is amended— (1) in the matter preceding subparagraph (A), by striking ‘ ‘(or, in the case of e x penditures described in subparagraph (B), the Federal medical assistance percentage (as defined in the first sentence of section 1905(b))) ’ ’
and (2) by striking subparagraph (B) and inserting the following new subparagraph
‘‘(B) [ reserved ] ’’. (b) A M ENDMENT S TO M ED IC AID.— (1) ELIGI B ILITY O F ANE W BORN.—Section 1902(e)(4) (42 U.S.C. 139 6 a(e)(4)) is amended in the first sentence by striking ‘‘so long as the child is a member of the woman’s household and the woman remains (or would remain if pregnant) eligible for such assistance’’. (2) APPLICATION OF Q UALIFIED ENTITIES TO PRESUMPTI V E ELIGIBILITY FOR PREGNANT WOMEN UNDER MEDICAID.—Section 1920(b) (42 U.S.C. 1396r – 1(b)) is amended by adding after paragraph (2) the following flush sentence: ‘‘The term ‘qualified provider’ also includes a qualified entity, as defined in section 1920A(b)(3).’’. SEC. 11 4 . LIMITATION ON MATCHING RATE FOR STATES THAT PRO - POSE TO COVER CHILDREN W ITH EFFECTIVE FAMILY INCOME THAT EXCEEDS 3 0 0 PERCENT OF THE POVERTY LINE. (a) FMA P APPLIED TO E X PENDITURES.—Section 2105(c) (42 U.S.C. 1397ee(c)) is amended by adding at the end the following new paragraph: ‘‘( 8 ) L IMITATION ON MATC H ING RATE FOR EXPENDITURES FOR CHILD HEALTH ASSISTANCE PROVIDED TO CHILDREN WHOSE EFFECTIVE FAMILY INCOME EXCEEDS 30 0 PERCENT OF THE POV- ERTY LINE.— ‘‘(A) FMAP APPLIED TO EXPENDITURES.—Except as pro- vided in subparagraph (B), for fiscal years beginning with fiscal year 2009, the Federal medical assistance percentage
