124 STAT. 273 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘For any fiscal year quar- ter occurring in the cal- endar year: If the State is an expan- sion State, the applicable percentage point increase is: If the State is not an ex- pansion State, the appli- cable percentage point in- crease is: 2017 30.3 34.3 2018 31.3 33.3 ‘‘(II) EXPANSION STATE DEFINED.—For purposes of the table in subclause (I), a State is an expan- sion State if, on the date of the enactment of the Patient Protection and Affordable Care Act, the State offers health benefits coverage statewide to parents and nonpregnant, childless adults whose income is at least 100 percent of the poverty line, that is not dependent on access to employer cov- erage, employer contribution, or employment and is not limited to premium assistance, hospital-only benefits, a high deductible health plan, or alter- native benefits under a demonstration program authorized under section 1938. A State that offers health benefits coverage to only parents or only nonpregnant childless adults described in the pre- ceding sentence shall not be considered to be an expansion State. ‘‘(C) 2019 AND SUCCEEDING YEARS.—Beginning January 1, 2019, notwithstanding subsection (b) but subject to subparagraph (D), the Federal medical assistance percent- age determined for a State that is one of the 50 States or the District of Columbia for each fiscal year quarter occurring during that period with respect to amounts expended for medical assistance for newly eligible individ- uals described in subclause (VIII) of section 1902(a)(10)(A)(i), shall be increased by 32.3 percentage points. ‘‘(D) LIMITATION.—The Federal medical assistance percentage determined for a State under subparagraph (B) or (C) shall in no case be more than 95 percent. ‘‘(2) DEFINITIONS.—In this subsection: ‘‘(A) NEWLY ELIGIBLE.—The term ‘newly eligible’ means, with respect to an individual described in subclause (VIII) of section 1902(a)(10)(A)(i), an individual who is not under 19 years of age (or such higher age as the State may have elected) and who, on the date of enactment of the Patient Protection and Affordable Care Act, is not eligible under the State plan or under a waiver of the plan for full benefits or for benchmark coverage described in subparagraph (A), (B), or (C) of section 1937(b)(1) or benchmark equivalent coverage described in section 1937(b)(2) that has an aggregate actuarial value that is at least actuarially equivalent to benchmark coverage described in subparagraph (A), (B), or (C) of section 1937(b)(1), or is eligible but not enrolled (or is on a waiting list) for such benefits or coverage through a waiver under the plan that has a capped or limited enrollment that is full. Effective date.
