124 STAT. 286 PUBLIC LAW 111–148—MAR. 23, 2010 Subtitle B—Enhanced Support for the Children’s Health Insurance Program SEC. 2101. ADDITIONAL FEDERAL FINANCIAL PARTICIPATION FOR CHIP. (a) IN GENERAL.—Section 2105(b) of the Social Security Act (42 U.S.C. 1397ee(b)) is amended by adding at the end the following: ‘‘Notwithstanding the preceding sentence, during the period that begins on October 1, 2013, and ends on September 30, 2019, the enhanced FMAP determined for a State for a fiscal year (or for any portion of a fiscal year occurring during such period) shall be increased by 23 percentage points, but in no case shall exceed 100 percent. The increase in the enhanced FMAP under the pre- ceding sentence shall not apply with respect to determining the payment to a State under subsection (a)(1) for expenditures described in subparagraph (D)(iv), paragraphs (8), (9), (11) of sub- section (c), or clause (4) of the first sentence of section 1905(b).’’. (b) MAINTENANCE OF EFFORT.— (1) IN GENERAL.—Section 2105(d) of the Social Security Act (42 U.S.C. 1397ee(d)) is amended by adding at the end the following: ‘‘(3) CONTINUATION OF ELIGIBILITY STANDARDS FOR CHIL- DREN UNTIL OCTOBER 1, 2019.— ‘‘(A) IN GENERAL.—During the period that begins on the date of enactment of the Patient Protection and Afford- able Care Act and ends on September 30, 2019, a State shall not have in effect eligibility standards, methodologies, or procedures under its State child health plan (including any waiver under such plan) for children (including chil- dren provided medical assistance for which payment is made under section 2105(a)(1)(A)) that are more restrictive than the eligibility standards, methodologies, or procedures, respectively, under such plan (or waiver) as in effect on the date of enactment of that Act. The preceding sentence shall not be construed as preventing a State during such period from— ‘‘(i) applying eligibility standards, methodologies, or procedures for children under the State child health plan or under any waiver of the plan that are less restrictive than the eligibility standards, methodolo- gies, or procedures, respectively, for children under the plan or waiver that are in effect on the date of enactment of such Act; or ‘‘(ii) imposing a limitation described in section 2112(b)(7) for a fiscal year in order to limit expendi- tures under the State child health plan to those for which Federal financial participation is available under this section for the fiscal year. ‘‘(B) ASSURANCE OF EXCHANGE COVERAGE FOR TAR- GETED LOW-INCOME CHILDREN UNABLE TO BE PROVIDED CHILD HEALTH ASSISTANCE AS A RESULT OF FUNDING SHORT- FALLS.—In the event that allotments provided under section 2104 are insufficient to provide coverage to all children who are eligible to be targeted low-income children under the State child health plan under this title, a State shall Procedures. Time period. Time period.
