124 STAT. 287 PUBLIC LAW 111–148—MAR. 23, 2010 establish procedures to ensure that such children are pro- vided coverage through an Exchange established by the State under section 1311 of the Patient Protection and Affordable Care Act.’’. (2) CONFORMING AMENDMENT TO TITLE XXI MEDICAID MAINTENANCE OF EFFORT.—Section 2105(d)(1) of the Social Security Act (42 U.S.C. 1397ee(d)(1)) is amended by adding before the period ‘‘, except as required under section 1902(e)(14)’’. (c) NO ENROLLMENT BONUS PAYMENTS FOR CHILDREN ENROLLED AFTER FISCAL YEAR 2013.—Section 2105(a)(3)(F)(iii) of the Social Security Act (42 U.S.C. 1397ee(a)(3)(F)(iii)) is amended by inserting ‘‘or any children enrolled on or after October 1, 2013’’ before the period. (d) INCOME ELIGIBILITY DETERMINED USING MODIFIED GROSS INCOME.— (1) STATE PLAN REQUIREMENT.—Section 2102(b)(1)(B) of the Social Security Act (42 U.S.C. 1397bb(b)(1)(B)) is amended— (A) in clause (iii), by striking ‘‘and’’ after the semicolon; (B) in clause (iv), by striking the period and inserting ‘‘; and’’; and (C) by adding at the end the following: ‘‘(v) shall, beginning January 1, 2014, use modified gross income and household income (as defined in sec- tion 36B(d)(2) of the Internal Revenue Code of 1986) to determine eligibility for child health assistance under the State child health plan or under any waiver of such plan and for any other purpose applicable under the plan or waiver for which a determination of income is required, including with respect to the imposition of premiums and cost-sharing, consistent with section 1902(e)(14).’’. (2) CONFORMING AMENDMENT.—Section 2107(e)(1) of the Social Security Act (42 U.S.C. 1397gg(e)(1)) is amended— (A) by redesignating subparagraphs (E) through (L) as subparagraphs (F) through (M), respectively; and (B) by inserting after subparagraph (D), the following: ‘‘(E) Section 1902(e)(14) (relating to income determined using modified gross income and household income).’’. (e) APPLICATION OF STREAMLINED ENROLLMENT SYSTEM.—Sec- tion 2107(e)(1) of the Social Security Act (42 U.S.C. 1397gg(e)(1)), as amended by subsection (d)(2), is amended by adding at the end the following: ‘‘(N) Section 1943(b) (relating to coordination with State Exchanges and the State Medicaid agency).’’. (f) CHIP ELIGIBILITY FOR CHILDREN INELIGIBLE FOR MEDICAID AS A RESULT OF ELIMINATION OF DISREGARDS.—Notwithstanding any other provision of law, a State shall treat any child who is determined to be ineligible for medical assistance under the State Medicaid plan or under a waiver of the plan as a result of the elimination of the application of an income disregard based on expense or type of income, as required under section 1902(e)(14) of the Social Security Act (as added by this Act), as a targeted low-income child under section 2110(b) (unless the child is excluded under paragraph (2) of that section) and shall provide child health assistance to the child under the State child health plan (whether 42 USC 1397jj note. Effective date.
