124 STAT. 289 PUBLIC LAW 111–148—MAR. 23, 2010 (b) ARRA.—Ef fective as if included in the enactment of section 5006(a) of division B of the American Recovery and Reinvestment Act of 2009 (Public Law 111–5), the second sentence of section 1916A(a)(1) of the Social Security Act (42 U.S.C. 1396o–1(a)(1)) is amended by striking ‘‘or (i)’’ and inserting ‘‘, (i), or (j)’’. Subtitle C—Medicaid and CHIP Enrollment Simplification SEC. 2201. ENROLLMENT SIMPLIFICATION AND COORDINATION WITH STATE HEALTH INSURANCE EXCHANGES. Title XIX of the Social Security Act (42 U.S.C. 1397aa et seq.) is amended by adding at the end the following: ‘‘SEC. 1943. ENROLLMENT SIMPLIFICATION AND COORDINATION WITH STATE HEALTH INSURANCE EXCHANGES. ‘‘(a) CONDITION FOR PARTICIPATION IN MEDICAID.—As a condi- tion of the State plan under this title and receipt of any Federal financial assistance under section 1903(a) for calendar quarters beginning after January 1, 2014, a State shall ensure that the requirements of subsection (b) is met. ‘‘(b) ENROLLMENT SIMPLIFICATION AND COORDINATION WITH STATE HEALTH INSURANCE EXCHANGES AND CHIP.— ‘‘(1) IN GENERAL.—A State shall establish procedures for— ‘‘(A) enabling individuals, through an Internet website that meets the requirements of paragraph (4), to apply for medical assistance under the State plan or under a waiver of the plan, to be enrolled in the State plan or waiver, to renew their enrollment in the plan or waiver, and to consent to enrollment or reenrollment in the State plan through electronic signature; ‘‘(B) enrolling, without any further determination by the State and through such website, individuals who are identified by an Exchange established by the State under section 1311 of the Patient Protection and Affordable Care Act as being eligible for— ‘‘(i) medical assistance under the State plan or under a waiver of the plan; or ‘‘(ii) child health assistance under the State child health plan under title XXI; ‘‘(C) ensuring that individuals who apply for but are determined to be ineligible for medical assistance under the State plan or a waiver or ineligible for child health assistance under the State child health plan under title XXI, are screened for eligibility for enrollment in qualified health plans offered through such an Exchange and, if applicable, premium assistance for the purchase of a quali- fied health plan under section 36B of the Internal Revenue Code of 1986 (and, if applicable, advance payment of such assistance under section 1412 of the Patient Protection and Affordable Care Act), and, if eligible, enrolled in such a plan without having to submit an additional or separate application, and that such individuals receive information regarding reduced cost-sharing for eligible individuals under section 1402 of the Patient Protection and Affordable Web site. Procedures. Effective date. 42 USC 1396w–3. 42 USC 13960–1 note.
