124 STAT. 918 PUBLIC LAW 111–148—MAR. 23, 2010 assistance shall be made available to the individual through sub- clause (IX) instead of through subclause (VIII)’’ before the semicolon. (3) Section 2004(d) of this Act is amended by striking ‘‘2019’’ and inserting ‘‘2014’’. (b) Section 1902(k)(2) of the Social Security Act (42 U.S.C. 1396a(k)(2)), as added by section 2001(a)(4)(A), is amended by striking ‘‘January 1, 2011’’ and inserting ‘‘April 1, 2010’’. (c) Section 1905 of the Social Security Act (42 U.S.C. 1396d), as amended by sections 2001(a)(3), 2001(a)(5)(C), 2006, and 4107(a)(2), is amended— (1) in subsection (a), in the matter preceding paragraph (1), by inserting in clause (xiv), ‘‘or 1902(a)(10)(A)(i)(IX)’’ before the comma; (2) in subsection (b), in the first sentence, by inserting ‘‘, (z),’’ before ‘‘and (aa)’’; (3) in subsection (y)— (A) in paragraph (1)(B)(ii)(II), in the first sentence, by inserting ‘‘includes inpatient hospital services,’’ after ‘‘100 percent of the poverty line, that’’; and (B) in paragraph (2)(A), by striking ‘‘on the date of enactment of the Patient Protection and Affordable Care Act’’ and inserting ‘‘as of December 1, 2009’’; (4) by inserting after subsection (y) the following: ‘‘(z) EQUITABLE SUPPORT FOR CERTAIN STATES.— ‘‘(1)(A) During the period that begins on January 1, 2014, and ends on September 30, 2019, notwithstanding subsection (b), the Federal medical assistance percentage otherwise deter- mined under subsection (b) with respect to a fiscal year occur- ring during that period shall be increased by 2.2 percentage points for any State described in subparagraph (B) for amounts expended for medical assistance for individuals who are not newly eligible (as defined in subsection (y)(2)) individuals described in subclause (VIII) of section 1902(a)(10)(A)(i). ‘‘(B) For purposes of subparagraph (A), a State described in this subparagraph is a State that— ‘‘(i) is an expansion State described in subsection (y)(1)(B)(ii)(II); ‘‘(ii) the Secretary determines will not receive any pay- ments under this title on the basis of an increased Federal medical assistance percentage under subsection (y) for expenditures for medical assistance for newly eligible individuals (as so defined); and ‘‘(iii) has not been approved by the Secretary to divert a portion of the DSH allotment for a State to the costs of providing medical assistance or other health benefits coverage under a waiver that is in effect on July 2009. ‘‘(2)(A) During the period that begins on January 1, 2014, and ends on December 31, 2016, notwithstanding subsection (b), the Federal medical assistance percentage otherwise determined under subsection (b) with respect to all or any portion of a fiscal year occurring during that period shall be increased by .5 percentage point for a State described in subparagraph (B) for amounts expended for medical assistance under the State plan under this title or under a waiver of that plan during that period. ‘‘(B) For purposes of subparagraph (A), a State described in this subparagraph is a State that— Time period. Time period. 42 USC 1396a note.
