81
STAT.]
PUBLIC LAW 90-248-JAN. 2, 1968
as an overpayment to the extent that the State or local agency administering such plan has been reimbursed for such expenditures b;^ a third party pursuant to the provisions of its plan in compliance with section 1902(a) (25)."
905
Ante,
p. 904.
DIRECT P A Y M E N T S TO CERTAIN R E C I P I E N T S OF MEDICAL ASSISTANCE
SEC. 230. Section 1905(a) of the Social Security Act is amended by inserting after "for individuals" in the matter preceding clause (i) the following: ", and, with respect to physicians' or dentists' services, at the option of the State, to individuals not receiving aid or assistance under the State's plan approved under title I, X, X IV, or X VI, or part A of title IV,".
79 Stat. 351. 42 USC 1396d.
42 USC 301, 1201, 1351, 1381; Post. p. 911.
DATE ON W H I C H STATE P L A N S U N D E R TITLE X IX M U S T M E E T CERTAIN FINANCIAL PARTICIPATION REQUIREMENTS
SEC. 231. Section 1902(a)(2) of the Social Security Act is amended by striking out "July 1, 1970" and inserting in lieu thereof "July 1, 1969".
^2 USC i396a.
OBSERVANCE OF RELIGIOUS B E L I E F S
SEC. 232. Title X IX of the Social Security Act (as amended by section 226 of this Act) is further amended by adding at the end thereof the following new section: "OBSERVANCE OF RELIGIOUS BELIEFS
"SEC. 1907. Nothing in this title shall be construed to require any State which has a plan approved under this title to compel any person to undergo any medical screening, examination, diagnosis, or treatment or to accept any other health care or services provided under such plan for any purpose (other than for the purpose of discovering and preventing the spread of infection or contagious disease or for the purpose of protecting environmental health), if such person objects (or, in case such person is a child, his parent or guardian objects) thereto on religious grounds." C O V E R A G E U N D E R TITLE XIX OF CERTAIN SPOUSES OF INDIVIDUALS RECEIVING CASH W E L F A R E AID OR ASSISTANCE
SEC. 233. (a) Section 1905(a) of the Social Security Act is amended (1) by striking out "or" at the end of clause (iv), (2) by inserting "or" at the end of clause (v), and (3) by inserting immediately below clause (v) the following new clause: "(vi) persons essential (as described in the second sentence of this subsection) to individuals receiving aid or assistance under State plans approved under title I, X, X IV, or XVI,". (b) Section 1905(a) of such Act is further amended by adding at the end thereof the following new sentence: " For purposes of clauses (vi) of the preceding sentence, a person shall be considered essential to another individual if such person is the spouse of and is living with such individual, the needs of such person are taken into account in determining the amount of aid or assistance furnished to such individual (under a State plan approved under title I, X, X IV, or X VI), and such person is determined, under such a State plan, to be essential to the well being of such individual."
Ante,
p. 903.
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