Optional coverage of targeted low-income pregnant women through a State plan amendment

42 U.S. Code § 1397ll. Optional coverage of targeted low-income pregnant women through a State plan amendment

(a) In general
Subject to the succeeding provisions of this section, a State may elect through an amendment to its State child health plan under section 1397bb of this title to provide pregnancy-related assistance under such plan for targeted low-income pregnant women.
(b) ConditionsA State may only elect the option under subsection (a) if the following conditions are satisfied:
(1) Minimum income eligibility levels for pregnant women and childrenThe State has established an income eligibility level—
(A)
for pregnant women under subsection (a)(10)(A)(i)(III), (a)(10)(A)(i)(IV), or (l)(1)(A) of section 1396a of this title that is at least 185 percent (or such higher percent as the State has in effect with regard to pregnant women under this subchapter) of the poverty line applicable to a family of the size involved, but in no case lower than the percent in effect under any such subsection as of July 1, 2008; and
(B)
for children under 19 years of age under this subchapter (or subchapter XIX) that is at least 200 percent of the poverty line applicable to a family of the size involved.
(2) No CHIP income eligibility level for pregnant women lower than the State’s Medicaid level
The State does not apply an effective income level for pregnant women under the State plan amendment that is lower than the effective income level (expressed as a percent of the poverty line and considering applicable income disregards) specified under subsection (a)(10)(A)(i)(III), (a)(10)(A)(i)(IV), or (l)(1)(A) of section 1396a of this title, on February 4, 2009, to be eligible for medical assistance as a pregnant woman.
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