Presumptive eligibility for pregnant individuals
Title II — Expand Coverage of Maternal Health Care
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(a) In general (1) Requirement Section 1920(a) of the Social Security Act (42 U.S.C. 1396r–1(a)) is amended by striking may provide and inserting shall provide. (2) Application Section 1920 of the Social Security Act (42 U.S.C. 1396r–1) is amended by adding at the end the following new subsection: (f) Application A State shall provide to a pregnant woman a presumptive eligibility period in accordance with this section without regard to whether the individual would otherwise qualify for a presumptive eligibility period the State has elected to provide under section 1920A, 1920B, or 1920C.. (b) Conforming amendments (1) Section 1902(a)(47) of the Social Security Act (42 U.S.C. 1396a(a)(47)) is amended to read as follows: (47) provide— (A) (i) for making ambulatory prenatal care available to pregnant women during a presumptive eligibility period in accordance with section 1920; and (ii) at the option of the State— (I) for making medical assistance for items and services described in subsection (a) of section 1920A available to children during a presumptive eligibility period in accordance with such section; (II) for making medical assistance available to individuals described in subsection (a) of section 1920B during a presumptive eligibility period in accordance with such section; and (III) for making medical assistance available to individuals described in subsection (a) of section 1920C during a presumptive eligibility period in accordance with such section; and (B) that any hospital that is a participating provider under the State plan may elect to be a qualified entity for purposes of determining, on the basis of preliminary information, whether any individual is eligible for medical assistance under the State plan or under a waiver of the plan for purposes of providing the individual with medical assistance during a presumptive eligibility period, in the same manner, and subject to the same requirements, as apply with respect to populations described in section 1920, 1920A, 1920B, or 1920C (without regard to whether the State has elected to provide for a presumptive eligibility period under sections 1920A, 1920B, or 1920C), subject to such guidance as the Secretary shall establish;. (2) Section 1920(e) of the Social Security Act (42 U.S.C. 1396r–1(e)) is amended— (A) by striking If the State has elected the option to provide a presumptive eligibility period under this section or section 1920A, the and inserting The; and (B) by striking 1920A, subject to and inserting 1920A (if the State has elected the option), subject to. (3) Section 2107(e)(1)(R) of the Social Security Act (42 U.S.C. 1397gg(e)(1)(R)) is amended by inserting 1920 (relating to presumptive eligibility for pregnant women and section before 1920A. (4) Section 2112(c) of the Social Security Act (42 U.S.C. 1397ll(c)) is amended— (A) in the heading, by striking Option To Provide; and (B) by striking may elect and inserting shall elect.