§ 1396u-1. Assuring coverage for certain low-income families
(a)
References to subchapter IV–A are references to pre-welfare-reform provisions
Subject to the succeeding provisions of this section, with respect to a State any reference in this subchapter (or any other provision of law in relation to the operation of this subchapter) to a provision of part A of subchapter IV of this chapter, or a State plan under such part (or a provision of such a plan), including income and resource standards and income and resource methodologies under such part or plan, shall be considered a reference to such a provision or plan as in effect as of July 16, 1996, with respect to the State.
(b)
Application of pre-welfare-reform eligibility criteria
(1)
In general
For purposes of this subchapter, subject to paragraphs (2) and (3), in determining eligibility for medical assistance—
(A)
an individual shall be treated as receiving aid or assistance under a State plan approved under part A of subchapter IV of this chapter only if the individual meets—
(ii)
the eligibility requirements of such plan under subsections (a) through (c) of section
606 of this title and section
607
(a) of this title,
as in effect as of July 16, 1996; and
(2)
State option
For purposes of applying this section, a State—
(A)
may lower its income standards applicable with respect to part A of subchapter IV of this chapter, but not below the income standards applicable under its State plan under such part on May 1, 1988;
(B)
may increase income or resource standards under the State plan referred to in paragraph (1) over a period (beginning after July 16, 1996) by a percentage that does not exceed the percentage increase in the Consumer Price Index for all urban consumers (all items; United States city average) over such period; and
(3)
Option to terminate medical assistance for failure to meet work requirement
(A)
Individuals receiving cash assistance under TANF
In the case of an individual who—
(i)
is receiving cash assistance under a State program funded under part A of subchapter IV of this chapter,
(ii)
is eligible for medical assistance under this subchapter on a basis not related to section
1396a
(l) of this title, and
(iii)
has the cash assistance under such program terminated pursuant to section
607
(e)(1)(B) of this title (as in effect on or after the welfare reform effective date) because of refusing to work,
the State may terminate such individual’s eligibility for medical assistance under this subchapter until such time as there no longer is a basis for the termination of such cash assistance because of such refusal.
(c)
Treatment for purposes of transitional coverage provisions
(1)
Transition in the case of child support collections
The provisions of section
606
(h) of this title (as in effect on July 16, 1996) shall apply, in relation to this subchapter, with respect to individuals (and families composed of individuals) who are described in subsection (b)(1)(A) of this section, in the same manner as they applied before such date with respect to individuals who became ineligible for aid to families with dependent children as a result (wholly or partly) of the collection of child or spousal support under part D of subchapter IV of this chapter.
(d)
Waivers
In the case of a waiver of a provision of part A of subchapter IV of this chapter in effect with respect to a State as of July 16, 1996, or which is submitted to the Secretary before August 22, 1996, and approved by the Secretary on or before July 1, 1997, if the waiver affects eligibility of individuals for medical assistance under this subchapter, such waiver may (but need not) continue to be applied, at the option of the State, in relation to this subchapter after the date the waiver would otherwise expire.
(e)
State option to use 1 application form
Nothing in this section, or part A of subchapter IV of this chapter, shall be construed as preventing a State from providing for the same application form for assistance under a State program funded under part A of subchapter IV of this chapter (on or after the welfare reform effective date) and for medical assistance under this subchapter.
(f)
Additional rules of construction
(1)
With respect to the reference in section
1396a
(a)(5) of this title to a State plan approved under part A of subchapter IV of this chapter, a State may treat such reference as a reference either to a State program funded under such part (as in effect on and after the welfare reform effective date) or to the State plan under this subchapter.
(g)
Relation to other provisions
The provisions of this section shall apply notwithstanding any other provision of this chapter.
(h)
Transitional increased Federal matching rate for increased administrative costs
(2)
Administrative expenditures described
The administrative expenditures described in this paragraph are expenditures described in section
1396b
(a)(7) of this title that a State demonstrates to the satisfaction of the Secretary are attributable to administrative costs of eligibility determinations that (but for the enactment of this section) would not be incurred.
(3)
Limitation
The total amount of additional Federal funds that are expended as a result of the application of this subsection for the period beginning with fiscal year 1997 shall not exceed $500,000,000. In applying this paragraph, the Secretary shall ensure the equitable distribution of additional funds among the States.
(i)
Welfare reform effective date
In this section, the term “welfare reform effective date” means the effective date, with respect to a State, of title I of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (as specified in section 116 of such Act).