‘‘(iii) REDUCED FMAP FOR FAILURE 
TO DO TIMELY DETERMINATION.—The in-
creased Federal medical assistance per-
centage provided under the third sentence 
of section 1905(b) with respect to individ-
uals eligible for medical assistance under 
section 1902(a)(10)(A)(i)(X) shall not 
apply with respect to a child, beginning 
180 days after the date of the child’s birth, 
for whom a determination is not made on 
a timely basis under clause (i), unless the 
limitation under clause (ii) applies to such 
child.’’. 
(c) 100 PERCENT MATCHING RATE FOR TEMPORARY 
COVERAGE OF CERTAIN NEWBORNS.— 
(1) IN GENERAL.—The third sentence of sec-
tion 1905(b) of the Social Security Act (42 U.S.C. 
1396d(b)) is amended by inserting before the period 
at the end the following: ‘‘and, subject to section 
1902(e)(16)(D)(iii), for medical assistance for indi-
viduals in one of the 50 States or the District of Co-
lumbia eligible for such assistance under section 
1902(a)(10)(A)(i)(X)’’. 
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(2) APPLICATION
TO
TERRITORIES.—Section 
1108(g)(4) of the Social Security Act (42 U.S.C. 
1308(g)(4)) is amended— 
(A) by striking ‘‘and (4)’’ and inserting 
‘‘and (5)’’; and 
(B) by adding at the end the following: 
‘‘Payment for medical assistance for an indi-
vidual eligible for assistance under section 
1902(a)(10)(A)(i)(X) shall not be taken into ac-
count in applying subsection (f) (as increased in 
accordance with paragraphs (1), (2), (3), and 
(5) of this subsection).’’ 
(d) CONFORMING AMENDMENT.—Section 1903(f)(4) 
of the Social Security Act (42 U.S.C. 1396b(f)(4)) is 
amended by inserting ‘‘1902(a)(10)(A)(i)(X),’’ after 
‘‘1902(a)(10)(A)(i)(VIII),’’. 
(e) TECHNICAL AMENDMENTS.—Section 1902(e) of 
the Social Security Act (42 U.S.C. 1396a(e)) is amended 
by redesignating the paragraph (14) relating to exclusion 
of compensation for participation in a clinical trial for 
testing of treatments for a rare disease or condition, as 
added by section 3 of the Improving Access to Clinical 
Trials Act of 2009 (Public Law 111–255), as paragraph 
(15). Such redesignation shall not be construed to affect 
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the application of section 3(e) of the Improving Access to 
Clinical Trials Act of 2009 to such paragraph. 
(f) DELAY IN IMPLEMENTATION PERMITTED FOR 
STATE PLAN AMENDMENT.—In the case of a State plan 
for medical assistance under title XIX of the Social Secu-
rity Act which the Secretary of Health and Human Serv-
ices determines requires State legislation (other than legis-
lation appropriating funds) in order for the plan to meet 
the additional requirements imposed by the amendments 
made by this section, the State plan shall not be regarded 
as failing to comply with the requirements of such title 
solely on the basis of its failure to meet these additional 
requirements before the first day of the first calendar 
quarter beginning after the close of the first regular ses-
sion of the State legislature that begins after the date of 
enactment of this Act. For purposes of the previous sen-
tence, in the case of a State that has a 2-year legislative 
session, each year of such session shall be deemed to be 
a separate regular session of the State legislature. 
Æ 
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