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 such 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)(E)(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)’’. 
(2) APPLICATION
TO
TERRITORIES.—Section 
1108(g)(4) of such Act (42 U.S.C. 1308(g)(4)) is 
amended by adding at the end the following: ‘‘Pay-
ment for medical assistance for an individual eligible 
for assistance under section 1902(a)(10)(A)(i)(X) 
shall not be taken into account in applying sub-
section (f) (as increased in accordance with para-
graphs (1), (2), (3), and (4) of this subsection).’’ 
(d) CONFORMING AMENDMENT.—Section 1903(f)(4) 
of such Act (42 U.S.C. 1396b(f)(4)) is amended by insert-
ing 
‘‘1902(a)(10)(A)(i)(X),’’ 
after 
‘‘1902(a)(10)(A)(i)(VIII),’’. 
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(e) TECHNICAL AMENDMENTS.—Section 1902(e) of 
such Act (42 U.S.C. 1396a(e)) is amended by redesig-
nating the paragraph (14) relating to exclusion of com-
pensation 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, as paragraph (15). Such redesignation shall 
not be construed to affect the application of section (3)(e) 
of the Improving Access to Clinical Trials Act of 2009 
to such paragraph. 
(f) EFFECTIVE DATE.— 
(1) IN GENERAL.—The amendments made by 
this section shall apply to individuals born on or 
after the day that is 6 months after the date of the 
enactment of this Act. 
(2) DELAY
PERMITTED
FOR
STATE
PLAN 
AMENDMENT.—In the case of a State plan for med-
ical assistance under title XIX of the Social Security 
Act which the Secretary of Health and Human Serv-
ices determines requires State legislation (other than 
legislation 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 
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failure to meet these additional requirements before 
the first day of the first calendar quarter beginning 
after the close of the first regular session of the 
State legislature that begins after the date of enact-
ment of this Act. For purposes of the previous sen-
tence, in the case of a State that has a 2-year legis-
lative session, each year of such session shall be 
deemed to be a separate regular session of the State 
legislature. 
Æ 
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