146 
specified in this section that were incurred to prevent, pre-
pare for, and respond to COVID–19 during the period be-
ginning on the date on which the public health emergency 
was declared by the Secretary on January 31, 2020, pur-
suant to section 319 of the Public Health Service Act (42 
U.S.C. 247d) with respect to COVID–19 and ending on 
the date of the enactment of this Act. 
(c) Funds made available under subsection (a) to 
Tribes and Tribal organizations under the Indian Self-De-
termination and Education Assistance Act (25 U.S.C. 
5301 et seq.) shall be available on a one-time basis. Such 
non-recurring funds shall not be part of the amount re-
quired by section 106 of the Indian Self-Determination 
and Education Assistance Act (25 U.S.C. 5325), and such 
funds shall only be used for the purposes identified in this 
section. 
CHAPTER 6—MENTAL HEALTH AND 
SUBSTANCE USE DISORDER 
SEC. 3051. FUNDING FOR BLOCK GRANTS FOR COMMUNITY 
MENTAL HEALTH SERVICES. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$1,750,000,000, to remain available until expended, for 
carrying out subpart I of part B of title XIX of the Public
147 
Health Service Act (42 U.S.C. 300x et seq.), subpart III 
of part B of title XIX of such Act (42 U.S.C. 300x–51 
et seq.), and section 505(c) of such Act (42 U.S.C. 290aa– 
4(c)) with respect to mental health. Notwithstanding sec-
tion 1952 of the Public Health Service Act (42 U.S.C. 
300x–62), any amount awarded to a State out of amounts 
appropriated by this section shall be expended by the State 
by September 30, 2025. 
SEC. 3052. FUNDING FOR BLOCK GRANTS FOR PREVENTION 
AND TREATMENT OF SUBSTANCE ABUSE. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$1,750,000,000, to remain available until expended, for 
carrying out subpart II of part B of title XIX of the Public 
Health Service Act (42 U.S.C. 300x–21 et seq.), subpart 
III of part B of title XIX of such Act (42 U.S.C. 300x– 
51 et seq.), section 505(d) of such Act (42 U.S.C. 290aa– 
4(d)) with respect to substance abuse, and section 515(d) 
of such Act (42 U.S.C. 290bb–21(d)). Notwithstanding 
section 1952 of the Public Health Service Act (42 U.S.C. 
300x–62), any amount awarded to a State out of amounts 
appropriated by this section shall be expended by the State 
by September 30, 2025.
148 
SEC. 3053. FUNDING FOR MENTAL AND BEHAVIORAL 
HEALTH TRAINING FOR HEALTH CARE PRO-
FESSIONALS, 
PARAPROFESSIONALS, 
AND 
PUBLIC SAFETY OFFICERS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $80,000,000, to remain available until ex-
pended, for the purpose described in subsection (b). 
(b) USE
OF
FUNDING.—The Secretary, acting 
through the Administrator of the Health Resources and 
Services Administration, shall, taking into consideration 
the needs of rural and medically underserved communities, 
use amounts appropriated by subsection (a) to award 
grants or contracts to health professions schools, academic 
health centers, State or local governments, Indian Tribes 
and Tribal organizations, or other appropriate public or 
private nonprofit entities (or consortia of entities, includ-
ing entities promoting multidisciplinary approaches), to 
plan, develop, operate, or participate in health professions 
and nursing training activities for health care students, 
residents, professionals, paraprofessionals, trainees, and 
public safety officers, and employers of such individuals, 
in evidence-informed strategies for reducing and address-
ing suicide, burnout, and mental and behavioral health
149 
conditions (including substance use disorders) among 
health care professionals. 
SEC. 3054. FUNDING FOR EDUCATION AND AWARENESS 
CAMPAIGN ENCOURAGING HEALTHY WORK 
CONDITIONS AND USE OF MENTAL AND BE-
HAVIORAL HEALTH SERVICES BY HEALTH 
CARE PROFESSIONALS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $20,000,000, to remain available until ex-
pended, for the purpose described in subsection (b). 
(b) USE OF FUNDS.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention and in consultation with the medical professional 
community, shall use amounts appropriated by subsection 
(a) to carry out a national evidence-based education and 
awareness campaign directed at health care professionals 
and first responders (such as emergency medical service 
providers), and employers of such professionals and first 
responders. Such awareness campaign shall— 
(1) encourage primary prevention of mental and 
behavioral health conditions and secondary and ter-
tiary prevention by encouraging health care profes-
150 
sionals to seek support and treatment for their own 
behavioral health concerns; 
(2) help such professionals to identify risk fac-
tors in themselves and others and respond to such 
risks; 
(3) include information on reducing or pre-
venting suicide, substance use disorders, burnout, 
and other mental and behavioral health conditions, 
and addressing stigma associated with seeking men-
tal and behavioral health support and treatment; 
and 
(4) consider the needs of rural and medically 
underserved communities. 
SEC. 3055. FUNDING FOR GRANTS FOR HEALTH CARE PRO-
VIDERS TO PROMOTE MENTAL AND BEHAV-
IORAL HEALTH AMONG THEIR HEALTH PRO-
FESSIONAL WORKFORCE. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $40,000,000, to remain available until ex-
pended, for the purpose described in subsection (b). 
(b) USE OF FUNDS.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, shall, taking into consideration the needs
151 
of rural and medically underserved communities, use 
amounts appropriated by subsection (a) to award grants 
or contracts to entities providing health care, including 
health care providers associations and Federally qualified 
health centers, to establish, enhance, or expand evidence- 
informed programs or protocols to promote mental and be-
havioral health among their providers, other personnel, 
and members. 
SEC. 3056. FUNDING FOR COMMUNITY-BASED FUNDING 
FOR 
LOCAL 
SUBSTANCE 
USE 
DISORDER 
SERVICES. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $30,000,000, to remain available until ex-
pended, to carry out the purpose described in subsection 
(b). 
(b) USE OF FUNDS.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Assistant Secretary for Mental Health 
and Substance Use and in consultation with the Di-
rector of the Centers for Disease Control and Pre-
vention, shall award grants to support States; local, 
Tribal, and territorial governments; Tribal organiza-
tions; nonprofit community-based organizations; and
152 
primary care and behavioral health organizations to 
support community-based overdose prevention pro-
grams, syringe services programs, and other harm 
reduction services, with respect to harms of drug 
misuse that are exacerbated by the COVID–19 pub-
lic health emergency. 
(2) USE
OF
GRANT
FUNDS.—Grant funds 
awarded under this section to eligible entities may 
be used for preventing and controlling the spread of 
infectious diseases and the consequences of such dis-
eases for individuals with substance use disorder, 
distributing opioid overdose reversal medication to 
individuals at risk of overdose, connecting individ-
uals at risk for, or with, a substance use disorder to 
overdose education, counseling, and health edu-
cation, and encouraging such individuals to take 
steps to reduce the negative personal and public 
health impacts of substance use or misuse. 
SEC. 3057. FUNDING FOR COMMUNITY-BASED FUNDING 
FOR LOCAL BEHAVIORAL HEALTH NEEDS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2021, out of any money in the Treasury not otherwise 
appropriated, $50,000,000, to remain available until ex-
153 
pended, to carry out the purpose described in subsection 
(b). 
(b) USE OF FUNDS.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Assistant Secretary for Mental Health 
and Substance Use, shall award grants to State, 
local, Tribal, and territorial governments, Tribal or-
ganizations, nonprofit community-based entities, and 
primary care and behavioral health organizations to 
address increased community behavioral health 
needs worsened by the COVID–19 public health 
emergency. 
(2) USE
OF
GRANT
FUNDS.—Grant funds 
awarded under this section to eligible entities may 
be used for promoting care coordination among local 
entities; training the mental and behavioral health 
workforce, relevant stakeholders, and community 
members; expanding evidence-based integrated mod-
els of care; addressing surge capacity for mental and 
behavioral health needs; providing mental and behav-
ioral health services to individuals with mental 
health needs (including co-occurring substance use 
disorders) as delivered by behavioral and mental 
health professionals utilizing telehealth services; and 
supporting, enhancing, or expanding mental and be-
154 
havioral health preventive and crisis intervention 
services. 
SEC. 3058. FUNDING FOR THE NATIONAL CHILD TRAU-
MATIC STRESS NETWORK. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$10,000,000, to remain available until expended, for car-
rying out section 582 of the Public Health Service Act 
(42 U.S.C. 290hh–1) with respect to addressing the prob-
lem of high-risk or medically underserved persons who ex-
perience violence-related stress. 
SEC. 3059. FUNDING FOR PROJECT AWARE. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$30,000,000, to remain available until expended, for car-
rying out section 520A of the Public Health Service Act 
(42 U.S.C. 290bb–32) with respect to advancing wellness 
and resiliency in education. 
SEC. 3059A. FUNDING FOR YOUTH SUICIDE PREVENTION. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$20,000,000, to remain available until expended, for car-
155 
rying out sections 520E and 520E–2 of the Public Health 
Service Act (42 U.S.C. 290bb–36, 290bb–36b). 
SEC. 3059B. FUNDING FOR BEHAVIORAL HEALTH WORK-
FORCE EDUCATION AND TRAINING. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2021, out of 
any money in the Treasury not otherwise appropriated, 
$100,000,000, to remain available until expended, for car-
rying out section 756 of the Public Health Service Act 
(42 U.S.C. 294e–1). 
CHAPTER 7—EXCHANGE GRANT 
PROGRAM 
SEC. 3061. ESTABLISHING A GRANT PROGRAM FOR EX-
CHANGE MODERNIZATION. 
(a) IN GENERAL.—Out of funds appropriated under 
subsection (b), the Secretary shall award grants to each 
American Health Benefits Exchange established under 
section 1311(b) of the Patient Protection and Affordable 
Care Act (42 U.S.C. 18031(b)) (other than an Exchange 
established by the Secretary under section 1321(c) of such 
Act (42 U.S.C. 18041(c))) that submits to the Secretary 
an application at such time and in such manner, and con-
taining such information, as specified by the Secretary, 
for purposes of enabling such Exchange to modernize or 
update any system, program, or technology utilized by
156 
such Exchange to ensure such Exchange is compliant with 
all applicable requirements. 
(b) FUNDING.—There is appropriated, out of any 
monies in the Treasury not otherwise obligated, 
$20,000,000, to remain available until expended, for car-
rying out this section. 
Subtitle B—Medicaid 
SEC. 3101. MANDATORY COVERAGE OF COVID–19 VACCINES 
AND 
ADMINISTRATION 
AND 
TREATMENT 
UNDER MEDICAID. 
(a) COVERAGE.— 
(1) IN GENERAL.—Section 1905(a)(4) of the 
Social Security Act (42 U.S.C. 1396d(a)(4)) is 
amended— 
(A) by striking ‘‘and (D)’’ and inserting 
‘‘(D)’’; and 
(B) by striking the semicolon at the end 
and inserting ‘‘; (E) during the period begin-
ning on the date of the enactment of the Amer-
ican Rescue Plan Act of 2021 and ending on 
the last day of the first calendar quarter that 
begins at least one year after the last day of the 
emergency 
period 
described 
in 
section 
1135(g)(1)(B), a COVID–19 vaccine and ad-
ministration of the vaccine; and (F) during the
157 
period beginning on the date of the enactment 
of the American Rescue Plan Act of 2021 and 
ending on the last day of the first calendar 
quarter that begins at least one year after the 
last day of the emergency period described in 
section 1135(g)(1)(B), testing and treatments 
for COVID-19, including specialized equipment 
and therapies (including preventive therapies), 
and, without regard to the requirements of sec-
tion 1902(a)(10)(B) (relating to comparability), 
in the case of an individual who is diagnosed 
with or presumed to have COVID–19, during 
the period such individual has (or is presumed 
to have) COVID–19, the treatment of a condi-
tion that may seriously complicate the treat-
ment of COVID–19, if otherwise covered under 
the State plan (or waiver of such plan);’’. 
(2) MAKING COVID–19 VACCINE AVAILABLE TO 
ADDITIONAL ELIGIBILITY GROUPS AND TREATMENT 
AVAILABLE
TO
CERTAIN
UNINSURED.—Section 
1902(a)(10) of such Act (42 U.S.C. 1396a(a)(10)) 
is amended in the matter following subparagraph 
(G)— 
(A) by striking ‘‘and to other conditions 
which may complicate pregnancy, (VIII)’’ and
158 
inserting ‘‘, medical assistance for services re-
lated to other conditions which may complicate 
pregnancy, and medical assistance for vaccines 
described in section 1905(a)(4)(E) and the ad-
ministration of such vaccines during the period 
described in such section, (VIII)’’; 
(B) by inserting ‘‘and medical assistance 
for vaccines described in section 1905(a)(4)(E) 
and the administration of such vaccines during 
the period described in such section’’ after ‘‘(de-
scribed in subsection (z)(2))’’; 
(C) by striking ‘‘cancer (XV)’’ and insert-
ing ‘‘cancer, (XV)’’; 
(D) by inserting ‘‘and medical assistance 
for vaccines described in section 1905(a)(4)(E) 
and the administration of such vaccines during 
the period described in such section’’ after ‘‘de-
scribed in subsection (k)(1)’’; 
(E) by inserting ‘‘and medical assistance 
for vaccines described in section 1905(a)(4)(E) 
and the administration of such vaccines during 
the period described in such section’’ after 
‘‘family planning setting’’; 
(F) by striking ‘‘and (XVIII)’’ and insert-
ing ‘‘(XVIII)’’;
159 
(G) by striking ‘‘and any visit described in 
section 1916(a)(2)(G) that is furnished during 
any such portion’’ and inserting ‘‘, any service 
described in section 1916(a)(2)(G) that is fur-
nished during any such portion, any vaccine de-
scribed in section 1905(a)(4)(E) (and the ad-
ministration of such vaccine) that is furnished 
during any such portion, and testing and treat-
ments for COVID-19, including specialized 
equipment and therapies (including preventive 
therapies), and, in the case of an individual who 
is diagnosed with or presumed to have COVID– 
19, during the period such individual has (or is 
presumed to have) COVID–19, the treatment of 
a condition that may seriously complicate the 
treatment of COVID–19, if otherwise covered 
under the State plan (or waiver of such plan)’’; 
and 
(H) by striking the semicolon at the end 
and inserting ‘‘, and (XIX) medical assistance 
shall be made available during the period de-
scribed in section 1905(a)(4)(E) for vaccines 
described in such section and the administra-
tion of such vaccines, for any individual who is 
eligible for and receiving medical assistance
160 
under the State plan or under a waiver of such 
plan (other than an individual who is eligible 
for medical assistance consisting only of pay-
ment of premiums pursuant to subparagraph 
(E) or (F) or section 1933), notwithstanding 
any provision of this title limiting such individ-
ual’s eligibility for medical assistance under 
such plan or waiver to coverage for a limited 
type of benefits and services that would not oth-
erwise include coverage of a COVID–19 vaccine 
and its administration;’’. 
(3) PROHIBITION OF COST SHARING.— 
(A) IN GENERAL.—Subsections (a)(2) and 
(b)(2) of section 1916 of the Social Security 
Act (42 U.S.C. 1396o) are each amended— 
(i) in subparagraph (F), by striking 
‘‘or’’ at the end; 
(ii) in subparagraph (G), by striking 
‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing subparagraphs: 
‘‘(H) during the period beginning on the 
date of the enactment of this subparagraph and 
ending on the last day of the first calendar 
quarter that begins at least one year after the
161 
last day of the emergency period described in 
section 1135(g)(1)(B), a COVID–19 vaccine 
and the administration of such vaccine (for any 
individual eligible for medical assistance for 
such vaccine (and administration)); or 
‘‘(I) during the period beginning on the 
date of the enactment of this subparagraph and 
ending on the last day of the first calendar 
quarter that begins at least one year after the 
last day of the emergency period described in 
section 1135(g)(1)(B), testing and treatments 
for COVID-19, including specialized equipment 
and therapies (including preventive therapies), 
and, in the case of an individual who is diag-
nosed with or presumed to have COVID–19, 
during the period during which such individual 
has (or is presumed to have) COVID–19, the 
treatment of a condition that may seriously 
complicate the treatment of COVID–19, if oth-
erwise covered under the State plan (or waiver 
of such plan); and’’. 
(B) APPLICATION TO ALTERNATIVE COST 
SHARING.—Section 1916A(b)(3)(B) of the So-
cial Security Act (42 U.S.C. 1396o–1(b)(3)(B)) 
is amended—
162 
(i) in clause (xi), by striking ‘‘any 
visit’’ and inserting ‘‘any service’’; and 
(ii) by adding at the end the following 
clauses: 
‘‘(xii) During the period beginning on 
the date of the enactment of this clause 
and ending on the last day of the first cal-
endar quarter that begins at least one year 
after the last day of the emergency period 
described in section 1135(g)(1)(B), a 
COVID–19 vaccine and the administration 
of such vaccine (for any individual eligible 
for medical assistance for such vaccine 
(and administration)). 
‘‘(xiii) During the period beginning on 
the date of the enactment of this clause 
and ending on the last day of the first cal-
endar quarter that begins at least one year 
after the last day of the emergency period 
described in section 1135(g)(1)(B), testing 
and treatments for COVID-19, including 
specialized equipment and therapies (in-
cluding preventive therapies), and, in the 
case of an individual who is diagnosed with 
or presumed to have COVID–19, during
163 
the period during which such individual 
has (or is presumed to have) COVID–19, 
the treatment of a condition that may seri-
ously complicate the treatment of COVID– 
19, if otherwise covered under the State 
plan (or waiver of such plan).’’. 
(4) INCLUSION
IN
THE
MEDICAID
DRUG
RE-
BATE PROGRAM OF COVERED OUTPATIENT DRUGS 
USED FOR COVID–19 TREATMENT.— 
(A) IN
GENERAL.—The requirements of 
section 1927 of the Social Security Act (42 
U.S.C. 1396r–8) shall apply to any drug or bio-
logical product to which subparagraph (F) of 
section 1905(a)(4) of such Act, as added by 
paragraph (1), applies or to which the sub-
clause (XVIII) in the matter following subpara-
graph (G) of section 1902(a)(10) of such Act, 
as added by paragraph (2), applies that is— 
(i) furnished as medical assistance in 
accordance with such subparagraph (F) or 
subclause 
(XVIII) 
and 
section 
1902(a)(10)(A) of such Act, as applicable, 
for the treatment, or prevention, of 
COVID-19, as described in such subpara-
graph or subclause, respectively; and
165 
‘‘(8) COVID–19 
VACCINES, 
TESTING, 
AND 
TREATMENT.—Notwithstanding the previous provi-
sions of this section, a State may not provide for 
medical assistance through enrollment of an indi-
vidual with benchmark coverage or benchmark-equiv-
alent coverage under this section unless, during the 
period beginning on the date of the enactment of the 
American Rescue Plan Act of 2021 and ending on 
the last day of the first calendar quarter that begins 
at least one year after the last day of the emergency 
period described in section 1135(g)(1)(B), such cov-
erage includes (and does not impose any deduction, 
cost sharing, or similar charge for)— 
‘‘(A) COVID–19 vaccines and administra-
tion of the vaccines; and 
‘‘(B) testing and treatments for COVID- 
19, including specialized equipment and thera-
pies (including preventive therapies), and, in 
the case of such an individual who is diagnosed 
with or presumed to have COVID–19, during 
the period such individual has (or is presumed 
to have) COVID–19, the treatment of a condi-
tion that may seriously complicate the treat-
ment of COVID–19, if otherwise covered under 
the State plan (or waiver of such plan).’’.
166 
(b) TEMPORARY INCREASE IN FEDERAL PAYMENTS 
FOR COVERAGE
AND ADMINISTRATION
OF COVID–19 
VACCINES.—Section 1905 of the Social Security Act (42 
U.S.C. 1396d) is amended— 
(1) in subsection (b), by striking ‘‘and (ff)’’ and 
inserting ‘‘(ff), and (hh)’’; 
(2) in subsection (ff), in the matter preceding 
paragraph (1), by inserting ‘‘, subject to subsection 
(hh)’’ after ‘‘or (z)(2)’’ and 
(3) by adding at the end the following new sub-
section: 
‘‘(hh) TEMPORARY INCREASED FMAP FOR MEDICAL 
ASSISTANCE FOR COVERAGE AND ADMINISTRATION OF 
COVID–19 VACCINES.— 
‘‘(1) IN GENERAL.—Notwithstanding any other 
provision of this title, during the period described in 
paragraph (2), the Federal medical assistance per-
centage for a State, with respect to amounts ex-
pended by the State for medical assistance for a vac-
cine described in subsection (a)(4)(E) (and the ad-
ministration of such a vaccine), shall be equal to 100 
percent. 
‘‘(2) PERIOD
DESCRIBED.—The period de-
scribed in this paragraph is the period that—
167 
‘‘(A) begins on the first day of the first 
quarter beginning after the date of the enact-
ment of this subsection; and 
‘‘(B) ends on the last day of the first quar-
ter that begins at least one year after the last 
day of the emergency period described in sec-
tion 1135(g)(1)(B). 
‘‘(3) EXCLUSION OF EXPENDITURES FROM TER-
RITORIAL CAPS.—Any payment made to a territory 
for expenditures for medical assistance under sub-
section (a)(4)(E) that are subject to the Federal 
medical assistance percentage specified under para-
graph (1) shall not be taken into account for pur-
poses of applying payment limits under subsections 
(f) and (g) of section 1108.’’. 
SEC. 3102. MODIFICATIONS TO CERTAIN COVERAGE UNDER 
MEDICAID 
FOR 
PREGNANT 
AND 
POSTPARTUM WOMEN. 
(a) STATE OPTION.—Section 1902(e) of the Social 
Security Act (42 U.S.C. 1396a(e)) is amended by adding 
at the end the following new paragraph: 
‘‘(16) EXTENDING
CERTAIN
COVERAGE
FOR 
PREGNANT AND POSTPARTUM WOMEN.— 
‘‘(A) IN GENERAL.—At the option of the 
State, the State plan (or waiver of such State
168 
plan) may provide, that an individual who, 
while pregnant, is eligible for and has received 
medical assistance under the State plan ap-
proved under this title (or a waiver of such 
plan) (including during a period of retroactive 
eligibility under subsection (a)(34)) shall, in ad-
dition to remaining eligible under paragraph (5) 
for all pregnancy-related and postpartum med-
ical assistance available under the State plan 
(or waiver) through the last day of the month 
in which the 60-day period (beginning on the 
last day of her pregnancy) ends, remain eligible 
under the State plan (or waiver) for medical as-
sistance for the period beginning on the first 
day occurring after the end of such 60-day pe-
riod and ending on the last day of the month 
in which the 12-month period (beginning on the 
last day of her pregnancy) ends. 
‘‘(B) FULL BENEFITS DURING PREGNANCY 
AND
THROUGHOUT
THE
12-MONTH 
POSTPARTUM PERIOD.—The medical assistance 
provided for a pregnant or postpartum indi-
vidual by a State making an election under this 
paragraph, without regard to the basis on which
169 
the individual is eligible for medical assistance 
under the State plan (or waiver), shall— 
‘‘(i) include all items and services cov-
ered under the State plan (or waiver) that 
are not less in amount, duration, or scope, 
or are determined by the Secretary to be 
substantially equivalent, to the medical as-
sistance available for an individual de-
scribed in subsection (a)(10)(A)(i); and 
‘‘(ii) be provided for the individual 
while pregnant and during the 12-month 
period that begins on the last day of the 
individual’s pregnancy and ends on the last 
day of the month in which such 12-month 
period ends. 
‘‘(C) COVERAGE
UNDER
CHIP.—A State 
making an election under this paragraph that 
covers under title XXI child health assistance 
for targeted low-income children who are preg-
nant or targeted low-income pregnant women, 
as applicable, shall also make the election under 
section 2107(e)(1)(J) of such title.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply with respect to State elections 
made under paragraph (16) of section 1902(e) of the So-