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13 Date Amendment #2 Submitted: January 8, 1999 Date Amendment #2 Approved: December 21, 1999 Date Amendment #2 Effective/Implemented: October 1, 1998

Date Amendment#3 Purpose: Expanded income eligibility for the Healthy Families Program by disregarding income between 200 to 250 percent of the FPL. Income eligibility for the Healthy Families Program is further expanded by applying Medi-Cal income deductions when determining eligibility for the Healthy Families Program. The Child Health and Disability Prevention (CHDP) provider-claiming period for services received prior to enrollment is also lengthened from 30 to 90 days. Date Amendment #3 Submitted: August 3, 1999 Date Amendment #3 Approved: November 23, 1999 Date Amendment #3 Effective/Implemented: July 22, 1999

Date Amendment#4 Purpose: Allowed a Family Contribution Sponsor to pay a specific child's HFP) premiums for the first year of enrollment. Date Amendment #4 Submitted: December 9, 1999 Date Amendment #4 Approved: March 6, 2000 Date Amendment #4 Effective/Implemented: March 1, 2000

Date Amendment#5 Purpose: Exempted cost sharing for American Indians (AI) and Alaskan Native (AN) children who meet the eligibility criteria for the Healthy Families Program (HFP) and provide acceptable documentation of their status as AI or AN children. Date Amendment #5 Submitted: April 17, 2000 Date Amendment #5 Approved: July 7, 2000 Date Amendment #5 Effective Date: October 6, 1999

Date Amendment#6 Purpose: Indicated the State’s partial compliance with the final SCHIP regulations. Date Amendment #6 Submitted: July 2, 2002 Date Amendment #6 Approved: September 19, 2002 Date Amendment #6 Effective Date: August 24, 2001 Date Amendment#7 Purpose: Expanded coverage levels to 300 percent of the FPL for children residing in selected counties (Alameda, San Francisco, San Mateo and Santa Clara) through the CCHIP). This amendment also expands coverage to children up to age 2 born to mothers enrolled in the AIM program with family incomes up to 300 percent of the FPL. Date Amendment #7 Submitted: April 1, 2003 Date Amendment #7 Approved: June 10, 2004 Date Amendment #7 Effective: January 1, 2003 – CCHIP Expanded Coverage levels; and July 1, 2004 – AIM Program