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us/regulation/42/435/118 — Infants and children under age 19 · Axiom

Infants and children under age 19

17 rules2 of 5 subsections

Official source

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(a)Basis. This section implements sections…#

(a) Basis. This section implements sections 1902(a)(10)(A)(i)(III), (IV), (VI), and (VII); 1902(a)(10)(A)(ii)(IV) and (IX); and 1931(b) and (d) of the Act.

(b)Scope. The agency must provide Medicaid to children…∀ 3#

(b) Scope. The agency must provide Medicaid to children under age 19 whose household income is at or below the income standard established by the agency in its State plan, in accordance with paragraph (c) of this section.

(c)Income standard.∀ 14

in view

Whole section

Encodings · 17

child_maximum_age_exclusive42 CFR § 435.118 (b) · parameter

42 CFR 435.118(b)

name: child_maximum_age_exclusive
kind: parameter
dtype: Integer
source: 42 CFR 435.118(b)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: children under age 19
versions:
  - effective_from: '2014-01-01'
    formula: '19'

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infant_maximum_age_exclusive42 CFR § 435.118 (c) · parameter

42 CFR 435.118(c)(1)(ii), (c)(2)

name: infant_maximum_age_exclusive
kind: parameter
dtype: Integer
source: 42 CFR 435.118(c)(1)(ii), (c)(2)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: infants under age 1
versions:
  - effective_from: '2014-01-01'
    formula: '1'

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young_child_age_group_minimum_age42 CFR § 435.118 (c) · parameter

42 CFR 435.118(c)(2)

name: young_child_age_group_minimum_age
kind: parameter
dtype: Integer
source: 42 CFR 435.118(c)(2)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: children age 1 through age 5
versions:
  - effective_from: '2014-01-01'
    formula: '1'

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young_child_age_group_maximum_age_inclusive42 CFR § 435.118 (c) · parameter

42 CFR 435.118(c)(2)

name: young_child_age_group_maximum_age_inclusive
kind: parameter
dtype: Integer
source: 42 CFR 435.118(c)(2)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: children age 1 through age 5
versions:
  - effective_from: '2014-01-01'
    formula: '5'

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older_child_age_group_minimum_age42 CFR § 435.118 (c) · parameter

42 CFR 435.118(c)(2)

name: older_child_age_group_minimum_age
kind: parameter
dtype: Integer
source: 42 CFR 435.118(c)(2)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: children age 6 through age 18
versions:
  - effective_from: '2014-01-01'
    formula: '6'

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older_child_age_group_maximum_age_inclusive42 CFR § 435.118 (c) · parameter

42 CFR 435.118(c)(2)

name: older_child_age_group_maximum_age_inclusive
kind: parameter
dtype: Integer
source: 42 CFR 435.118(c)(2)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: children age 6 through age 18
versions:
  - effective_from: '2014-01-01'
    formula: '18'

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child_minimum_income_standard_floor_fpl_ratio42 CFR § 435.118 (c) · parameter

42 CFR 435.118(c)(1)(i)

name: child_minimum_income_standard_floor_fpl_ratio
kind: parameter
dtype: Rate
source: 42 CFR 435.118(c)(1)(i)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: 133 percent FPL for the applicable family size
versions:
  - effective_from: '2014-01-01'
    formula: '1.33'

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child_maximum_income_standard_floor_fpl_ratio42 CFR § 435.118 (c) · parameter

42 CFR 435.118(c)(2)(i)

name: child_maximum_income_standard_floor_fpl_ratio
kind: parameter
dtype: Rate
source: 42 CFR 435.118(c)(2)(i)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: 133 percent FPL
versions:
  - effective_from: '2014-01-01'
    formula: '1.33'

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infant_minimum_income_standard_ceiling_fpl_ratio42 CFR § 435.118 (c) · parameter

42 CFR 435.118(c)(1)(ii)

name: infant_minimum_income_standard_ceiling_fpl_ratio
kind: parameter
dtype: Rate
source: 42 CFR 435.118(c)(1)(ii)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: such higher income standard up to 185 percent FPL
versions:
  - effective_from: '2014-01-01'
    formula: '1.85'

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infant_maximum_income_standard_floor_fpl_ratio42 CFR § 435.118 (c) · parameter

42 CFR 435.118(c)(2)(iii)

name: infant_maximum_income_standard_floor_fpl_ratio
kind: parameter
dtype: Rate
source: 42 CFR 435.118(c)(2)(iii)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: For infants under age 1, 185 percent FPL
versions:
  - effective_from: '2014-01-01'
    formula: '1.85'

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child_under_age_1942 CFR § 435.118 (b) · derived

42 CFR 435.118(b)

name: child_under_age_19
kind: derived
entity: Person
dtype: Judgment
period: Year
source: 42 CFR 435.118(b)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: children under age 19
versions:
  - effective_from: '2014-01-01'
    formula: person_age < child_maximum_age_exclusive

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child_is_infant42 CFR § 435.118 (c) · derived

42 CFR 435.118(c)(1)(ii), (c)(2)(iii)

name: child_is_infant
kind: derived
entity: Person
dtype: Judgment
period: Year
source: 42 CFR 435.118(c)(1)(ii), (c)(2)(iii)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: infants under age 1
versions:
  - effective_from: '2014-01-01'
    formula: person_age < infant_maximum_age_exclusive

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child_is_in_young_child_age_group42 CFR § 435.118 (c) · derived

42 CFR 435.118(c)(2)

name: child_is_in_young_child_age_group
kind: derived
entity: Person
dtype: Judgment
period: Year
source: 42 CFR 435.118(c)(2)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: children age 1 through age 5
versions:
  - effective_from: '2014-01-01'
    formula: |-
      person_age >= young_child_age_group_minimum_age
      and person_age <= young_child_age_group_maximum_age_inclusive

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child_is_in_older_child_age_group42 CFR § 435.118 (c) · derived

42 CFR 435.118(c)(2)

name: child_is_in_older_child_age_group
kind: derived
entity: Person
dtype: Judgment
period: Year
source: 42 CFR 435.118(c)(2)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: children age 6 through age 18
versions:
  - effective_from: '2014-01-01'
    formula: |-
      person_age >= older_child_age_group_minimum_age
      and person_age <= older_child_age_group_maximum_age_inclusive

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minimum_income_standard_fpl_ratio42 CFR § 435.118 (c) · derived

42 CFR 435.118(c)(1)

name: minimum_income_standard_fpl_ratio
kind: derived
entity: Person
dtype: Rate
period: Year
source: 42 CFR 435.118(c)(1)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: formula
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: The minimum income standard is the higher of
versions:
  - effective_from: '2014-01-01'
    formula: >-
      if child_is_infant and
      state_had_authorizing_legislation_for_higher_infant_income_standard:
      max(child_minimum_income_standard_floor_fpl_ratio,
      min(state_plan_authorized_infant_income_standard_fpl_ratio,
      infant_minimum_income_standard_ceiling_fpl_ratio)) else:
      child_minimum_income_standard_floor_fpl_ratio

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maximum_income_standard_fpl_ratio42 CFR § 435.118 (c) · derived

42 CFR 435.118(c)(2)

name: maximum_income_standard_fpl_ratio
kind: derived
entity: Person
dtype: Rate
period: Year
source: 42 CFR 435.118(c)(2)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: formula
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: The maximum income standard for each of the age groups
versions:
  - effective_from: '2014-01-01'
    formula: >-
      if child_is_infant: max(infant_maximum_income_standard_floor_fpl_ratio,
      state_plan_age_group_grandfathered_income_standard_fpl_ratio) else:
      max(child_maximum_income_standard_floor_fpl_ratio,
      state_plan_age_group_grandfathered_income_standard_fpl_ratio)

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infants_and_children_eligible42 CFR § 435.118 (b) · derived

42 CFR 435.118(b)

name: infants_and_children_eligible
kind: derived
entity: Person
dtype: Judgment
period: Year
source: 42 CFR 435.118(b)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us/regulation/42/435/118
          excerpt: >-
            The agency must provide Medicaid to children under age 19 whose
            household income is at or below the income standard established by
            the agency in its State plan
versions:
  - effective_from: '2014-01-01'
    formula: >-
      child_under_age_19

      and (household_income_as_fraction_of_fpl <=
      state_plan_child_income_standard_fpl_ratio)

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▸rulespec code

Shown source

regulations/42-cfr/435/118.yaml

Displaying the canonical repository encoding.

Rules

child_maximum_age_exclusive

Parameter(b) in text ↖

source: 42 CFR 435.118(b)

- name: child_maximum_age_exclusive
  kind: parameter
  dtype: Integer
  source: 42 CFR 435.118(b)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: children under age 19
  versions:
    - effective_from: '2014-01-01'
      formula: '19'

infant_maximum_age_exclusive

Parameter(c) in text ↖

source: 42 CFR 435.118(c)(1)(ii), (c)(2)

- name: infant_maximum_age_exclusive
  kind: parameter
  dtype: Integer
  source: 42 CFR 435.118(c)(1)(ii), (c)(2)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: infants under age 1
  versions:
    - effective_from: '2014-01-01'
      formula: '1'

young_child_age_group_minimum_age

Parameter(c) in text ↖

source: 42 CFR 435.118(c)(2)

- name: young_child_age_group_minimum_age
  kind: parameter
  dtype: Integer
  source: 42 CFR 435.118(c)(2)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: children age 1 through age 5
  versions:
    - effective_from: '2014-01-01'
      formula: '1'

young_child_age_group_maximum_age_inclusive

Parameter(c) in text ↖

source: 42 CFR 435.118(c)(2)

- name: young_child_age_group_maximum_age_inclusive
  kind: parameter
  dtype: Integer
  source: 42 CFR 435.118(c)(2)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: children age 1 through age 5
  versions:
    - effective_from: '2014-01-01'
      formula: '5'

older_child_age_group_minimum_age

Parameter(c) in text ↖

source: 42 CFR 435.118(c)(2)

- name: older_child_age_group_minimum_age
  kind: parameter
  dtype: Integer
  source: 42 CFR 435.118(c)(2)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: children age 6 through age 18
  versions:
    - effective_from: '2014-01-01'
      formula: '6'

older_child_age_group_maximum_age_inclusive

Parameter(c) in text ↖

source: 42 CFR 435.118(c)(2)

- name: older_child_age_group_maximum_age_inclusive
  kind: parameter
  dtype: Integer
  source: 42 CFR 435.118(c)(2)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: children age 6 through age 18
  versions:
    - effective_from: '2014-01-01'
      formula: '18'

child_minimum_income_standard_floor_fpl_ratio

Parameter(c) in text ↖

source: 42 CFR 435.118(c)(1)(i)

- name: child_minimum_income_standard_floor_fpl_ratio
  kind: parameter
  dtype: Rate
  source: 42 CFR 435.118(c)(1)(i)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: 133 percent FPL for the applicable family size
  versions:
    - effective_from: '2014-01-01'
      formula: '1.33'

child_maximum_income_standard_floor_fpl_ratio

Parameter(c) in text ↖

source: 42 CFR 435.118(c)(2)(i)

- name: child_maximum_income_standard_floor_fpl_ratio
  kind: parameter
  dtype: Rate
  source: 42 CFR 435.118(c)(2)(i)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: 133 percent FPL
  versions:
    - effective_from: '2014-01-01'
      formula: '1.33'

infant_minimum_income_standard_ceiling_fpl_ratio

Parameter(c) in text ↖

source: 42 CFR 435.118(c)(1)(ii)

- name: infant_minimum_income_standard_ceiling_fpl_ratio
  kind: parameter
  dtype: Rate
  source: 42 CFR 435.118(c)(1)(ii)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: such higher income standard up to 185 percent FPL
  versions:
    - effective_from: '2014-01-01'
      formula: '1.85'

infant_maximum_income_standard_floor_fpl_ratio

Parameter(c) in text ↖

source: 42 CFR 435.118(c)(2)(iii)

- name: infant_maximum_income_standard_floor_fpl_ratio
  kind: parameter
  dtype: Rate
  source: 42 CFR 435.118(c)(2)(iii)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: For infants under age 1, 185 percent FPL
  versions:
    - effective_from: '2014-01-01'
      formula: '1.85'

child_under_age_19

Derived(b) in text ↖

source: 42 CFR 435.118(b)

- name: child_under_age_19
  kind: derived
  entity: Person
  dtype: Judgment
  period: Year
  source: 42 CFR 435.118(b)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: children under age 19
  versions:
    - effective_from: '2014-01-01'
      formula: person_age < child_maximum_age_exclusive

child_is_infant

Derived(c) in text ↖

source: 42 CFR 435.118(c)(1)(ii), (c)(2)(iii)

- name: child_is_infant
  kind: derived
  entity: Person
  dtype: Judgment
  period: Year
  source: 42 CFR 435.118(c)(1)(ii), (c)(2)(iii)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: infants under age 1
  versions:
    - effective_from: '2014-01-01'
      formula: person_age < infant_maximum_age_exclusive

child_is_in_young_child_age_group

Derived(c) in text ↖

source: 42 CFR 435.118(c)(2)

- name: child_is_in_young_child_age_group
  kind: derived
  entity: Person
  dtype: Judgment
  period: Year
  source: 42 CFR 435.118(c)(2)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: children age 1 through age 5
  versions:
    - effective_from: '2014-01-01'
      formula: |-
        person_age >= young_child_age_group_minimum_age
        and person_age <= young_child_age_group_maximum_age_inclusive

child_is_in_older_child_age_group

Derived(c) in text ↖

source: 42 CFR 435.118(c)(2)

- name: child_is_in_older_child_age_group
  kind: derived
  entity: Person
  dtype: Judgment
  period: Year
  source: 42 CFR 435.118(c)(2)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: children age 6 through age 18
  versions:
    - effective_from: '2014-01-01'
      formula: |-
        person_age >= older_child_age_group_minimum_age
        and person_age <= older_child_age_group_maximum_age_inclusive

minimum_income_standard_fpl_ratio

Derived(c) in text ↖

source: 42 CFR 435.118(c)(1)

- name: minimum_income_standard_fpl_ratio
  kind: derived
  entity: Person
  dtype: Rate
  period: Year
  source: 42 CFR 435.118(c)(1)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: The minimum income standard is the higher of
  versions:
    - effective_from: '2014-01-01'
      formula: >-
        if child_is_infant and state_had_authorizing_legislation_for_higher_infant_income_standard:
        max(child_minimum_income_standard_floor_fpl_ratio,
        min(state_plan_authorized_infant_income_standard_fpl_ratio,
        infant_minimum_income_standard_ceiling_fpl_ratio)) else:
        child_minimum_income_standard_floor_fpl_ratio

maximum_income_standard_fpl_ratio

Derived(c) in text ↖

source: 42 CFR 435.118(c)(2)

- name: maximum_income_standard_fpl_ratio
  kind: derived
  entity: Person
  dtype: Rate
  period: Year
  source: 42 CFR 435.118(c)(2)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: The maximum income standard for each of the age groups
  versions:
    - effective_from: '2014-01-01'
      formula: >-
        if child_is_infant: max(infant_maximum_income_standard_floor_fpl_ratio,
        state_plan_age_group_grandfathered_income_standard_fpl_ratio) else:
        max(child_maximum_income_standard_floor_fpl_ratio,
        state_plan_age_group_grandfathered_income_standard_fpl_ratio)

infants_and_children_eligible

Derived(b) in text ↖

source: 42 CFR 435.118(b)

- name: infants_and_children_eligible
  kind: derived
  entity: Person
  dtype: Judgment
  period: Year
  source: 42 CFR 435.118(b)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us/regulation/42/435/118
            excerpt: >-
              The agency must provide Medicaid to children under age 19 whose household income is at
              or below the income standard established by the agency in its State plan
  versions:
    - effective_from: '2014-01-01'
      formula: |-
        child_under_age_19
        and (household_income_as_fraction_of_fpl <= state_plan_child_income_standard_fpl_ratio)