us/statute/42/1396a/l/3

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us/statute/42/1396a/l/3 · Axiom

Notwithstanding subsection (a)(17), for individuals who are eligible for medical assistance because of subsection (a)(10)(A)(i)(IV), (a)(10)(A)(i)(VI), (a)(10) (A)(i)(VII), or (a)(10)(A)(ii)(IX)—

(A) application of a resource standard shall be at the option of the State;

(B) any resource standard or methodology that is applied with respect to an individual described in subparagraph (A) of paragraph (1) may not be more restrictive than the resource standard or methodology that is applied under subchapter XVI;

(C) any resource standard or methodology that is applied with respect to an individual described in subparagraph (B), (C), or (D) of paragraph (1) may not be more restrictive than the corresponding methodology that is applied under the State plan under part A of subchapter IV;

(D) the income standard to be applied is the appropriate income standard established under paragraph (2); and

(E) family income shall be determined in accordance with the methodology employed under the State plan under part A or E of subchapter IV (except to the extent such methodology is inconsistent with clause (D) of subsection (a)(17)), and costs incurred for medical care or for any other type of remedial care shall not be taken into account.

Any different treatment provided under this paragraph for such individuals shall not, because of subsection (a)(17), require or permit such treatment for other individuals.

in view

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statutes/42/1396a/l.yaml

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Rules

pregnancy_postpartum_period_days

Parameter

source: 42 USC 1396a(l)(1)(A)

- name: pregnancy_postpartum_period_days
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(A)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: during the 60-day period beginning on the last day of the pregnancy
  versions:
    - effective_from: '1974-01-01'
      formula: '60'

infant_age_ceiling_years

Parameter

source: 42 USC 1396a(l)(1)(B)

- name: infant_age_ceiling_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(B)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: infants under one year of age
  versions:
    - effective_from: '1974-01-01'
      formula: '1'

young_child_attainment_age_years

Parameter

source: 42 USC 1396a(l)(1)(C)

- name: young_child_attainment_age_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(C)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: children who have attained one year of age
  versions:
    - effective_from: '1974-01-01'
      formula: '1'

young_child_age_ceiling_years

Parameter

source: 42 USC 1396a(l)(1)(C)

- name: young_child_age_ceiling_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(C)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: but have not attained 6 years of age
  versions:
    - effective_from: '1974-01-01'
      formula: '6'

older_child_attainment_age_years

Parameter

source: 42 USC 1396a(l)(1)(D)

- name: older_child_attainment_age_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(D)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: have attained 6 years of age
  versions:
    - effective_from: '1974-01-01'
      formula: '6'

older_child_age_ceiling_years

Parameter

source: 42 USC 1396a(l)(1)(D)

- name: older_child_age_ceiling_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(D)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: but have not attained 19 years of age
  versions:
    - effective_from: '1974-01-01'
      formula: '19'

pregnant_woman_or_infant_income_level_maximum_rate

Parameter

source: 42 USC 1396a(l)(2)(A)(i)

- name: pregnant_woman_or_infant_income_level_maximum_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(i)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: not more than 185 percent
  versions:
    - effective_from: '1974-01-01'
      formula: '1.85'

pregnant_woman_or_infant_minimum_rate_after_july_1989

Parameter

source: 42 USC 1396a(l)(2)(A)(ii)(I)

- name: pregnant_woman_or_infant_minimum_rate_after_july_1989
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(ii)(I)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: July 1, 1989, is 75 percent
  versions:
    - effective_from: '1989-07-01'
      formula: '0.75'

pregnant_woman_or_infant_minimum_rate_after_april_1990

Parameter

source: 42 USC 1396a(l)(2)(A)(ii)(II)

- name: pregnant_woman_or_infant_minimum_rate_after_april_1990
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(ii)(II)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: April 1, 1990, 133 percent
  versions:
    - effective_from: '1990-04-01'
      formula: '1.33'

july_1988_state_floor_cap_rate

Parameter

source: 42 USC 1396a(l)(2)(A)(iii)

- name: july_1988_state_floor_cap_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(iii)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: in no case shall this clause require ... to exceed 100 percent
  versions:
    - effective_from: '1989-07-01'
      formula: '1.00'

child_age_one_to_five_income_level_rate

Parameter

source: 42 USC 1396a(l)(2)(B)

- name: child_age_one_to_five_income_level_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(B)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: equal to 133 percent
  versions:
    - effective_from: '1974-01-01'
      formula: '1.33'

older_child_income_level_rate

Parameter

source: 42 USC 1396a(l)(2)(C)

- name: older_child_income_level_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(C)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: equal to 100 percent (or, beginning January 1, 2014, 133 percent)
  versions:
    - effective_from: '1974-01-01'
      formula: '1.00'
    - effective_from: '2014-01-01'
      formula: '1.33'

resource_standard_application_state_option_applies

Derived

source: 42 USC 1396a(l)(3)(A)

- name: resource_standard_application_state_option_applies
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 USC 1396a(l)(3)(A)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/statute/42/1396a/l
  versions:
    - effective_from: '1974-01-01'
      formula: |-
        eligible_for_medical_assistance_because_of_specified_subsection
        and state_has_chosen_to_apply_resource_standard

waiver_state_must_provide_assistance_as_if_plan_approved

Derived

source: 42 USC 1396a(l)(4)(A)

- name: waiver_state_must_provide_assistance_as_if_plan_approved
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 USC 1396a(l)(4)(A)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/statute/42/1396a/l
  versions:
    - effective_from: '1974-01-01'
      formula: >-
        state_provides_medical_assistance_under_section_1315_waiver

        and
        person_is_pregnant_woman_or_infant_under_subsection_a_10_A_i_IV_or_child_under_subsection_a_10_A_i_VI_or_VII

non_state_may_substitute_any_percentage_for_paragraph_two_a_minimum

Derived

source: 42 USC 1396a(l)(4)(B)

- name: non_state_may_substitute_any_percentage_for_paragraph_two_a_minimum
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 USC 1396a(l)(4)(B)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/statute/42/1396a/l
  versions:
    - effective_from: '1974-01-01'
      formula: state_is_not_one_of_the_50_states_or_district_of_columbia

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Official source

Notwithstanding subsection (a)(17), for individuals who are eligible for medical assistance because of subsection (a)(10)(A)(i)(IV), (a)(10)(A)(i)(VI), (a)(10) (A)(i)(VII), or (a)(10)(A)(ii)(IX)—

(A) application of a resource standard shall be at the option of the State;

(D) the income standard to be applied is the appropriate income standard established under paragraph (2); and

Any different treatment provided under this paragraph for such individuals shall not, because of subsection (a)(17), require or permit such treatment for other individuals.

in view

Whole section

▸rulespec code

Shown source

statutes/42/1396a/l.yaml

Displaying the canonical repository encoding.

This encoding covers the parent provision us/statute/42/1396a/l; no dedicated encoding exists for this exact provision yet.

View on GitHub

Rules

pregnancy_postpartum_period_days

Parameter

source: 42 USC 1396a(l)(1)(A)

- name: pregnancy_postpartum_period_days
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(A)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: during the 60-day period beginning on the last day of the pregnancy
  versions:
    - effective_from: '1974-01-01'
      formula: '60'

infant_age_ceiling_years

Parameter

source: 42 USC 1396a(l)(1)(B)

- name: infant_age_ceiling_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(B)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: infants under one year of age
  versions:
    - effective_from: '1974-01-01'
      formula: '1'

young_child_attainment_age_years

Parameter

source: 42 USC 1396a(l)(1)(C)

- name: young_child_attainment_age_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(C)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: children who have attained one year of age
  versions:
    - effective_from: '1974-01-01'
      formula: '1'

young_child_age_ceiling_years

Parameter

source: 42 USC 1396a(l)(1)(C)

- name: young_child_age_ceiling_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(C)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: but have not attained 6 years of age
  versions:
    - effective_from: '1974-01-01'
      formula: '6'

older_child_attainment_age_years

Parameter

source: 42 USC 1396a(l)(1)(D)

- name: older_child_attainment_age_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(D)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: have attained 6 years of age
  versions:
    - effective_from: '1974-01-01'
      formula: '6'

older_child_age_ceiling_years

Parameter

source: 42 USC 1396a(l)(1)(D)

- name: older_child_age_ceiling_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(D)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: but have not attained 19 years of age
  versions:
    - effective_from: '1974-01-01'
      formula: '19'

pregnant_woman_or_infant_income_level_maximum_rate

Parameter

source: 42 USC 1396a(l)(2)(A)(i)

- name: pregnant_woman_or_infant_income_level_maximum_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(i)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: not more than 185 percent
  versions:
    - effective_from: '1974-01-01'
      formula: '1.85'

pregnant_woman_or_infant_minimum_rate_after_july_1989

Parameter

source: 42 USC 1396a(l)(2)(A)(ii)(I)

- name: pregnant_woman_or_infant_minimum_rate_after_july_1989
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(ii)(I)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: July 1, 1989, is 75 percent
  versions:
    - effective_from: '1989-07-01'
      formula: '0.75'

pregnant_woman_or_infant_minimum_rate_after_april_1990

Parameter

source: 42 USC 1396a(l)(2)(A)(ii)(II)

- name: pregnant_woman_or_infant_minimum_rate_after_april_1990
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(ii)(II)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: April 1, 1990, 133 percent
  versions:
    - effective_from: '1990-04-01'
      formula: '1.33'

july_1988_state_floor_cap_rate

Parameter

source: 42 USC 1396a(l)(2)(A)(iii)

- name: july_1988_state_floor_cap_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(iii)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: in no case shall this clause require ... to exceed 100 percent
  versions:
    - effective_from: '1989-07-01'
      formula: '1.00'

child_age_one_to_five_income_level_rate

Parameter

source: 42 USC 1396a(l)(2)(B)

- name: child_age_one_to_five_income_level_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(B)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: equal to 133 percent
  versions:
    - effective_from: '1974-01-01'
      formula: '1.33'

older_child_income_level_rate

Parameter

source: 42 USC 1396a(l)(2)(C)

- name: older_child_income_level_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(C)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: equal to 100 percent (or, beginning January 1, 2014, 133 percent)
  versions:
    - effective_from: '1974-01-01'
      formula: '1.00'
    - effective_from: '2014-01-01'
      formula: '1.33'

resource_standard_application_state_option_applies

Derived

source: 42 USC 1396a(l)(3)(A)

- name: resource_standard_application_state_option_applies
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 USC 1396a(l)(3)(A)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/statute/42/1396a/l
  versions:
    - effective_from: '1974-01-01'
      formula: |-
        eligible_for_medical_assistance_because_of_specified_subsection
        and state_has_chosen_to_apply_resource_standard

waiver_state_must_provide_assistance_as_if_plan_approved

Derived

source: 42 USC 1396a(l)(4)(A)

- name: waiver_state_must_provide_assistance_as_if_plan_approved
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 USC 1396a(l)(4)(A)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/statute/42/1396a/l
  versions:
    - effective_from: '1974-01-01'
      formula: >-
        state_provides_medical_assistance_under_section_1315_waiver

        and
        person_is_pregnant_woman_or_infant_under_subsection_a_10_A_i_IV_or_child_under_subsection_a_10_A_i_VI_or_VII

non_state_may_substitute_any_percentage_for_paragraph_two_a_minimum

Derived

source: 42 USC 1396a(l)(4)(B)

- name: non_state_may_substitute_any_percentage_for_paragraph_two_a_minimum
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 USC 1396a(l)(4)(B)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/statute/42/1396a/l
  versions:
    - effective_from: '1974-01-01'
      formula: state_is_not_one_of_the_50_states_or_district_of_columbia