Specified individual defined
For purposes of this subsection, the term “specified individual” means an individual who has a family income (as determined in accordance with section 1396a(e)(14) of this title ) that exceeds the poverty line (as defined in section 1397jj(c)(5) of this title ) applicable to a family of the size involved and—
(A)#
is enrolled under section 1396a(a)(10)(A)(i)(VIII) of this title ; or
(B)#
is described in such subsection and otherwise enrolled under a waiver of the State plan that provides coverage that is equivalent to minimum essential coverage (as described in section 5000A(f)(1)(A) of the Internal Revenue Code of 1986 and determined in accordance with standards prescribed by the Secretary in regulations) to all individuals described in section 1396a(a)(10)(A)(i)(VIII) of this title .