Additional definitions
5 rules3 of 9 subsections
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For purposes of this subchapter:
(1) Child
The term “creditable health coverage” has the meaning given the term “creditable coverage” under section 2701(c) 2 2 See References in Text note below. of the Public Health Service Act ( 42 U.S.C. 300gg(c) ) and includes coverage that meets the requirements of section 1397cc of this title provided to a targeted low-income child under this subchapter or under a waiver approved under section 1397ee(c)(2)(B) of this title (relating to a direct service waiver).
The terms “group health plan”, “group health insurance coverage”, and “health insurance coverage” have the meanings given such terms in section 300gg–91 of this title .
The term “low-income child” means a child whose family income is at or below 200 percent of the poverty line for a family of the size involved.
The term “poverty line” has the meaning given such term in section 9902(2) of this title , including any revision required by such section.
The term “preexisting condition exclusion” has the meaning given such term in section 2701(b)(1)(A) 2 of the Public Health Service Act ( 42 U.S.C. 300gg(b)(1)(A) ).
Unless the context otherwise requires, the terms “State child health plan” and “plan” mean a State child health plan approved under section 1397ff of this title .
The term “uncovered child” means a child that does not have creditable health coverage.
(A) In general The term “school-based health center” means a health clinic that— (i) is located in or near a school facility of a school district or board or of an Indian tribe or tribal organization; (ii) is organized through school, community, and health provider relationships; (iii) is administered by a sponsoring facility; (iv) provides through health professionals primary health services to children in accordance with State and local law, including laws relating to licensure and certification; and (v) satisfies such other requirements as a State may establish for the operation of such a clinic.
(B) Sponsoring facility For purposes of subparagraph (A)(iii), the term “sponsoring facility” includes any of the following: (i) A hospital. (ii) A public health department. (iii) A community health center. (iv) A nonprofit health care agency. (v) A local educational agency (as defined under section 7801 of title 20 . 1 (vi) A program administered by the Indian Health Service or the Bureau of Indian Affairs or operated by an Indian tribe or a tribal organization.