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PUBLIC LAW 103-66—AUG. 10, 1993 107 STAT. 633 the additional requirements imposed by the amendments made by subsections (a) and (b), the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins £Lfter the date of the enactment of this Act. For purposes of the preceding sentence, in the case of a State that has a 2- year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature. (3) Tne amendment made by subsection (aX2) shall apply to items and services fiimished on or afl;er October 1,1993. SEC. 13823. MEDICAL CHILD SUPPORT. (a) STATE PLAN REQUIREMENT.—Section 1902(a) (42 U.S.C. 1396a(a)) is amended— (1) by striking "and" at the end of paragraph (54); (2) in the paragraph (55) inserted by section 4602(a)(3) of OBRA-1990, by striking the period at the end and inserting a semicolon; (3) by redesignating the paragraph (55) inserted by section 4604(bX3) of OBRA-1990 as paragraph (56), by transferring and inserting it aft«r the paragraph (55) inserted by section 4602(aX3) of such Act, and by striking the period at the end and inserting a semicolon; (4) by placing paragraphs (57) and (58), inserted by section 4751(aXlXC) of (5BRA-1990, immediately after paragraph (56), as redesignated by paragraph (3); (5) in the paragraph (58) inserted by section 4751(aXl)(C) of OBRA-1990, by striking the period at the end and inserting a semicolon; (6) by redesignating the paragraph (58) inserted by section 4752(cXlXC) of OBRA-1990 as paragraph (59) and by transfer- ring and inserting it after the paragraph (58) inserted by section 4751(aXlXC) of such Act, and by striking the period at the end and inserting "; and"; and (7) by inserting aft;er paragraph (59) the following new paragraph: "(60) provide that the State agency shall provide assurances satisfactory to the Secretary that the Stete has in effect the laws relatmg to medical child support required under section 1908.". (b) MEDICAL CHILD SUPPORT LAWS.—Title XIX (42 U.S.C 1936 et seq.) is amended by inserting after section 1907 the following new section: "REQUIRED LAWS RELATING TO MEDICAL CHILD SUPPORT "SEC. 1908. (a) IN GENERAL.—The laws relating to medical 42usci396g. child support, which a State is required to have in effect under section 1902(aX60), are as follows: "(1) A law that prohibits an insurer from denying enroll- ment of a child under tiie health coverage of the cmld's parent on the groimd that— "(A) the child was bom out of wedlock, "(B) the child is not claimed as a dependent on the parent's Federal income tax return, or