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139 STAT. 311 PUBLIC LAW 119–21—JULY 4, 2025 the requirement to demonstrate community engagement under paragraph (1). ‘‘(8) OUTREACH.— ‘‘(A) IN GENERAL.—In accordance with standards speci- fied by the Secretary, beginning not later than the date that precedes December 31, 2026 (or, if the State elects under paragraph (1) to specify an earlier date, such earlier date) by the number of months specified by the State under paragraph (1)(A) plus 3 months, and periodically thereafter, the State shall notify applicable individuals enrolled under a State plan (or waiver) under this title of the requirement to demonstrate community engagement under this subsection. Such notice shall include information on— ‘‘(i) how to comply with such requirement, including an explanation of the exceptions to such requirement under paragraph (3) and the definition of the term ‘applicable individual’ under paragraph (9)(A); ‘‘(ii) the consequences of noncompliance with such requirement; and ‘‘(iii) how to report to the State any change in the individual’s status that could result in— ‘‘(I) the applicability of an exception under paragraph (3) (or the end of the applicability of such an exception); or ‘‘(II) the individual qualifying as a specified excluded individual under paragraph (9)(A)(ii). ‘‘(B) FORM OF OUTREACH NOTICE.—A notice required under subparagraph (A) shall be delivered— ‘‘(i) by regular mail (or, if elected by the individual, in an electronic format); and ‘‘(ii) in 1 or more additional forms, which may include telephone, text message, an internet website, other commonly available electronic means, and such other forms as the Secretary determines appropriate. ‘‘(9) DEFINITIONS.—In this subsection: ‘‘(A) APPLICABLE INDIVIDUAL.— ‘‘(i) IN GENERAL.—The term ‘applicable individual’ means an individual (other than a specified excluded individual (as defined in clause (ii)))— ‘‘(I) who is eligible to enroll (or is enrolled) under the State plan under subsection (a)(10)(A)(i)(VIII); or ‘‘(II) who— ‘‘(aa) is otherwise eligible to enroll (or is enrolled) under a waiver of such plan that provides coverage that is equivalent to min- imum essential coverage (as described in sec- tion 5000A(f)(1)(A) of the Internal Revenue Code of 1986 and as determined in accordance with standards prescribed by the Secretary in regulations); and ‘‘(bb) has attained the age of 19 and is under 65 years of age, is not pregnant, is not entitled to, or enrolled for, benefits under part A of title XVIII, or enrolled for benefits Mail. Electronic formats. Effective date. Notification.