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139 STAT. 312 PUBLIC LAW 119–21—JULY 4, 2025 under part B of title XVIII, and is not other- wise eligible to enroll under such plan. ‘‘(ii) SPECIFIED EXCLUDED INDIVIDUAL.—For pur- poses of clause (i), the term ‘specified excluded indi- vidual’ means an individual, as determined by the State (in accordance with standards specified by the Secretary)— ‘‘(I) who is described in subsection (a)(10)(A)(i)(IX); ‘‘(II) who— ‘‘(aa) is an Indian or an Urban Indian (as such terms are defined in paragraphs (13) and (28) of section 4 of the Indian Health Care Improvement Act); ‘‘(bb) is a California Indian described in section 809(a) of such Act; or ‘‘(cc) has otherwise been determined eligible as an Indian for the Indian Health Service under regulations promulgated by the Secretary; ‘‘(III) who is the parent, guardian, caretaker relative, or family caregiver (as defined in section 2 of the RAISE Family Caregivers Act) of a dependent child 13 years of age and under or a disabled individual; ‘‘(IV) who is a veteran with a disability rated as total under section 1155 of title 38, United States Code; ‘‘(V) who is medically frail or otherwise has special medical needs (as defined by the Secretary), including an individual— ‘‘(aa) who is blind or disabled (as defined in section 1614); ‘‘(bb) with a substance use disorder; ‘‘(cc) with a disabling mental disorder; ‘‘(dd) with a physical, intellectual or developmental disability that significantly impairs their ability to perform 1 or more activities of daily living; or ‘‘(ee) with a serious or complex medical condition; ‘‘(VI) who— ‘‘(aa) is in compliance with any require- ments imposed by the State pursuant to sec- tion 407; or ‘‘(bb) is a member of a household that receives supplemental nutrition assistance program benefits under the Food and Nutri- tion Act of 2008 and is not exempt from a work requirement under such Act; ‘‘(VII) who is participating in a drug addiction or alcoholic treatment and rehabilitation program (as defined in section 3(h) of the Food and Nutri- tion Act of 2008); ‘‘(VIII) who is an inmate of a public institution; or