targeted low-income child
Defined in 1 place of the United States Code.
Subject to paragraph (2), the term “targeted low-income child” means a child—
(A) who has been determined eligible by the State for child health assistance under the State plan;
(B) (i) who is a low-income child, or
(ii) is a child—
(I) whose family income (as determined under the State child health plan) exceeds the medicaid applicable income level (as defined in paragraph (4)), but does not exceed 50 percentage points above the medicaid applicable income level;
(II) whose family income (as so determined) does not exceed the medicaid applicable income level (as defined in paragraph (4) but determined as if “June 1, 1997” were substituted for “March 31, 1997”); or
(III) who resides in a State that does not have a medicaid applicable income level (as defined in paragraph (4)); and
(C) who is not found to be eligible for medical assistance under subchapter XIX of this chapter or covered under a group health plan or under health insurance coverage (as such terms are defined in section 300gg–91 of this title).
(2) Children excluded
Such term does not include—
(A) a child who is an inmate of a public institution or a patient in an institution for mental diseases; or
(B) a child who is a member of a family that is eligible for health benefits coverage under a State health benefits plan on the basis of a family member's employment with a public agency in the State.
(3) Special rule
A child shall not be considered to be described in paragraph (1)(C) notwithstanding that the child is covered under a health insurance coverage program that has been in operation since before July 1, 1997, and that is offered by a State which receives no Federal funds for the program's operation.
(4) Medicaid applicable income level
Source
- 1997–200942 U.S.C. § 1397JJThe Public Health and Welfare · Definitions · for purposes of this subchapter
Subject to paragraph (2), the term “targeted low-income child” means a child—
(A) who has been determined eligible by the State for child health assistance under the State plan;
(B)
(i) who is a low-income child, or
(ii) is a child—
(I) whose family income (as determined under the State child health plan) exceeds the medicaid applicable income level (as defined in paragraph (4)), but does not exceed 50 percentage points above the medicaid applicable income level;
(II) whose family income (as so determined) does not exceed the medicaid applicable income level (as defined in paragraph (4) but determined as if “June 1, 1997” were substituted for “March 31, 1997”); or
(III) who resides in a State that does not have a medicaid applicable income level (as defined in paragraph (4)); and
(C) who is not found to be eligible for medical assistance under subchapter XIX of this chapter or, subject to paragraph (5), covered under a group health plan or under health insurance coverage (as such terms are defined in section 300gg–91 of this title).
Source
- 2013–201642 U.S.C. § 1397JJThe Public Health and Welfare · Definitions · for purposes of this subchapter
Subject to paragraph (2), the term “targeted low-income child” means a child—
(A) who has been determined eligible by the State for child health assistance under the State plan;
(B) (i) who is a low-income child, or
(ii) is a child—
(I) whose family income (as determined under the State child health plan) exceeds the medicaid applicable income level (as defined in paragraph (4)), but does not exceed 50 percentage points above the medicaid applicable income level;
(II) whose family income (as so determined) does not exceed the medicaid applicable income level (as defined in paragraph (4) but determined as if “June 1, 1997” were substituted for “March 31, 1997”); or
(III) who resides in a State that does not have a medicaid applicable income level (as defined in paragraph (4)); and
(C) who is not found to be eligible for medical assistance under subchapter XIX of this chapter or, subject to paragraph (5), covered under a group health plan or under health insurance coverage (as such terms are defined in section 300gg–91 of this title).
(2) Children excluded
Such term does not include—
(A) a child who is an inmate of a public institution or a patient in an institution for mental diseases; or
(B) a child who is a member of a family that is eligible for health benefits coverage under a State health benefits plan on the basis of a family member's employment with a public agency in the State.
(3) Special rule
A child shall not be considered to be described in paragraph (1)(C) notwithstanding that the child is covered under a health insurance coverage program that has been in operation since before July 1, 1997, and that is offered by a State which receives no Federal funds for the program's operation.
(4) Medicaid applicable income level
Source
- 2009–201042 U.S.C. § 1397JJThe Public Health and Welfare · Definitions · for purposes of this subchapter
Subject to paragraph (2), the term "targeted low-income child" means a child—
(A) who has been determined eligible by the State for child health assistance under the State plan;
(B) (i) who is a low-income child, or
(ii) is a child—
(I) whose family income (as determined under the State child health plan) exceeds the medicaid applicable income level (as defined in paragraph (4)), but does not exceed 50 percentage points above the medicaid applicable income level;
(II) whose family income (as so determined) does not exceed the medicaid applicable income level (as defined in paragraph (4) but determined as if "June 1, 1997" were substituted for "March 31, 1997"); or
(III) who resides in a State that does not have a medicaid applicable income level (as defined in paragraph (4)); and
(C) who is not found to be eligible for medical assistance under subchapter XIX of this chapter or, subject to paragraph (5), covered under a group health plan or under health insurance coverage (as such terms are defined in section 300gg–91 of this title).
(2) Children excluded
Such term does not include—
(A) a child who is an inmate of a public institution or a patient in an institution for mental diseases; or
(B) except as provided in paragraph (6), a child who is a member of a family that is eligible for health benefits coverage under a State health benefits plan on the basis of a family member's employment with a public agency in the State.
(3) Special rule
A child shall not be considered to be described in paragraph (1)(C) notwithstanding that the child is covered under a health insurance coverage program that has been in operation since before July 1, 1997, and that is offered by a State which receives no Federal funds for the program's operation.
(4) Medicaid applicable income level
Source
- 2010–201442 U.S.C. § 1397JJThe Public Health and Welfare · Definitions · for purposes of this subchapter
Subject to paragraph (2), the term “targeted low-income child” means a child—
(A) who has been determined eligible by the State for child health assistance under the State plan;
(B)
(i) who is a low-income child, or
(ii) is a child—
(I) whose family income (as determined under the State child health plan) exceeds the medicaid applicable income level (as defined in paragraph (4)), but does not exceed 50 percentage points above the medicaid applicable income level;
(II) whose family income (as so determined) does not exceed the medicaid applicable income level (as defined in paragraph (4) but determined as if “June 1, 1997” were substituted for “March 31, 1997”); or
(III) who resides in a State that does not have a medicaid applicable income level (as defined in paragraph (4)); and
(C) who is not found to be eligible for medical assistance under subchapter XIX or, subject to paragraph (5), covered under a group health plan or under health insurance coverage (as such terms are defined in section 300gg–91 of this title).
Source
- 2017–present42 U.S.C. § 1397JJThe Public Health and Welfare · Definitions · for purposes of this subchapter
Subject to paragraph (2), the term "targeted low-income child" means a child—
(A) who has been determined eligible by the State for child health assistance under the State plan;
(B) (i) who is a low-income child, or
(ii) is a child—
(I) whose family income (as determined under the State child health plan) exceeds the medicaid applicable income level (as defined in paragraph (4)), but does not exceed 50 percentage points above the medicaid applicable income level;
(II) whose family income (as so determined) does not exceed the medicaid applicable income level (as defined in paragraph (4) but determined as if "June 1, 1997" were substituted for "March 31, 1997"); or
(III) who resides in a State that does not have a medicaid applicable income level (as defined in paragraph (4)); and
(C) who is not found to be eligible for medical assistance under subchapter XIX or, subject to paragraph (5), covered under a group health plan or under health insurance coverage (as such terms are defined in section 300gg–91 of this title).
(2) Children excluded
Such term does not include—
(A) a child who is an inmate of a public institution or a patient in an institution for mental diseases; or
(B) except as provided in paragraph (6), a child who is a member of a family that is eligible for health benefits coverage under a State health benefits plan on the basis of a family member's employment with a public agency in the State.
(3) Special rule
A child shall not be considered to be described in paragraph (1)(C) notwithstanding that the child is covered under a health insurance coverage program that has been in operation since before July 1, 1997, and that is offered by a State which receives no Federal funds for the program's operation.
(4) Medicaid applicable income level
Source
- 2016–202042 U.S.C. § 1397JJThe Public Health and Welfare · Definitions · for purposes of this subchapter
Subject to paragraph (2), the term "targeted low-income child" means a child—
(A) who has been determined eligible by the State for child health assistance under the State plan;
(B) (i) who is a low-income child, or
(ii) is a child—
(I) whose family income (as determined under the State child health plan) exceeds the medicaid applicable income level (as defined in paragraph (4)), but does not exceed 50 percentage points above the medicaid applicable income level;
(II) whose family income (as so determined) does not exceed the medicaid applicable income level (as defined in paragraph (4) but determined as if "June 1, 1997" were substituted for "March 31, 1997"); or
(III) who resides in a State that does not have a medicaid applicable income level (as defined in paragraph (4)); and
(C) who is not found to be eligible for medical assistance under subchapter XIX or, subject to paragraph (5), covered under a group health plan or under health insurance coverage (as such terms are defined in section 300gg–91 of this title).
(2) Children excluded
Such term does not include—
(A) except as provided in paragraph (7), a child who is an inmate of a public institution or a patient in an institution for mental diseases; or
(B) except as provided in paragraph (6), a child who is a member of a family that is eligible for health benefits coverage under a State health benefits plan on the basis of a family member's employment with a public agency in the State.
(3) Special rule
A child shall not be considered to be described in paragraph (1)(C) notwithstanding that the child is covered under a health insurance coverage program that has been in operation since before July 1, 1997, and that is offered by a State which receives no Federal funds for the program's operation.
(4) Medicaid applicable income level
Source
- 2022–202542 U.S.C. § 1397JJThe Public Health and Welfare · Definitions · for purposes of this subchapter