us/statute/42/1396a/l/4

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us/statute/42/1396a/l/4 · Axiom

(A) In the case of any State which is providing medical assistance to its residents under a waiver granted under section 1315 of this title , the Secretary shall require the State to provide medical assistance for pregnant women and infants under age 1 described in subsection (a)(10)(A)(i)(IV) and for children described in subsection (a)(10)(A)(i)(VI) or subsection (a)(10)(A)(i)(VII) in the same manner as the State would be required to provide such assistance for such individuals if the State had in effect a plan approved under this subchapter.

(B) In the case of a State which is not one of the 50 States or the District of Columbia, the State need not meet the requirement of subsection (a)(10)(A)(i)(IV), (a)(10)(A)(i)(VI), or (a)(10)(A)(i)(VII) and, for purposes of paragraph (2)(A), the State may substitute for the percentage provided under clause (ii) of such paragraph any percentage.

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statutes/42/1396a/l.yaml

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Rules

pregnancy_postpartum_period_days

Parameter

source: 42 USC 1396a(l)(1)(A)

- name: pregnancy_postpartum_period_days
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(A)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: during the 60-day period beginning on the last day of the pregnancy
  versions:
    - effective_from: '1974-01-01'
      formula: '60'

infant_age_ceiling_years

Parameter

source: 42 USC 1396a(l)(1)(B)

- name: infant_age_ceiling_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(B)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: infants under one year of age
  versions:
    - effective_from: '1974-01-01'
      formula: '1'

young_child_attainment_age_years

Parameter

source: 42 USC 1396a(l)(1)(C)

- name: young_child_attainment_age_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(C)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: children who have attained one year of age
  versions:
    - effective_from: '1974-01-01'
      formula: '1'

young_child_age_ceiling_years

Parameter

source: 42 USC 1396a(l)(1)(C)

- name: young_child_age_ceiling_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(C)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: but have not attained 6 years of age
  versions:
    - effective_from: '1974-01-01'
      formula: '6'

older_child_attainment_age_years

Parameter

source: 42 USC 1396a(l)(1)(D)

- name: older_child_attainment_age_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(D)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: have attained 6 years of age
  versions:
    - effective_from: '1974-01-01'
      formula: '6'

older_child_age_ceiling_years

Parameter

source: 42 USC 1396a(l)(1)(D)

- name: older_child_age_ceiling_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(D)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: but have not attained 19 years of age
  versions:
    - effective_from: '1974-01-01'
      formula: '19'

pregnant_woman_or_infant_income_level_maximum_rate

Parameter

source: 42 USC 1396a(l)(2)(A)(i)

- name: pregnant_woman_or_infant_income_level_maximum_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(i)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: not more than 185 percent
  versions:
    - effective_from: '1974-01-01'
      formula: '1.85'

pregnant_woman_or_infant_minimum_rate_after_july_1989

Parameter

source: 42 USC 1396a(l)(2)(A)(ii)(I)

- name: pregnant_woman_or_infant_minimum_rate_after_july_1989
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(ii)(I)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: July 1, 1989, is 75 percent
  versions:
    - effective_from: '1989-07-01'
      formula: '0.75'

pregnant_woman_or_infant_minimum_rate_after_april_1990

Parameter

source: 42 USC 1396a(l)(2)(A)(ii)(II)

- name: pregnant_woman_or_infant_minimum_rate_after_april_1990
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(ii)(II)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: April 1, 1990, 133 percent
  versions:
    - effective_from: '1990-04-01'
      formula: '1.33'

july_1988_state_floor_cap_rate

Parameter

source: 42 USC 1396a(l)(2)(A)(iii)

- name: july_1988_state_floor_cap_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(iii)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: in no case shall this clause require ... to exceed 100 percent
  versions:
    - effective_from: '1989-07-01'
      formula: '1.00'

child_age_one_to_five_income_level_rate

Parameter

source: 42 USC 1396a(l)(2)(B)

- name: child_age_one_to_five_income_level_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(B)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: equal to 133 percent
  versions:
    - effective_from: '1974-01-01'
      formula: '1.33'

older_child_income_level_rate

Parameter

source: 42 USC 1396a(l)(2)(C)

- name: older_child_income_level_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(C)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: equal to 100 percent (or, beginning January 1, 2014, 133 percent)
  versions:
    - effective_from: '1974-01-01'
      formula: '1.00'
    - effective_from: '2014-01-01'
      formula: '1.33'

resource_standard_application_state_option_applies

Derived

source: 42 USC 1396a(l)(3)(A)

- name: resource_standard_application_state_option_applies
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 USC 1396a(l)(3)(A)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/statute/42/1396a/l
  versions:
    - effective_from: '1974-01-01'
      formula: |-
        eligible_for_medical_assistance_because_of_specified_subsection
        and state_has_chosen_to_apply_resource_standard

waiver_state_must_provide_assistance_as_if_plan_approved

Derived

source: 42 USC 1396a(l)(4)(A)

- name: waiver_state_must_provide_assistance_as_if_plan_approved
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 USC 1396a(l)(4)(A)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/statute/42/1396a/l
  versions:
    - effective_from: '1974-01-01'
      formula: >-
        state_provides_medical_assistance_under_section_1315_waiver

        and
        person_is_pregnant_woman_or_infant_under_subsection_a_10_A_i_IV_or_child_under_subsection_a_10_A_i_VI_or_VII

non_state_may_substitute_any_percentage_for_paragraph_two_a_minimum

Derived

source: 42 USC 1396a(l)(4)(B)

- name: non_state_may_substitute_any_percentage_for_paragraph_two_a_minimum
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 USC 1396a(l)(4)(B)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/statute/42/1396a/l
  versions:
    - effective_from: '1974-01-01'
      formula: state_is_not_one_of_the_50_states_or_district_of_columbia

▸citations (1)

References

This rule cites 1 other rule.

42 USC § 1315inferredUS Federal › Statutes › Title 42 › § 1315

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Official source

in view

Whole section

▸rulespec code

Shown source

statutes/42/1396a/l.yaml

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This encoding covers the parent provision us/statute/42/1396a/l; no dedicated encoding exists for this exact provision yet.

View on GitHub

Rules

pregnancy_postpartum_period_days

Parameter

source: 42 USC 1396a(l)(1)(A)

- name: pregnancy_postpartum_period_days
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(A)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: during the 60-day period beginning on the last day of the pregnancy
  versions:
    - effective_from: '1974-01-01'
      formula: '60'

infant_age_ceiling_years

Parameter

source: 42 USC 1396a(l)(1)(B)

- name: infant_age_ceiling_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(B)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: infants under one year of age
  versions:
    - effective_from: '1974-01-01'
      formula: '1'

young_child_attainment_age_years

Parameter

source: 42 USC 1396a(l)(1)(C)

- name: young_child_attainment_age_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(C)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: children who have attained one year of age
  versions:
    - effective_from: '1974-01-01'
      formula: '1'

young_child_age_ceiling_years

Parameter

source: 42 USC 1396a(l)(1)(C)

- name: young_child_age_ceiling_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(C)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: but have not attained 6 years of age
  versions:
    - effective_from: '1974-01-01'
      formula: '6'

older_child_attainment_age_years

Parameter

source: 42 USC 1396a(l)(1)(D)

- name: older_child_attainment_age_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(D)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: have attained 6 years of age
  versions:
    - effective_from: '1974-01-01'
      formula: '6'

older_child_age_ceiling_years

Parameter

source: 42 USC 1396a(l)(1)(D)

- name: older_child_age_ceiling_years
  kind: parameter
  dtype: Count
  source: 42 USC 1396a(l)(1)(D)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: but have not attained 19 years of age
  versions:
    - effective_from: '1974-01-01'
      formula: '19'

pregnant_woman_or_infant_income_level_maximum_rate

Parameter

source: 42 USC 1396a(l)(2)(A)(i)

- name: pregnant_woman_or_infant_income_level_maximum_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(i)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: not more than 185 percent
  versions:
    - effective_from: '1974-01-01'
      formula: '1.85'

pregnant_woman_or_infant_minimum_rate_after_july_1989

Parameter

source: 42 USC 1396a(l)(2)(A)(ii)(I)

- name: pregnant_woman_or_infant_minimum_rate_after_july_1989
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(ii)(I)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: July 1, 1989, is 75 percent
  versions:
    - effective_from: '1989-07-01'
      formula: '0.75'

pregnant_woman_or_infant_minimum_rate_after_april_1990

Parameter

source: 42 USC 1396a(l)(2)(A)(ii)(II)

- name: pregnant_woman_or_infant_minimum_rate_after_april_1990
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(ii)(II)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: April 1, 1990, 133 percent
  versions:
    - effective_from: '1990-04-01'
      formula: '1.33'

july_1988_state_floor_cap_rate

Parameter

source: 42 USC 1396a(l)(2)(A)(iii)

- name: july_1988_state_floor_cap_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(A)(iii)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: in no case shall this clause require ... to exceed 100 percent
  versions:
    - effective_from: '1989-07-01'
      formula: '1.00'

child_age_one_to_five_income_level_rate

Parameter

source: 42 USC 1396a(l)(2)(B)

- name: child_age_one_to_five_income_level_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(B)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: equal to 133 percent
  versions:
    - effective_from: '1974-01-01'
      formula: '1.33'

older_child_income_level_rate

Parameter

source: 42 USC 1396a(l)(2)(C)

- name: older_child_income_level_rate
  kind: parameter
  dtype: Rate
  source: 42 USC 1396a(l)(2)(C)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/42/1396a/l
            excerpt: equal to 100 percent (or, beginning January 1, 2014, 133 percent)
  versions:
    - effective_from: '1974-01-01'
      formula: '1.00'
    - effective_from: '2014-01-01'
      formula: '1.33'

resource_standard_application_state_option_applies

Derived

source: 42 USC 1396a(l)(3)(A)

- name: resource_standard_application_state_option_applies
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 USC 1396a(l)(3)(A)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/statute/42/1396a/l
  versions:
    - effective_from: '1974-01-01'
      formula: |-
        eligible_for_medical_assistance_because_of_specified_subsection
        and state_has_chosen_to_apply_resource_standard

waiver_state_must_provide_assistance_as_if_plan_approved

Derived

source: 42 USC 1396a(l)(4)(A)

- name: waiver_state_must_provide_assistance_as_if_plan_approved
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 USC 1396a(l)(4)(A)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/statute/42/1396a/l
  versions:
    - effective_from: '1974-01-01'
      formula: >-
        state_provides_medical_assistance_under_section_1315_waiver

        and
        person_is_pregnant_woman_or_infant_under_subsection_a_10_A_i_IV_or_child_under_subsection_a_10_A_i_VI_or_VII

non_state_may_substitute_any_percentage_for_paragraph_two_a_minimum

Derived

source: 42 USC 1396a(l)(4)(B)

- name: non_state_may_substitute_any_percentage_for_paragraph_two_a_minimum
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 42 USC 1396a(l)(4)(B)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: predicate
          source:
            corpus_citation_path: us/statute/42/1396a/l
  versions:
    - effective_from: '1974-01-01'
      formula: state_is_not_one_of_the_50_states_or_district_of_columbia

▸citations (1)

References

This rule cites 1 other rule.

42 USC § 1315inferredUS Federal › Statutes › Title 42 › § 1315