124 STAT. 930 PUBLIC LAW 111–148—MAR. 23, 2010 (II) in the flush language after and below subpara- graph (B)(ii), by striking ‘‘or fiscal year 2012’’ and inserting ‘‘, fiscal year 2012, or fiscal year 2014’’; and (vi) in paragraph (8)— (I) in the paragraph heading, by striking ‘‘2013’’ and inserting ‘‘2015’’; and (II) by striking ‘‘2013’’ and inserting ‘‘2015’’. (B) Section 2104(n) of such Act (42 U.S.C. 1397dd(n)) is amended— (i) in paragraph (2)— (I) in subparagraph (A)(ii)— (aa) by striking ‘‘2012’’ and inserting ‘‘2014’’; and (bb) by striking ‘‘2013’’ and inserting ‘‘2015’’; (II) in subparagraph (B)— (aa) by striking ‘‘2012’’ and inserting ‘‘2014’’; and (bb) by striking ‘‘2013’’ and inserting ‘‘2015’’; and (ii) in paragraph (3)(A), by striking ‘‘or a semi-annual allot- ment period for fiscal year 2013’’ and inserting ‘‘fiscal year 2013, fiscal year 2014, or a semi-annual allotment period for fiscal year 2015’’. (C) Section 2105(g)(4) of such Act (42 U.S.C. 1397ee(g)(4)) is amended— (i) in the paragraph heading, by striking ‘‘2013’’ and inserting ‘‘2015’’; and (ii) in subparagraph (A), by striking ‘‘2013’’ and inserting ‘‘2015’’. (D) Section 2110(b) of such Act (42 U.S.C. 1397jj(b)) is amended— (i) in paragraph (2)(B), by inserting ‘‘except as provided in paragraph (6),’’ before ‘‘a child’’; and (ii) by adding at the end the following new paragraph: ‘‘(6) EXCEPTIONS TO EXCLUSION OF CHILDREN OF EMPLOYEES OF A PUBLIC AGENCY IN THE STATE.— ‘‘(A) IN GENERAL.—A child shall not be considered to be described in paragraph (2)(B) if— ‘‘(i) the public agency that employs a member of the child’s family to which such paragraph applies satisfies subparagraph (B); or ‘‘(ii) subparagraph (C) applies to such child. ‘‘(B) MAINTENANCE OF EFFORT WITH RESPECT TO PER PERSON AGENCY CONTRIBUTION FOR FAMILY COVERAGE.— For purposes of subparagraph (A)(i), a public agency satis- fies this subparagraph if the amount of annual agency expenditures made on behalf of each employee enrolled in health coverage paid for by the agency that includes dependent coverage for the most recent State fiscal year is not less than the amount of such expenditures made by the agency for the 1997 State fiscal year, increased by the percentage increase in the medical care expenditure category of the Consumer Price Index for All-Urban Con- sumers (all items: U.S. City Average) for such preceding fiscal year. ‘‘(C) HARDSHIP EXCEPTION.—For purposes of subpara- graph (A)(ii), this subparagraph applies to a child if the State determines, on a case-by-case basis, that the annual aggregate amount of premiums and cost-sharing imposed Applicability. Applicability.
