(a) In General- Section 1906A of such Act (42 U.S.C. 1396e-1) is amended--

(1) in subsection (a)--

(A) by striking ‘may elect to’ and inserting ‘shall’;

(B) by striking ‘under age 19’; and

(C) by inserting ‘, in the case of an individual under age 19,’ after ‘(and’;

(2) in subsection (c), in the first sentence, by striking ‘under age 19’; and

(3) in subsection (d)--

(A) in paragraph (2)--

(i) in the first sentence, by striking ‘under age 19’; and

(ii) by striking the third sentence and inserting ‘A State may not require, as a condition of an individual (or the individual’s parent) being or remaining eligible for medical assistance under this title, that the individual (or the individual’s parent) apply for enrollment in qualified employer-sponsored coverage under this section.’; and

(B) in paragraph (3), by striking ‘the parent of an individual under age 19’ and inserting ‘an individual (or the parent of an individual)’; and

(4) in subsection (e), by striking ‘under age 19’ each place it appears.

(b) Conforming Amendment- The heading for section 1906A of such Act (42 U.S.C. 1396e-1) is amended by striking ‘OPTION FOR CHILDREN’.

(c) Effective Date- The amendments made by this section take effect on January 1, 2014.