(a) In General- Section 1902(a)(10)(A)(i) of the Social Security Act (42 U.S.C. 1396a), as amended by section 2001(a)(1), is amended--

(1) by striking ‘or’ at the end of subclause (VII);

(2) by adding ‘or’ at the end of subclause (VIII); and

(3) by inserting after subclause (VIII) the following:

‘(IX) who were in foster care under the responsibility of a State for more than 6 months (whether or not consecutive) but are no longer in such care, who are not described in any of subclauses (I) through (VII) of this clause, and who are under 25 years of age;’.

(b) Option To Provide Presumptive Eligibility- Section 1920(e) of such Act (42 U.S.C. 1396r-1(e)), as added by section 2001(a)(4)(B) and amended by section 2001(e)(2)(C), is amended by inserting ‘, clause (i)(IX),’ after ‘clause (i)(VIII)’.

(c) Conforming Amendments-

(1) Section 1903(f)(4) of such Act (42 U.S.C. 1396b(f)(4)), as amended by section 2001(a)(5)(D), is amended by inserting ‘1902(a)(10)(A)(i)(IX),’ after ‘1902(a)(10)(A)(i)(VIII),’.

(2) Section 1937(a)(2)(B)(viii) of such Act (42 U.S.C. 1396u-7(a)(2)(B)(viii)) is amended by inserting ‘, or the individual qualifies for medical assistance on the basis of section 1902(a)(10)(A)(i)(IX)’ before the period.

(d) Effective Date- The amendments made by this section take effect on January 1, 2019.