Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, section 6101, Sec. 6101.
Written by .
“The term `qualifying individual' means an individual under 21 years of age who is enrolled under the State plan (or waiver of such plan).”
The new paragraph defines its terms. A qualifying individual is an enrollee under 21 years of age. State means one of the 50 States or the District of Columbia. An eligible out-of-State provider is one located in another State, screened as a limited risk of fraud, waste and abuse either by the Secretary under section 1866(j)(2) or by the other State's agency under paragraph (1), enrolled accordingly, and not excluded or terminated on the grounds the paragraph lists.
What the document actually says
“The term `qualifying individual' means an individual under 21 years of age who is enrolled under the State plan (or waiver of such plan).”
That sentence, in plain words
The words qualifying individual mean one thing here. They mean a person under 21 who is signed up for the state plan.
What this is about
The easy sign-up covers care for young people only. It does not cover care for adults on the plan.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
Consolidated Appropriations Act, 2026, Public Law 119-75, sec. 6101, 140 Stat. 637 (2026). https://www.govinfo.gov/content/pkg/PLAW-119publ75/html/PLAW-119publ75.htm
This page
“Qualifying individual means an enrollee under 21,” Consolidated Appropriations Act, 2026, section 6101, Sec. 6101. Read the Mandate, https://readthemandate.org/consolidated-appropriations-act-2026/proposal/sec6101-definitions/ (retrieved October 10, 2026).
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