insured

(2) Federally vaccine-eligible child (A) In general The term “federally vaccine-eligible child” means any of the following children: (i) A medicaid-eligible child. (ii) A child who is not insured. (iii) A child who (I) is administered a qualified pediatric vaccine by a federally-qualified health center (as defined in section 1396d(l)(2)(B) of this title ) or a rural health clinic (as defined in section 1396d(l)(1) of this title ), and (II) is not insured with respect to the vaccine. (iv) A child who is an Indian (as defined in subsection (h)(3)). (B) Definitions In subparagraph (A): (i) The term “medicaid-eligible” means, with respect to a child, a child who is entitled to medical assistance under a state plan approved under this subchapter. (ii) The term “insured” means, with respect to a child— (I) for purposes of subparagraph (A)(ii), that the child is enrolled under, and entitled to benefits under, a health insurance policy or plan, including a group health plan, a prepaid health plan, or an employee welfare benefit plan under the Employee Retirement Income Security Act of 1974 [ 29 U.S.C. 1001 et seq.]; and (II) for purposes of subparagraph (A)(iii)(II) with respect to a pediatric vaccine, that the child is entitled to benefits under such a health insurance policy or plan, but such benefits are not available with respect to the cost of the pediatric vaccine.

Source

42 USC § 1396s(b)(2)


Scoping language

For purposes of this section
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