(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 a**istance 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.