; and (2) in the fourth sentence, by striking titles XIX and XXI and inserting title XXII . 3. Repeal of PPACA, HCERA, and the Federal requirements of Medicaid and CHIP (a) PPACA The Patient Protection and Affordable Care Act ( Public Law 111–148 ) is repealed, and the provisions of law amended or repealed by such Act are restored or revived as if such Act had not been enacted. (b) HCERA Title I and subtitle B of title II of the Health Care and Education Reconciliation Act of 2010 ( Public Law 111–152 ) are repealed, and the provisions of law amended or repealed by such title or subtitle, respectively, are restored or revived as if such title and subtitle had not been enacted. (c) Medicaid and CHIP Titles XIX and XXI of the Social Security Act are repealed. 4. Severability If any provision of this Act, or the application of such provision to any person or circumstance, is found to be unconstitutional, the remainder of this Act, or the application of that provision to other persons or circumstances, shall not be affected. 5. Effective date This Act and the amendments and repeals made by this Act shall take effect with respect to items and services furnished on or after October 1, 2018.