; and and inserting responsibility of a State on the date of attaining 18 years of age (or such higher age as such State has elected under section 475(8)(B)(iii)), or who were in such care at any age but subsequently left such care to enter into a legal guardianship with a kinship caregiver (without regard to whether kinship guardianship payments are being made on behalf of the child under this part) or were emancipated from such care prior to attaining age 18; . (b) Amendments to social security act (1) In general Section 1902(a)(10)(A)(i)(IX) of the Social Security Act ( 42 U.S.C. 1396a(a)(10)(A)(i)(IX) ), as amended by section 1002(a) of the SUPPORT for Patients and Communities Act ( Public Law 115–271 ), is amended— (A) in item (bb), by striking the semicolon at the end and inserting ; and ; and (B) by striking item (dd). (2) Effective date The amendments made by this subsection shall take effect on January 1, 2023. 23403. Outreach efforts for enrollment of former foster children Section 1902(a) of the Social Security Act ( 42 U.S.C. 1396a(a) ) is amended— (1) in paragraph (85), by striking ; and and inserting a semicolon; (2) in paragraph (86), by striking the period at the end and inserting ; and