; or (ii) otherwise determines that access to the foreign-made generic covered outpatient drug is essential to the health of individuals enrolled for medical assistance under this title. (D) Notice to States The Secretary shall provide notice to States if a foreign-made generic covered outpatient drug is subject to exclusion from coverage under this paragraph. . (b) CHIP Section 2107(e)(1)(M) of the Social Security Act ( 42 U.S.C. 1397gg(e)(1)(M) ) is amended by inserting (10)(F), after (2), . 6. Procurement by Department of Veterans Affairs of generic drugs manufactured domestically (a) In general Subchapter II of chapter 81 of title 38, United States Code, is amended by inserting after section 8126 the following new section: 8126A. Procurement of generic drugs manufactured domestically (a) In general Subject to subsection (b), the Secretary may only procure a generic drug if it is a generic drug manufactured domestically, as described in section 2(b) of the Accelerating Movement of Essential Rx Items to Create Access to National Drug Resources for US Government Services Act . (b) Exceptions Subsection (a) shall not apply with respect to a drug during any period for which— (1) the Secretary of Health and Human Services has notified the Secretary of Veterans Affairs pursuant to section 2(a) of the Accelerating Movement of Essential Rx Items to Create Access to National Drug Resources for US Government Services Act that the circumstances under paragraph (2), (3), or (4) of such section apply