[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3480 Introduced in House (IH)]







106th CONGRESS
  1st Session
                                H. R. 3480

   To amend titles XIX and XXI of the Social Security Act to expand 
 enrollment of children under the Medicaid and State children's health 
   insurance program (SCHIP) through the expanded use of presumptive 
                              eligibility.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           November 18, 1999

Mr. Klink (for himself and Ms. DeGette) introduced the following bill; 
            which was referred to the Committee on Commerce

_______________________________________________________________________

                                 A BILL


 
   To amend titles XIX and XXI of the Social Security Act to expand 
 enrollment of children under the Medicaid and State children's health 
   insurance program (SCHIP) through the expanded use of presumptive 
                              eligibility.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicaid and SCHIP Presumptive 
Eligibility Expansion Act of 1999''.

SEC. 2. ADDITIONAL ENTITIES QUALIFIED TO DETERMINE MEDICAID PRESUMPTIVE 
              ELIGIBILITY FOR LOW-INCOME CHILDREN.

    Section 1920A(b)(3)(A)(i) of the Social Security Act (42 U.S.C. 
1396r-1a(b)(3)(A)(i)) is amended--
            (1) by striking ``or (II)'' and inserting ``, (II)''; and
            (2) by inserting before the semicolon the following: 
        ``eligibility of a child for medical assistance under the State 
        plan under this title, or eligibility of a child for child 
        health assistance under the program funded under title XXI, 
        (III) is an elementary school or secondary school, as such 
        terms are defined in section 14101 of the Elementary and 
        Secondary Education Act of 1965 (20 U.S.C. 8801), an elementary 
        or secondary school operated or supported by the Bureau of 
        Indian Affairs, a State child support enforcement agency, a 
        child care resource and referral agency, or a State office or 
        private contractor that accepts applications for or administers 
        a program funded under part A of title IV or that determines 
        eligibility for any assistance or benefits provided under any 
        program of public or assisted housing that receives Federal 
        funds, including the program under section 8 or any other 
        section of the United States Housing Act of 1937 (42 U.S.C. 
        1437 et seq.), or (IV) any other entity the State so deems''.

SEC. 3. APPLICATION OF PRESUMPTIVE ELIGIBILITY UNDER SCHIP AND WAIVER 
              OF STATE MATCH FOR OUTREACH IF ELECT PRESUMPTIVE 
              ELIGIBILITY.

    (a) In General.--Section 2102 of the Social Security Act (42 U.S.C. 
1397bb) is amended by adding at the end the following new subsection:
    ``(d) Application of Presumptive Eligibility Provisions.--A State 
may elect to apply the provisions of section 1920A under this title in 
the same manner as the State may elect to apply such provisions under 
title XIX.''.
    (b) Waiver of State Matching Requirement.--Section 2105 of such Act 
(42 U.S.C. 1397ee) is amended--
            (1) in subsection (b), by inserting ``subject to subsection 
        (g),'' after ``For purposes of subsection (a),''; and
            (2) by adding at the end the following new subsection:
    ``(g) Waiver of State Matching Requirement for Outreach Services if 
State Elects To Use Presumptive Eligibility for Both Medicaid and 
SCHIP.--The enhanced FMAP with respect to child health assistance for 
outreach services described in section 2102(c)(1) for a State shall be 
100 percent for a calendar quarter if the State has both--
            ``(1) elected to apply the provisions of section 1920A 
        under title XIX for the entire calendar quarter; and
            ``(2) elected under section 2102(d) to apply the provisions 
        of section 1920A under this title for the entire calendar 
        quarter.''.
    (c) Effective Date.--The amendments made by this section take 
effect on the date of the enactment of this Act.

SEC. 4. CLARIFICATION OF USE OF SCHIP FUNDS TO PROVIDE ENROLLING 
              CENTERS WITH INCENTIVES TO ENROLL LOW-INCOME CHILDREN.

    (a) In General.--Section 2105 of such Act (42 U.S.C. 1397ee), as 
amended by section 3, is further amended by adding at the end the 
following new subsection:
    ``(h) Treatment of Enrollment Incentives.--Reasonable expenditures 
to enrolling centers to provide an incentive to enroll targeted low-
income children under this title shall be treated as reasonable costs 
incurred by the State to administer the plan for purposes of subsection 
(a)(2)(D).''.
    (b) Effective Date.--The amendment made by subsection (a) applies 
to expenditures made on or after the date of the enactment of this Act.
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