[Congressional Bills 107th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5067 Introduced in House (IH)]







107th CONGRESS
  2d Session
                                H. R. 5067

To amend titles XIX and XXI of the Social Security Act to permit States 
  the option of coverage of aliens who are citizens covered under the 
Compact of Free Association legally residing in the United States under 
the Medicaid Program and the State children's health insurance program 
                                (SCHIP).


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              July 8, 2002

 Mrs. Mink of Hawaii introduced the following bill; which was referred 
                to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
To amend titles XIX and XXI of the Social Security Act to permit States 
  the option of coverage of aliens who are citizens covered under the 
Compact of Free Association legally residing in the United States under 
the Medicaid Program and the State children's health insurance program 
                                (SCHIP).

    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 ``Compact of Free Association 
Children's Health Improvement Act of 2002''.

SEC. 2. OPTIONAL COVERAGE OF ALIENS WHO ARE CITIZENS COVERED UNDER THE 
              COMPACT OF FREE ASSOCIATION LEGALLY RESIDING IN THE 
              UNITED STATES UNDER THE MEDICAID PROGRAM AND SCHIP.

    (a) Medicaid Program.--Section 1903(v) of the Social Security Act 
(42 U.S.C. 1396b(v)) is amended--
            (1) in paragraph (1), by striking ``paragraph (2)'' and 
        inserting ``paragraphs (2) and (4)''; and
            (2) by adding at the end the following new paragraph:
    ``(4)(A) A State may elect (in a plan amendment under this title) 
to provide medical assistance under this title, notwithstanding 
sections 401(a), 402(b), 403, and 421 of the Personal Responsibility 
and Work Opportunity Reconciliation Act of 1996, for aliens who are 
citizens covered under the Compact of Free Association legally residing 
in the United States and who are otherwise eligible for such 
assistance, within either or both of the following eligibility 
categories:
            ``(i) Pregnant women.--Women during pregnancy (and during 
        the 60-day period beginning on the last day of the pregnancy).
            ``(ii) Children.--Children (as defined under such plan), 
        including optional targeted low-income children described in 
        section 1905(u)(2)(B).
    ``(B) In the case of a State that has elected to provide medical 
assistance to a category of aliens under subparagraph (A), no debt 
shall accrue under an affidavit of support against any sponsor of such 
an alien on the basis of provision of assistance to such category and 
the cost of such assistance shall not be considered as an unreimbursed 
cost.''.
    (b) SCHIP.--Section 2107(e)(1) of such Act (42 U.S.C. 1397gg(e)(1)) 
as amended by section 803 of the Medicare, Medicaid, and SCHIP Benefits 
Improvement and Protection Act of 2000, as enacted into law by section 
1(a)(6) of Public Law 106-554, is amended by redesignating 
subparagraphs (C) and (D) as subparagraph (D) and (E), respectively, 
and by inserting after subparagraph (B) the following new subparagraph:
                    ``(C) Section 1903(v)(4) (relating to optional 
                coverage of categories of citizens covered under the 
                Compact of Free Association legally residing in the 
                United States), but only if the State has elected to 
                apply such section to the category of children under 
                title XIX.''.
    (c) Effective Date.--The amendments made by this section take 
effect on October 1, 2002, and apply to medical assistance and child 
health assistance furnished on or after such date.
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