1.Short title; amendments to
Social Security Act; table of contents
(a)This Act may be cited
as the Children's Health First
Act
.
(b)Amendments to
social security actExcept as otherwise specifically provided,
whenever in this Act an amendment is expressed in terms of an amendment to or
repeal of a section or other provision, the reference shall be considered to be
made to that section or other provision of the Social Security Act.
(c)The table of contents for this Act is as follows:
Sec. 1. Short title; amendments to Social Security Act; table
of contents.
Title I—Options for Affordable Coverage for All
Children
Subtitle A—Expanded Coverage of Children Under SCHIP and
Through Employer-Sponsored Coverage
Sec. 101. State option to expand coverage of children under
SCHIP.
Sec. 102. Authority for States to offer purchase of coverage
for uncovered children under SCHIP.
Sec. 103. Support for employment-based coverage of children
eligible for SCHIP or Medicaid.
Sec. 104. Modification of prohibition on
coverage of children of State employees.
Subtitle B—Ensuring Dependable Coverage for All
Children
Sec. 111. Improving benchmark coverage options.
Sec. 112. Requiring coverage of EPSDT
services, including dental services, and federally-qualified health services
and improving coverage of additional categories of services.
Sec. 113. Clarification of requirement to provide EPSDT
services for all children in benchmark benefit packages under
Medicaid.
Sec. 114. Medicaid-SCHIP
Payment Advisory Commission.
Subtitle C—Ensuring a Fair Partnership
Sec. 121. Increase in FMAP for medical assistance for children
for States that expand coverage of children.
Subtitle D—State Options for Additional Coverage
Expansions
Sec. 131. Optional coverage of older children under Medicaid
and SCHIP.
Sec. 132. Optional coverage of legal immigrants under the
Medicaid program and SCHIP.
Sec. 133. State option to expand or add coverage of certain
pregnant women under SCHIP.
Title II—Removal of Other Barriers to Coverage
Sec. 201. Establishment of new base SCHIP allotments that are
responsive to increases in health care costs and enrollment
expansions.
Sec. 202. 2-year initial availability of SCHIP
allotments.
Sec. 203. Redistribution of unused allotments to address State
funding shortfalls.
Sec. 204. Incentives for school-based outreach and
enrollment.
Sec. 205. Medicaid citizenship documentation
requirements.
Sec. 206. State option to provide for express
lane
and simplified determinations of a child’s financial eligibility
for medical assistance under Medicaid or child health assistance under
SCHIP.
Sec. 207. Information technology connections to improve health
coverage determinations.
Sec. 208. Encouraging culturally appropriate enrollment
practices.
Sec. 209. Model of Interstate coordinated enrollment and
coverage process.
Sec. 210. Elimination of counting medicaid child presumptive
eligibility costs against title XXI allotment.
Sec. 211. Authority for qualifying States to use portion of
SCHIP allotment for any fiscal year for certain medicaid
expenditures.
Sec. 212. Application of
Medicaid outreach procedures to all pregnant women and children.
Title III—Effective Date
Sec. 301. Effective date.
<enum>I</enum><header>Options for
Affordable Coverage for All Children</header>
<subtitle id="H1A1FF0E536D24126B372661CD196D3E1"><enum>A</enum><header>Expanded Coverage
of Children Under SCHIP and Through Employer-Sponsored Coverage</header>
<section id="H65125333543F4D9BB56C06F95FBB935C"><enum>101.</enum><header>State option to
expand coverage of children under SCHIP</header>
<subsection id="H833B486B4A9443BD9D959881FFC43194"><enum>(a)</enum><header>Option for
coverage of children up to 400 percent of poverty line</header><text display-inline="yes-display-inline">Section 2110(c)(4) (42 U.S.C. 1397jj(c)(4))
is amended by inserting <quote>(or, at the option of the State, any percentage
up to 400 percent)</quote> after <quote>200 percent</quote>.</text>
</subsection><subsection id="H00DD856DF3324682844B592351F12E41"><enum>(b)</enum><header>Ensuring funding
for State eligibility expansion</header>
<paragraph id="H4AB3B4C6A38A494F846D326182C5D959"><enum>(1)</enum><header>In
general</header><text>Section 2105 (42 U.S.C. 1397dd) is amended by adding at
the end the following new subsection:</text>
<quoted-block act-name="Social Security Act" id="H3D229D397EF34A8DBAE34E011B4527F9">
<subsection id="H08C1D0BEB9CA4B858FD312893DCC5244"><enum>(i)</enum><header>Funding for
child health assistance for coverage expansion States</header>
<paragraph id="H0138AFAB64E248849D8087B709D58CF3"><enum>(1)</enum><header>In
general</header><text>Notwithstanding section 2104, in the case of a State that
has elected the option under section 2110(c)(4) to apply for a calendar quarter
in a fiscal year a percentage that is 400 percent and that meets the
requirement of paragraph (2) (relating to no limitation on enrollment), the
allotment determined for the State for such fiscal year under section 2104
shall be increased by such sums as are necessary for making payments to the
State for expenditures described in subsection (a)(1).</text>
</paragraph><paragraph id="H47BD07CDBA284BA998CF6C3DBD8ECADD"><enum>(2)</enum><header>No limitation on
enrollment</header><text display-inline="yes-display-inline">The requirement of
this paragraph with respect to a State for a calendar quarter is that the State
does not impose, with respect to the enrollment under the State child health
plan of targeted low-income children during the quarter, any enrollment cap or
other numerical limitation on enrollment, any waiting list, any procedures
designed to delay the consideration of applications for enrollment, or similar
limitation with respect to enrollment.</text>
</paragraph><paragraph id="H4CD012D06BAE4BD2978FBDCA78BCCC3D"><enum>(3)</enum><header>Appropriation</header><text>There
is appropriated, out of any money in the Treasury not otherwise appropriated,
such sums as may be necessary for the purpose of paying a State described in
paragraph (1) for each calendar quarter described in such paragraph, an amount
equal to the enhanced FMAP of expenditures described in such paragraph and
incurred during such
quarter.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="HD617781ED10043129F547C64A4001E79"><enum>(2)</enum><header>Conforming
amendments</header><text>Section 2104 (42 U.S.C. 1397dd) is amended—</text>
<subparagraph id="H0FD6E7A8FE1445EEA07E69DCA6D328BD"><enum>(A)</enum><text>in subsection (a),
by striking <quote>subsection (d)</quote> and inserting <quote> subsections (d)
and (h) and section 2105(i)</quote>;</text>
</subparagraph><subparagraph id="H1C4D62755EAD442392A3F533F389CA5"><enum>(B)</enum><text>in subsection
(b)(1), by striking <quote>subsection (d)</quote> and inserting <quote>
subsections (d) and (h) and section 2105(i)</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H81DEE5FB55564687B1CC24C4CF2974EE"><enum>(C)</enum><text>in subsection
(c)(1), by striking <quote>subsection (d)</quote> and inserting <quote>
subsections (d) and (h) and section 2105(i)</quote>.</text>
</subparagraph></paragraph></subsection></section><section id="HDF0462D417D6420E9B84D713F8ED00A1"><enum>102.</enum><header>Authority for
States to offer purchase of coverage for uncovered children under
SCHIP</header>
<subsection id="H2A9FFEB9DDE6436ABAF312E0402B7EB"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Title XXI (42 U.S.C.
1397aa et seq.) is amended by adding at the end the following new
section:</text>
<quoted-block act-name="Social Security Act" display-inline="no-display-inline" id="HC9F9B9DC28494DA7A109EF007BFC1DB4" style="OLC">
<section id="H17A768095BB3476DB405AD39E5F73EAE"><enum>2111.</enum><header>Authority for
States to offer purchase of coverage for uncovered children who are not
otherwise eligible for assistance under schip or medicaid</header>
<subsection id="H121E2ABD1FE6423CB5ED8D91D44442B8"><enum>(a)</enum><header>Authority To
offer purchase of coverage</header>
<paragraph id="idFFBA9FD6E7534E579256AE31F92099DF"><enum>(1)</enum><header>Option for
States with income eligibility level of at least 200, but not 400,
percent</header><text display-inline="yes-display-inline">Subject to the
succeeding provisions of this section, in the case of a State that meets the
requirement of section 2105(i)(2) for a calendar quarter and that has elected
to apply an income eligibility level under section 2110(c)(4) that is at least
200 percent, but not 400 percent, of the poverty line for the calendar quarter,
the State may permit during the calendar quarter the purchase of coverage under
this title by families, employers, or others (under the same terms of the plan
that apply to targeted low-income children) for an uncovered child who would be
eligible to be a targeted low-income child but whose family income exceeds such
level.</text>
</paragraph><paragraph id="H9252F26E75094A6EA826A5B99C357756"><enum>(2)</enum><header>Requirement for
States with 400 percent income eligibility level</header><text>In the case of a
State that meets the requirement of section 2105(i)(2) for a calendar quarter
and that has elected to apply an income eligibility level under section
2110(c)(4) that is 400 percent of the poverty line for the calendar quarter,
the State shall permit during the quarter the purchase of coverage described in
paragraph (1).</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HD9889BD4C2484429BED3BDA87A19629"><enum>(b)</enum><header display-inline="yes-display-inline">Community-rated, actuarially based
premium</header><text display-inline="yes-display-inline">The premium imposed
for coverage of a child pursuant to subsection (a) shall not exceed a
community-rated premium that reflects the actuarial average cost of providing
coverage under the State child health plan to enrollees who are
children.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="id1C0667F5C313427D8FDEDDE097EA9D52"><enum>(c)</enum><header>State option
regarding limitation on cost-sharing</header>
<paragraph commented="no" display-inline="no-display-inline" id="id0E28BC9210194A8685E36D49CBB5E233"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">In the case of
children covered under the plan by reason of purchasing such coverage pursuant
to subsection (a), the State may elect in applying the limitation on
cost-sharing described in section 2103(e)(3)(B) (including to children who are
provided benefits in the manner described in section 2103(e)(4)) not to apply
such limitation with respect to some or all of the premiums imposed for the
purchase of such coverage.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id8B6322488F4A45A480FD36A87858041D"><enum>(2)</enum><header>Rule of
construction</header><text>Nothing in paragraph (1) shall be construed as
prohibiting an employer from providing an employee with financial benefits to
offset the cost of premiums and cost-sharing imposed with respect to the
purchase of coverage of a child pursuant to subsection (a).</text>
</paragraph></subsection><subsection id="H25B0C17A7A964EED98AA4657CCDF9857"><enum>(d)</enum><header>No federal
matching payment available</header><text>No payments shall be made under
section 2105(a) (other than under clauses (iii) and (iv) of paragraph (1)(D))
with respect to child health assistance provided under the State child health
plan to children covered under the plan by reason of purchasing such coverage
pursuant to this
section.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H93FC3A4A3DA54108BBE04D4C4824E800"><enum>(b)</enum><header>Conforming
amendments</header>
<paragraph id="HD76B17587DB54B78A0F578AE6B714861"><enum>(1)</enum><text>Section
2110(b)(1)(B) (42 U.S.C. 1397jj(b)(1)(B)) is amended—</text>
<subparagraph id="H09266DCADFA04875BE0044B873F10532"><enum>(A)</enum><text>in clause (i), by
striking <quote>or</quote> at the end;</text>
</subparagraph><subparagraph id="HE75CDE256C654E029EBCBFF0A910BA3B"><enum>(B)</enum><text>in clause (ii), in
the matter before subclause (I), by inserting <quote>who</quote> before
<quote>is</quote>;</text>
</subparagraph><subparagraph id="H059E5F6629AE49BD8BC15D2F217641D7"><enum>(C)</enum><text>in clause
(ii)(III), by striking <quote>and</quote> and inserting <quote>or</quote>;
and</text>
</subparagraph><subparagraph id="H2FA1FB05C96A402F8FEEF585E6F424F1"><enum>(D)</enum><text>by adding at the
end the following new clause:</text>
<quoted-block display-inline="no-display-inline" id="HC6DC6E13A032430497FE11016C58CA18" style="OLC">
<clause id="HC9DBDE58849344D0A76B513FF1E1F543" indent="up1"><enum>(iii)</enum><text>who is a child with respect to
whom coverage is purchased under section 2111(a);
and</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="H2D62BBF64F39481EA0AAF63B999282BA"><enum>(2)</enum><text>Section 2103(e)
(42 U.S.C. 1397cc) is amended—</text>
<subparagraph id="HA988099F64BF46B59CA6F4B01BE7805"><enum>(A)</enum><text>in paragraph
(3)(B), by striking <quote>and (2)</quote> and inserting <quote>, (2), and
section 2111(d)</quote>; and</text>
</subparagraph><subparagraph id="HEC6382514BA140BDAAC593E6DCC7CA53"><enum>(B)</enum><text>in paragraph (4),
by striking <quote>Nothing</quote> and inserting <quote>Subject to 2111(d)(2),
nothing</quote>.</text>
</subparagraph></paragraph></subsection></section><section id="H386766517754477AB41E561F43D7E17F"><enum>103.</enum><header>Support for
employment-based coverage of children eligible for SCHIP or Medicaid</header>
<subsection id="H45B1E85602494BDAB82590D36E276625"><enum>(a)</enum><header>Subsidies for
employment-based coverage</header>
<paragraph id="HAD283D5E259B4E6C9FFAB09FA0E8F71C"><enum>(1)</enum><header>Under
SCHIP</header><text>Section 2105 (42 U.S.C. 1397ee) is amended—</text>
<subparagraph id="HC077ACDB2F11443AB87204F5F7F3D981"><enum>(A)</enum><text>in subsection
(a)(1)(D)—</text>
<clause id="H4E89648CAE264E1DA7A1B8A6F6789300"><enum>(i)</enum><text>by
striking <quote>and</quote> at the end of clause (iii);</text>
</clause><clause id="H96B346A803514DF7935FC1E2F05B43CD"><enum>(ii)</enum><text>by
redesignating clause (iv) as clause (v); and</text>
</clause><clause id="H34FE3A40D24F45DCAA97B8C1DFB56DC"><enum>(iii)</enum><text>by
inserting after clause (iii) the following new clause:</text>
<quoted-block display-inline="no-display-inline" id="H54BB73DA8C914907A6069918B7005E3F" style="OLC">
<clause id="HA22A3E04220C4D9CB61ECEC05FCBF9B2"><enum>(iv)</enum><text>payments for
employment-based coverage under subsection (c)(2)(C);
and</text>
</clause><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="H4E1F4112B556405AAB4F2C155D21ACA5"><enum>(B)</enum><text>in subsection
(c)(2)(A), by inserting <quote>(other than under clause (iv) of such
paragraph)</quote> after <quote>of such subsection</quote>; and</text>
</subparagraph><subparagraph id="HF3366A48BA6F4F46868FACF9DFD632BC"><enum>(C)</enum><text>in subsection
(c)(2), by adding at the end the following new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="H3EB3D59B543D4D30B4EB6B29160063C0" style="OLC">
<subparagraph id="H1C52F969B6964CB7A08516D16E68178D"><enum>(C)</enum><header>Subsidies for
employment-based coverage</header>
<clause id="HEEE43A2F2A724AC8AB56E3FAAC823923"><enum>(i)</enum><header>In
general</header><text display-inline="yes-display-inline">In the case of a
State that has elected the option under section 2110(c)(4) to apply for a
calendar quarter a percentage that is 400 percent and that meets the
requirement of subsection (i)(2) for the calendar quarter, subject to clause
(ii), the limitation under subparagraph (A) on expenditures shall not apply to
a payment for the provision of health benefits coverage during the calendar
quarter under a group health plan for an employer premium assistance eligible
child (and to supplemental benefits described in subclause (II)) if the State
demonstrates to the satisfaction of the Secretary that—</text>
<subclause id="H6A577ECF254543F59D2C77C900A138A8"><enum>(I)</enum><text>the actuarial
value of the health benefits coverage (as determined pursuant to section
2103(c)(4)) is at least equal to the actuarial value of the child health
assistance provided under the State child health plan for children with the
same (or comparable) family income and the group health plan does not
discriminate in its coverage of employer premium assistance eligible children
on the basis of health status; and</text>
</subclause><subclause id="HCBB9CAACA4C141849B5417D67290DA86"><enum>(II)</enum><text>the State will
provide supplemental benefits for employer premium assistance eligible children
under the State child health plan in accordance with section 2110(b)(5) in
order that such supplemental benefits, in combination with such coverage,
provides the same benefits as would be available under the child health plan to
the child if section 2110(b)(1)(C) did not apply to the child.</text>
</subclause></clause><clause id="H01697549212D449DB8EFE0C4CB711703"><enum>(ii)</enum><header>Limitation on
federal matching payments</header><text display-inline="yes-display-inline">No
payment shall be made under subsection (a) with respect to a payment described
in clause (i) for coverage of a child insofar as the payment exceeds 50 percent
of the amount of expenditures that the State would have otherwise incurred for
providing child health assistance for such child if the child were a targeted
low-income child.</text>
</clause><clause id="H8CCAA40A57E346C79E6E1C433979DD2E"><enum>(iii)</enum><header>Employer
premium assistance eligible child defined</header><text>For purposes of clause
(i), the term <quote>employer premium assistance eligible child</quote> means a
child who is covered under a group health plan, who is not eligible for medical
assistance under the State plan under title XIX, and who would satisfy the
requirements for being a targeted low-income child under the State child health
plan if the condition described in subparagraph (C) of section 2110(b)(1) did
not
apply.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HB8F436ED52D84265B98DC88C205C33E3"><enum>(2)</enum><header>Reference to
existing medicaid authority</header><text>For provisions relating to authority
of State Medicaid plan to provide payment to employers for enrollment of
Medicaid-eligible children in a group health plan, and requiring the continued
provision of medical assistance to supplement coverage under such plan, see
section 1906 of the Social Security Act (42 U.S.C. 1396e).</text>
</paragraph></subsection><subsection id="HD293EA6B40C642C98D46F79758FEEE19"><enum>(b)</enum><header>State provision
of supplemental SCHIP benefits in case of children covered under group health
plans</header>
<paragraph id="H92594F77330F49A08BAA34967380CB5B"><enum>(1)</enum><header>In
general</header><text>Section 2110(b) (42 U.S.C. 1397jj(b)) is amended—</text>
<subparagraph id="H6D6A062214B54D8586E9476189F48F35"><enum>(A)</enum><text>in paragraph
(1)(C), by inserting <quote>, subject to paragraph (5),</quote> after
<quote>under title XIX or</quote>; and</text>
</subparagraph><subparagraph id="H9769983F180643F5863264ADA84CF2E3"><enum>(B)</enum><text>by adding at the
end the following new paragraph:</text>
<quoted-block id="H7CE39A1327DB4C73900200EF7F677481">
<paragraph id="H9471DD1E03FB4AAEA28EA0F6A9052330"><enum>(5)</enum><header>State provision
of supplemental benefits in case of children covered under group health
plans</header>
<subparagraph id="H8424850534FC4756A2B587C1C132CA4"><enum>(A)</enum><header>Requirement for
children enrolled under subsidized employment-based coverage</header><text display-inline="yes-display-inline">In the case of a State that provides
payment under section 2105(c)(2)(C) for health benefits coverage for a child
enrolled in a group health plan, the requirement of paragraph (1)(C) shall not
apply to such child, but the child health assistance under this title shall be
limited to—</text>
<clause id="HC9D0920847DA4CFAA5D7B2903F34E8F"><enum>(i)</enum><text>benefits for items
or services that are not covered, or are only partially covered, under such
plan; and</text>
</clause><clause id="HA5690488F4184B23B163BF7FD0EF1797"><enum>(ii)</enum><text>protection
against incurring out-of-pocket costs (including premiums) in excess of the
limitations otherwise applicable to a targeted low-income child with the same
family income.</text>
</clause></subparagraph><subparagraph id="HDAE98BC7208F42BABC6BECF21D9CF33B"><enum>(B)</enum><header>Option for other
children</header><text>For children not described in subparagraph (A), a State
may waive the requirement of paragraph (1)(C), with respect to children within
one or more classes or categories of children specified by the State, in the
case of a child covered under a group health plan in order to provide child
health assistance—</text>
<clause id="HF910F3C8F6854160888456DFEC444720"><enum>(i)</enum><text>for items or
services that are not covered, or are only partially covered, under such plan;
or</text>
</clause><clause id="HE79FC2D373084F46A6DF342D397F7B62"><enum>(ii)</enum><text>to protect
against incurred out-of-pocket costs (including premiums) exceeding the
limitations otherwise applicable to a targeted low-income child with the same
family income.</text>
</clause></subparagraph><subparagraph id="HF5F64168885245D3AA7320DC3FDDCBFB"><enum>(C)</enum><header>Eligibility</header><text>In
applying subparagraph (B), a State may limit the application of the waiver
under such subparagraph to children whose family income does not exceed a level
specified by the State, which may not exceed the maximum income level otherwise
established for other children under the State child health plan.</text>
</subparagraph><subparagraph id="H12BC22D85558489CA7C7F1700BFB334"><enum>(D)</enum><header>Continued
application of duty to prevent substitution of existing
coverage</header><text>Nothing in this paragraph shall be construed as
modifying the application of section 2102(b)(3)(C) to a
State.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="H1B6CCCA0303643C5B751A32C757C503D"><enum>(2)</enum><header>Application of
enhanced match under medicaid</header><text>Section 1905 (42 U.S.C. 1396d) is
amended—</text>
<subparagraph id="H39D648DE9A754A3A8679C3B4C7A5E002"><enum>(A)</enum><text>in subsection (b),
in the fourth sentence, by striking <quote>subsection (u)(3)</quote> and
inserting <quote>(u)(3), or (u)(4)</quote>; and</text>
</subparagraph><subparagraph id="HC383C8D20273456DB200A77CCE8FAF2E"><enum>(B)</enum><text>in subsection (u),
by redesignating paragraph (4) as paragraph (5) and by inserting after
paragraph (3) the following new paragraph:</text>
<quoted-block id="HFE70D1C5E6664687BAC05819E91BDED1">
<paragraph id="H30102DCBA9CB4E648845A79962136168" indent="up1"><enum>(4)</enum><text>For purposes of subsection (b), the
expenditures described in this paragraph are expenditures for items and
services for children described in section
2110(b)(5).</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="H6E573E2802144F66A79B56053DE73352"><enum>(3)</enum><header>Application of
secondary payor provisions</header><text>Section 2107(e)(1) (42 U.S.C.
1397gg(e)(1)) is amended—</text>
<subparagraph id="HBF7D5D4F865940F6A3805C18A9F67E65"><enum>(A)</enum><text>by redesignating
subparagraphs (B) through (D) as subparagraphs (C) through (E), respectively;
and</text>
</subparagraph><subparagraph id="H811F4DA7166D4C9C96AF24374C74979F"><enum>(B)</enum><text>by inserting after
subparagraph (A) the following new subparagraph:</text>
<quoted-block id="HCAFFD1CBE6D54CC1A6A3C49F1F00DE25">
<subparagraph id="H5445C4C6A8BA48ADAA3415A438225E7E"><enum>(B)</enum><text>Section
1902(a)(25) (relating to coordination of benefits and secondary payor
provisions) with respect to benefits provided under section
2110(b)(5).</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection></section><section id="idB5E5A22923684A17A5BF80EB3D0CD6C7"><enum>104.</enum><header>Modification
of prohibition on coverage of children of State employees</header><text display-inline="no-display-inline">Section 2110(b)(2)(B) (42 U.S.C.
1397jj(b)(2)) is amended—</text>
<paragraph id="id1D24226469264787BB36B2137344AA77"><enum>(1)</enum><text display-inline="yes-display-inline">by striking <quote>is eligible</quote> and
inserting <quote>would be eligible</quote>; and</text>
</paragraph><paragraph id="id8ED4DF7DA8C2429B83A68D49AFAA3DA9"><enum>(2)</enum><text>by inserting
<quote>(as in effect on March 1, 2007)</quote> after
<quote>plan</quote>.</text>
</paragraph></section></subtitle><subtitle id="H1D1EA1420047428C840165E0DD9D3B0"><enum>B</enum><header>Ensuring Dependable
Coverage for All Children</header>
<section id="HE671DDBE3C90442883DCABB5300BC32"><enum>111.</enum><header>Improving
benchmark coverage options</header>
<subsection id="HEB83A01D79B2473F9B3352CE8BE0E3DF"><enum>(a)</enum><header>Limitation on
use of secretary-approved coverage</header><text display-inline="yes-display-inline">Section 2103(a)(4) (42 U.S.C. 1397cc(a)(4))
is amended by striking the period at the end and inserting <quote>, but only if
such determination was made before March 1, 2007.</quote>.</text>
</subsection><subsection id="H7477EBE9BCBF4138886600AD15F178B"><enum>(b)</enum><header>Requirement for
most popular family coverage for state employee coverage
benchmark</header><text>Section 2103(b)(2) (42 U.S.C. 1397(b)(2)) is
amended—</text>
<paragraph id="H3714657D1635481F99488C9542F5FD63"><enum>(1)</enum><text>by striking
<quote>A health benefits coverage plan</quote> and inserting <quote>The health
benefits coverage plan</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H5EC7D705100947069DE6FC40380844CA"><enum>(2)</enum><text>by inserting
<quote>and that has been selected the most, by employees seeking dependent
coverage, among such plans that provide such dependent coverage, in either of
the previous 2 plan years</quote> before the period.</text>
</paragraph></subsection></section><section id="idB72D359F87694F9B9233849F5A9DE89A"><enum>112.</enum><header>Requiring
coverage of EPSDT services, including dental services, and federally-qualified
health services and improving coverage of additional categories of
services</header>
<subsection id="idE94F84C9FED74AF9894B487841D60F73"><enum>(a)</enum><header>Additional
required services</header>
<paragraph id="id12E2CA666FDB44AFAD4E9CA07EF2C3B8"><enum>(1)</enum><header>Required
coverage of EPSDT services, including dental services</header><text>Section
2103(c) (42 U.S.C. 1397cc(c)) is amended—</text>
<subparagraph id="idE8776343A7684BE68F52D6A141B6FC56"><enum>(A)</enum><text>by redesignating
paragraph (5) as paragraph (6); and</text>
</subparagraph><subparagraph id="id58508027258C424AA16CE7A6454B7A33"><enum>(B)</enum><text>by inserting
after paragraph (4), the following:</text>
<quoted-block display-inline="no-display-inline" id="idC973DC1BD154415FBB258805B4C6BEC5" style="OLC">
<paragraph id="idE417FDB9B74B4B40AAC439B02EF08CEE"><enum>(5)</enum><header>Other required
services</header><text>The child health assistance provided to a targeted
low-income child shall include coverage of the following:</text>
<subparagraph id="id6C6E30DFCB8A4C339ABED0FDA90744BD"><enum>(A)</enum><header>EPSDT services,
including dental services</header><text>Early and periodic screening,
diagnostic, and treatment services described in subsections (a)(4)(B) and (r)
of section 1905 and provided in accordance with section 1903(a)(43) (including
dental services that are necessary to prevent disease and promote oral health,
restore oral structures to health and function, and treat emergency
conditions).</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id969C9E80DFAD465CA5CBCDC80604D48C"><enum>(2)</enum><header>Required
coverage of FQHC and RHC services</header><text>Section 2103(c)(5) (42 U.S.C.
1397cc(c)(5)) (as added by subsection (a)), is amended by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="id664BDD9CBE35403AAE912B5C02CFEF35" style="OLC">
<subparagraph id="id65C789D124AA4C048025F257E35A19AC"><enum>(B)</enum><header>FQHC and RHC
services</header><text>Federally-qualified health center services (as defined
in section 1905(l)(2)) and rural health clinic services (as defined in section
1905(l)(1)).</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="id205A73959FFC49188A9FA454C13516F3"><enum>(3)</enum><header>Assuring access
to care</header>
<subparagraph id="id4B50E6247B554903A7B590D25AD448E5"><enum>(A)</enum><header>State child
health plan requirement</header><text>Section 2102(a)(7)(B) (42 U.S.C.
1397bb(c)(2)) is amended by inserting <quote>and services described in section
2103(c)(5)</quote> after <quote>emergency services</quote>.</text>
</subparagraph><subparagraph id="idE5DE858E686446FFB4C14EC0471174AF"><enum>(B)</enum><header>Annual
report</header><text>Section 2108(a)(1) (42 U.S.C. 1397hh(a)(1)) is
amended—</text>
<clause id="id0FF517FAECB44D8AB3E3F6FC3063F7A7"><enum>(i)</enum><text>by
striking <quote>including the progress</quote> and inserting “including—</text>
<quoted-block display-inline="no-display-inline" id="id795E68BE18454FBCBAB82AB589216458" style="OLC">
<subparagraph id="id96FC33E0CAF6482A8382F80FEFC045A3"><enum>(A)</enum><text>the
progress</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</clause><clause id="id5E69F100444442828AB5496810B2ACF0"><enum>(ii)</enum><text>by
adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idD4DB4304A18D4301AD292A8572E2A6E9" style="OLC">
<subparagraph id="id5C4D68E3D7514BCC97A8DC637F333532"><enum>(B)</enum><text>the extent to
which the operation of such plan ensures access, comparable to access under
employer-sponsored or other private health insurance coverage (or in the case
of federally-qualified health center services (as defined in section 1905(l)
(2)) and rural health clinic services (as defined in section 1905(l)(1)),
access comparable to the access to such services under title XIX), for child
health assistance to targeted low-income children consistent with the
provisions of this title;
and</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph id="id912D360F01DD4CA08FB96797FAEF9315"><enum>(4)</enum><header>Conforming
amendment</header><text>Section 2103(a) (42 U.S.C. 1397cc(a)) is amended, in
the matter preceding paragraph (1), by striking <quote>subsection
(c)(5)</quote> and inserting <quote>paragraphs (5) and (6) of subsection
(c)</quote>.</text>
</paragraph></subsection><subsection id="idD0DC9D66656E46ABA381E18782AAD6B0"><enum>(b)</enum><header>100 percent
actuarial value for additional services included in benchmark
package</header><text display-inline="yes-display-inline">Section 2103(a)(2)(C)
(42 U.S.C. 1397cc(a)(2)(C)) is amended by striking <quote>75 percent</quote>
and inserting <quote>100 percent</quote>.</text>
</subsection></section><section id="HDEEDA0EBF93A417483067000EAF8857"><enum>113.</enum><header>Clarification of
requirement to provide EPSDT services for all children in benchmark benefit
packages under Medicaid</header>
<subsection id="H23C0A100ABF646859EC531059D0498F0"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 1937(a)(1),
as inserted by section 6044(a) of the Deficit Reduction Act of 2005, is
amended—</text>
<paragraph id="H0F6C2004597C42DD8C17187BA2884D09"><enum>(1)</enum><text>in subparagraph
(A)—</text>
<subparagraph id="HF0B681BBB1524FA785BAE033C86B5B22"><enum>(A)</enum><text display-inline="yes-display-inline">in the matter before clause (i), by
inserting <quote>subject to subparagraph (E),</quote> after
<quote>Notwithstanding any other provision of this title</quote>; and</text>
</subparagraph><subparagraph id="H64D5D132F6AE49F186B1D15E56AC9866"><enum>(B)</enum><text>by striking
<quote>enrollment in coverage that provides</quote> and all that follows and
inserting <quote>benchmark coverage described in subsection (b)(1) or benchmark
equivalent coverage described in subsection (b)(2).</quote>;</text>
</subparagraph></paragraph><paragraph id="H199F4BF3A68E4D32BBC83CFDD800D0ED"><enum>(2)</enum><text>by striking
subparagraph (C) and inserting the following new subparagraph:</text>
<quoted-block id="H0E0DFF128DEF47018009553240D1F7A3" style="OLC">
<subparagraph id="H19D8E7B6D54645CBB009C5A0DCDB6D5B"><enum>(C)</enum><header>State option to
provide additional benefits</header><text>A State, at its option, may provide
such additional benefits to benchmark coverage described in subsection (b)(1)
or benchmark equivalent coverage described in subsection (b)(2) as the State
may specify.</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="HF255641DFCCB440BAC4DB7D3DC07367F"><enum>(3)</enum><text>by adding at the
end the following new subparagraph:</text>
<quoted-block id="H6DCFBF6B57BB4FA38EF5CBED5AE0140" style="OLC">
<subparagraph id="HC846371683C14A14A30022A22C00B276"><enum>(E)</enum><header>Requiring
coverage of EPSDT services</header><text>Nothing in this paragraph shall be
construed as affecting a child’s entitlement to care and services described in
subsections (a)(4)(B) and (r) of section 1905 and provided in accordance with
section 1903(a)(43) whether provided through benchmark coverage, benchmark
equivalent coverage, or
otherwise.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H792105873CAC440CB2F9B445FEF3104C"><enum>(b)</enum><header>Effective
date</header><text>The amendments made by this subsection shall take effect as
if included in the amendment made by section 6044(a) of the Deficit Reduction
Act of 2005.</text>
</subsection></section><section commented="no" display-inline="no-display-inline" id="id4DC1EACCBE9340D7BEEB88F03BD479DA"><enum>114.</enum><header>Medicaid-SCHIP
Payment Advisory Commission</header><text display-inline="no-display-inline">Title XIX (42 U.S.C. 1396 et seq.) is
amended by inserting before section 1901 the following new section:</text>
<quoted-block display-inline="no-display-inline" id="id05E9CBFF31FD4A1BAB9251DA49F90022" style="traditional">
<section commented="no" display-inline="no-display-inline" id="id451C3E6ACBE447E8AEDA88EF5EDEABFA"><enum>1900.</enum><header>Medicaid-SCHIP Payment Advisory
Commission</header><subsection commented="no" display-inline="yes-display-inline" id="idEC6EEB44CDC741BB87A500529D7E1895"><enum>(a)</enum><header>Establishment</header><text>There
is hereby established the Medicaid-SCHIP Payment Advisory Commission (in this
section referred to as the <quote>Commission</quote>).</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="id452D98F892CB4D8F9AC0B5F3A979897F"><enum>(b)</enum><header>Duties</header>
<paragraph commented="no" display-inline="no-display-inline" id="id1CB246AE656043C19BBB64EA95EEE9EB"><enum>(1)</enum><header>Review of
payment policies and annual reports</header><text>The Commission shall—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="idD7C3FFBB1A3A4AF381F0C0238FA15345"><enum>(A)</enum><text>review payment
policies of the Medicaid program established under this title (in this section
referred to as <quote>Medicaid</quote>) and the State Children's Health
Insurance Program established under title XXI (in this section referred to as
<quote>SCHIP</quote>), including topics described in paragraph (2);</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id000AE41963564A0DA18C31AAB4099515"><enum>(B)</enum><text>make
recommendations to Congress concerning such payment policies;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id0B5ED384880742EF952ABB6AB7F802CC"><enum>(C)</enum><text>by not later than
March 1 of each year, submit a report to Congress containing the results of
such reviews and its recommendations concerning such policies; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id64412BDA08AB4FE1AAFD2338F50990CB"><enum>(D)</enum><text>by not later than
June 1 of each year, submit a report to Congress containing an examination of
issues affecting Medicaid and SCHIP, including the implications of changes in
health care delivery in the United States and in the market for health care
services on such programs.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id2F520C6A0BF54BB5B402B6355EED611F"><enum>(2)</enum><header>Specific topics
to be reviewed</header><text>Specifically, the Commission shall review the
following:</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id72C90754DA6245BBB599ECE7975E1D09"><enum>(A)</enum><text>The factors
affecting expenditures for services in different sectors (such as physician,
hospital and other sectors), payment methodologies, and their relationship to
access and quality of care for Medicaid and SCHIP beneficiaries.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id3BBAF22909BF4B9B9F697EF966F9B847"><enum>(B)</enum><text>The affects of
Medicaid and SCHIP payment policies on access to services for children and
other Medicaid and SCHIP populations.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idBF6DFB858A0248019C7D23811345A2B2"><enum>(3)</enum><header>Comments on
certain secretarial reports</header><text>If the Secretary submits to Congress
(or a committee of Congress) a report that is required by law and that relates
to payment policies under Medicaid or SCHIP, the Secretary shall transmit a
copy of the report to the Commission. The Commission shall review the report
and, not later than 6 months after the date of submittal of the Secretary's
report to Congress, shall submit to the appropriate committees of Congress
written comments on such report. Such comments may include such recommendations
as the Commission deems appropriate.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id1F9205E66A5A473BA6F83DEBFAF0D53C"><enum>(4)</enum><header>Agenda and
additional reviews</header><text>The Commission shall consult periodically with
the Chairmen and Ranking Minority Members of the appropriate committees of
Congress regarding the Commission's agenda and progress towards achieving the
agenda. The Commission may conduct additional reviews, and submit additional
reports to the appropriate committees of Congress, from time to time on such
topics relating to the program under this title or title XXI as may be
requested by such Chairmen and Members and as the Commission deems
appropriate.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idA5EB3B9D1674405CB9C86519AFD9D61E"><enum>(5)</enum><header>Availability of
reports</header><text>The Commission shall transmit to the Secretary a copy of
each report submitted under this subsection and shall make such reports
available to the public.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idBA485FFB0B584A7B9F3690DA23B3F3B7"><enum>(6)</enum><header>Appropriate
committee of congress</header><text>For purposes of this section, the term
<quote>appropriate committees of Congress</quote> means the Committees on
Energy and Commerce of the House of Representatives and the Committee on
Finance of the Senate.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idA9FB6A585D6046888A9A8873C025976E"><enum>(7)</enum><header>Voting and
reporting requirements</header><text>With respect to each recommendation
contained in a report submitted under paragraph (1), each member of the
Commission shall vote on the recommendation, and the Commission shall include,
by member, the results of that vote in the report containing the
recommendation.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idEC0CAB6ABDD74EA7BFD9A3FD28BDAC96"><enum>(8)</enum><header>Examination of
budget consequences</header><text>Before making any recommendations, the
Commission shall examine the budget consequences of such recommendations,
directly or through consultation with appropriate expert entities.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idA2CBD80CF66D414E8DFE55C1C42BABD5"><enum>(c)</enum><header>Application of
provisions</header><text>The following provisions of section 1805 shall apply
to the Commission in the same manner as they apply to the Medicare Payment
Advisory Commission:</text>
<paragraph commented="no" display-inline="no-display-inline" id="id52574EAEAF984A879640184AABBD0FD1"><enum>(1)</enum><text>Subsection (c)
(relating to membership).</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id08E1CCDD0BAB410F9102A0772E2772A0"><enum>(2)</enum><text>Subsection (d)
(relating to staff and consultants).</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id531A9ACC63894880B3EAB0D373D8AC53"><enum>(3)</enum><text>Subsection (e)
(relating to powers).</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idCD195AC4C7B8457985E58E1DBD96005B"><enum>(d)</enum><header>Authorization
of appropriations</header>
<paragraph commented="no" display-inline="no-display-inline" id="id55295A0D1595400297ECC9EA91B2293D"><enum>(1)</enum><header>Request for
appropriations</header><text>The Commission shall submit requests for
appropriations in the same manner as the Comptroller General submits requests
for appropriations, but amounts appropriated for the Commission shall be
separate from amounts appropriated for the Comptroller General.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id153531C157DB49AC81DCFC58B46336D6"><enum>(2)</enum><header>Authorization</header><text>There
are authorized to be appropriated such sums as may be necessary to carry out
the provisions of this
section.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section></subtitle><subtitle id="H041868F0437444C0A9688F3C9F153FF"><enum>C</enum><header>Ensuring a Fair
Partnership</header>
<section id="HB2C688FF07644C1CBA949F11D8DE85"><enum>121.</enum><header>Increase in FMAP
for medical assistance for children for States that expand coverage of
children</header><text display-inline="no-display-inline">Section 1905 (42
U.S.C. 1396d) is amended—</text>
<paragraph id="H8DA4F4421D5C4D09A7CF1381B08E0062"><enum>(1)</enum><text>in subsection (b),
in the first sentence—</text>
<subparagraph id="H5FF6C7B62DEF41868DC555D642236BDF"><enum>(A)</enum><text>by striking
<quote>and (4)</quote> and inserting <quote>(4)</quote>; and</text>
</subparagraph><subparagraph id="H9F69D9A0EA1549748635A2B70000485C"><enum>(B)</enum><text>by inserting
<quote>, and (5) in the case of a State that is described in subsection (y)(1)
and section 2105(i)(1) for a calendar quarter, notwithstanding the previous
clauses of this sentence, the Federal medical assistance percentage with
respect to medical assistance provided to children shall be increased by the
number of percentage points determined under subsection (y)(4)</quote> before
the period; and</text>
</subparagraph></paragraph><paragraph id="H9C1E8E4487B24C06ACA4E2005729B455"><enum>(2)</enum><text>by adding at the
end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="H64E7BEB4A90E4AC2A23CA69B9432AF21" style="OLC">
<subsection id="H2901E3A5E0E343C9A118F9219E008347"><enum>(y)</enum><header>Determination of
increase in FMAP for medical assistance for children for States that expand
coverage of children</header>
<paragraph id="H6B1685B2DEA24AAB904F2FCC002DF083"><enum>(1)</enum><header>State
described</header><text>For purposes of clause (5) of the first sentence of
subsection (b), a State described in this paragraph is a State that—</text>
<subparagraph id="HC4182612E05641399F4F83689DDD6BE"><enum>(A)</enum><text>meets the
continuous eligibility requirement of paragraph (2); and</text>
</subparagraph><subparagraph id="H2C47AF389617472BA0D732E863651A5"><enum>(B)</enum><text>has implemented
model outreach and enrollment practices in accordance with at least 3
subparagraphs of paragraph (3) (relating to coverage of children under this
title and title XXI).</text>
</subparagraph></paragraph><paragraph id="H0BFD773DE7D742A8BDB01BA35780A3A"><enum>(2)</enum><header>Continuous
eligibility requirement</header><text>The requirement of this paragraph is that
the State has elected the option of continuous eligibility for a full 12 months
for children described in section 1902(e)(12) under this title, as well as
applying such policy under its State child health plan under title XXI.</text>
</paragraph><paragraph id="H431D4564C13B44028B24730871DA607"><enum>(3)</enum><header>Model outreach
and enrollment practices</header>
<subparagraph id="HD6A587CEBA6F4923BF6FCA1FE9F2A000"><enum>(A)</enum><header>Application
outreach process</header><text>The State makes available to parents and
caretaker relatives of children, in English and other languages that shall be
required by the Secretary to comply with title VI of the Civil Rights Act of
1964, information regarding applying, and upon request, an application, for
medical assistance for children under this title and for child health
assistance under title XXI consistent with the following:</text>
<clause id="H972EA820809C45D3B4D1004BE833B5F0"><enum>(i)</enum><header>Posting of
availability of information</header><text>An announcement concerning the
availability of such information and applications is posted in a conspicuous
manner at a location that is easily accessible to the public—</text>
<subclause id="H2C7BE8394173421394FD62AAAC20DEBE"><enum>(I)</enum><text>in each hospital
in the State that is a participating provider under the State child health plan
under title XXI or under the State plan under this title;</text>
</subclause><subclause id="H8424272B45F6471584B2108AAB53500"><enum>(II)</enum><text>in each public
elementary and secondary school in the State; and</text>
</subclause><subclause id="HF209588148E74591B7B8009EF565D642"><enum>(III)</enum><text>in the facility
of each public health care provider in the State, including federally-qualified
health centers and rural health centers, participating under such State child
health plan or under this title.</text>
</subclause></clause><clause id="H5CB9385769F341F2874185382BE83918"><enum>(ii)</enum><header>Year-round
availability of applications</header><text>Such applications are made available
in such locations on an on-going basis.</text>
</clause><clause id="H9B4C40D83F554ADAA030D4A07D775DC8"><enum>(iii)</enum><header>Annual
enrollment campaign in schools</header><text>An outreach and enrollment
campaign is conducted at least annually in such public elementary and secondary
schools, during which information concerning enrollment of children is sent to
the homes of children.</text>
</clause><clause id="H95820D5F024B4F09A28EE7EF1D1414AE"><enum>(iv)</enum><header>Outstationing
or training of staff for initial processing</header><text>Providing for the
receipt and initial processing of any such application at each facility
specified in section 1902(a)(55) and at each school described in clause (i)(II)
in which not less than 30 percent of the students are eligible for free or
reduced lunch under the Richard D. Russell National School Lunch Act,
through—</text>
<subclause id="H2D7B749B6C1546AEA3248FBAC0FBDCF"><enum>(I)</enum><text display-inline="yes-display-inline">the stationing at such facility or school
of State or local agency personnel to determine eligibility for such
assistance; or</text>
</subclause><subclause id="H291AC1123C854CF2938F8D3FC5C5C39C"><enum>(II)</enum><text>upon request of
the facility or school, the training and certification of personnel of such
facility or school (and access to necessary automated data systems) to make
such initial eligibility determinations.</text>
</subclause></clause></subparagraph><subparagraph id="HAFAF5E47C45846B4809C8B65C8002CBF"><enum>(B)</enum><header>One-step
application process</header>
<clause id="HC65B8FE41F8A46E600541F8C204EB54F"><enum>(i)</enum><header>In
general</header><text>The State provides for either or both of the
following:</text>
<subclause id="H763135DD47FD42F29600684B83DD6520"><enum>(I)</enum><text>The one-step
enrollment process described in clause (ii).</text>
</subclause><subclause id="H2E5C14C9B1334514BFFC84C6417F8F3E"><enum>(II)</enum><text>The express lane
process described in clause (iii).</text>
</subclause></clause><clause id="HE2BBB5AAB61140C69B20C7E500FD3248"><enum>(ii)</enum><header>One-step
application process (single application for multiple public assistance
programs)</header><text>The State treats an application for assistance for or
on behalf of a child (who has not otherwise been determined eligible for
assistance under this title or title XXI) under any public assistance program
administered by another Federal or State agency, including the agencies
administering the <act-name parsable-cite="FSA77">Food Stamp Act of
1977</act-name>, the Richard B. Russell <act-name parsable-cite="NSLA">National
School Lunch Act</act-name>, and the <act-name parsable-cite="CNA66">Child
Nutrition Act of 1966</act-name>, notwithstanding any differences in budget
unit, disregard, deeming, or other methodology, as an application for medical
assistance under this title for the child, or for child health assistance under
title XXI, but only if—</text>
<subclause id="H16DE9B63FEDA4A7DA0164257D11F85F"><enum>(I)</enum><text>such agency has
fiscal liabilities under such program that are affected or potentially affected
by such determinations; and</text>
</subclause><subclause id="HA1DE11623F104A95B137EC3C96D22875"><enum>(II)</enum><text>any information
furnished by such agency pursuant to this clause is kept confidential (except
from the applicant and the applicant’s parent or caretaker relative) and is
used solely for purposes of determining eligibility for medical assistance
under this title or for child health assistance under title XXI.</text>
</subclause></clause><clause id="H9E6A576F23C744A9899DE653865B4E17"><enum>(iii)</enum><header>Express lane
process (acceptance of income-related determinations for other assistance
programs)</header><text>The State is implementing the option provided under
section 1902(e)(13) under title XIX, as well as under this title pursuant to
section 2107(e)(1)(C).</text>
</clause></subparagraph><subparagraph id="HF82408F7C17744A498F5CDFDFA20C43D"><enum>(C)</enum><header>Administrative
verification of income</header><text>The State permits a parent or caretaker
relative of a child applying for medical assistance under this title or child
health assistance under title XXI to declare and certify by signature under
penalty of perjury information relating to family income, assets, expenses, and
other financial information for purposes of determining and redetermining
financial eligibility and not to routinely require an in-person interview,
except in cases justified by individual circumstances. Nothing in this
subparagraph shall be construed as preventing a State from taking steps to
verify information provided or to seek further information and documentation
from applicants in individual cases in the case of discrepancies or where
otherwise justified.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H6C511D9196874E33AC1408EAC7009491"><enum>(D)</enum><header display-inline="yes-display-inline">Simplified, consistent application form and
process</header><text display-inline="yes-display-inline">The State uses an
application form and process consistent with the following:</text>
<clause id="H8D4043B680C24D44A4A198C698DB6C33"><enum>(i)</enum><text display-inline="yes-display-inline">The application forms and materials are in
such languages in addition to English as shall be required by the Secretary to
comply with title VI of the Civil Rights Act of 1964.</text>
</clause><clause id="H503E8CBB46E54BA09877EE760974C0BB"><enum>(ii)</enum><text display-inline="yes-display-inline">The application form and supplemental forms
(if any) and information verification process is the same for purposes of
establishing and renewing eligibility for children for medical assistance under
this title and child health assistance under title XXI.</text>
</clause><clause id="H64DE094FF60B4EAE86AE0160BED428F"><enum>(iii)</enum><text>The process does
not require an application to be made in person or a face-to-face interview,
unless there are discrepancies or individual circumstances justifying an
in-person application or face-to-face interview.</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H490B25135F2F4530B39C37D7013352E"><enum>(E)</enum><header display-inline="yes-display-inline">Use of administrative renewal</header>
<clause id="H7047B6D2727B4C9290AEF490EC00BF8B"><enum>(i)</enum><header>In
general</header><text>The State provides, in the case of renewal of a child’s
eligibility for medical assistance under this title or child health assistance
under title XXI, that notice is provided to the parent or caretaker relative of
the child that eligibility of the child will be renewed and continued based on
the information available to the State unless the State is provided other
information.</text>
</clause><clause id="HE38FC48A2EC94911A4F5FFED35EDF98"><enum>(ii)</enum><header>Satisfaction
through demonstrated use of ex parte process</header><text>A State shall be
treated as satisfying the requirement of clause (i) if renewal of eligibility
of children under this title or title XXI is determined on an ex parte basis,
without any requirement for an in-person interview, unless sufficient
information is not in the State’s possession and cannot be acquired from other
sources (including other State agencies) without the participation of the
applicant or the applicant’s parent or caretaker relative.</text>
</clause></subparagraph><subparagraph id="HA62BD4BF0FC34E11BDD77398A2E4C9FD"><enum>(F)</enum><header>Application of
presumptive eligibility</header><text>The State has implemented the option, for
purposes of both this title and title XXI, of applying presumptive eligibility
provisions under sections 1920, 1920A, and 2107(e)(1)(G).</text>
</subparagraph></paragraph><paragraph id="HB6F2E25985594EC0BD1BE8A692B18300"><enum>(4)</enum><header>Determination of
increase</header>
<subparagraph id="H54291B0664C04696A827732307BDEA06"><enum>(A)</enum><header>In
general</header><text>For purposes of clause (5) of the first sentence of
subsection (b), in the case of a State described in such clause, the number of
percentage points determined under this paragraph is equal to the product of
the phase-in percentage for the State (specified under subparagraph (B))
multiplied by the number of percentage points by which the Federal medical
assistance percentage determined for the State under subsection (b) (without
regard to clause (5) of such subsection) is less than the enhanced FMAP
described in section 2105(b).</text>
</subparagraph><subparagraph id="HE9A88C9D2683440C88F5629E69F8AB00"><enum>(B)</enum><header>Phase-in
percentage</header><text>For purposes of subparagraph (A), the phase-in
percentage specified in this subparagraph for a State for a fiscal year is
equal to—</text>
<clause id="HFBB8213F0C7E4875BD2B753B65A8B290"><enum>(i)</enum><text>the number of
percentage points by which—</text>
<subclause id="HE136673309794FA7A6BAF6C0CBD26310"><enum>(I)</enum><text>the income level
established by the State under the most recent plan amendment of such State
referred to in section 1905(b)(5), expressed in terms of a number of percentage
points of the official poverty line; exceeds</text>
</subclause><subclause id="H9BA7A747F2804C0B979B77A0B7848375"><enum>(II)</enum><text>the applicable
income level established by the State as of January 1, 2007, expressed in terms
of a number of percentage points of the official poverty line, in order to be a
targeted low-income child under the State plan under title XXI; divided
by</text>
</subclause></clause><clause id="H789EC408438441B100C971EE392EF755"><enum>(ii)</enum><text>the number of
percentage points by which 400 exceeds the applicable income level (expressed
in percentage points) described in clause (i)(II).</text>
</clause></subparagraph></paragraph><paragraph id="H2FF17A40EC184F738CD96338548B7000"><enum>(5)</enum><header>Increase in cap
on payments to territories</header><text display-inline="yes-display-inline">If
Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, or
American Samoa qualify for an increase under subsection (b)(5) for a calendar
quarter for a fiscal year, the additional Federal financial participation under
this title that results from enrollment of additional children under this title
for such fiscal year because of the exercise of such option shall not be
counted towards the limitation on expenditures under this title for such
commonwealth or territory otherwise determined under subsections (f) and (g) of
section 1108.</text>
</paragraph><paragraph id="H1D345418082B48508B64ECF8A913FC00"><enum>(6)</enum><header>Scope of
application</header><text>The increase in the Federal medical assistance
percentage under subsection (b)(5) shall only apply for purposes of payments
under section 1903 with respect to medical assistance provided to children and
shall not apply with respect to—</text>
<subparagraph id="H2C10E8C754FC4D50B30059459183F75E"><enum>(A)</enum><text>disproportionate
share hospital payments described in section 1923;</text>
</subparagraph><subparagraph id="HA1E4C7ED642F47F6A46B8BD6B1F756AD"><enum>(B)</enum><text>payments under
title IV or XXI; or</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HDA2D0F931ECC467EBE42ED43E9D73E8B"><enum>(C)</enum><text>any payments under
this title that are based on the enhanced FMAP described in section
2105(b).</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idE43BE812037441058D5A68CFA8FA1DF7"><enum>(7)</enum><header>Rule of
construction</header><text>Nothing in this subsection shall be construed as
preventing a State from implementing any of the model outreach and enrollment
practices described in paragraph (3), notwithstanding that the State may not
qualify for an increase in the Federal medical assistance percentage under
subsection
(b)(5).</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section></subtitle><subtitle id="HC8BDD9E9209748B4A4F84D8535A86C66"><enum>D</enum><header>State Options for
Additional Coverage Expansions</header>
<section id="H3EF80105460F43D896ACAD9C032328"><enum>131.</enum><header>Optional coverage
of older children under Medicaid and SCHIP</header>
<subsection id="H329E826C307E4BD7A60085A0928E79DF"><enum>(a)</enum><header>Medicaid</header>
<paragraph id="H65B9B0C35E8B45D69BCFD6796CAD406C"><enum>(1)</enum><header>In
general</header><text>Section 1902(l)(1)(D) (42 U.S.C. 1396a(l)(1)(D)) is
amended by inserting <quote>(or, at the election of a State, 20, 21, 22, 23,
24, or 25 years of age)</quote> after <quote>19 years of age</quote>.</text>
</paragraph><paragraph id="H2EDF7835EF64428C9F0069787B3F00D8"><enum>(2)</enum><header>Conforming
amendments</header>
<subparagraph id="H866EAD41D559434EB23F00DF10087F9"><enum>(A)</enum><text>Section
1902(e)(3)(A) (42 U.S.C. 1396a(e)(3)(A)) is amended by inserting <quote>(or 1
year less than the age the State has elected under subsection
(l)(1)(D))</quote> after <quote>18 years of age</quote>.</text>
</subparagraph><subparagraph id="H3DC577739F5D486CA926BB3FD3076E97"><enum>(B)</enum><text>Section
1902(e)(12) (42 U.S.C. 1396a(e)(12)) is amended by inserting <quote>or such
higher age as the State has elected under subsection (l)(1)(D)</quote> after
<quote>19 years of age</quote>.</text>
</subparagraph><subparagraph id="HBAE0DDF22C72456DBF942F9775D49650"><enum>(C)</enum><text>Section
1920A(b)(1) (42 U.S.C. 1396r–1a(b)(1)) is amended by inserting <quote>or such
higher age as the State has elected under section 1902(l)(1)(D)</quote> after
<quote>19 years of age</quote>.</text>
</subparagraph><subparagraph id="H74F75F223B1E4E7BBED700E45FE800B9"><enum>(D)</enum><text>Section 1928(h)(1)
(42 U.S.C. 1396s(h)(1)) is amended by inserting <quote>or 1 year less than the
age the State has elected under section 1902(l)(1)(D)</quote> before the period
at the end.</text>
</subparagraph><subparagraph id="HD410A1EFBC1A4C92B1A3D14BF963B9D8"><enum>(E)</enum><text>Section
1932(a)(2)(A) (42 U.S.C. 1396u–2(a)(2)(A)) is amended by inserting <quote>(or
such higher age as the State has elected under section 1902(l)(1)(D))</quote>
after <quote>19 years of age</quote>.</text>
</subparagraph></paragraph></subsection><subsection id="HF90EE053099045DDA74ED3E2689769A8"><enum>(b)</enum><header>Title
<enum-in-header>XXI</enum-in-header></header><text>Section 2110(c)(1) (42
U.S.C. 1397jj(c)(1)) is amended by inserting <quote>(or such higher age as the
State has elected under section 1902(l)(1)(D))</quote>.</text>
</subsection></section><section display-inline="no-display-inline" id="H5AA0A1A457904DDC9BF212DA0471F31" section-type="subsequent-section"><enum>132.</enum><header>Optional coverage of
legal immigrants under the Medicaid program and SCHIP</header>
<subsection id="H87C51E010E664215AA0087E226A97423"><enum>(a)</enum><header>Medicaid
program</header><text>Section 1903(v) (42 U.S.C. 1396b(v)) is amended—</text>
<paragraph id="H15F9741A3EDC455DA121AC84711FE6F7"><enum>(1)</enum><text>in paragraph (1),
by striking <quote>paragraph (2)</quote> and inserting <quote>paragraphs (2)
and (4)</quote>; and</text>
</paragraph><paragraph id="HC42699B9DFA04C95A0CC647177D1E78"><enum>(2)</enum><text>by
adding at the end the following new paragraph:</text>
<quoted-block id="H0ECBFBADF5C140C4B106661163468BA9">
<paragraph id="H2527414EA1B24DA2A61F6D7E8EFCE69" indent="up1"><enum>(4)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="H07AD82E3395F4A56B6614967056FA407"><enum>(A)</enum><text>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 lawfully residing in the United States (including battered aliens described
in section 431(c) of such Act) and who are otherwise eligible for such
assistance, within either or both of the following eligibility
categories:</text>
<clause id="H3C52A2FAF22C4FFD9D792427DD386EE9" indent="up1"><enum>(i)</enum><header>Pregnant women</header><text>Women
during pregnancy (and during the 60-day period beginning on the last day of the
pregnancy).</text>
</clause><clause id="HBCF82518A8EC4AFBB0E16DA5AC904DA7" indent="up1"><enum>(ii)</enum><header>Children</header><text display-inline="yes-display-inline">Individuals under 21 years of age,
including optional targeted low-income children described in section
1905(u)(2)(B).</text>
</clause></subparagraph><subparagraph id="H24DB4F0A80FF46DA92C884D6534009B" indent="up1"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H5DC972E7BC9F4603A2312B71061B4925"><enum>(b)</enum><header>SCHIP</header><text>Section
2107(e)(1) (42 U.S.C. 1397gg(e)(1)), as amended by section 103(b)(3), is
amended by redesignating subparagraphs (D) and (E) as subparagraph (E) and (F),
respectively, and by inserting after subparagraph (C) the following new
subparagraph:</text>
<quoted-block id="H23AF847B400E4A9294854241B13EED54">
<subparagraph id="HC23642895E2A4599B1E86183BEA4C1C"><enum>(D)</enum><text>Section
1903(v)(4)(A)(ii) (relating to optional coverage of categories of lawfully
residing immigrant children), but only if the State has elected to apply such
section to the category of children under title
XIX.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section id="H402080A6994143D9BE007CAEA9AFD783"><enum>133.</enum><header>State option to
expand or add coverage of certain pregnant women under SCHIP</header>
<subsection id="HEFC91761B6F14AF38BF0C828F35F8F5C"><enum>(a)</enum><header>SCHIP</header>
<paragraph id="H79BC4236CB2545C89E8CEED9AD6694DF"><enum>(1)</enum><header>Coverage</header><text>Title
XXI (42 U.S.C. 1397aa et seq.), as amended by section 102, is amended by adding
at the end the following new section:</text>
<quoted-block act-name="Social Security Act" id="H0620FFA05FCA449C80963D0046DAFEC4">
<section id="H0617F573C66F476F94D200462E056D1C"><enum>2112.</enum><header>Optional
coverage of targeted low-income pregnant women</header>
<subsection id="H187E4C2D72EC41FD8700C246FC5C50F7"><enum>(a)</enum><header>Optional
coverage</header><text>Notwithstanding any other provision of this title, a
State may provide for coverage, through an amendment to its State child health
plan under section 2102, of pregnancy-related assistance for targeted
low-income pregnant women in accordance with this section, but only if—</text>
<paragraph id="H20D75E3E4C834308947EB915879EAFCB"><enum>(1)</enum><text>the State has
established an income eligibility level—</text>
<subparagraph id="H6D35B8743FAA433A830822580478449D"><enum>(A)</enum><text>for pregnant women
under subsection (a)(10)(A)(i)(III) or (l)(2)(A) of section 1902 that is at
least 185 percent of the poverty line; and</text>
</subparagraph><subparagraph id="HC620E3078FCA4A0C964718034B5419FC"><enum>(B)</enum><text>for children under
this title that is at least 200 percent of the poverty line; and</text>
</subparagraph></paragraph><paragraph id="H1BE900C4F7424EC7BB99E92D6E00C000"><enum>(2)</enum><text>the State meets
the requirement of section 2105(i)(2) (relating to no waiting list for
children).</text>
</paragraph></subsection><subsection id="HBB9691E289BA4064A580F0A7DDA44327"><enum>(b)</enum><header>Definitions</header><text>For
purposes of this title:</text>
<paragraph id="HEBBEEB63B842453388672800C84EDF43"><enum>(1)</enum><header>Pregnancy-related
assistance</header><text>The term <term>pregnancy-related assistance</term> has
the meaning given the term child health assistance in section 2110(a) as if any
reference to targeted low-income children were a reference to targeted
low-income pregnant women.</text>
</paragraph><paragraph id="H873116A802F042299D89EA67D10662EC"><enum>(2)</enum><header>Targeted
low-income pregnant woman</header><text>The term <term>targeted low-income
pregnant woman</term> means a woman—</text>
<subparagraph id="H9863001BAE12422184D346EFF38031C7"><enum>(A)</enum><text>during pregnancy
and through the end of the month in which the 60-day period (beginning on the
last day of her pregnancy) ends;</text>
</subparagraph><subparagraph id="HBE1641596DFF4E63A5E273FF8E3FAE16"><enum>(B)</enum><text>whose family
income exceeds 185 percent of the poverty level applicable to a family of the
size involved, but does not exceed the income eligibility level established
under the State child health plan under this title for a targeted low-income
child; and</text>
</subparagraph><subparagraph id="H330AD5410F1144C5A293324BAC667006"><enum>(C)</enum><text>who satisfies the
requirements of paragraphs (1)(A), (1)(C), (2), and (3) of section
2110(b).</text>
</subparagraph></paragraph></subsection><subsection id="HA742E1BEB670492C95941E7B5DF72BAB"><enum>(c)</enum><header>References to
terms and special rules</header><text>In the case of, and with respect to, a
State providing for coverage of pregnancy-related assistance to targeted
low-income pregnant women under subsection (a), the following special rules
apply:</text>
<paragraph id="HDBB22374105B4175BCFCC79D323A7B2"><enum>(1)</enum><text>Any reference in
this title (other than in subsection (b)) to a targeted low-income child is
deemed to include a reference to a targeted low-income pregnant woman.</text>
</paragraph><paragraph id="H4ED17B211B954B7E97BC36BE6346B1D2"><enum>(2)</enum><text>Any such reference
to child health assistance with respect to such women is deemed a reference to
pregnancy-related assistance.</text>
</paragraph><paragraph id="HE4311848547041EC93CBAC045936B711"><enum>(3)</enum><text>Any such reference
to a child is deemed a reference to a woman during pregnancy and the period
described in subsection (b)(2)(A).</text>
</paragraph><paragraph id="H344188F0C2454982B9E52705C0AD553E"><enum>(4)</enum><text>In applying
section 2102(b)(3)(B), any reference to children found through screening to be
eligible for medical assistance under the State medicaid plan under title XIX
is deemed a reference to pregnant women.</text>
</paragraph><paragraph id="HB1F9E08A94D9490EB8508F49CF00C55E"><enum>(5)</enum><text>There shall be no
exclusion of benefits for services described in subsection (b)(1) based on any
preexisting condition and no waiting period (including any waiting period
imposed to carry out section 2102(b)(3)(C)) shall apply.</text>
</paragraph><paragraph id="H8DA154F297FC48C9994DAD80006F05"><enum>(6)</enum><text>In applying section
2103(e)(3)(B) in the case of a pregnant woman provided coverage under this
section, the limitation on total annual aggregate cost-sharing shall be applied
to such pregnant woman.</text>
</paragraph><paragraph id="HF46E24B82ABD4CF583E8537FFE8E698C"><enum>(7)</enum><text>In applying
section 2104(i)—</text>
<subparagraph id="H599E8397E0184779A7E4D587528D2700"><enum>(A)</enum><text>in the case of
State which did not provide for coverage for pregnant women under this title
(under a waiver or otherwise) during fiscal year 2007, the allotment amount
otherwise computed for the first fiscal year in which the State elects to
provide coverage under this section shall be increased by an amount (determined
by the Secretary) equal to the enhanced FMAP of the expenditures under this
title for such coverage, based upon projected enrollment and per capita costs
of such enrollment; and</text>
</subparagraph><subparagraph id="HE7B6E5A0502F4B3584AE5B4C42BC4D93"><enum>(B)</enum><text>in the case of a
State which provided for coverage of pregnant women under this title for the
previous fiscal year—</text>
<clause id="H38080DE2630C41DDBECB724CED64F294"><enum>(i)</enum><text>in
applying paragraph (1)(B)(ii) of such section, there shall also be taken into
account (in an appropriate proportion) the percentage increase in births in the
United States for the relevant period; and</text>
</clause><clause id="H37B46F6BA8D1440EB162002602B9B18B"><enum>(ii)</enum><text>in applying
paragraph (1)(C), pregnant women (and per capita expenditures for such women)
shall be accounted for separately from children, but shall be included in the
total amount of any allotment adjustment under such paragraph.</text>
</clause></subparagraph></paragraph></subsection><subsection id="H54836B14D5E24E99A6C57F78A4A28410"><enum>(d)</enum><header>Automatic
enrollment for children born to women receiving pregnancy-related
assistance</header><text display-inline="yes-display-inline">If a child is born
to a targeted low-income pregnant woman who was receiving pregnancy-related
assistance under this section on the date of the child’s birth, the child shall
be deemed to have applied for child health assistance under the State child
health plan and to have been found eligible for such assistance under such plan
or to have applied for medical assistance under title XIX and to have been
found eligible for such assistance under such title, as appropriate, on the
date of such birth and to remain eligible for such assistance until the child
attains 1 year of age. During the period in which a child is deemed under the
preceding sentence to be eligible for child health or medical assistance, the
child health or medical assistance eligibility identification number of the
mother shall also serve as the identification number of the child, and all
claims shall be submitted and paid under such number (unless the State issues a
separate identification number for the child before such period
expires).</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="HA1D10269EDF44EAE9DE865D9B67D6DC4"><enum>(2)</enum><header>No cost-sharing
for pregnancy-related benefits</header><text>Section 2103(e)(2) (42 U.S.C.
1397cc(e)(2)) is amended—</text>
<subparagraph id="H5BDC571A0C814B02954CA464D8EB00F4"><enum>(A)</enum><text>in the heading, by
inserting <quote>or pregnancy-related services</quote> after <quote>preventive
services</quote>; and</text>
</subparagraph><subparagraph id="H7AA9A50685F2466EACE9E35C17AF503C"><enum>(B)</enum><text>by inserting
before the period at the end the following: <quote>or for pregnancy-related
services</quote>.</text>
</subparagraph></paragraph><paragraph id="H81631B448ADD442497C107926D4352E0"><enum>(3)</enum><header>Additional
amendment</header><text>Section 2107(e)(1)(G) (42 U.S.C. 1397gg(e)(1)(G)), as
redesignated by sections 103(b), 132(b), and 207, is amended to read as
follows:</text>
<quoted-block display-inline="no-display-inline" id="HC0ACC818AEE347BE9BCE9DCD6B66F72E" style="OLC">
<subparagraph id="H85D2F609712F4AD8B6944331AB2763F6"><enum>(G)</enum><text>Sections 1920 and
1920A (relating to presumptive eligibility for pregnant women and
children).</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="HA0D3B9F181114375B5BF1996B6AEE2BB"><enum>(b)</enum><header>Amendments to
medicaid</header>
<paragraph id="H2F70952D6F064F34BC6FE9262B766C41"><enum>(1)</enum><header>Eligibility of a
newborn</header><text>Section 1902(e)(4) (42 U.S.C. 1396a(e)(4)) is amended in
the first sentence by striking <quote>so long as the child is a member of the
woman’s household and the woman remains (or would remain if pregnant) eligible
for such assistance</quote>.</text>
</paragraph><paragraph id="HDBFC3CE6CF9841EEB47EF753DE23FB41"><enum>(2)</enum><header>Application of
qualified entities to presumptive eligibility for pregnant women under
medicaid</header><text>Section 1920(b) (42 U.S.C. 1396r–1(b)) is amended by
adding after paragraph (2) the following flush sentence:</text>
<quoted-block display-inline="no-display-inline" id="H5B94598476D3402EA16534D55581D77D" style="OLC">
<quoted-block-continuation-text quoted-block-continuation-text-level="subsection">The term
<term>qualified provider</term> includes a qualified entity, as defined in
section
1920A(b)(3).</quoted-block-continuation-text><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section></subtitle><enum>II</enum><header>Removal of Other
Barriers to Coverage</header>
<section id="H04E49583D6484FD182EDB235AEC6D240" section-type="subsequent-section"><enum>201.</enum><header>Establishment of new
base SCHIP allotments that are responsive to increases in health care costs and
enrollment expansions</header><text display-inline="no-display-inline">Section
2104 (42 U.S.C. 1397dd), as amended by section 101(b), is amended—</text>
<paragraph id="H9B205DB6AA554262B99EB0F30000AE30"><enum>(1)</enum><text>in subsection
(a)—</text>
<subparagraph id="H673BA31375CC47E3A31BA450AD681F03"><enum>(A)</enum><text>in paragraph (9),
by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="HA06CDA0B833348C5BA7B00FF07004600"><enum>(B)</enum><text>in paragraph (10),
by striking the period at the end and inserting <quote>; and</quote>;
and</text>
</subparagraph><subparagraph id="HBE4695BF70D54AA59B5C5D7C2C833B89"><enum>(C)</enum><text>by adding at the
end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="HEA61F9443D33490CA4C66BFE87166926" style="OLC">
<paragraph id="H39D73BEED1E14147A06C91CF131CC1F0"><enum>(11)</enum><text>for fiscal year
2008 and each succeeding fiscal year, the sum of the State allotments provided
under subsection (i) for such fiscal
year.</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph display-inline="no-display-inline" id="H6B4E0006E56344F6B06052A23E82F8F1"><enum>(2)</enum><text>in subsection
(b)(1), by striking <quote>and (h)</quote> and inserting <quote>(h), and
(i)</quote>; and</text>
</paragraph><paragraph id="HE05DAD96F0204C489557F5F179EAAB84"><enum>(3)</enum><text>in subsection
(c)(1), by striking <quote>and (h)</quote> and inserting <quote>(h), and
(i)</quote>.</text>
</paragraph><paragraph id="H4A78AD5305E546CCAC49FE1E07177BB8"><enum>(4)</enum><text>by adding at the
end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="H11EE9AF4B4C941D98B093175934C8C6C" style="OLC">
<subsection id="H681D0DC75A1C45D88B59F3046774C53"><enum>(i)</enum><header>Allotments for
States and territories beginning with fiscal year 2008</header>
<paragraph id="HF34E150E0CA04E5AA9B3EEE83615703C"><enum>(1)</enum><header>General
allotment computation</header>
<subparagraph id="HD3CEAD3D2AB24A6287FF6C3BEA9D59C7"><enum>(A)</enum><header>In
general</header><text>Subject to the succeeding provisions of this subsection,
the Secretary shall compute a State allotment for each State for each fiscal
year as follows:</text>
<clause id="H9501D8C520294C37A2F4DA3DB35F81C4"><enum>(i)</enum><header>Rebasing in
fiscal year 2008 and each second succeeding fiscal year</header><text display-inline="yes-display-inline">For fiscal year 2008 and each second
succeeding fiscal year, the allotment of a State is equal to the Federal
payments to the State that are attributable to (and countable towards) the
allotment under this section for the State for the previous fiscal year
multiplied by the allotment increase factor under subparagraph (B) for the
fiscal year involved.</text>
</clause><clause id="H2155D88BC0F943D0BC1600254939C4FF"><enum>(ii)</enum><header>Using
projections for fiscal year 2009 and each second succeeding fiscal
year</header><text>For fiscal year 2009 and each second succeeding fiscal year,
the allotment of a State is equal to the amount of the State allotment under
this subparagraph for the previous fiscal year multiplied by the allotment
increase factor under subparagraph (B) for the fiscal year involved.</text>
</clause></subparagraph><subparagraph display-inline="no-display-inline" id="H8312ABD524AA4B55A68787FBB3339400"><enum>(B)</enum><header>Allotment
increase factor</header><text display-inline="yes-display-inline">The allotment
increase factor under this subparagraph for a fiscal year is equal to the
product of the following:</text>
<clause id="HDECEDF3FE5394991A8F91D7DC229048"><enum>(i)</enum><header>Per capita health
care growth factor</header><text>One plus the percentage increase in the
projected per capita amount of National Health Expenditures from the second
previous fiscal year to the previous fiscal year, as most recently published by
the Secretary before the beginning of the fiscal year involved.</text>
</clause><clause id="HDAB6688D28C3445DA407F7974EE217C2"><enum>(ii)</enum><header>Child
population growth factor</header><text>One plus the percentage increase in the
population of children under 20 years of age in the State from July 1 in such
second previous fiscal year to July 1 in the previous fiscal year, as
determined by the Secretary based on the most recent published estimates of the
Bureau of the Census before the beginning of the fiscal year involved.</text>
</clause></subparagraph><subparagraph id="H0C618A4481ED4CDD94F459F996C889D6"><enum>(C)</enum><header>Outreach
adjustment</header>
<clause id="H8BD84C3943AC4FD1B56C19A2610FC22"><enum>(i)</enum><header>In
general</header><text display-inline="yes-display-inline">If a State’s
expenditures under this title in a fiscal year (beginning with fiscal year
2008) exceeds the allotment provided under this section (determined without
regard to any reallotment it receives that is available for expenditure during
such fiscal year) and if the average number of enrollees in the State under
this title for such fiscal year exceeds its target number of enrollees for that
year, for the subsequent fiscal year the allotment under this section for the
State shall be increased by the amount by which—</text>
<subclause id="H0A69ECC29A1247EE81009BEB026344D0"><enum>(I)</enum><text>the product
of—</text>
<item id="HD54B1F0CE3A049D09C7F6934979E5F77"><enum>(aa)</enum><text>such additional
number of enrollees; and</text>
</item><item id="H48970D8DBBB24F908D092D21B5C1E67C"><enum>(bb)</enum><text>the
projected per capita Federal expenditures under the State child health plan (as
determined under clause (iii) for such subsequent fiscal year); reduced
by</text>
</item></subclause><subclause id="H6BDB87830835448A93B141A1C93E64B"><enum>(II)</enum><text>the amount of any
allotment redistributed to the State under this section for such subsequent
fiscal year.</text>
</subclause></clause><clause id="H8110578B2321423B9C9E533B5E201CBD"><enum>(ii)</enum><header>Target number
of enrollees</header><text>In this subsection, the target number of enrollees
for a State for a fiscal year is equal to the average number of enrollees
enrolled in the State child health plan under this title during fiscal year
2007 increased (for each subsequent fiscal year through the fiscal year
involved) by the population growth for children in that State for the year
ending on June 30 before the beginning of the fiscal year (as estimated by the
Bureau of the Census).</text>
</clause><clause id="H4BB6B521B7EB468AAC402C9B11355D6B"><enum>(iii)</enum><header>Projected per
capita Federal expenditures</header><text>For purposes of subparagraph
(A)(i)(II), the projected per capita Federal expenditures under a State child
health plan for a fiscal year is equal to the average per capita Federal
expenditures under such plan for fiscal year 2007, increased (for each
subsequent fiscal year up to and including the fiscal year involved) by the
annual percentage increase in per capita amount of National Health Expenditures
(as estimated by the Secretary) for the respective subsequent fiscal
year.</text>
</clause><clause id="H4511321D5A704C78A748796CE68093E"><enum>(iv)</enum><header>Availability</header><text>Notwithstanding
subsection (e), an increase in allotment under this paragraph shall only be
available for expenditure during the fiscal year in which it is
provided.</text>
</clause><clause id="HC1147F70C1CD4C1CB6510364C294E6FF"><enum>(v)</enum><header>Interaction with
other provisions</header>
<subclause id="HC23F91CEF9D7482CBDE3C0CDA84E6EB9"><enum>(I)</enum><header>Coverage
expansion states</header><text>In the case of a State that has an increased
allotment under section 2105(i)—</text>
<item id="HDCCFEC4220984E73A312E3C3500BFED"><enum>(aa)</enum><text>there shall be no
increased allotment under paragraph (2); and</text>
</item><item id="H73C84697BC6E4944B8545E67C045EF07"><enum>(bb)</enum><text>the
allotment under this subsection shall not be subject to reallotment or
redistribution to other States.</text>
</item></subclause><subclause commented="no" display-inline="no-display-inline" id="HCBAEF233D2724C75926F3900C78E3C57"><enum>(II)</enum><header>No reallotment
of outreach adjustment</header><text>In no case shall any increase in allotment
under paragraph (2) for a State be subject to reallotment or redistribution to
other
States.</text>
</subclause></clause></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="H3882B62DB6C343179FB32FC29502FA00"><enum>202.</enum><header>2-year initial
availability of SCHIP allotments</header><text display-inline="no-display-inline">Section 2104(e) (42 U.S.C. 1397dd(e)) is
amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H4E13CF842B564CE8ACD9FB434D555F6E" style="OLC">
<subsection id="H2311A9BC12A4469B982600076660C0A0"><enum>(e)</enum><header>Availability of
amounts allotted</header>
<paragraph id="HC46D15C181584603B01603E0B943B95B"><enum>(1)</enum><header>In
general</header><text>Except as provided in paragraph (2), amounts allotted to
a State pursuant to this section—</text>
<subparagraph id="HEE3BC5965C7D46A2A200B4D4D7BAE93F"><enum>(A)</enum><text>for each of fiscal
years 1998 through 2007, shall remain available for expenditure by the State
through the end of the second succeeding fiscal year; and</text>
</subparagraph><subparagraph id="H25E9B9071A544EC39800AB719276C9BE"><enum>(B)</enum><text>for fiscal year
2008 and each fiscal year thereafter, shall remain available for expenditure by
the State through the end of the succeeding fiscal year.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="HA62543FF446B4CCBAF7ED516032775B3"><enum>(2)</enum><header>Availability of
amounts reallotted</header><text>Amounts reallotted to a State under subsection
(f) shall be available for expenditure by the State through the end of the
fiscal year in which they are
reallotted.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="HCA9B0A688D904A828643A99D1EFFC395"><enum>203.</enum><header>Redistribution
of unused allotments to address State funding shortfalls</header><text display-inline="no-display-inline">Section 2104(f) (42 U.S.C. 1397dd(f)) is
amended—</text>
<paragraph id="H2F7B2C0D5EA146FCA99C951CAF196222"><enum>(1)</enum><text>by striking
<quote>The Secretary</quote> and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="H76DA9F74CE8B40B2BFC207A4A72B6FAB" style="OLC">
<paragraph id="H6DC0E34451A241A78E8963B458178B38"><enum>(1)</enum><header>In
general</header><text>The
Secretary</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="H880E8E8E543C4EF3929199D91100C044"><enum>(2)</enum><text>by striking
<quote>States that have fully expended the amount of their allotments under
this section</quote> and inserting <quote>States that the Secretary determines
with respect to the fiscal year for which unused allotments are available for
redistribution under this subsection, are shortfall States described in
paragraph (2) for such fiscal year</quote>; and</text>
</paragraph><paragraph id="H032DCB3B217F414CAF748D6EB4C3B172"><enum>(3)</enum><text>by adding at the
end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="H07D00B76A84F486E8002B32771B284E" style="OLC">
<paragraph id="H0593E41889F945409645A8593A9E088"><enum>(2)</enum><header>Shortfall states
described</header>
<subparagraph id="H815BB0971C4F421AB09823081F54F4C8"><enum>(A)</enum><header>In
general</header><text>For purposes of paragraph (1), with respect to a fiscal
year, a shortfall State described in this subparagraph is a State with a State
child health plan approved under this title for which the Secretary estimates
on the basis of the most recent data available to the Secretary, that the
projected expenditures under such plan for the State for the fiscal year will
exceed the sum of—</text>
<clause id="H20B682E7D6714ABDA20137DE47B64C73"><enum>(i)</enum><text>the amount of the
State's allotments for any preceding fiscal years that remain available for
expenditure and that will not be expended by the end of the immediately
preceding fiscal year; and</text>
</clause><clause id="H51B473D31B164CEAAD502FAFBADEB433"><enum>(ii)</enum><text>the amount of the
State's allotment for the fiscal year.</text>
</clause></subparagraph><subparagraph id="H3E20ABC91D1C47989B26ABFAADF0087"><enum>(B)</enum><header>Proration
rule</header><text>If the amounts available for redistribution under paragraph
(1) for a fiscal year are less than the total amounts of the estimated
shortfalls determined for the year under subparagraph (A), the amount to be
reallotted under such paragraph for each shortfall State shall be reduced
proportionally.</text>
</subparagraph><subparagraph id="H5180CF12A4BD4D1186C29E9BA470E971"><enum>(C)</enum><header>Retrospective
adjustment</header><text>The Secretary may adjust the estimates and
determinations made under paragraph (1) and this paragraph with respect to a
fiscal year as necessary on the basis of the amounts reported by States not
later than November 30 of the succeeding fiscal year, as approved by the
Secretary.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="H9C13CAC72DF84467B231E4F14BB3B0A"><enum>204.</enum><header>Incentives for
school-based outreach and enrollment</header><text display-inline="no-display-inline">Section 2105(a) (42 U.S.C. 1397ee(a)) is
amended by adding at the end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="H2DA9BF1EB3984996A549D9B2F8E2E53E" style="OLC">
<paragraph id="HF1D80D9CC64641178F707633F9A45C2"><enum>(3)</enum><header>Special rule for
school-based outreach and enrollment activities</header><text>With respect to
expenditures in a quarter for school-based outreach and enrollment
activities—</text>
<subparagraph id="id196DF83248EE455695F365BD45295547"><enum>(A)</enum><text>the
<quote>enhanced FMAP</quote> for purposes of paragraph (1) is equal to 90
percent; and</text>
</subparagraph><subparagraph id="id1492571151274557942EED7978E7414D"><enum>(B)</enum><text>the limitation
under subsection (c)(2)(A) shall not apply to such
expenditures.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section display-inline="no-display-inline" id="HC7CAE122AF7948D9BC9CA3DFCEDDF16E" section-type="subsequent-section"><enum>205.</enum><header>Medicaid citizenship
documentation requirements</header>
<subsection display-inline="no-display-inline" id="H42DA37F9A599454985E63DE41ED071DA"><enum>(a)</enum><header>State option To
require certain individuals To present satisfactory documentary evidence of
proof of citizenship or nationality for purposes of eligibility for
Medicaid</header>
<paragraph id="HA63AE697ADBF4BAB84BC26EBEA8A607"><enum>(1)</enum><header>In
general</header><text>Section 1902(a)(46) (42 U.S.C. 1396a(a)(46)) is
amended—</text>
<subparagraph id="H9FEAC3CB26194B4DB6ECE0E641EB9BC1"><enum>(A)</enum><text>by inserting
<quote>(A)</quote> after <quote>(46)</quote>;</text>
</subparagraph><subparagraph id="HBEA29B4133384F1A8B3C8CA07B7030EB"><enum>(B)</enum><text>by adding
<quote>and</quote> after the semicolon; and</text>
</subparagraph><subparagraph id="H5AB93F46609942D994113CEEE0CAC5C0"><enum>(C)</enum><text>by adding at the
end the following new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="H98BC0381AC9845979F96C0E052E0B3A2" style="OLC">
<subparagraph id="H65737E9816C2420691B316998000CE" indent="up1"><enum>(B)</enum><text>at the option of the State and subject
to section 1903(x), require that, with respect to an individual (other than an
individual described in section 1903(x)(1)) who declares to be a citizen or
national of the United States for purposes of establishing initial eligibility
for medical assistance under this title (or, at State option, for purposes of
renewing or redetermining such eligibility to the extent that such satisfactory
documentary evidence of citizenship or nationality has not yet been presented),
there is presented satisfactory documentary evidence of citizenship or
nationality of the individual (using criteria determined by the State, which
shall be no more restrictive than the criteria used by the Social Security
Administration to determine citizenship, and which shall accept as such
evidence a document issued by a federally-recognized Indian tribe evidencing
membership or enrollment in, or affiliation with, such tribe (such as a tribal
enrollment card or certificate of degree of Indian blood, and, with respect to
those federally-recognized Indian tribes located within States having an
international border whose membership includes individuals who are not citizens
of the United States, such other forms of documentation (including tribal
documentation, if appropriate) that the Secretary, after consulting with such
tribes, determines to be satisfactory documentary evidence of citizenship or
nationality for purposes of satisfying the requirement of this
subparagraph));</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="H96CBC1164F014285989D5BFACE477D5B"><enum>(2)</enum><header>Limitation on
waiver authority</header><text>Notwithstanding any provision of section 1115 of
the Social Security Act (42 U.S.C. 1315), or any other provision of law, the
Secretary of Health and Human Services may not waive the requirements of
section 1902(a)(46)(B) of such Act (42 U.S.C. 1396a(a)(46)(B)) with respect to
a State.</text>
</paragraph><paragraph id="H3E2F8AA248BD414B0024D2BF6635174E"><enum>(3)</enum><header>Conforming
amendments</header><text>Section 1903 (42 U.S.C. 1396b) is amended—</text>
<subparagraph id="HC61956BEEC3F4CFCA0D986EDB63F92BD"><enum>(A)</enum><text>in subsection
(i)—</text>
<clause id="HE7D38D29851A47F2B1BE345FC2C17EC1"><enum>(i)</enum><text>in
paragraph (20), by adding <quote>or</quote> after the semicolon;</text>
</clause><clause id="H10DEF55130D44D95906269AB4B149DE7"><enum>(ii)</enum><text>in
paragraph (21), by striking <quote>; or</quote> and inserting a period;
and</text>
</clause><clause id="H2172EE36704D4CC883C9A402C94D56FD"><enum>(iii)</enum><text>by
striking paragraph (22); and</text>
</clause></subparagraph><subparagraph id="H039526231BDA42EDA1ADC522FE3489C0"><enum>(B)</enum><text>in subsection (x)
(as amended by section 405(c)(1)(A) of division B of the Tax Relief and Health
Care Act of 2006 (Public Law 109–432))—</text>
<clause id="HFA8B3C533BEF4B78800606F100924EF5"><enum>(i)</enum><text>by
striking paragraphs (1) and (3);</text>
</clause><clause id="HD3B268333ADC433E84E9640300427F33"><enum>(ii)</enum><text>by
redesignating paragraph (2) as paragraph (1);</text>
</clause><clause id="H5AE7738A33C34F5D9528000081552907"><enum>(iii)</enum><text>in
paragraph (1), as so redesignated, by striking <quote>paragraph (1)</quote> and
inserting <quote>section 1902(a)(46)(B)</quote>; and</text>
</clause><clause id="H3DA68918AEA84A5793725F8D281265C5"><enum>(iv)</enum><text>by
adding at the end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="H0BEB4F0F3639452AA82CCEA5F3DAD9E6" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="HAE75C513FB84405C8919AF35B2DBE74" indent="up1"><enum>(2)</enum><text>In the case of an individual
declaring to be a citizen or national of the United States with respect to whom
a State requires the presentation of satisfactory documentary evidence of
citizenship or nationality under section 1902(a)(46)(B), the individual shall
be provided at least the reasonable opportunity to present satisfactory
documentary evidence of citizenship or nationality under this subsection as is
provided under clauses (i) and (ii) of section 1137(d)(4)(A) to an individual
for the submittal to the State of evidence indicating a satisfactory
immigration
status.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph></subsection><subsection id="HCDA1B07BAA3D42F093B6EEB92798FEE7"><enum>(b)</enum><header>Clarification of
rules for children born in the United States to mothers eligible for
Medicaid</header><text>Section 1903(x) (42 U.S.C. 1396b(x)), as amended by
subsection (a)(3)(B), is amended—</text>
<paragraph id="HCC68A4C7D80B4F4B99D28CD361105CA5"><enum>(1)</enum><text>in paragraph
(1)—</text>
<subparagraph id="H0A8F87BD9AE54357937D947816DA9BA1"><enum>(A)</enum><text>in subparagraph
(C), by striking <quote>or</quote> at the end;</text>
</subparagraph><subparagraph id="H58ADBD5D19144CC89B02D232EF01F3E8"><enum>(B)</enum><text>by redesignating
subparagraph (D) as subparagraph (E); and</text>
</subparagraph><subparagraph id="H89B40C39AF5A483291F8CC8B9B6166C"><enum>(C)</enum><text>by inserting after
subparagraph (C) the following new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="H267145BFFBC344889DCFA0002FDAAB0" style="OLC">
<subparagraph id="H8BA59FF56D634BF0A1DACA5E3444DDF3" indent="up1"><enum>(D)</enum><text>pursuant to the application of section
1902(e)(4) (and, in the case of an individual who is eligible for medical
assistance on such basis, the individual shall be deemed to have provided
satisfactory documentary evidence of citizenship or nationality and shall not
be required to provide further documentary evidence on any date that occurs
during or after the period in which the individual is eligible for medical
assistance on such basis); or</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HF157F0B5448A4406B7F96885A314A469"><enum>(2)</enum><text display-inline="yes-display-inline">by adding at the end the following new
paragraph:</text>
<quoted-block display-inline="no-display-inline" id="H809E2CA9E71D45C28116C88059C120BD" style="OLC">
<paragraph id="H49245FB18533485B9731A518F71893DF" indent="up1"><enum>(3)</enum><text>Nothing in subparagraph (A) or (B) of
section 1902(a)(46), the preceding paragraphs of this subsection, or the
Deficit Reduction Act of 2005, including section 6036 of such Act, shall be
construed as changing the requirement of section 1902(e)(4) that a child born
in the United States to an alien mother for whom medical assistance for the
delivery of such child is available as treatment of an emergency medical
condition pursuant to subsection (v) shall be deemed eligible for medical
assistance during the first year of such child’s
life.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H38E00EDE0ED942B5AC60552CBB242500"><enum>(c)</enum><header>Effective
date</header>
<paragraph id="H00DB7219DA9247C093F56C54D774E798"><enum>(1)</enum><header>Retroactive
application</header><text>The amendments made by this section shall take effect
as if included in the enactment of the Deficit Reduction Act of 2005 (Public
Law 109–171; 120 Stat. 4).</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HF420AC7B088B43DBAB00C5CC35920055"><enum>(2)</enum><header>Restoration of
eligibility</header><text>In the case of an individual who, during the period
that began on July 1, 2006, and ends on the date of enactment of this Act, was
determined to be ineligible for medical assistance under a State Medicaid
program solely as a result of the application of subsections (i)(22) and (x) of
section 1903 of the Social Security Act (as in effect during such period), but
who would have been determined eligible for such assistance if such
subsections, as amended by subsections (a) and (b), had applied to the
individual, a State may deem the individual to be eligible for such assistance
as of the date that the individual was determined to be ineligible for such
medical assistance on such basis.</text>
</paragraph></subsection></section><section display-inline="no-display-inline" id="H4115EF4D0BBD492AA130357F85FFC089"><enum>206.</enum><header>State option to
provide for <quote>express lane</quote> and simplified determinations of a
child’s financial eligibility for medical assistance under Medicaid or child
health assistance under SCHIP</header>
<subsection id="HE5CDDE28FB184DBEBFF574F00015ACD6"><enum>(a)</enum><header>Medicaid</header><text>Section
1902(e) (42 U.S.C. 1396a(e)) is amended by adding at the end the
following:</text>
<quoted-block act-name="Social" id="HC581105CDF8E4E878E337004CC8EF607" style="traditional">
<paragraph id="H806E7C2274E84F57B317FAA07DAEC0FB" indent="up1"><enum>(13)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="HA6F82B204ADB431F9C8587E0278E2D65"><enum>(A)</enum><text display-inline="yes-display-inline">At the option of the State, the plan may
provide that eligibility requirements (including such requirements applicable
to redeterminations or renewals of eligibility) for medical assistance relating
to income, assets (or resources), or citizenship status are met for a child who
is under an age specified by the State (not to exceed 21 years of age) by using
a determination made within a reasonable period (as determined by the State)
before its use for this purpose, of the child’s family or household income, or
if applicable for purposes of determining eligibility under this title or title
XXI, assets or resources, or citizenship status, respectively, (notwithstanding
any other provision of law, including sections 1902(a)(46)(B), 1903(x), and
1137(d)), by a Federal or State agency, or a public or private entity making
such determination on behalf of such agency, specified by the plan, including
an agency administering the <act-name parsable-cite="FSA77">State program
funded under part A of title IV, the Food Stamp Act of 1977</act-name>, the
Richard B. Russell <act-name parsable-cite="NSLA">National School Lunch
Act</act-name>, or the <act-name parsable-cite="CNA66">Child Nutrition Act of
1966</act-name>, notwithstanding any differences in budget unit, disregard,
deeming, or other methodology, but only if—</text>
<clause id="H423E8FF2CB974E679D6EAF1C4A6EE94" indent="up1"><enum>(i)</enum><text>the agency has fiscal liabilities or
responsibilities affected by such determination; and</text>
</clause><clause display-inline="no-display-inline" id="H84966877E30A4DCBBE71DF35E3F1004D" indent="up1"><enum>(ii)</enum><text>the agency or entity notifies the
child's family—</text>
<subclause id="HD5064A714E2942FDA9789E16ECAE636B"><enum>(I)</enum><text>of the information which shall be
disclosed in accordance with this subparagraph;</text>
</subclause><subclause id="HD6EACAB4ACE443009900A8865EA81454"><enum>(II)</enum><text>that the information disclosed
will be used solely for purposes of determining eligibility for medical
assistance under this title or for child health assistance under title XXI;
and</text>
</subclause><subclause id="HD7FDA4D85AB247CAAD4C5241AD5CDF17"><enum>(III)</enum><text>that interagency agreements limit
the use of such information to that purpose; and</text>
</subclause></clause><clause id="HA6660BF157AC406D8727237030A2C910" indent="up1"><enum>(iii)</enum><text>the requirements of section 1939 are
satisfied.</text>
</clause></subparagraph><subparagraph display-inline="no-display-inline" id="HFEADFE925FBE430489A59EB5992455D2" indent="up1"><enum>(B)</enum><text>Nothing in this paragraph shall be
construed to relieve a State of the obligation to determine, on another basis,
eligibility for medical assistance under this title or for child health
assistance under title XXI if a child is determined ineligible for such
assistance on the basis of information furnished pursuant to this
paragraph.</text>
</subparagraph><subparagraph display-inline="no-display-inline" id="H8F5880B6586546038E9B66007194841F" indent="up1"><enum>(C)</enum><text>If a State applies the eligibility
process described in subparagraph (A) to individuals eligible under this title
and to individuals eligible under title XXI, the State may, at its option,
implement its duties under subparagraphs (A) and (B) of section 2102(b)(3)
using either or both of the following approaches:</text>
<clause id="HBA4CFF6256BD4370AB76BB63B326C685"><enum>(i)</enum><text>The State may—</text>
<subclause id="H541A33C455214C8B85C02044342875F"><enum>(I)</enum><text>establish a threshold percentage of
the Federal poverty level (that shall exceed the income eligibility level
applicable for a population of individuals under this title by 30 percentage
points (as a fraction of the Federal poverty level) or such other higher number
of percentage points as the State determines reflects the typical application
of income methodologies by the non-health program and the State plan under this
title); and</text>
</subclause><subclause id="H7344D256F5914CA681862F95D3C5D42"><enum>(II)</enum><text>provide that, with respect to any
individual within such population whom a non-health agency determines has
income that does not exceed such threshold percentage for such population, such
individual is eligible for medical assistance under this title (regardless of
whether such individual would otherwise be determined to be eligible to receive
such assistance).</text>
</subclause><continuation-text continuation-text-level="clause">In exercising
the approach under this clause, a State shall inform families whose children
are enrolled in a State child health plan under title XXI based on having
family income above the threshold described in subclause (I) that they may
qualify for medical assistance under this title and, at their option, can seek
a regular eligibility determination for such assistance for their child.</continuation-text></clause><clause id="HB69D13386B2B40C7AC2CFCAF25247853"><enum>(ii)</enum><text>Regardless of whether a State
otherwise provides for presumptive eligibility under section 1920A, a State may
provide presumptive eligibility under this title, consistent with subsection
(e) of section 1920A, to a child who, based on a determination by a non-health
agency, would qualify for child health assistance under a State child health
plan under title XXI. During such presumptive eligibility period, the State may
determine the child’s eligibility for medical assistance under this title,
pursuant to subparagraph (A) of section 2102(b)(3), based on telephone contact
with family members, access to data available in electronic or paper form, and
other means of gathering information that are less burdensome to the family
than completing an application form on behalf of the child. The procedures
described in the previous sentence may be used regardless of whether the State
uses similar procedures under other circumstances for purposes of determining
eligibility for medical assistance under this title.</text>
</clause></subparagraph><subparagraph id="H6255561D143A413181A643CBD50AE71" indent="up1"><enum>(D)</enum><text>At the option of a State, the
eligibility process described in subparagraph (A) may apply to an individual
who is not a child.</text>
</subparagraph><subparagraph display-inline="no-display-inline" id="H454B796CB2974A489F76ABA4523EA14" indent="up1"><enum>(E)</enum><clause commented="no" display-inline="yes-display-inline" id="H562EC8A0E1E24AAAB177D3EA61013933"><enum>(i)</enum><text>At the option of a
State, an individual determined to be eligible for medical assistance or child
health assistance pursuant to subparagraph (A), (C), or (D) or other procedures
through which eligibility is determined based on data obtained from sources
other than the individual may receive medical assistance under this title if
such individual (or, in the case of an individual under age 19 (or if the State
elects the option under subparagraph (A), age 20 or 21) who is not authorized
to consent to medical care, the individual’s parent, guardian, or other
caretaker relative) has acknowledged notice of such determination and has
consented to such eligibility determination. The State (at its option) may
waive any otherwise applicable requirements for signatures by or on behalf of
an individual who has so consented.</text>
</clause><clause id="H58CD0A4C86954A5797475F7FE9FF8314" indent="up1"><enum>(ii)</enum><text>In the case of an individual
enrolled pursuant to clause (i), the State shall inform the individual (or, in
the case of an individual under age 19 (or if the State elects the option under
subparagraph (A), age 20 or 21), the individual’s parent, guardian, or other
caretaker relative) about the significance of such enrollment, including
appropriate methods to access covered services.</text>
</clause></subparagraph><subparagraph id="HC9FF938E48ED42109DB45B95FF8D3439" indent="up1"><enum>(F)</enum><text>For purposes of this
paragraph—</text>
<clause id="H9E4F7C911B5E41898F70EE2446006E17"><enum>(i)</enum><text>the term <quote>non-health
agency</quote> means an agency or entity described in subparagraph (A);
and</text>
</clause><clause id="HD4BC64D580244F69BA07E720CD856636"><enum>(ii)</enum><text>the term <quote>non-health
benefits</quote> means the benefits or assistance provided by a non-health
agency.</text>
</clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HE4D05F6D48744487A3ADE6A49207A785"><enum>(b)</enum><header>SCHIP</header><text display-inline="yes-display-inline">Section 2107(e)(1) (42 U.S.C.
1397gg(e)(1)), as amended by sections 103(b) and 132(b), is amended by
redesignating subparagraphs (C) through (F) as subparagraphs (D) through (G)
and by inserting after subparagraph (B) the following new subparagraph:</text>
<quoted-block act-name="Social" id="H0D82510403BA4F9000D25FEEB0BC3867">
<subparagraph id="HF29BEEC0768C4675000044B01EE2B5D"><enum>(C)</enum><text>Section 1902(e)(13)
(relating to the State option to base a determination of a child's eligibility
for assistance on determinations made by a program providing nutrition or other
public assistance (except that the State option under subparagraph (D) of such
section shall apply under this title only if an individual is
pregnant)).</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HA993584077AA4B558D4EB5C99B5EBDA9"><enum>(c)</enum><header>Presumptive
eligibility</header><text>Section 1920A (42 U.S.C. 1396r–1a) is amended—</text>
<paragraph id="H863384EBC8EA4A73A3D76BE00BF3F43"><enum>(1)</enum><text>in
subsection (b)(3)(A)(i), is amended by striking <quote>or (IV)</quote> and
inserting <quote>(IV) is an agency or entity described in section
1902(e)(13)(A), or (V)</quote>; and</text>
</paragraph><paragraph id="HCDB9109E1FB04B1D851B6FE7DA102561"><enum>(2)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="H2F0B607C6592432EB8AA006E17682E73" style="OLC">
<subsection id="H2C788E4F783644BF95AF97D9088D7C00"><enum>(e)</enum><text>In the case of a
State with a child health plan under title XXI that provides for presumptive
eligibility under such plan for children, the State shall make a reasonable
effort to place each presumptively eligible child in the program under this
title or title XXI for which the child appears most likely to qualify. During
the child's period of presumptive eligibility, the State shall receive Federal
matching funds under section 1903 or section 2105, depending on the program in
which the child has been placed. If at the conclusion of such period, the child
is found to qualify for, and is enrolled in, the program established under this
title or title XXI when the child was enrolled in the program under the other
such title during such period, the State’s receipt of Federal matching funds
shall be adjusted both retroactively and prospectively so that Federal matching
funds are provided, both during and following such period of presumptive
eligibility, based on the program in which the child is
enrolled.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection display-inline="no-display-inline" id="H58C61C1DA9BC41CDA52F619627896E45"><enum>(d)</enum><header>Signature
requirements</header><text>Section 1902(a) (42 U.S.C. 1396a(a)) is amended by
adding at the end the following: “Notwithstanding any other provision of law, a
signature under penalty of perjury shall not be required on an application form
for medical assistance as to any element of eligibility for which eligibility
is based on information received from a source other than applicant, rather
than on representations from the applicant. Notwithstanding any other provision
of law, any signature requirement for an application for medical assistance may
be satisfied through an electronic signature, as defined in section 1710(1) of
the Government Paperwork Elimination Act (44 U.S.C. 3504 note).”.</text>
</subsection></section><section id="HF1D34352DF724C108316825200579400"><enum>207.</enum><header>Information
technology connections to improve health coverage determinations</header>
<subsection id="HE78796D07FED43FAABE84900B522BFD"><enum>(a)</enum><header>Enhanced federal
funding for improvements related to implementation of certain model outreach
and enrollment practices</header>
<paragraph id="id71B1D2D863364217AE32BB87F60850D1"><enum>(1)</enum><header>In
general</header><text>Section 1903(a)(3)(A) (42 U.S.C. 1396b(a)(3)(A)) is
amended—</text>
<subparagraph id="H45F8255869074E73B5E40093EBD31EB6"><enum>(A)</enum><text>by striking
<quote>and</quote> at the end of clause (i); and</text>
</subparagraph><subparagraph id="H7CBE679A7B56448E9F45AD62D960EA35"><enum>(B)</enum><text>by adding at the
end the following new clause:</text>
<quoted-block display-inline="no-display-inline" id="HFE787940A79A42118C000081C8311D00" style="traditional">
<clause id="HA25E3FFA4EB344F78477CC2E08691208" indent="up1"><enum>(iii)</enum><text display-inline="yes-display-inline">75 percent of so much of the sums expended
during such quarter as are attributable to the design, development, or
installation of such mechanized claims processing and information retrieval
systems and the implementation of administrative systems and processes
(including modification of eligibility computer systems to permit the exchange
of electronic information with other Federal or State programs) as the
Secretary determines are directly related to the implementation of a model
outreach and enrollment practice described in subparagraph (B), (C), (D), (E),
or (F) of section 1905(y)(3),
and</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id5B5424E3D72B4E63B43106F5AFDA1E42"><enum>(2)</enum><header>Conforming
amendment to ensure availability for territories</header><text>Section 1108(g)
(42 U.S.C. 1308(g)) is amended by adding at the end the following new
paragraph:</text>
<quoted-block display-inline="no-display-inline" id="id9A1B65CAAC724DA1ADBEE2C1277E3B15" style="OLC">
<paragraph id="id1AF3883B15F742F0BE833D0893DDBB1F"><enum>(4)</enum><header>Additional
increase for certain expenditures</header><text>With respect to fiscal year
2008 and each fiscal year thereafter, if Puerto Rico, the Virgin Islands, Guam,
the Northern Mariana Islands, or American Samoa qualify for a payment under
section 1903(a)(3)(A)(iii) for a calendar quarter of such fiscal year, the
additional Federal financial participation under such section shall not be
counted towards the limitation on expenditures under title XIX for such
commonwealth or territory otherwise determined under subsection (f) and this
subsection for such fiscal
year.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H79209129EE1E4DF1BE7DAF59C843ADCF"><enum>(b)</enum><header>Authorization of
information disclosure</header>
<paragraph id="H4AC97E91EFEB40DE9166B90400AE9E33"><enum>(1)</enum><header>In
general</header><text>Title XIX (42 U.S.C. 1396 et seq.) is amended—</text>
<subparagraph id="HFEEA590EC2674EF7A6FDBA5C35005EDE"><enum>(A)</enum><text>by redesignating
section 1939 as section 1940; and</text>
</subparagraph><subparagraph id="H53485A0909B14B22A33771C897599F71"><enum>(B)</enum><text>by inserting after
section 1938 the following:</text>
<quoted-block display-inline="no-display-inline" id="HE951B4B698664A958C6F28DF306DCAF8" style="traditional">
<section id="HD492A3063CF84322A65441DA2E6300F1"><enum>1939.</enum><header>Authorization to receive pertinent
information</header><subsection commented="no" display-inline="yes-display-inline" id="id3F44F22FD6174E92864E95D4E70F3825"><enum>(a)</enum><header>In
general</header><text>Notwithstanding any other provision of law, a Federal or
State agency or private entity in possession of the sources of data potentially
pertinent to eligibility determinations under this title or title XXI
(including eligibility files maintained by programs described in section
1902(e)(13)(A), information described in paragraph (2) or (3) of section
1137(a), vital records information about births in any State, and information
described in sections 453(i) and 1902(a)(25)(I)) is authorized to convey such
data or information to a State agency administering a State plan under this
title or title XXI, if—</text>
<paragraph id="H67D73D5CD48D4867A5F19C4EE82973E0"><enum>(1)</enum><text>such data or
information are used only to establish or verify eligibility or provide
coverage under this title or title XXI; and</text>
</paragraph><paragraph id="HF3EBB05F04784A56BF6494DBB1F0AA9"><enum>(2)</enum><text>an interagency or
other agreement, consistent with standards developed by the Secretary, prevents
the unauthorized use, disclosure, or modification of such data and otherwise
meets applicable Federal requirements safeguarding privacy and data
security.</text>
</paragraph></subsection><subsection id="H7038DAF8D45D4776B654F9ABA7A3495E"><enum>(b)</enum><header>Requirements for
conveyance</header><text>Data or information may be conveyed pursuant to this
section only if the following requirements are met:</text>
<paragraph id="H700FCC9996A540349EBD9664A8C384EA"><enum>(1)</enum><text>The individual
whose circumstances are described in the data or information (or such
individual’s parent, guardian, caretaker relative, or authorized
representative) has either provided advance consent to disclosure or has not
objected to disclosure after receiving advance notice of disclosure and a
reasonable opportunity to object.</text>
</paragraph><paragraph id="H48B5E23F5C5245AD91DA6D46FEEFDE8E"><enum>(2)</enum><text>Such data or
information are used solely for the purposes of—</text>
<subparagraph id="HFFB73158794C4344950005878239B6ED"><enum>(A)</enum><text>identifying
individuals who are eligible or potentially eligible for assistance under this
title or title XXI and enrolling such individuals in the State plans
established under such titles; and</text>
</subparagraph><subparagraph id="H7B221DE06438482BB8744F05F5963EC6"><enum>(B)</enum><text>verifying the
eligibility of individuals for assistance under the State plans established
under this title or title XXI.</text>
</subparagraph></paragraph><paragraph id="H9A289C626DA4446AB6C6FE64041E4B03"><enum>(3)</enum><text>An interagency or
other agreement, consistent with standards developed by the Secretary—</text>
<subparagraph id="H6DC8645DA3F94CE6B752F54CA9C52DE0"><enum>(A)</enum><text>prevents the
unauthorized use, disclosure, or modification of such data and otherwise meets
applicable Federal requirements safeguarding privacy and data security;
and</text>
</subparagraph><subparagraph id="H76160B7A50A14FC290024E00F67E94F"><enum>(B)</enum><text>requires the State
agencies administering the State plans established under this title and title
XXI to use the data and information obtained under this section to seek to
enroll individuals in such plans.</text>
</subparagraph></paragraph></subsection><subsection id="H8DAA957DD1CB4F3DA9AD93716DB6BB19"><enum>(c)</enum><header>Criminal
penalty</header><text>A person described in the subsection (a) who publishes,
divulges, discloses, or makes known in any manner, or to any extent not
authorized by Federal law, any information obtained under this section shall be
fined not more than $1,000 or imprisoned not more than 1 year, or both for each
such unauthorized activity.</text>
</subsection><subsection id="H15C8D3BFB1424487BAC1068F8D309297"><enum>(d)</enum><header>Rule of
construction</header><text>The limitations and requirements that apply to
disclosure pursuant to this section shall not be construed to prohibit the
conveyance or disclosure of data or information otherwise permitted under
Federal law (without regard to this
section).</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="H101A2707EB0C411B86734305C841242E"><enum>(2)</enum><header>Conforming
amendment to assure access to national new hires database</header><text>Section
453(i)(1) (42 U.S.C. 653(i)(1)) is amended by striking <quote>and programs
funded under part A</quote> and inserting <quote>, programs funded under part
A, and State plans approved under title XIX or XXI</quote>.</text>
</paragraph><paragraph id="HA8EC04BB7BF642388B9C00434D9C2220"><enum>(3)</enum><header>Conforming
amendment to provide schip programs with access to national income
data</header><text>Section 6103(l)(7)(D)(ii) of the Internal Revenue Code of
1986 is amended by inserting <quote>or title XXI</quote> after <quote>title
XIX</quote>.</text>
</paragraph><paragraph id="HFB0A45815D3B498795D0981CEEFC49A6"><enum>(4)</enum><header>Conforming
amendment to provide access to data about enrollment in insurance for purposes
of evaluating applications and for SCHIP</header><text>Section
1902(a)(25)(I)(i) (42 U.S.C. 1396a(a)(25)(I)(i)) is amended—</text>
<subparagraph id="H36A9945E44CE4BE881BE78DD51579900"><enum>(A)</enum><text>by inserting
<quote>(and, at State option, individuals who are potentially eligible or who
apply)</quote> after <quote>with respect to individuals who are
eligible</quote>; and</text>
</subparagraph><subparagraph id="H35FC71E72F2344D8001C7200F5B51100"><enum>(B)</enum><text>by inserting
<quote>under this title (and, at State option, child health assistance under
title XXI)</quote> after <quote>the State plan</quote>.</text>
</subparagraph></paragraph></subsection></section><section id="H16017D66C580404F8730844E555ECFF1"><enum>208.</enum><header>Encouraging
culturally appropriate enrollment practices</header><text display-inline="no-display-inline">Section 1903(a)(2) (42 U.S.C. 1396b(a)(2))
is amended by adding at the end the following new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="H1517D208F34D4275BE98D9506FB14040" style="OLC">
<subparagraph id="H69A12368B2404EC19752B7FC18743D06" indent="up1"><enum>(E)</enum><text display-inline="yes-display-inline">an
amount equal to 75 percent of so much of the sums expended during such quarter
(as found necessary by the Secretary for the proper and efficient
administration of the State plan) as are attributable to translation or
interpretation services in connection with the enrollment under this title of
children of families for whom English is not their primary language;
plus</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H0796974A697A471D9014CEE0D829300"><enum>209.</enum><header>Model of
Interstate coordinated enrollment and coverage process</header><text display-inline="no-display-inline">In order to assure continuity of coverage of
low-income children under the Medicaid program and the State Children’s Health
Insurance Program (SCHIP), the Secretary of Health and Human Services, in
consultation with State Medicaid and SCHIP directors, shall develop and
disseminate a model process for the coordination of the enrollment and coverage
under such programs of children who, because of migration of families,
emergency evacuations, educational needs, or otherwise, frequently change their
State of residency or otherwise are temporarily present outside of the State of
their residency.</text>
</section><section id="HFB7D3CB389654BF790CB01DBECA15DC0"><enum>210.</enum><header>Elimination of
counting medicaid child presumptive eligibility costs against title XXI
allotment</header><text display-inline="no-display-inline">Section 2105(a)(1)
(42 U.S.C. 1397ee(a)(1)) is amended—</text>
<paragraph id="H42E218EA39F4440C934119A2D0E494CC"><enum>(1)</enum><text>in the matter
preceding subparagraph (A), by striking <quote>(or, in the case of expenditures
described in subparagraph (B), the Federal medical assistance percentage (as
defined in the first sentence of section 1905(b)))</quote>; and</text>
</paragraph><paragraph id="H65F2DB9B50494E9BA41C93E5AFAD16E6"><enum>(2)</enum><text>by amending
subparagraph (B) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H0C804DA341D44B229E49CA04BCB000BD" style="OLC">
<subparagraph id="H234F91C3D2974FCEB6EF7CF9CA4E8EA1"><enum>(B)</enum><text>[reserved]</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section commented="no" display-inline="no-display-inline" id="HAF2F111A066845CCBAF953594EC6C1DF" section-type="subsequent-section"><enum>211.</enum><header>Authority for
qualifying States to use portion of SCHIP allotment for any fiscal year for
certain medicaid expenditures</header><text display-inline="no-display-inline">Section 2105(g)(1)(A) (42 U.S.C.
1397ee(g)(1)(A)), as amended by section 201(b) of the National Institutes of
Health Reform Act of 2006 (Public Law 109–482) is amended by striking
<quote>fiscal year 1998, 1999, 2000, 2001, 2004, 2005, 2006, or 2007</quote>
and inserting <quote>a fiscal year</quote>.</text>
</section><section id="IDAED0940037864F9688B6D691C72760E1"><enum>212.</enum><header>Application of
medicaid outreach procedures to all pregnant women and children</header>
<subsection id="idBDEF3EA3850748ABA5C187A005493393"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 1902(a)(55)
(42 U.S.C. 1396a(a)(55)) is amended by striking <quote>individuals for medical
assistance under subsection (a)(10)(A)(i)(IV), (a)(10)(A)(i)(VI),
(a)(10)(A)(i)(VII), or (a)(10)(A)(ii)(IX)</quote> and inserting <quote>child
and pregnant women for medical assistance (including under clauses (i)(IV),
(i)(VI), (i)(VII), and (ii)(IX) of paragraph (10)(A))</quote>.</text>
</subsection><subsection id="idE5B306E9F9CD4D049479374F5F4C928C"><enum>(b)</enum><header>Effective
date</header>
<paragraph id="id3896EC3BAD2C44F59D4C987BA0A1924E"><enum>(1)</enum><header>In
general</header><text>Except as provided in paragraph (2), the amendment made
by subsection (a) takes effect on January 1, 2008.</text>
</paragraph><paragraph id="id3C11DFCB763B4B158A7E432B6C8B425F"><enum>(2)</enum><header>Exception for
State legislation</header><text>In the case of a State plan under title XIX of
the Social Security Act, which the Secretary of Health and Human Services
determines requires State legislation in order for the plan to meet the
additional requirements imposed by the amendment made by subsection (a), the
State plan shall not be regarded as failing to comply with the requirements of
such Act solely on the basis of its failure to meet these additional
requirements before the first day of the first calendar quarter beginning after
the close of the first regular session of the State legislature that begins
after the date of enactment of this Act. For purposes of the previous sentence,
in the case of a State that has a 2-year legislative session, each year of the
session shall be considered to be a separate regular session of the State
legislature.</text>
</paragraph></subsection></section><enum>III</enum><header>Effective
Date</header>
<section commented="no" display-inline="no-display-inline" id="H83404D01531B49358B90115C9500D3F9" section-type="subsequent-section"><enum>301.</enum><header>Effective
date</header><text display-inline="no-display-inline">Unless otherwise
provided, the amendments made by this Act shall take effect on October 1, 2007,
and shall apply to child health assistance and medical assistance provided on
or after that date without regard to whether or not final regulations to carry
out such amendments have been promulgated by such date.</text>
</section>