[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 3001 Introduced in Senate (IS)]

<DOC>






116th CONGRESS
  1st Session
                                S. 3001

  To provide for certain extensions with respect to the Medicare and 
  Medicaid programs under titles XVIII and XIX of the Social Security 
                      Act, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            December 9, 2019

 Mr. Toomey (for himself and Mr. Crapo) introduced the following bill; 
     which was read twice and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
  To provide for certain extensions with respect to the Medicare and 
  Medicaid programs under titles XVIII and XIX of the Social Security 
                      Act, and for other purposes.

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

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Permanent Relief 
for Seniors and Medicare, Medicaid, Human Services Extension Act of 
2019''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
                         TITLE I--MISCELLANEOUS

Sec. 101. Repeal of medical device excise tax.
Sec. 102. Permanent extension of reduction in medical expense deduction 
                            floor.
Sec. 103. Moratorium on annual fee on health insurance providers.
                      TITLE II--MEDICARE EXTENDERS

Sec. 201. Extension of the work geographic index floor under the 
                            Medicare program.
Sec. 202. Authorization of additional funding for quality measure 
                            endorsement, input, and selection.
Sec. 203. Authorization of additional funding for outreach and 
                            assistance for low-income programs.
Sec. 204. Extension and authorization of additional funding to the 
                            Patient-Centered Outcomes Research Trust 
                            Fund.
                     TITLE III--MEDICAID EXTENDERS

Sec. 301. Delay of DSH reductions.
Sec. 302. Extension of spousal impoverishment protections.
Sec. 303. Extension of Community Mental Health Services demonstration 
                            program.
                   TITLE IV--HUMAN SERVICES EXTENDERS

Sec. 401. Extension of sexual risk avoidance education program.
Sec. 402. Jobs and Opportunity with Benefits and Services for Success 
                            Act.

                         TITLE I--MISCELLANEOUS

SEC. 101. REPEAL OF MEDICAL DEVICE EXCISE TAX.

    (a) In General.--Chapter 32 of the Internal Revenue Code of 1986 is 
amended by striking subchapter E.
    (b) Conforming Amendments.--
            (1) Subsection (a) of section 4221 of the Internal Revenue 
        Code of 1986 is amended by striking the last sentence.
            (2) Paragraph (2) of section 6416(b) of such Code is 
        amended by striking the last sentence.
    (c) Clerical Amendment.--The table of subchapters for chapter 32 of 
the Internal Revenue Code of 1986 is amended by striking the item 
relating to subchapter E.
    (d) Effective Date.--The amendments made by this section shall 
apply to sales after December 31, 2019.

SEC. 102. PERMANENT EXTENSION OF REDUCTION IN MEDICAL EXPENSE DEDUCTION 
              FLOOR.

    (a) Reduction.--
            (1) In general.--Section 213(a) of the Internal Revenue 
        Code of 1986 is amended by striking ``10 percent'' and 
        inserting ``7.5 percent''.
            (2) Conforming amendment.--Section 213 of such Code is 
        amended by striking subsection (f).
    (b) Repeal of Minimum Tax Preference.--Section 56(b)(1) of the 
Internal Revenue Code of 1986 is amended by striking subparagraph (B).
    (c) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after December 31, 2018.

SEC. 103. MORATORIUM ON ANNUAL FEE ON HEALTH INSURANCE PROVIDERS.

    Subsection (j) of section 9010 of the Patient Protection and 
Affordable Care Act (26 U.S.C. 4001 note prec.) is amended--
            (1) by striking ``and'' at the end of paragraph (2);
            (2) by striking the period at the end of paragraph (3) and 
        inserting ``, and ending before January 1, 2021, and''; and
            (3) by adding at the end the following new paragraph:
            ``(4) beginning after December 31, 2022.''.

                      TITLE II--MEDICARE EXTENDERS

SEC. 201. EXTENSION OF THE WORK GEOGRAPHIC INDEX FLOOR UNDER THE 
              MEDICARE PROGRAM.

    Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)(E)) is amended by striking ``January 1, 2020'' and inserting 
``December 21, 2020''.

SEC. 202. AUTHORIZATION OF ADDITIONAL FUNDING FOR QUALITY MEASURE 
              ENDORSEMENT, INPUT, AND SELECTION.

    Section 1890(d)(2) of the Social Security Act (42 U.S.C. 
1395aaa(d)(2)) is amended--
            (1) by inserting ``(A)'' after ``(2)''; and
            (2) by adding at the end the following new subparagraph:
    ``(B)(i) For purposes of carrying out this section and section 
1890A (other than subsections (e) and (f)), there is hereby authorized 
to be appropriated for the period beginning on December 21, 2019, and 
ending on December 20, 2020, $30,000,000.
    ``(ii) Amounts appropriated pursuant to clause (i) shall remain 
available until expended, and shall be in addition to any unobligated 
funds transferred pursuant to subparagraph (A) for a preceding fiscal 
year that are available under the third sentence of such 
subparagraph.''.

SEC. 203. AUTHORIZATION OF ADDITIONAL FUNDING FOR OUTREACH AND 
              ASSISTANCE FOR LOW-INCOME PROGRAMS.

    (a) Additional Funding for State Health Insurance Programs.--
Subsection (a)(1)(B) of section 119 of the Medicare Improvements for 
Patients and Providers Act of 2008 (42 U.S.C. 1395b-3 note), as amended 
by section 3306 of the Patient Protection and Affordable Care Act 
(Public Law 111-148), section 610 of the American Taxpayer Relief Act 
of 2012 (Public Law 112-240), section 1110 of the Pathway for SGR 
Reform Act of 2013 (Public Law 113-67), section 110 of the Protecting 
Access to Medicare Act of 2014 (Public Law 113-93), section 208 of the 
Medicare Access and CHIP Reauthorization Act of 2015 (Public Law 114-
10), section 50207 of division E of the Bipartisan Budget Act of 2018 
(Public Law 115-123), section 1402 of the Continuing Appropriations 
Act, 2020, and Health Extenders Act of 2019 (Public Law 116-59), and 
section 1402 of the Further Continuing Appropriations Act, 2020, and 
Further Health Extenders Act of 2019 (Public Law 116-69), is amended--
            (1) by redesignating clauses (i) through (xi) as subclauses 
        (I) through (XI) and moving such subclauses 2 ems to the right;
            (2) by striking ``For purposes of making grants under this 
        subsection, the Secretary'' and inserting ``For purposes of 
        making grants under this subsection--
                            ``(i) the Secretary'';
            (3) in subclause (XI), as redesignated by paragraph (1), by 
        striking the period at the end and inserting ``; and''; and
            (4) by inserting after such subclause (XI), the following 
        new clause:
                            ``(ii) there is hereby authorized to be 
                        appropriated for the period beginning on 
                        December 21, 2019, and ending on December 20, 
                        2020, $13,000,000.''.
    (b) Additional Funding for Area Agencies on Aging.--Subsection 
(b)(1)(B) of such section 119, as so amended, is amended--
            (1) by redesignating clauses (i) through (xi) as subclauses 
        (I) through (XI) and moving such subclauses 2 ems to the right;
            (2) by striking ``For purposes of making grants under this 
        subsection, the Secretary'' and inserting ``For purposes of 
        making grants under this subsection--
                            ``(i) the Secretary'';
            (3) in subclause (XI), as redesignated by paragraph (1), by 
        striking the period at the end and inserting ``; and''; and
            (4) by inserting after such subclause (XI), the following 
        new clause:
                            ``(ii) there is hereby authorized to be 
                        appropriated for the period beginning on 
                        December 21, 2019, and ending on December 20, 
                        2020, $7,500,000.''.
    (c) Additional Funding for Aging and Disability Resource Centers.--
Subsection (c)(1)(B) of such section 119, as so amended, is amended--
            (1) by redesignating clauses (i) through (xi) as subclauses 
        (I) through (XI) and moving such subclauses 2 ems to the right;
            (2) by striking ``For purposes of making grants under this 
        subsection, the Secretary'' and inserting ``For purposes of 
        making grants under this subsection--
                            ``(i) the Secretary'';
            (3) in subclause (XI), as redesignated by paragraph (1), by 
        striking the period at the end and inserting ``; and''; and
            (4) by inserting after such subclause (XI), the following 
        new clause:
                            ``(ii) there is hereby authorized to be 
                        appropriated for the period beginning on 
                        December 21, 2019, and ending on December 20, 
                        2020, $5,000,000.''.
    (d) Additional Funding for Contract With the National Center for 
Benefits and Outreach Enrollment.--Subsection (d)(2) of such section 
119, as so amended, is amended--
            (1) by redesignating clauses (i) through (xi) as subclauses 
        (I) through (XI) and moving such subclauses 2 ems to the right;
            (2) by striking ``For purposes of making a grant or 
        entering into a contract under paragraph (1), the Secretary'' 
        and inserting ``For purposes of making a grant or entering into 
        a contract under paragraph (1)--
                            ``(i) the Secretary'';
            (3) in subclause (XI), as redesignated by paragraph (1), by 
        striking the period at the end and inserting ``; and''; and
            (4) by inserting after such subclause (XI), the following 
        new clause:
                            ``(ii) there is hereby authorized to be 
                        appropriated for the period beginning on 
                        December 21, 2019, and ending on December 20, 
                        2020, $12,000,000.''.

SEC. 204. EXTENSION AND AUTHORIZATION OF ADDITIONAL FUNDING TO THE 
              PATIENT-CENTERED OUTCOMES RESEARCH TRUST FUND.

    Section 9511 of the Internal Revenue Code of 1986 is amended--
            (1) in subsection (b), by adding at the end the following 
        new paragraph:
            ``(4) Authorization.--
                    ``(A) In general.--There is hereby authorized to be 
                appropriated to the Trust Fund, for the period 
                beginning on October 1, 2019, and ending on December 
                20, 2020, an amount equal to the sum of--
                            ``(i) an amount equal to $2 multiplied by 
                        the average number of individuals entitled to 
                        benefits under part A, or enrolled under part 
                        B, of title XVIII of the Social Security Act 
                        during such period; and
                            ``(ii) $150,000,000.
                    ``(B) Availability.--Amounts appropriated pursuant 
                to subparagraph (A) shall remain available until 
                expended.'';
            (2) in subsection (d)(2)(A), by inserting ``, and for the 
        period beginning on October 1, 2019, and ending on December 20, 
        2020,'' after ``2019''; and
            (3) in subsection (f), by striking ``December 20, 2019'' 
        and inserting ``December 20, 2020''.

                     TITLE III--MEDICAID EXTENDERS

SEC. 301. DELAY OF DSH REDUCTIONS.

    Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 1396r-
4(f)(7)(A)) is amended--
            (1) in clause (i), in the matter preceding subclause (I), 
        by striking ``For the period beginning'' and all that follows 
        through ``2025'' and inserting ``For the period beginning 
        December 21, 2020, and ending September 30, 2021, and for each 
        of fiscal years 2022 through 2028''; and
            (2) in clause (ii)--
                    (A) by amending subclause (I) to read as follows:
                                    ``(I) $8,000,000,000 for the period 
                                beginning December 21, 2020, and ending 
                                September 30, 2021; and''; and
                    (B) in subclause (II), by striking ``fiscal years 
                2021 through 2025'' and inserting ``fiscal years 2022 
                through 2028''.

SEC. 302. EXTENSION OF SPOUSAL IMPOVERISHMENT PROTECTIONS.

    (a) In General.--Section 2404 of Public Law 111-148 (42 U.S.C. 
1396r-5 note) is amended by striking ``December 31, 2019'' and 
inserting ``December 20, 2020''.
    (b) Rule of Construction.--Nothing in section 2404 of Public Law 
111-148 (42 U.S.C. 1396r-5 note) or section 1902(a)(17) or 1924 of the 
Social Security Act (42 U.S.C. 1396a(a)(17), 1396r-5) shall be 
construed as prohibiting a State from applying an income or resource 
disregard under a methodology authorized under section 1902(r)(2) of 
such Act (42 U.S.C. 1396a(r)(2))--
            (1) to the income or resources of an individual described 
        in section 1902(a)(10)(A)(ii)(VI) of such Act (42 U.S.C. 
        1396a(a)(10)(A)(ii)(VI)) (including a disregard of the income 
        or resources of such individual's spouse); or
            (2) on the basis of an individual's need for home and 
        community-based services authorized under subsection (c), (d), 
        (i), or (k) of section 1915 of such Act (42 U.S.C. 1396n) or 
        under section 1115 of such Act (42 U.S.C. 1315).
    (c) GAO Report.--Not later than September 30, 2020, the Comptroller 
General of the United States shall submit to Congress a report 
evaluating the effect of applying section 1924(h) of the Social 
Security Act (42 U.S.C. 1396r-5(h)) pursuant to section 2404 of Public 
Law 111-148 (42 U.S.C. 1396r-5 note) on the number of individuals who 
qualify as community spouses (as such term is defined in such section 
1924(h)).

SEC. 303. EXTENSION OF COMMUNITY MENTAL HEALTH SERVICES DEMONSTRATION 
              PROGRAM.

    (a) In General.--Section 223(d)(3) of the Protecting Access to 
Medicare Act of 2014 (42 U.S.C. 1396a note) is amended by striking 
``December 20, 2019'' and inserting ``March 31, 2021''.
    (b) Phasedown of Enhanced FMAP.--Subparagraph (B) of section 
223(d)(5) of the Protecting Access to Medicare Act of 2014 (42 U.S.C. 
1396a note) is amended to read as follows:
                    ``(B) Federal matching percentage.--
                            ``(i) In general.--The Federal matching 
                        percentage specified in this subparagraph is 
                        with respect to medical assistance described in 
                        subparagraph (A) that is furnished--
                                    ``(I) to a newly eligible 
                                individual described in paragraph (2) 
                                of section 1905(y) of the Social 
                                Security Act (42 U.S.C. 1396d(y)), the 
                                matching rate applicable under 
                                paragraph (1) of that section; and
                                    ``(II) to an individual who is not 
                                a newly eligible individual (as so 
                                described) but who is eligible for 
                                medical assistance under the State 
                                Medicaid program, the enhanced FMAP 
                                applicable to the State or, for fiscal 
                                quarters beginning on or after January 
                                1, 2020, the matching rate determined 
                                for the State and quarter under clause 
                                (ii).
                            ``(ii) Phasedown of enhanced fmap.--For 
                        purposes of clause (i)(II), the matching rate 
                        determined for a State and fiscal quarter under 
                        this clause shall be--
                                    ``(I) for the fiscal quarter 
                                beginning on January 1, 2020, a 
                                percentage equal to the enhanced FMAP 
                                applicable to the State reduced by a 
                                number of percentage points equal to 
                                \1/6\ of the percentage points 
                                difference between the enhanced FMAP 
                                applicable to the State and the Federal 
                                medical assistance percentage 
                                applicable to the State under section 
                                1905(b) of the Social Security Act (42 
                                U.S.C. 1396d(b));
                                    ``(II) for the fiscal quarter 
                                beginning on April 1, 2020, a 
                                percentage equal to the enhanced FMAP 
                                applicable to the State reduced by a 
                                number of percentage points equal to 
                                \1/3\ of the percentage points 
                                difference between the enhanced FMAP 
                                applicable to the State and the Federal 
                                medical assistance percentage 
                                applicable to the State under section 
                                1905(b) of the Social Security Act (42 
                                U.S.C. 1396d(b));
                                    ``(III) for the fiscal quarter 
                                beginning on July 1, 2020, a percentage 
                                equal to the enhanced FMAP applicable 
                                to the State reduced by a number of 
                                percentage points equal to \1/2\ of the 
                                percentage points difference between 
                                the enhanced FMAP applicable to the 
                                State and the Federal medical 
                                assistance percentage applicable to the 
                                State under section 1905(b) of the 
                                Social Security Act (42 U.S.C. 
                                1396d(b));
                                    ``(IV) for the fiscal quarter 
                                beginning on October 1, 2020, a 
                                percentage equal to the enhanced FMAP 
                                applicable to the State reduced by a 
                                number of percentage points equal to 
                                \2/3\ of the percentage points 
                                difference between the enhanced FMAP 
                                applicable to the State and the Federal 
                                medical assistance percentage 
                                applicable to the State under section 
                                1905(b) of the Social Security Act (42 
                                U.S.C. 1396d(b));
                                    ``(V) for the fiscal quarter 
                                beginning on January 1, 2021, a 
                                percentage equal to the enhanced FMAP 
                                applicable to the State reduced by a 
                                number of percentage points equal to 
                                \5/6\ of the percentage points 
                                difference between the enhanced FMAP 
                                applicable to the State and the Federal 
                                medical assistance percentage 
                                applicable to the State under section 
                                1905(b) of the Social Security Act (42 
                                U.S.C. 1396d(b)); and
                                    ``(VI) for the fiscal quarter 
                                beginning on April 1, 2021, and each 
                                subsequent fiscal quarter, a percentage 
                                equal to the Federal medical assistance 
                                percentage applicable to the State 
                                under section 1905(b) of the Social 
                                Security Act (42 U.S.C. 1396d(b)).''.
    (c) Clarifying Authority To Recover Overpayments.--Section 
223(d)(5) of the Protecting Access to Medicare Act of 2014 (42 U.S.C. 
1396a note) is amended by adding at the end the following new 
subparagraph:
                    ``(D) Recovery of overpayments.--The amount of any 
                overpayment made to a State under this paragraph shall 
                be deemed an overpayment to the State under title XIX 
                of the Social Security Act (42 U.S.C. 1396 et seq.) to 
                be disallowed against the State's regular quarterly 
                draw for all Medicaid spending under section 1903(d)(2) 
                of such Act (42 U.S.C. 1396b(d)(2)).''.
    (d) Report to Congress on Certified Community Behavioral Health 
Center Performance.--
            (1) Study.--The Comptroller General of the United States 
        shall conduct 1 or more studies on certified community 
        behavioral health clinics participating in the demonstration 
        program established under section 223 of the Protecting Access 
        to Medicare Act of 2014 (42 U.S.C. 1396a note) that shall 
        include the following:
                    (A) An evaluation of encounter data submissions and 
                other reporting submitted by certified community 
                behavioral health clinics participating in the 
                demonstration program, including identifying challenges 
                faced in collecting, submitting, and ensuring the 
                quality of the data submitted, as well as--
                            (i) an evaluation of the extent to which 
                        the Centers for Medicare & Medicaid Services 
                        and States face challenges validating encounter 
                        data for completeness and accuracy;
                            (ii) an assessment of requirements imposed 
                        on such certified community behavioral health 
                        clinics for collecting and submitting encounter 
                        data;
                            (iii) an assessment of any challenges such 
                        certified community behavioral health clinics 
                        face in collecting and submitting encounter 
                        data; and
                            (iv) an assessment of the efficacy of 
                        automated checks conducted on encounter data 
                        submitted by such certified community 
                        behavioral health clinics for completeness and 
                        accuracy.
                    (B) An evaluation of the payment arrangement for 
                certified community behavioral health clinics 
                participating in the demonstration program and of 
                payment arrangements for all certified community 
                behavioral health clinics, including any challenges 
                related to the accuracy of payments, such as--
                            (i) the extent to which the Secretary of 
                        Health and Human Services and States 
                        participating in the demonstration program can 
                        monitor the accuracy of payments made under the 
                        program to certified community behavioral 
                        health clinics participating in the program;
                            (ii) any challenges associated with 
                        requiring the Secretary of Health and Human 
                        Services to accurately assess the comparative 
                        impact of the certified community behavioral 
                        health clinics participating in such program, 
                        as compared to certified community behavioral 
                        health clinics that are not participating in 
                        such program, on the Federal and State costs 
                        for furnishing a full range of mental health 
                        services (including inpatient, emergency and 
                        ambulatory services); and
                            (iii) any comparisons of payment 
                        arrangements by certified community behavioral 
                        health clinics and the degree to which there 
                        are payment disparities among such clinics for 
                        furnishing the same or similar services.
                    (C) An evaluation of the quality of data 
                submissions by States and certified community 
                behavioral health clinics participating in the 
                demonstration program, including the extent to which--
                            (i) the Secretary of Health and Human 
                        Services faced challenges validating the 
                        quality of data submitted by such States and 
                        such certified community behavioral health 
                        clinics;
                            (ii) the quality measures used to evaluate 
                        certified community behavioral health clinics 
                        participating in the demonstration program 
                        compare with the measures reported by certified 
                        community behavioral health clinics that are 
                        not participating in the program; and
                            (iii) the quality measures being reported 
                        by certified community behavioral health 
                        clinics participating in the demonstration 
                        program offer insights on the quality of care 
                        provided at, and the health status of 
                        individuals treated by, such clinics.
                    (D) An assessment of the extent to which the 
                certified community behavioral health clinics 
                participating in the demonstration program expanded the 
                services they offer, as compared to certified community 
                behavioral health clinics that are not participating in 
                the program, and if so, what factored into the decision 
                to expand.
                    (E) Such recommendations as the Comptroller General 
                determines appropriate for improving--
                            (i) the reporting, accuracy, and validation 
                        of encounter data;
                            (ii) accuracy in payments to certified 
                        community behavioral health clinics under State 
                        programs under title XIX of the Social Security 
                        Act (42 U.S.C. 1396 et seq.) and quality 
                        monitoring of such clinics; and
                            (iii) quality measure reporting and 
                        replacing process-driven quality measures with 
                        outcome-based measures that reflect 
                        improvements in patient functional status.
            (2) Report.--Not later than December 31, 2020, the 
        Comptroller General of the United States shall submit to 
        Congress a report containing the findings of the study 
        conducted under paragraph (1).

                   TITLE IV--HUMAN SERVICES EXTENDERS

SEC. 401. EXTENSION OF SEXUAL RISK AVOIDANCE EDUCATION PROGRAM.

    Section 510 of the Social Security Act (42 U.S.C. 710) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (1), in the matter preceding 
                subparagraph (A), by striking ``and 2019'' and all that 
                follows through ``December 20, 2019'' and inserting 
                ``through 2020 and for the period beginning October 1, 
                2020, and ending December 20, 2020''; and
                    (B) in paragraph (2)(A), by striking ``and 2019'' 
                and all that follows through ``December 20, 2019'' and 
                inserting ``through 2020 and for the period beginning 
                October 1, 2020, and ending December 20, 2020''; and
            (2) in subsection (f)(1), by striking ``and 2019'' and all 
        that follows through ``December 20, 2019'' and inserting 
        ``through 2020 and $16,643,836 for the period beginning October 
        1, 2020, and ending December 20, 2020''.

SEC. 402. JOBS AND OPPORTUNITY WITH BENEFITS AND SERVICES FOR SUCCESS 
              ACT.

    (a) References.--Except as otherwise expressly provided, wherever 
in this section an amendment or repeal 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 a section or other provision of the 
Social Security Act.
    (b) Re-Naming of Program.--
            (1) In general.--The heading for part A of title IV is 
        amended to read as follows:

  ``PART A--JOBS AND OPPORTUNITY WITH BENEFITS AND SERVICES PROGRAM''.

            (2) Conforming amendments.--
                    (A) The heading for section 403(a)(2)(B) (42 U.S.C. 
                603(a)(2)(B)) is amended by striking ``tanf'' and 
                inserting ``jobs''.
                    (B) The heading for section 413 (42 U.S.C. 613) is 
                amended by striking ``temporary assistance for needy 
                families'' and inserting ``jobs and opportunity with 
                benefits and services''.
                    (C) The heading for section 413(a) (42 U.S.C. 
                613(a)) is amended by striking ``TANF'' and inserting 
                ``JOBS''.
                    (D) The heading for section 471(e)(7)(B)(i) (42 
                U.S.C. 671(e)(7)(B)(i)), as in effect pursuant to the 
                amendment made by section 50711(a)(2) of division E of 
                the Bipartisan Budget Act of 2018 (Public Law 115-123), 
                is amended by striking ``TANF'' and inserting ``JOBS''.
    (c) Helping More Americans Enter and Remain in the Workforce.--
            (1) Family assistance grants.--Section 403(a)(1) (42 U.S.C. 
        603(a)(1)) is amended in each of subparagraphs (A) and (C) by 
        striking ``2017 and 2018'' and inserting ``2020 through 2024''.
            (2) Healthy marriage promotion and responsible fatherhood 
        grants.--Section 403(a)(2)(D) (42 U.S.C. 603(a)(2)(D)) is 
        amended--
                    (A) by striking ``2017 and 2018'' and inserting 
                ``2020 through 2024''; and
                    (B) by striking ``for fiscal year 2017 or 2018''.
            (3) Tribal grants.--Section 412(a) (42 U.S.C. 612(a)) is 
        amended in each of paragraphs (1)(A) and (2)(A) by striking 
        ``2017 and 2018'' and inserting ``2020 through 2024''.
            (4) Improving access to child care to support work.--
        Section 418(a)(3) (42 U.S.C. 618(a)(3)) is amended to read as 
        follows:
            ``(3) Appropriation.--For grants under this section, there 
        are appropriated--
                    ``(A) $2,917,000,000 for fiscal year 2020; and
                    ``(B) $3,525,000,000 for each of fiscal years 2021 
                through 2024.''.
            (5) Grants to the territories.--Section 1108(b)(2) (42 
        U.S.C. 1308(b)(2)) is amended by striking ``2017 and 2018'' and 
        inserting ``2020 through 2024''.
            (6) Prorating of appropriations for fiscal year 2020.--
        Notwithstanding the amendments made by the paragraphs (1) 
        through (3) and (5) of this subsection, the amount appropriated 
        in each provision of law amended by such paragraphs for fiscal 
        year 2020 shall be--
                    (A) the amount that would be so appropriated in the 
                absence of this subsection; multiplied by
                    (B) the number of days in the period from the date 
                of the enactment of this Act through September 30, 
                2020, divided by 365.
            (7) Effective date.--This subsection and the amendments 
        made by this subsection shall take effect on the date of the 
        enactment of this Act.
    (d) Expecting Universal Engagement and Case Management.--Section 
408(b) (42 U.S.C. 608(b)) is amended to read as follows:
    ``(b) Individual Opportunity Plans.--
            ``(1) Assessment.--The State agency responsible for 
        administering the State program funded under this part shall 
        make an initial assessment of the following for each work-
        eligible individual (as defined in the regulations promulgated 
        pursuant to section 407(i)(1)(A)(i)):
                    ``(A) The education obtained, skills, prior work 
                experience, work readiness, and barriers to work of the 
                individual.
                    ``(B) The well-being of the children in the family 
                of the individual and, where appropriate, activities or 
                services (such as services offered by a program funded 
                under section 511) to improve the well-being of the 
                children.
            ``(2) Contents of plans.--On the basis of the assessment 
        required by paragraph (1) of this subsection, the State agency, 
        in consultation with the individual, shall develop an 
        individual opportunity plan that--
                    ``(A) includes a personal responsibility agreement 
                in which the individual acknowledges receipt of 
                publicly funded benefits and responsibility to comply 
                with program requirements in order to receive the 
                benefits;
                    ``(B) sets forth the obligations of the individual 
                to participate in work activities (as defined in 
                section 407(d)), and the number of hours per month for 
                which the individual will so participate pursuant to 
                section 407;
                    ``(C) sets forth an employment goal and planned 
                short-, intermediate-, and long-term actions to achieve 
                the goal, and, in the case of an individual who has not 
                attained 24 years of age and is in secondary school or 
                the equivalent, the intermediate action may be 
                completion of secondary school or the equivalent;
                    ``(D) describes the job counseling and other 
                services the State will provide to the individual to 
                enable the individual to obtain and keep unsubsidized 
                employment;
                    ``(E) may include referral to appropriate substance 
                abuse or mental health treatment; and
                    ``(F) is signed by the individual.
            ``(3) Timing.--The State agency shall comply with 
        paragraphs (1) and (2) with respect to a work-eligible 
        individual--
                    ``(A) within 1 year after the effective date of 
                this subsection, in the case of an individual who, as 
                of such effective date, is a recipient of assistance 
                under the State program funded under this part (as in 
                effect immediately before such effective date); or
                    ``(B) within 60 days after the individual is 
                determined to be eligible for the assistance, in the 
                case of any other individual.
            ``(4) Universal engagement.--Subject to the exceptions in 
        paragraph (3), each State shall require all work-eligible 
        recipients receiving funds under the State program funded under 
        this part to engage in work in accordance with the provisions 
        of section 407(c), 407(d), and 407(e).
            ``(5) Penalty for noncompliance by individual.--In addition 
        to any other penalties required under the State program funded 
        under this part, the State shall reduce, by such amount as the 
        State considers appropriate, the amount of assistance otherwise 
        payable under the State program to a family that includes an 
        individual who fails without good cause to comply with an 
        individual opportunity plan developed pursuant to this 
        subsection, that is signed by the individual.
            ``(6) Periodic review.--The State shall meet with each 
        work-eligible individual assessed by the State under paragraph 
        (1), not less frequently than every 90 days, to--
                    ``(A) review the individual opportunity plan 
                developed for the individual, including the eligibility 
                of the individual for benefits;
                    ``(B) discuss with the individual the progress made 
                by the individual in achieving the goals specified in 
                the plan; and
                    ``(C) update the plan, as necessary, to reflect any 
                changes in the circumstances of the individual since 
                the plan was last reviewed.''.
    (e) Promoting Accountability by Measuring Work Outcomes.--
            (1) In general.--Section 407(a) (42 U.S.C. 607(a)) is 
        amended to read as follows:
    ``(a) Performance Accountability and Work Outcomes.--
            ``(1) Work outcomes.--
                    ``(A) In general.--A State to which a grant is made 
                under section 403 shall achieve the requisite minimum 
                level of performance for a fiscal year described in 
                this paragraph with respect to the percentage of 
                employment exits for families receiving assistance 
                under the State program funded under this part, or be 
                subject to penalty as described in section 409(a)(3).
                    ``(B) Calculation of percentage of employment 
                exits.--For purposes of this paragraph, the percentage 
                of employment exits with respect to a State equals the 
                ratio of the number of work-eligible individuals who 
                are in unsubsidized employment 6 months after their 
                exit to the average monthly number of families 
                receiving assistance under the State program funded 
                under this part.
                    ``(C) Agreement on requisite level of 
                performance.--The Secretary and the State shall 
                negotiate the requisite level of performance for the 
                State with respect to employment exits for each fiscal 
                year beginning with fiscal year 2021.
            ``(2) Performance accountability.--
                    ``(A) Purpose.--The purpose of this paragraph is to 
                provide for the establishment of performance 
                accountability measures to assess the effectiveness of 
                States in increasing employment, retention, and 
                advancement among families receiving assistance under 
                the State program funded under this part.
                    ``(B) In general.--A State to which a grant is made 
                under section 403 for a fiscal year shall achieve the 
                requisite level of performance on an indicator 
                described in subparagraph (D) of this paragraph for the 
                fiscal year.
                    ``(C) Measuring state performance.--Each State, in 
                consultation with the Secretary, shall collect and 
                submit to the Secretary the information necessary to 
                measure the level of performance of the State for each 
                indicator described in subparagraph (D), for fiscal 
                year 2021 and each fiscal year thereafter, and the 
                Secretary shall use the information collected for 
                fiscal year 2021 to establish the baseline level of 
                performance for each State for each such indicator.
                    ``(D) Indicators of performance.--The indicators 
                described in this subparagraph, for a fiscal year, are 
                the following:
                            ``(i) The percentage of individuals who 
                        were work-eligible individuals as of the time 
                        of exit from the program, who are in 
                        unsubsidized employment during the 2nd quarter 
                        after the exit.
                            ``(ii) The percentage of individuals who 
                        were work-eligible individuals who were in 
                        unsubsidized employment in the 2nd quarter 
                        after the exit, who are also in unsubsidized 
                        employment during the 4th quarter after the 
                        exit.
                            ``(iii) The median earnings of individuals 
                        who were work-eligible individuals as of the 
                        time of exit from the program, who are in 
                        unsubsidized employment during the 2nd quarter 
                        after the exit.
                            ``(iv) The percentage of individuals who 
                        have not attained 24 years of age, are 
                        attending high school or enrolled in an 
                        equivalency program, and are work-eligible 
                        individuals or were work-eligible individuals 
                        as of the time of exit from the program, who 
                        obtain a high school degree or its recognized 
                        equivalent while receiving assistance under the 
                        State program funded under this part or within 
                        1 year after the exit.
                    ``(E) Levels of performance.--
                            ``(i) In general.--For each State 
                        submitting a State plan pursuant to section 
                        402(a), there shall be established, in 
                        accordance with this subparagraph, levels of 
                        performance for each of the indicators 
                        described in subparagraph (D).
                            ``(ii) Weight.--The weight assigned to such 
                        an indicator shall be the following:
                                    ``(I) Forty percent, in the case of 
                                the indicator described in subparagraph 
                                (D)(i).
                                    ``(II) Twenty-five percent, in the 
                                case of the indicator described in 
                                subparagraph (D)(ii).
                                    ``(III) Twenty-five percent, in the 
                                case of the indicator described in 
                                subparagraph (D)(iii).
                                    ``(IV) Ten percent, in the case of 
                                the indicator described in subparagraph 
                                (D)(iv).
                            ``(iii) Agreement on requisite performance 
                        level for each indicator.--
                                    ``(I) In general.--The Secretary 
                                and the State shall negotiate the 
                                requisite level of performance for the 
                                State with respect to each indicator 
                                described in clause (ii), for each 
                                fiscal year beginning with fiscal year 
                                2021, and shall do so before the 
                                beginning of the fiscal year involved.
                                    ``(II) Requirements in establishing 
                                performance levels.--In establishing 
                                the requisite levels of performance, 
                                the State and the Secretary shall--
                                            ``(aa) take into account 
                                        how the levels involved compare 
                                        with the levels established for 
                                        other States; and
                                            ``(bb) ensure the levels 
                                        involved are adjusted, using 
                                        the objective statistical model 
                                        referred to in clause (v), 
                                        based on--

                                                    ``(AA) the 
                                                differences among 
                                                States in economic 
                                                conditions, including 
                                                differences in 
                                                unemployment rates or 
                                                employment losses or 
                                                gains in particular 
                                                industries;

                                                    ``(BB) the 
                                                characteristics of 
                                                participants on entry 
                                                into the program, 
                                                including indicators of 
                                                prior work history, 
                                                lack of educational or 
                                                occupational skills 
                                                attainment, or other 
                                                factors that may affect 
                                                employment and 
                                                earnings; and

                                                    ``(CC) take into 
                                                account the extent to 
                                                which the levels 
                                                involved promote 
                                                continuous improvement 
                                                in performance by each 
                                                State.

                            ``(iv) Revisions based on economic 
                        conditions and individuals receiving assistance 
                        during the fiscal year.--The Secretary shall, 
                        in accordance with the objective statistical 
                        model referred to in clause (v), revise the 
                        requisite levels of performance for a State and 
                        a fiscal year to reflect the economic 
                        conditions and characteristics of the relevant 
                        individuals in the State during the fiscal 
                        year.
                            ``(v) Statistical adjustment model.--The 
                        Secretary shall use an objective statistical 
                        model to make adjustments to the requisite 
                        levels of performance for the economic 
                        conditions and characteristics of the relevant 
                        individuals, and shall consult with the 
                        Secretary of Labor to develop a model that is 
                        the same as or similar to the model described 
                        in section 116(b)(3)(A)(viii) of the Workforce 
                        Innovation and Opportunity Act (29 U.S.C. 
                        3141(b)(3)(A)(viii)).
                            ``(vi) Definition of exit.--In this 
                        paragraph, the term `exit' means, with respect 
                        to a State program funded under this part, 
                        ceases to a receive a JOBS benefit under the 
                        program.
                    ``(F) State option to establish common exit 
                measures.--Notwithstanding subparagraph (E)(vi) of this 
                paragraph, a State that has not provided the 
                notification under section 121(b)(1)(C)(ii) of the 
                Workforce Innovation and Opportunity Act to exclude the 
                State program funded under this part as a mandatory 
                one-stop partner may adopt an alternative definition of 
                `exit' for the purpose of creating common exit measures 
                to improve alignment with workforce programs operated 
                under title I of such Act.
                    ``(G) Regulations.--In order to ensure nationwide 
                comparability of data, the Secretary, after 
                consultation with the Secretary of Labor and with 
                States, shall issue regulations governing the 
                establishment of the performance accountability system 
                under this paragraph and a template for performance 
                reports to be used by all States consistent with 
                subsection (b).''.
            (2) Reports on state performance on hhs online dashboard.--
        Section 407(b) (42 U.S.C. 607(b)) is amended to read as 
        follows:
    ``(b) Publication of State Performance.--The Secretary shall, 
directly or through the use of grants or contracts, establish and 
operate an Internet website that is accessible to the public, with a 
dashboard that is regularly updated and provides easy-to-understand 
information on the performance of each State program funded under this 
part, including a profile for each such program, expressed by use of a 
template, which shall include--
            ``(1) information on the indicators and requisite 
        performance levels established for the State under subsection 
        (a), including, with respect to each such level, whether the 
        State achieves, exceeds, or fails to achieve the level on an 
        ongoing basis, including--
                    ``(A) information on any adjustments made to the 
                requisite levels using the statistical adjustment model 
                described in subsection (a)(3)(D)(v); and
                    ``(B) a grade based on the overall performance of 
                the State, as determined by the Secretary and in 
                consultation with the State, and the overall 
                performance shall be graded based on the performance 
                indicators and weights for each such indicator as 
                described in subsection (a);
            ``(2) information reported under section 411 on the 
        characteristics and demographics of individuals receiving 
        assistance under the State program, including--
                    ``(A) the number and percentage of child-only cases 
                and reason why the cases are child-only; and
                    ``(B) the average weekly number of hours that each 
                work-eligible individual in the State program 
                participates in work activities, including a separate 
                section showing the number and percentage of the work-
                eligible individuals with zero hours of the 
                participation and the reason for non-participation;
            ``(3) information on the results of improper payments 
        reviews;
            ``(4) a link to the State plan approved under section 402; 
        and
            ``(5) information regarding any penalty imposed, or other 
        corrective action taken, by the Secretary against a State for 
        failing to achieve a requisite performance level or any other 
        requirement imposed by or under this part.''.
            (3) Modification of rules for determining whether an 
        individual is engaged in work.--Section 407(c) (42 U.S.C. 
        607(c)) is amended--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A)--
                                    (I) by striking ``For purposes of 
                                subsection (b)(1)(B)(i), a'' and 
                                inserting ``A''; and
                                    (II) by striking ``, not fewer 
                                than'' and all that follows through 
                                ``this subsection''; and
                            (ii) in subparagraph (B)--
                                    (I) in the matter preceding clause 
                                (i), by striking ``For purposes of 
                                subsection (b)(2)(B), an'' and 
                                inserting ``An'';
                                    (II) in clause (i), by striking ``, 
                                not fewer than'' and all that follows 
                                through ``this subsection''; and
                                    (III) in clause (ii), by striking 
                                ``, not fewer than'' and all that 
                                follows through ``subsection (d)''; and
                    (B) in paragraph (2)--
                            (i) by striking subparagraphs (A) and (D);
                            (ii) in each of subparagraphs (B) and (C), 
                        by striking ``For purposes of determining 
                        monthly participation rates under subsection 
                        (b)(1)(B)(i), a'' and inserting ``A'';
                            (iii) by redesignating subparagraphs (B) 
                        and (C) as subparagraphs (A) and (B), 
                        respectively; and
                            (iv) by adding at the end the following:
                    ``(C) State option for participation requirement 
                exemptions.--For any fiscal year, a State may, at its 
                option, not require an individual who is a single 
                custodial parent caring for a child who has not 
                attained 12 months of age to engage in work, for not 
                more than 12 months.''.
            (4) Modifications to allowable work activities.--Section 
        407(d) (42 U.S.C. 607(d)) is amended--
                    (A) in paragraph (5), by inserting ``, including 
                apprenticeship'' before the semicolon;
                    (B) in paragraph (6), by inserting ``supervised'' 
                before ``job search'';
                    (C) in paragraph (8), by striking ``(not to exceed 
                12 months with respect to any individual)'' and 
                inserting ``, including career technical education'';
                    (D) in paragraph (11), by striking ``and'' at the 
                end;
                    (E) in paragraph (12), by striking the period and 
                inserting ``; and''; and
                    (F) by adding at the end the following:
            ``(13) participation in an in-home program teaching 
        parenting skills that complies with the requirements of section 
        407(c).''.
            (5) Penalty against states.--
                    (A) In general.--Section 409(a)(3) (42 U.S.C. 
                609(a)(3)) is amended by striking all that precedes 
                subparagraph (B) and inserting the following:
            ``(3) Failure to satisfy work outcomes and work 
        engagement.--
                    ``(A) In general.--If the Secretary determines that 
                a State to which a grant is made under section 403 for 
                a fiscal year has failed to comply with any of section 
                407(a)(1), section 408(b)(3), or section 408(b)(4) for 
                the fiscal year, the Secretary shall reduce the grant 
                payable to the State under section 403(a)(1) for the 
                immediately succeeding fiscal year by an amount equal 
                to the applicable percentage of the State family 
                assistance grant.''.
                    (B) Transition rule.--The Secretary of Health and 
                Human Services may not impose a penalty under section 
                409(a)(3) of the Social Security Act by reason of the 
                failure of a State to comply with section 407(a) of 
                such Act for any fiscal year before fiscal year 2021.
            (6) Pro rata reduction of assistance for individual 
        noncompliance.--Section 407(e) (42 U.S.C. 607(e)) is amended by 
        adding at the end the following:
            ``(3) Pro rata reduction.--For purposes of paragraph 
        (1)(A), the amount of a pro rata reduction in assistance shall 
        be determined by multiplying the total amount of monthly 
        assistance that would, in the absence of the application of 
        this paragraph, be paid to the entire family, by the ratio of--
                    ``(A) the number of hours of required work 
                activities as designated in subsection (d) actually 
                performed by the individual during the month; to
                    ``(B) the number of hours of work activities that 
                the individual was required to perform during the month 
                in accordance with subsection (c).
            ``(4) Penalties and engagement.--
                    ``(A) In general.--Subject to the limitation in 
                (B), if in a given month an individual who received 
                assistance under this part was required to engage in 
                work under section 408(b)(4), failed to fulfill those 
                obligations and was subsequently sanctioned in 
                accordance with section 407(e)(2) and (3), that 
                individual shall judged to be engaged in work for that 
                month for purposes of section 408(b)(4).
                    ``(B) Limitation.--If an individual receives no 
                benefits for two consecutive months due to sanctioning 
                under section 407(e)(2) and (3), that individual shall 
                not be counted as engaged in work in subsequent months 
                for purposes of section 408(b)(4) unless actual work in 
                accordance with section 407(d) was resumed.''.
            (7) Conforming amendment.--The heading of section 412(c) 
        (42 U.S.C. 612(c)) is amended by striking ``Minimum Work 
        Participation Requirements'' and inserting ``Requirements for 
        Work Outcome Measures''.
    (f) Targeting Funds to Truly Needy Families.--
            (1) Prohibition on use of funds for families with income 
        greater than twice the poverty line.--Section 404(k) (42 U.S.C. 
        604(k)) is amended to read as follows:
    ``(k) Prohibitions.--
            ``(1) Use of funds for persons with income greater than 
        twice the poverty line.--A State to which a grant is made under 
        this part shall not use the grant to provide any assistance or 
        services to a family whose monthly income exceeds twice the 
        poverty line (as defined by the Office of Management and 
        Budget, and revised annually in accordance with section 673(2) 
        of the Omnibus Budget Reconciliation Act of 1981 (42 U.S.C. 
        9902(2))).''.
            (2) Elimination of limitation on use of funds for case 
        management activities.--Section 404(b)(2) (42 U.S.C. 604(b)(2)) 
        is amended to read as follows:
            ``(2) Exceptions.--Paragraph (1) of this subsection shall 
        not apply to the use of a grant for--
                    ``(A) information technology and computerization 
                needed for tracking, monitoring, or data collection 
                required by or under this part; or
                    ``(B) case management activities to carry out 
                section 408(b).''.
            (3) Prohibition on use of funds for direct spending on 
        child care services or activities.--Section 404(k) (42 U.S.C. 
        604(k)), as amended by subsection (a) of this section, is 
        amended by adding at the end the following:
            ``(2) Direct spending on child care services or 
        activities.--A State to which a grant is made under this part 
        shall not use the grant for direct spending on child care and 
        other early childhood education programs, services, or 
        activities.''.
            (4) Limitation on use of funds for child welfare services 
        or activities.--Section 404(k) (42 U.S.C. 604(k)), as amended 
        by subsections (a) and (c) of this section, is amended--
                    (A) in the subsection heading, by inserting ``; 
                Limitation'' after ``Prohibitions''; and
                    (B) by adding at the end the following:
            ``(3) Limitation on use of funds for child welfare services 
        or activities.--A State may use not more than 10 percent of a 
        grant made to the State under section 403(a)(1) for child 
        welfare services or activities, taking into account any amount 
        transferred under subsection (d)(2) of this section.''.
            (5) Expansion of authority to transfer funds.--Section 
        404(d) (42 U.S.C. 604(d)) is amended by striking paragraphs (1) 
        through (3) and inserting the following:
            ``(1) In general.--A State may transfer not more than 50 
        percent of the grant made to the State under section 403(a)(1) 
        to a State program pursuant to any or all of the following 
        provisions of law:
                    ``(A) The Child Care and Development Block Grant 
                Act of 1990.
                    ``(B) Title I of the Workforce Innovation and 
                Opportunity Act.
                    ``(C) Subpart 1 of part B of this title.
            ``(2) Limitation on amount transferable to subpart 1 of 
        part b.--A State may transfer not more than 10 percent of a 
        grant made to the State under section 403(a)(1) to carry out 
        State programs operated pursuant to the State plan developed 
        under subpart 1 of part B, taking into account any amount used 
        as described in subsection (k)(3) of this section.
            ``(3) Applicable rules.--
                    ``(A) In general.--Except as provided in 
                subparagraph (B) of this paragraph, any amount paid to 
                a State under this part that is used to carry out a 
                State program pursuant to a provision of law specified 
                in paragraph (1) shall not be subject to the 
                requirements of this part, but shall be subject to the 
                requirements that apply to Federal funds provided 
                directly under the provision of law to carry out the 
                program, and the expenditure of any amount so used 
                shall not be considered to be an expenditure under this 
                part.
                    ``(B) Funds transferred to the wioa.--In the case 
                of funds transferred under paragraph (1)(B) of this 
                subsection--
                            ``(i) the State shall provide an assurance 
                        that the funds will be used to support 
                        individuals eligible for assistance or services 
                        under this part pursuant to subsection (k)(1); 
                        and
                            ``(ii) not more than 15 percent of the 
                        funds will be reserved for statewide workforce 
                        investment activities referred to in section 
                        128(a)(1) of the Workforce Innovation and 
                        Opportunity Act.
            ``(4) WIOA transfer authority not available to states 
        excluding the state jobs program as a mandatory one-stop 
        partner under the wioa.--The authority provided by paragraph 
        (1)(B) of this subsection may not be exercised by a State that 
        has provided the notification referred to in section 
        407(a)(2)(F).''.
    (g) Targeting Funds to Core Purposes.--
            (1) Requirement that states reserve 25 percent of jobs 
        grant for spending on core activities.--Section 408(a) (42 
        U.S.C. 608(a)) is amended by adding at the end the following:
            ``(13) Requirement that states reserve 25 percent of jobs 
        grant for spending on core activities.--A State to which a 
        grant is made under section 403(a)(1) for a fiscal year shall 
        expend not less than 25 percent of the grant on assistance, 
        case management, work supports and supportive services, work, 
        wage subsidies, work activities (as defined in section 407(d)), 
        and non-recurring short-term benefits.''.
            (2) Requirement that at least 25 percent of qualified state 
        expenditures be for core activities.--Section 408(a) (42 U.S.C. 
        608(a)), as amended by subsection (a) of this section, is 
        amended by adding at the end the following:
            ``(14) Requirement that at least 25 percent of qualified 
        state expenditures be for core activities.--Not less than 25 
        percent of the qualified State expenditures (as defined in 
        section 409(a)(7)(B)(ii)) of a State during the fiscal year 
        shall be for assistance, case management, work supports and 
        supportive services, work, wage subsidies, work activities (as 
        defined in section 407(d)), and non-recurring short-term 
        benefits.''.
            (3) Phase-out of counting of third-party contributions as 
        qualified state expenditures.--Section 408(a) (42 U.S.C. 
        608(a)), as amended by subsections (a) and (b) of this section, 
        is amended by adding at the end the following:
            ``(15) Phase-out of counting of third-party contributions 
        as qualified state expenditures.--
                    ``(A) In general.--The qualified State expenditures 
                (as defined in section 409(a)(7)(B)(i)) of a State for 
                a fiscal year that are attributable to the value of 
                goods and services provided by a source other than a 
                State or local government shall not exceed the 
                applicable percentage of the expenditures for the 
                fiscal year.
                    ``(B) Applicable percentage.--In subparagraph (A), 
                the term `applicable percentage' means, with respect to 
                a fiscal year--
                            ``(i) 75 percent, in the case of fiscal 
                        year 2020;
                            ``(ii) 50 percent, in the case of fiscal 
                        year 2021;
                            ``(iii) 25 percent, in the case of fiscal 
                        year 2022; and
                            ``(iv) 0 percent, in the case of fiscal 
                        year 2023 or any succeeding fiscal year.''.
    (h) Strengthening Program Integrity by Measuring Improper 
Payments.--Section 404 (42 U.S.C. 604) is amended by adding at the end 
the following:
    ``(l) Applicability of Improper Payments Laws.--
            ``(1) In general.--The Improper Payments Information Act of 
        2002 and the Improper Payments Elimination and Recovery Act of 
        2010 shall apply to a State in respect of the State program 
        funded under this part in the same manner in which such Acts 
        apply to a Federal agency.
            ``(2) Regulations.--Within 2 years after the date of the 
        enactment of this subsection, the Secretary shall prescribe 
        regulations governing how a State reviews and reports improper 
        payments under the State program funded under this part.''.
    (i) Prohibition on State Diversion of Federal Funds To Replace 
State Spending.--
            (1) In general.--Section 408(a) (42 U.S.C. 608(a)), as 
        amended by section 9 of this Act, is amended by adding at the 
        end the following:
            ``(16) Non-supplantation requirement.--Funds made available 
        to a State under this part shall be used to supplement, not 
        supplant, State general revenue spending on activities 
        described in section 404.''.
            (2) Effective date.--The amendment made by paragraph (1) 
        shall take effect on October 1, 2020.
    (j) Inclusion of Poverty Reduction as a Program Purpose.--Section 
401(a) (42 U.S.C. 601(a)) is amended--
            (1) by striking ``and'' at the end of paragraph (3);
            (2) by striking the period at the end of paragraph (4) and 
        inserting ``; and''; and
            (3) by adding at the end the following:
            ``(5) reduce child poverty by increasing employment entry, 
        retention, and advancement of needy parents.''.
    (k) Welfare for Needs Not Weed.--
            (1) Prohibition.--Section 408(a)(12)(A) (42 U.S.C. 
        608(a)(12)(A)) is amended--
                    (A) by striking ``or'' at the end of clause (ii);
                    (B) by striking the period at the end of clause 
                (iii) and inserting ``; or''; and
                    (C) by adding at the end the following:
                            ``(iv) any establishment that offers 
                        marihuana (as defined in section 102(16) of the 
                        Controlled Substances Act) for sale.''.
            (2) Effective date.--The amendments made by paragraph (1) 
        shall take effect on the date that is 3 years after the date of 
        the enactment of this Act.
    (l) Strengthening Accountability Through HHS Approval of State 
Plans.--
            (1) In general.--Section 402 (42 U.S.C. 602) is amended--
                    (A) in subsection (a)--
                            (i) in the matter preceding paragraph (1)--
                                    (I) by striking ``27-month'' and 
                                inserting ``24-month''; and
                                    (II) by striking ``found'' and 
                                inserting ``approved that''; and
                            (ii) in paragraph (1)--
                                    (I) in subparagraph (A)--
                                            (aa) by striking clauses 
                                        (ii) and (iii) and inserting 
                                        the following:
                            ``(ii) Require work-eligible individuals 
                        (as defined in the regulations promulgated 
                        pursuant to section 407(i)(1)(A)(i)) to engage 
                        in work activities consistent with section 
                        407(c). The document shall describe any in-home 
                        parenting program participation in which will 
                        be considered by the State as a work activity 
                        pursuant to section 407(d)(13).'';
                                            (bb) by redesignating 
                                        clauses (iv) through (viii) as 
                                        clauses (iii) through (vii), 
                                        respectively; and
                                            (cc) by adding at the end 
                                        the following:
                            ``(viii) Describe the case management 
                        practices of the State with respect to the 
                        requirements of section 408(b), provide a copy 
                        of the form or forms that will be used to 
                        assess a work-eligible individual (as so 
                        defined) and prepare an individual opportunity 
                        plan for the individual, describe how the State 
                        will ensure that such a plan is reviewed in 
                        accordance with section 408(b)(6), and describe 
                        how the State will measure progress under the 
                        plan.
                            ``(ix) Propose the requisite levels of 
                        performance for the State for purposes of 
                        section 407(a) for each year in the 2-year 
                        period referred to in subsection (d) of this 
                        section, and provide an explanation with 
                        supporting data of why each such level is 
                        appropriate.
                            ``(x) Describe how the State will engage 
                        low-income noncustodial parents who owe child 
                        support and how such a parent will be provided 
                        with access to work support and other services 
                        under the program to which the parent is 
                        referred to support their employment and 
                        advancement.
                            ``(xi) Describe how the State will comply 
                        with improper payments provisions in section 
                        404(l).
                            ``(xii) Describe coordination with other 
                        programs, including whether the State intends 
                        to exercise authority provided by section 
                        404(d) of this Act to transfer any funds paid 
                        to the State under this part, provide assurance 
                        that, in the case of a transfer to carry out a 
                        program under title I of the Workforce 
                        Innovation and Opportunity Act, the State will 
                        comply with section 404(d)(3)(B) of this Act 
                        and coordinate with the one-stop delivery 
                        system under the Workforce Innovation and 
                        Opportunity Act, and describe how the State 
                        will coordinate with the programs involved to 
                        provide services to families receiving 
                        assistance under the program referred to in 
                        paragraph (1) of this subsection.
                            ``(xiii) Describe how the State will 
                        promote marriage, such as through temporary 
                        disregard of the income of a new spouse when an 
                        individual receiving assistance under the State 
                        program marries so that the couple doesn't 
                        automatically lose benefits due to marriage.
                            ``(xiv) Describe how the State will allow 
                        for a transitional period of benefits, such as 
                        through temporary earned income disregards or a 
                        gradual reduction in the monthly benefit 
                        amount, for an individual receiving assistance 
                        who obtains employment and becomes ineligible 
                        due to an increase in income obtained through 
                        employment or through an increase in wages.''; 
                        and
                                    (II) in subparagraph (B), by 
                                striking clauses (iv) and (v);
                    (B) by striking subsection (c) and inserting the 
                following:
    ``(c) Public Availability of State Plans.--The Secretary shall make 
available to the public a link to any plan or plan amendment submitted 
by a State under this subsection.''; and
                    (C) by adding at the end the following:
    ``(d) 2-Year Plan.--A plan submitted pursuant to this section shall 
be designed to be implemented during a 2-year period.
    ``(e) Combined Plan Allowed.--A State may submit to the Secretary 
and the Secretary of Labor a combined State plan that meets the 
requirements of subsections (a) and (d) and that is for programs and 
activities under the Workforce Innovation and Opportunity Act.
    ``(f) Approval of Plans.--The Secretary shall approve any plan 
submitted pursuant to this section that meets the requirements of 
subsections (a) through (d).''.
            (2) Duties of the secretary.--
                    (A) Coordination of activities; dissemination of 
                information.--Section 416 (42 U.S.C. 616) is amended--
                            (i) by inserting ``(a) In General.--'' 
                        before ``The programs''; and
                            (ii) by adding at the end the following:
    ``(b) Coordination of Activities.--The Secretary shall coordinate 
all activities of the Department of Health and Human Services relating 
to work activities (as defined in section 407(d)) and requirements and 
measurement of employment outcomes, and, to the maximum extent 
practicable, coordinate the activities of the Department in this regard 
with similar activities of other Federal entities.
    ``(c) Dissemination of Information.--The Secretary shall 
disseminate, for voluntary informational purposes, information on 
practices that scientifically valid research indicates are most 
successful in improving the quality of State and tribal programs funded 
under this part.''.
            (3) Technical assistance.--
                    (A) In general.--Section 406 (42 U.S.C. 606) is 
                amended to read as follows:

``SEC. 406. TECHNICAL ASSISTANCE.

    ``(a) In General.--The Secretary shall provide technical assistance 
to States and Indian tribes (which may include providing technical 
assistance on a reimbursable basis), which shall be provided by 
qualified experts on practices grounded in scientifically valid 
research, where appropriate, to support activities related to 
publication of State performance under section 407(b) and to carry out 
State and tribal programs funded under this part.
    ``(b) Reservation of Funds.--The Secretary shall reserve not more 
than 0.25 percent of the amount appropriated by section 403(a)(1)(C) 
for a fiscal year to carry out subsection (a) of this section.''.
                    (B) Conforming amendment.--Section 403(a)(1)(B) (42 
                U.S.C. 603(a)(1)(B)) is amended by striking 
                ``percentage specified in section 413(h)(1)'' and 
                inserting ``the sum of the percentages specified in 
                sections 406(b) and 413(h)''.
    (m) Aligning and Improving Data Reporting.--
            (1) Requirement that states report full-population data.--
        Section 411(a)(1) (42 U.S.C. 611(a)(1)) is amended--
                    (A) by striking subparagraph (B);
                    (B) by striking ``(1) General reporting 
                requirement.--''; and
                    (C) by--
                            (i) redesignating--
                                    (I) subparagraph (A) as paragraph 
                                (1);
                                    (II) clauses (i) through (xvii) of 
                                subparagraph (A) as subparagraphs (A) 
                                through (Q), respectively;
                                    (III) subclauses (I) through (V) of 
                                clause (ii) as clauses (i) through (v), 
                                respectively;
                                    (IV) subclauses (I) through (VII) 
                                of clause (xi) as clauses (i) through 
                                (vii), respectively; and
                                    (V) subclauses (I) through (V) of 
                                clause (xvi) as clauses (i) through 
                                (v), respectively; and
                            (ii) moving each such redesignated 
                        provision 2 ems to the left.
            (2) Report on participation in work activities.--Section 
        411(a)(1) (42 U.S.C. 611(a)(1)), as amended by subsection 
        (a)(3) of this section, is amended by striking subparagraphs 
        (K) and (L) and inserting the following:
                    ``(K) The work eligibility status of each 
                individual in the family, and--
                            ``(i) in the case of each work-eligible 
                        individual (as defined in the regulations 
                        promulgated pursuant to section 
                        407(i)(1)(A)(i)) in the family--
                                    ``(I) the number of hours 
                                (including zero hours) per month of 
                                participation in--
                                            ``(aa) work activities (as 
                                        defined in section 407(d)); and
                                            ``(bb) any other activity 
                                        required by the State to remove 
                                        a barrier to employment; and
                            ``(ii) in the case of each individual in 
                        the family who is not a work-eligible 
                        individual (as so defined), the reason for that 
                        status.
                    ``(L) For each work-eligible individual (as so 
                defined) and each adult in the family who did not 
                participate in work activities (as so defined) during a 
                month, the reason for the lack of participation.''.
            (3) Reporting of information on employment and earnings 
        outcomes.--Section 411(c) (42 U.S.C. 611(c)) is amended to read 
        as follows:
    ``(c) Reporting of Information on Employment and Earnings 
Outcomes.--The Secretary, in consultation with the Secretary of Labor, 
shall determine the information that is necessary to compute the 
employment and earnings outcomes and the statistical adjustment model 
for the employment and earnings outcomes required under section 407, 
and each eligible State shall collect and report that information to 
the Secretary.''.
    (n) Technical Corrections to Data Exchange Standards To Improve 
Program Coordination.--
            (1) In general.--Section 411(d) (42 U.S.C. 611(d)) is 
        amended to read as follows:
    ``(d) Data Exchange Standards for Improved Interoperability.--
            ``(1) Designation.--The Secretary shall, in consultation 
        with an interagency work group established by the Office of 
        Management and Budget and considering State government 
        perspectives, by rule, designate data exchange standards to 
        govern, under this part--
                    ``(A) necessary categories of information that 
                State agencies operating programs under State plans 
                approved under this part are required under applicable 
                Federal law to electronically exchange with another 
                State agency; and
                    ``(B) Federal reporting and data exchange required 
                under applicable Federal law.
            ``(2) Requirements.--The data exchange standards required 
        by paragraph (1) shall, to the extent practicable--
                    ``(A) incorporate a widely accepted, non-
                proprietary, searchable, computer-readable format, such 
                as the eXtensible Markup Language;
                    ``(B) contain interoperable standards developed and 
                maintained by intergovernmental partnerships, such as 
                the National Information Exchange Model;
                    ``(C) incorporate interoperable standards developed 
                and maintained by Federal entities with authority over 
                contracting and financial assistance;
                    ``(D) be consistent with and implement applicable 
                accounting principles;
                    ``(E) be implemented in a manner that is cost-
                effective and improves program efficiency and 
                effectiveness; and
                    ``(F) be capable of being continually upgraded as 
                necessary.
            ``(3) Rule of construction.--Nothing in this subsection 
        shall be construed to require a change to existing data 
        exchange standards found to be effective and efficient.''.
            (2) Effective date.--Not later than the date that is 24 
        months after the date of the enactment of this subsection, the 
        Secretary of Health and Human Services shall issue a proposed 
        rule that--
                    (A) identifies federally required data exchanges, 
                include specification and timing of exchanges to be 
                standardized, and address the factors used in 
                determining whether and when to standardize data 
                exchanges; and
                    (B) specifies State implementation options and 
                describes future milestones.
    (o) Set-Aside for Economic Downturns.--Section 404(e) (42 U.S.C. 
604(e)) is amended to read as follows:
    ``(e) Deadlines for Obligation and Expenditures of Funds by 
States.--
            ``(1) In general.--Except as provided in paragraph (2), a 
        State to which a grant is made under section 403(a)(1) shall 
        obligate the funds within 2 years after the date the funds are 
        made available, and shall expend the funds within 3 years after 
        such date.
            ``(2) Exception for limited amount of funds set aside for 
        future use.--
                    ``(A) In general.--A State to which funds are paid 
                under section 403(a)(1) may reserve not more than 15 
                percent of the funds for use in the State program 
                funded under this part without fiscal year limitation.
                    ``(B) Notice of intent to reserve funds.--A State 
                that intends to reserve funds paid to the State under 
                section 402(a)(1) shall notify the Secretary of the 
                intention not later than the end of the period in which 
                the funds are available for obligation without regard 
                to subparagraph (A) of this paragraph.''.
    (p) Definitions Related to Use of Funds.--Section 419 (42 U.S.C. 
619) is amended by adding at the end the following:
            ``(6) Assistance.--The term `assistance' means cash, 
        payments, vouchers, and other forms of benefits designed to 
        meet a family's ongoing basic needs (such as for food, 
        clothing, shelter, utilities, household goods, personal care 
        items, and general incidental expenses).
            ``(7) Work supports.--The term `work supports' means 
        assistance and non-assistance transportation benefits (such as 
        the value of allowances, bus tokens, car payments, auto repair, 
        auto insurance reimbursement, and van services) provided in 
        order to help families obtain, retain, or advance in 
        employment, participate in work activities (as defined in 
        section 407(d)), or as a non-recurrent, short-term benefit, 
        including goods provided to individuals in order to help them 
        obtain or maintain employment (such as tools, uniforms, fees to 
        obtain special licenses, bonuses, incentives, and work support 
        allowances and expenditures for job access).
            ``(8) Supportive services.--The term `supportive services' 
        means services such as domestic violence services, and mental 
        health, substance abuse and disability services, housing 
        counseling services, and other family supports, except to the 
        extent that the provision of the service would violate section 
        408(a)(6).
            ``(9) JOBS benefit.--The term `JOBS benefit' means--
                    ``(A) assistance; or
                    ``(B) wage subsidies that are paid, with funds 
                provided under section 403(a) or with qualified State 
                expenditures, with respect to a person who--
                            ``(i) was a work-eligible individual (as 
                        defined in the regulations promulgated pursuant 
                        to section 407(i)(1)(A)(i)) at the time of 
                        entry into subsidized employment, such as on-
                        the-job training or apprenticeship; and
                            ``(ii) is not receiving assistance.''.
    (q) Elimination of Obsolete Provisions.--
            (1) Elimination of supplemental grants to states.--Section 
        403(a) (42 U.S.C. 603(a)) is amended by striking paragraph (3).
            (2) Elimination of bonus to reward high performance 
        states.--
                    (A) In general.--Section 403(a) (42 U.S.C. 603(a)) 
                is amended by striking paragraph (4).
                    (B) Conforming amendment.--Section 1108(a)(2) (42 
                U.S.C. 1308(a)(2)) is amended by striking 
                ``403(a)(4),''.
            (3) Elimination of welfare-to-work grants.--
                    (A) In general.--Section 403(a) (42 U.S.C. 603(a)) 
                is amended by striking paragraph (5).
                    (B) Conforming amendments.--
                            (i) Elimination of exclusion from time 
                        limit.--Section 408(a)(7) (42 U.S.C. 608(a)(7)) 
                        is amended by striking subparagraph (G).
                            (ii) Elimination of penalty for misuse of 
                        competitive welfare-to-work funds.--Section 
                        409(a)(1) (42 U.S.C. 609(a)(1)) is amended by 
                        striking subparagraph (C).
                            (iii) Elimination of exclusion from 
                        qualified state expenditures of state funds 
                        used to match welfare-to-work grant funds.--
                        Section 409(a)(7)(B)(iv) (42 U.S.C. 
                        609(a)(7)(B)(iv)) is amended in the 1st 
                        sentence--
                                    (I) by adding ``or'' at the end of 
                                subclause (II); and
                                    (II) by striking subclause (III) 
                                and redesignating subclause (IV) as 
                                subclause (III).
                            (iv) Elimination of penalty for failure of 
                        state to maintain historic effort during year 
                        in which welfare-to-work grant is received.--
                        Section 409(a) (42 U.S.C. 609(a)) is amended by 
                        striking paragraph (13).
                            (v) Elimination of requirements relating to 
                        welfare-to-work grants in quarterly state 
                        reports.--Section 411(a) (42 U.S.C. 611(a)), as 
                        amended by section 15(a) of this Act, is 
                        amended--
                                    (I) in paragraph (1), by striking 
                                ``(except for information relating to 
                                activities carried out under section 
                                403(a)(5))''; and
                                    (II) in each of paragraphs (2) 
                                through (4), by striking the comma and 
                                all that follows and inserting a 
                                period.
                            (vi) Indian tribal programs.--Section 
                        412(a) (42 U.S.C. 612(a)) is amended by 
                        striking paragraph (3).
                            (vii) Elimination of requirement to 
                        disclose certain information to private 
                        industry council receiving welfare-to-work 
                        funds.--Section 454A(f) (42 U.S.C. 654a(f)) is 
                        amended by striking paragraph (5).
                            (viii) Grants to territories.--Section 
                        1108(a)(2) (42 U.S.C. 1308(a)(2)) is amended by 
                        striking ``403(a)(5),''.
            (4) Elimination of contingency fund.--
                    (A) In general.--Section 403 (42 U.S.C. 603) is 
                amended by striking all of subsection (b) except 
                paragraph (5).
                    (B) Conforming amendments.--
                            (i) Transfer of needy state definition.--
                                    (I) In general.--Paragraph (5) of 
                                section 403(b) (42 U.S.C. 603(b)(5)) 
                                is--
                                            (aa) amended--

                                                    (AA) in the matter 
                                                preceding subparagraph 
                                                (A), by striking 
                                                ``paragraph (4)'' and 
                                                inserting 
                                                ``subparagraph (C)'';

                                                    (BB) in each of 
                                                subparagraphs (A) and 
                                                (B), by redesignating 
                                                clauses (i) and (ii) as 
                                                subclauses (I) and 
                                                (II), respectively;

                                                    (CC) by 
                                                redesignating 
                                                subparagraphs (A) and 
                                                (B) as clauses (i) and 
                                                (ii), respectively;

                                                    (DD) by 
                                                redesignating such 
                                                paragraph as 
                                                subparagraph (D); and

                                                    (EE) by moving each 
                                                provision 2 ems to the 
                                                right; and

                                            (bb) as so amended, hereby 
                                        transferred into section 
                                        409(a)(3) (42 U.S.C. 609(a)(3)) 
                                        and added to the end of such 
                                        section.
                                    (II) Conforming amendment.--Section 
                                409(a)(3)(C) (42 U.S.C. 609(a)(3)(C)) 
                                is amended by striking ``(as defined in 
                                section 403(b)(5))''.
                            (ii) Elimination of penalty for failure of 
                        state receiving amounts from contingency fund 
                        to maintain 100 percent of historic effort.--
                        Section 409(a) (42 U.S.C. 609(a)) is amended by 
                        striking paragraph (10).
            (5) Conforming amendments related to elimination of federal 
        loans for state welfare programs.--
                    (A) Elimination of associated penalty provision.--
                            (i) In general.--Section 409(a) (42 U.S.C. 
                        609(a)) is amended by striking paragraph (6).
                            (ii) Conforming amendments.--Section 
                        412(g)(1) (42 U.S.C. 612(g)(1)) is amended by 
                        striking ``(a)(6),''.
                    (B) Elimination of provision providing for tribal 
                eligibility.--Section 412 (42 U.S.C. 612) is amended by 
                striking subsection (f).
                    (C) Elimination of disregard of loan in applying 
                limit on payments to the territories.--Section 
                1108(a)(2) (42 U.S.C. 1308(a)(2)) is amended by 
                striking ``406,''.
            (6) Elimination of limitations on other state programs 
        funded with qualified state expenditures.--
                    (A) The following provisions are each amended by 
                striking ``or any other State program funded with 
                qualified State expenditures (as defined in section 
                409(a)(7)(B)(i))'':
                            (i) Paragraphs (1) and (2) of section 
                        407(e) (42 U.S.C. 607(e)(1) and (2)).
                            (ii) Section 411(a)(1) (42 U.S.C. 
                        611(a)(1)), as amended by section 
                        15(a)(3)(A)(i) of this Act.
                            (iii) Subsections (d) and (e)(1) of section 
                        413 (42 U.S.C. 613(d) and (e)(1)).
                    (B) Section 413(a) (42 U.S.C. 613(a)) is amended by 
                striking ``and any other State program funded with 
                qualified State expenditures (as defined in section 
                409(a)(7)(B)(i))''.
            (7) Conforming amendments related to elimination of 
        report.--
                    (A) In general.--Section 409(a)(2) (42 U.S.C. 
                609(a)(2)) is amended--
                            (i) in the paragraph heading, by inserting 
                        ``quarterly'' before ``report'';
                            (ii) in subparagraph (A)(ii), by striking 
                        ``clause (i)'' and inserting ``subparagraph 
                        (A)'';
                            (iii) by striking ``(A) Quarterly 
                        reports.--'';
                            (iv) by striking subparagraph (B); and
                            (v) by redesignating clauses (i) and (ii) 
                        of subparagraph (A) as subparagraphs (A) and 
                        (B), respectively (and adjusting the margins 
                        accordingly).
                    (B) Conforming amendments.--
                            (i) Section 409(b)(2) (42 U.S.C. 609(b)(2)) 
                        is amended by striking ``and,'' and all that 
                        follows and inserting a period.
                            (ii) Section 409(c)(4) (42 U.S.C. 
                        609(c)(4)) is amended by striking ``(2)(B),''.
            (8) Annual reports to congress.--Section 411(b)(1)(A) (42 
        U.S.C. 611(b)(1)(A)) is amended by striking ``participation 
        rates'' and inserting ``outcome measures''.
            (9) Reduction in force provisions.--Section 416(a) (42 
        U.S.C. 616(a)), as so designated by section 14(b)(1)(A) of this 
        Act, is amended by striking ``, and the Secretary'' and all 
        that follows and inserting a period.
            (10) Conforming cross-references.--
                    (A) Section 409 (42 U.S.C. 609) is amended--
                            (i) in subsection (a)(7)(B)(i)(III), by 
                        striking ``(12)'' and inserting ``(10)'';
                            (ii) in subsection (a) (as amended by 
                        subsections (c)(2)(D), (d)(2)(B), and (e)(1)(A) 
                        of this section), by redesignating paragraphs 
                        (7), (8), (9), (11), (12), (14), (15), and (16) 
                        as paragraphs (6) through (13), respectively;
                            (iii) in subsection (b)(2), by striking 
                        ``(8), (10), (12), or (13)'' and inserting ``or 
                        (10)''; and
                            (iv) in subsection (c)(4), by striking 
                        ``(8), (10), (12), (13), or (16)'' and 
                        inserting ``(10), or (13)''.
                    (B) Section 452 (42 U.S.C. 652) is amended in each 
                of subsections (d)(3)(A)(i) and (g)(1) by striking 
                ``409(a)(8)'' and inserting ``409(a)(7)''.
            (11) Modifications to maintenance-of-effort requirement.--
        Section 409(a)(6)(B)(i) (42 U.S.C. 609(a)(6)(B)(i)), as 
        redesignated by subsection (j)(1)(B) of this section, is 
        amended--
                    (A) in subclause (I)--
                            (i) in the matter preceding item (aa), by 
                        striking ``all State programs'' and inserting 
                        ``the State program funded under this part'';
                            (ii) by redesignating items (dd) and (ee) 
                        as items (ee) and (ff), respectively, and 
                        inserting after item (cc) the following:
                                            ``(dd) Expenditures for a 
                                        purpose described in paragraph 
                                        (3), (4), or (5) of section 
                                        401(a).''; and
                            (iii) in item (ee) (as so redesignated), by 
                        striking ``and (ee)'' and inserting ``(dd), and 
                        (ff)'';
                    (B) by striking subclause (V); and
                    (C) in subclause (IV), by inserting ``, except any 
                of such families whose monthly income exceeds twice the 
                poverty line (as defined by the Office of Management 
                and Budget, and revised annually in accordance with 
                section 673(2) of the Omnibus Budget Reconciliation Act 
                of 1981 (42 U.S.C. 9902(2)))'' before the period.
    (r) Effective Date.--Except as provided in subsections (c)(7), 
(i)(2), and (k)(2), the amendments made by this section shall take 
effect on October 1, 2020.
                                 <all>