To amend title XXI of the Social Security Act to make available additional amounts to address the funding shortfalls in the State Children's Health Insurance Program for fiscal year 2007.

Summary: Guaranteed Access for SCHIP's Target Population Act of 2007 - Amends title XXI (State Children's Health Insurance (SCHIP) of the Social Security (SSA) Act to provide additional allotments to address SCHIP FY2007 funding shortfalls.

Amends SSA title XIX to eliminate the state option to increase cap amount on individual's equity asset test for eligibility for long-term care assistance under Medicaid.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Guaranteed Access for SCHIP's Target 
Population Act of 2007''.

SEC. 2. ADDITIONAL ALLOTMENTS TO ADDRESS SCHIP FUNDING SHORTFALLS FOR 
              FISCAL YEAR 2007.

    (a) In General.--Section 2104(h) of the Social Security Act (42 
U.S.C. 1397dd(h)), as added by section 201(a) of the National 
Institutes of Health Reform Act of 2006 (Public Law 109-482), is 
amended--
            (1) in the heading for paragraph (2), by striking 
        ``remainder of reduction'' and inserting ``part'';
            (2) by redesignating paragraphs (4) through (7) as 
        paragraphs (5) through (8), respectively; and
            (3) by inserting after paragraph (3), the following:
            ``(4) Additional allotments to address fiscal year 2007 
        funding shortfalls.--
                    ``(A) Allotment authority.--From the amount made 
                available under subparagraph (F) for additional 
                allotments under this paragraph, subject to 
                subparagraphs (C) and (D), the Secretary shall allot to 
                each remaining shortfall State described in 
                subparagraph (B) such amount as the Secretary 
                determines will eliminate the estimated shortfall 
                described in such subparagraph for the State for fiscal 
                year 2007.
                    ``(B) Remaining shortfall state described.--For 
                purposes of subparagraph (A), a remaining shortfall 
                State is a State with a State child health plan 
                approved under this title for which the Secretary 
                estimates, on the basis of the most recent data 
                available to the Secretary as of the date of the 
                enactment of this paragraph, that the projected Federal 
                expenditures under such plan for the State for fiscal 
                year 2007 will exceed the sum of--
                            ``(i) the amount of the State's allotments 
                        for each of fiscal years 2005 and 2006 that 
                        will not be expended by the end of fiscal year 
                        2006;
                            ``(ii) the amount of the State's allotment 
                        for fiscal year 2007; and
                            ``(iii) the amounts, if any, that are to be 
                        redistributed to the State during fiscal year 
                        2007 in accordance with paragraphs (1) and (2).
                    ``(C) Expenditure rules.--
                            ``(i) Coverage only for populations 
                        eligible on october 1, 2006.--Subparagraph (A) 
                        of paragraph (5) shall apply to the expenditure 
                        of amounts allotted to remaining shortfall 
                        States under this paragraph in the same manner 
                        as such subparagraph applies to the expenditure 
                        of amounts redistributed under paragraphs (1) 
                        and (2) of this subsection.
                            ``(ii) Coverage only for children or 
                        pregnant women with income that does not exceed 
                        200 percent of poverty.--A remaining shortfall 
                        State shall use amounts allotted under this 
                        paragraph only for expenditures for providing 
                        child health assistance or other health 
                        benefits coverage to an individual who is a 
                        child or pregnant woman who is eligible for 
                        such assistance or coverage under the State 
                        child health plan and whose family income does 
                        not exceed 200 percent of the poverty line for 
                        a family of the size involved. For purposes of 
                        the preceding sentence, a child's or pregnant 
                        woman's family income shall be determined 
                        solely on the basis of adjusted gross income 
                        and without regard to any income or resource 
                        methodologies applied under the State child 
                        health plan for purposes of determining 
                        eligibility under such plan.
                    ``(D) Proration rule.--If the amount available 
                under subparagraph (F) is less than the total amount of 
                the estimated shortfalls determined by the Secretary 
                under subparagraph (A), the amount of the estimated 
                shortfall for each remaining shortfall State determined 
                under such subparagraph shall be reduced 
                proportionally.
                    ``(E) Rule of construction.--Nothing in this 
                subparagraph shall be construed as prohibiting a State 
                from using non-Federal funds to provide child health 
                assistance or other health benefits coverage for 
                individuals who are not described in subparagraph 
                (C)(ii) and paragraph (5)(A) and are otherwise eligible 
                for such assistance or coverage under the State child 
                health plan.
                    ``(F) Appropriation; allotment authority.--For the 
                purpose of providing additional allotments to remaining 
                shortfall States under this paragraph there is 
                appropriated, out of any funds in the Treasury not 
                otherwise appropriated, $750,000,000 for fiscal year 
                2007.''.
    (b) Additional Conforming Amendments.--Section 2104(h) of such Act 
(42 U.S.C. 1397dd(h)) (as so added), is further amended--
            (1) in paragraph (1)(B), by striking ``paragraph (4)(B)'' 
        and inserting ``paragraph (5)(B)'';
            (2) in paragraph (2)--
                    (A) in subparagraph (A), by striking ``paragraph 
                (5)(B)'' and inserting ``subparagraph (6)(B)''; and
                    (B) in subparagraph (B), by striking ``paragraph 
                (4)(B)'' and inserting ``paragraph (5)(B)'';
            (3) in paragraph (6)(A) (as redesignated by subsection 
        (a)(2)), by striking ``and (3)'' and inserting ``(3), and 
        (4)''; and
            (4) in paragraph (7) (as so redesignated)--
                    (A) in the first sentence--
                            (i) by inserting ``or allotted'' after 
                        ``redistributed''; and
                            (ii) by inserting ``or allotments'' after 
                        ``redistributions''; and
                    (B) in the second sentence, by striking ``and (3) 
                in accordance with paragraph (5)'' and inserting ``(3), 
                and (4) in accordance with paragraph (6)''.

SEC. 3. ELIMINATION OF STATE OPTION TO INCREASE CAP AMOUNT ON 
              INDIVIDUALS' EQUITY ASSET TEST FOR ELIGIBILITY FOR LONG-
              TERM CARE ASSISTANCE UNDER MEDICAID.

    (a) In General.--Section 1917(f)(1) of the Social Security Act (42 
U.S.C. 1396p(f)(1)) is amended by striking subparagraph (B).
    (b) Conforming Amendments.--Such section is further amended--
            (1) in subparagraph (A), by striking ``subparagraphs (B) 
        and (C)'' and inserting ``subparagraph (B)'';
            (2) by redesignating subparagraph (C) as subparagraph (B); 
        and
            (3) in subparagraph (B), as so redesignated, by striking 
        ``dollar amounts'' and inserting ``dollar amount''.
    (c) Effective Date.--The amendments made by this section shall 
apply to individuals who are determined eligible for medical assistance 
with respect to nursing facility services or other long-term care 
services based on an application filed on or after the date of the 
enactment of this section.