II 

109TH CONGRESS 

1ST SESSION S. 1778 

To extend medicare cost-sharing for qualifying individuals through September 

2006, to extend the Temporary Assistance for Needy Families Program, 

transitional medical assistance under the Medicaid Program, and related 

programs through March 31, 2006, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

SEPTEMBER 27, 2005 

Mr. GRASSLEY (for himself and Mr. BAUCUS) introduced the following bill; 

which was read twice and referred to the Committee on Finance 

A BILL 

To extend medicare cost-sharing for qualifying individuals 

through September 2006, to extend the Temporary Assistance for Needy Families Program, transitional medical assistance under the Medicaid Program, and related 

programs through March 31, 2006, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Medicare Cost-Sharing 

5 and Welfare Extension Act of 2005’’. 
2 

•S 1778 IS 

1 SEC. 2. EXTENSION OF QI PROGRAM THROUGH SEP2 TEMBER 2006. 

3 (a) IN GENERAL.—Section 1902(a)(10)(E)(iv) of the 

4 Social Security Act (42 U.S.C. 1396a(a)(10)(E)(iv)) is 

5 amended by striking ‘‘September 2005’’ and inserting 

6 ‘‘September 2006’’. 

7 (b) TOTAL AMOUNT AVAILABLE FOR ALLOCATION.— 

8 Section 1933(g)(2) of such Act (42 U.S.C. 1396u– 

9 3(g)(2)) is amended— 

10 (1) by striking ‘‘and’’ at the end of subpara11 graph (B); 

12 (2) by striking the period at the end of sub13 paragraph (C) and inserting ‘‘; and’’; and 

14 (3) by adding at the end the following new sub15 paragraphs: 

16 ‘‘(D) for the period that begins on October 

17 1, 2005, and ends on December 31, 2005, the 

18 total allocation amount is $100,000,000; and 

19 ‘‘(E) for the period that begins on January 

20 1, 2006, and ends on September 30, 2006, the 

21 total allocation amount is $300,000,000.’’. 
3 

•S 1778 IS 

1 SEC. 3. EXTENSION OF THE TEMPORARY ASSISTANCE FOR 

2 NEEDY FAMILIES BLOCK GRANT PROGRAM, 

3 TRANSITIONAL MEDICAL ASSISTANCE, AND 

4 RELATED PROGRAMS THROUGH MARCH 31, 

5 2006. 

6 (a) IN GENERAL.—Activities authorized by part A of 

7 title IV of the Social Security Act, and by sections 510, 

8 1108(b), and 1925 of such Act, shall continue through 

9 March 31, 2006, in the manner authorized for fiscal year 

10 2005, notwithstanding section 1902(e)(1)(A) of such Act, 

11 and out of any money in the Treasury of the United States 

12 not otherwise appropriated, there are hereby appropriated 

13 such sums as may be necessary for such purpose. Grants 

14 and payments may be made pursuant to this authority 

15 through the second quarter of fiscal year 2006 at the level 

16 provided for such activities through the second quarter of 

17 fiscal year 2005. 

18 (b) CONFORMING AMENDMENT.—Section 

19 403(a)(3)(H)(ii) of the Social Security Act (42 U.S.C. 

20 603(a)(3)(H)(ii)), as amended by section 2(b)(2)(A) of the 

21 TANF Emergency Response and Recovery Act of 2005 

22 (Public Law 109–68), is amended by striking ‘‘December 

23 31, 2005’’ and inserting ‘‘March 31, 2006’’. 

24 (c) EXTENSION OF THE NATIONAL RANDOM SAMPLE

25 STUDY OF CHILD WELFARE AND CHILD WELFARE WAIV26 ER AUTHORITY THROUGH MARCH 31, 2006.—Activities 
4 

•S 1778 IS 

1 authorized by sections 429A and 1130(a) of the Social Se2 curity Act shall continue through March 31, 2006, in the 

3 manner authorized for fiscal year 2005, and out of any 

4 money in the Treasury of the United States not otherwise 

5 appropriated, there are hereby appropriated such sums as 

6 may be necessary for such purpose. Grants and payments 

7 may be made pursuant to this authority through the sec8 ond quarter of fiscal year 2006 at the level provided for 

9 such activities through the second quarter of fiscal year 

10 2005. 

Æ