I 

110TH CONGRESS 

1ST SESSION H. R. 1329 

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. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 6, 2007 

Mr. BARTON of Texas (for himself and Mr. DEAL of Georgia) introduced the 

following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

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. 

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 ‘‘Guaranteed Access for 

5 SCHIP’s Target Population Act of 2007’’. 


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1 SEC. 2. ADDITIONAL ALLOTMENTS TO ADDRESS SCHIP 

2 FUNDING SHORTFALLS FOR FISCAL YEAR 

3 2007. 

4 (a) IN GENERAL.—Section 2104(h) of the Social Se5 curity Act (42 U.S.C. 1397dd(h)), as added by section 

6 201(a) of the National Institutes of Health Reform Act 

7 of 2006 (Public Law 109–482), is amended— 

8 (1) in the heading for paragraph (2), by strik9 ing ‘‘REMAINDER OF REDUCTION’’ and inserting 

10 ‘‘PART’’; 

11 (2) by redesignating paragraphs (4) through 

12 (7) as paragraphs (5) through (8), respectively; and 

13 (3) by inserting after paragraph (3), the fol14 lowing: 

15 ‘‘(4) ADDITIONAL ALLOTMENTS TO ADDRESS

16 FISCAL YEAR 2007 FUNDING SHORTFALLS.— 

17 ‘‘(A) ALLOTMENT AUTHORITY.—From the 

18 amount made available under subparagraph (F) 

19 for additional allotments under this paragraph, 

20 subject to subparagraphs (C) and (D), the Sec21 retary shall allot to each remaining shortfall 

22 State described in subparagraph (B) such 

23 amount as the Secretary determines will elimi24 nate the estimated shortfall described in such 

25 subparagraph for the State for fiscal year 2007. 


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1 ‘‘(B) REMAINING SHORTFALL STATE DE2 SCRIBED.—For purposes of subparagraph (A), 

3 a remaining shortfall State is a State with a 

4 State child health plan approved under this title 

5 for which the Secretary estimates, on the basis 

6 of the most recent data available to the Sec7 retary as of the date of the enactment of this 

8 paragraph, that the projected Federal expendi9 tures under such plan for the State for fiscal 

10 year 2007 will exceed the sum of— 

11 ‘‘(i) the amount of the State’s allot12 ments for each of fiscal years 2005 and 

13 2006 that will not be expended by the end 

14 of fiscal year 2006; 

15 ‘‘(ii) the amount of the State’s allot16 ment for fiscal year 2007; and 

17 ‘‘(iii) the amounts, if any, that are to 

18 be redistributed to the State during fiscal 

19 year 2007 in accordance with paragraphs 

20 (1) and (2). 

21 ‘‘(C) EXPENDITURE RULES.— 

22 ‘‘(i) COVERAGE ONLY FOR POPU23 LATIONS ELIGIBLE ON OCTOBER 1, 2006.— 

24 Subparagraph (A) of paragraph (5) shall 

25 apply to the expenditure of amounts allotVerDate Aug 31 2005 04:13 Mar 08, 2007 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1329.IH H1329

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1 ted to remaining shortfall States under 

2 this paragraph in the same manner as 

3 such subparagraph applies to the expendi4 ture of amounts redistributed under para5 graphs (1) and (2) of this subsection. 

6 ‘‘(ii) COVERAGE ONLY FOR CHILDREN

7 OR PREGNANT WOMEN WITH INCOME THAT

8 DOES NOT EXCEED 200 PERCENT OF POV9 ERTY.—A remaining shortfall State shall 

10 use amounts allotted under this paragraph 

11 only for expenditures for providing child 

12 health assistance or other health benefits 

13 coverage to an individual who is a child or 

14 pregnant woman who is eligible for such 

15 assistance or coverage under the State 

16 child health plan and whose family income 

17 does not exceed 200 percent of the poverty 

18 line for a family of the size involved. For 

19 purposes of the preceding sentence, a 

20 child’s or pregnant woman’s family income 

21 shall be determined solely on the basis of 

22 adjusted gross income and without regard 

23 to any income or resource methodologies 

24 applied under the State child health plan 


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1 for purposes of determining eligibility 

2 under such plan. 

3 ‘‘(D) PRORATION RULE.—If the amount 

4 available under subparagraph (F) is less than 

5 the total amount of the estimated shortfalls de6 termined by the Secretary under subparagraph 

7 (A), the amount of the estimated shortfall for 

8 each remaining shortfall State determined 

9 under such subparagraph shall be reduced pro10 portionally. 

11 ‘‘(E) RULE OF CONSTRUCTION.—Nothing 

12 in this subparagraph shall be construed as pro13 hibiting a State from using non-Federal funds 

14 to provide child health assistance or other 

15 health benefits coverage for individuals who are 

16 not described in subparagraph (C)(ii) and para17 graph (5)(A) and are otherwise eligible for such 

18 assistance or coverage under the State child 

19 health plan. 

20 ‘‘(F) APPROPRIATION; ALLOTMENT AU21 THORITY.—For the purpose of providing addi22 tional allotments to remaining shortfall States 

23 under this paragraph there is appropriated, out 

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1 propriated, $750,000,000 for fiscal year 

2 2007.’’. 

3 (b) ADDITIONAL CONFORMING AMENDMENTS.—Sec4 tion 2104(h) of such Act (42 U.S.C. 1397dd(h)) (as so 

5 added), is further amended— 

6 (1) in paragraph (1)(B), by striking ‘‘para7 graph (4)(B)’’ and inserting ‘‘paragraph (5)(B)’’; 

8 (2) in paragraph (2)— 

9 (A) in subparagraph (A), by striking 

10 ‘‘paragraph (5)(B)’’ and inserting ‘‘subpara11 graph (6)(B)’’; and 

12 (B) in subparagraph (B), by striking 

13 ‘‘paragraph (4)(B)’’ and inserting ‘‘paragraph 

14 (5)(B)’’; 

15 (3) in paragraph (6)(A) (as redesignated by 

16 subsection (a)(2)), by striking ‘‘and (3)’’ and insert17 ing ‘‘(3), and (4)’’; and 

18 (4) in paragraph (7) (as so redesignated)— 

19 (A) in the first sentence— 

20 (i) by inserting ‘‘or allotted’’ after 

21 ‘‘redistributed’’; and 

22 (ii) by inserting ‘‘or allotments’’ after 

23 ‘‘redistributions’’; and 

24 (B) in the second sentence, by striking 

25 ‘‘and (3) in accordance with paragraph (5)’’ 


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1 and inserting ‘‘(3), and (4) in accordance with 

2 paragraph (6)’’. 

3 SEC. 3. ELIMINATION OF STATE OPTION TO INCREASE CAP 

4 AMOUNT ON INDIVIDUALS’ EQUITY ASSET 

5 TEST FOR ELIGIBILITY FOR LONG-TERM 

6 CARE ASSISTANCE UNDER MEDICAID. 

7 (a) IN GENERAL.—Section 1917(f)(1) of the Social 

8 Security Act (42 U.S.C. 1396p(f)(1)) is amended by strik9 ing subparagraph (B). 

10 (b) CONFORMING AMENDMENTS.—Such section is 

11 further amended— 

12 (1) in subparagraph (A), by striking ‘‘subpara13 graphs (B) and (C)’’ and inserting ‘‘subparagraph 

14 (B)’’; 

15 (2) by redesignating subparagraph (C) as sub16 paragraph (B); and 

17 (3) in subparagraph (B), as so redesignated, by 

18 striking ‘‘dollar amounts’’ and inserting ‘‘dollar 

19 amount’’. 

20 (c) EFFECTIVE DATE.—The amendments made by 

21 this section shall apply to individuals who are determined 

22 eligible for medical assistance with respect to nursing fa23 cility services or other long-term care services based on 


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1 an application filed on or after the date of the enactment 

2 of this section. 

Æ 


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