HR 3162 PCS
the Commission shall examine the budget con-
sequences of such recommendations, directly or 
through consultation with appropriate expert enti-
ties. 
‘‘(c) APPLICATION OF PROVISIONS.—The following 
provisions of section 1805 shall apply to the Commission 
in the same manner as they apply to the Medicare Pay-
ment Advisory Commission: 
‘‘(1) Subsection (c) (relating to membership), 
except that the membership of the Commission shall 
also include representatives of children, pregnant 
women, individuals with disabilities, seniors, low-in-
come families, and other groups of CHIP and Med-
icaid beneficiaries. 
‘‘(2) Subsection (d) (relating to staff and con-
sultants). 
‘‘(3) Subsection (e) (relating to powers). 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) REQUEST
FOR
APPROPRIATIONS.—The 
Commission shall submit requests for appropriations 
in the same manner as the Comptroller General sub-
mits requests for appropriations, but amounts ap-
propriated for the Commission shall be separate 
from amounts appropriated for the Comptroller Gen-
eral. 
VerDate Aug 31 2005 
02:04 Sep 05, 2007
Jkt 059200
PO 00000
Frm 00074
Fmt 6652
Sfmt 6201
E:\BILLS\H3162.PCS
H3162
bajohnson on PROD1PC71 with BILLS
HR 3162 PCS
‘‘(2) AUTHORIZATION.—There are authorized to 
be appropriated such sums as may be necessary to 
carry out the provisions of this section.’’. 
SEC. 142. MODEL OF INTERSTATE COORDINATED ENROLL-
MENT AND COVERAGE PROCESS. 
(a) IN GENERAL.—In order to assure continuity of 
coverage of low-income children under the Medicaid pro-
gram and the State Children’s Health Insurance Program 
(CHIP), not later than 18 months after the date of the 
enactment of this Act, the Comptroller General of the 
United States, in consultation with State Medicaid and 
CHIP directors and organizations representing program 
beneficiaries, shall develop a model process for the coordi-
nation of the enrollment, retention, and coverage under 
such programs of children who, because of migration of 
families, emergency evacuations, educational needs, or 
otherwise, frequently change their State of residency or 
otherwise are temporarily located outside of the State of 
their residency. 
(b) REPORT TO CONGRESS.—After development of 
such model process, the Comptroller General shall submit 
to Congress a report describing additional steps or author-
ity needed to make further improvements to coordinate the 
enrollment, retention, and coverage under CHIP and Med-
icaid of children described in subsection (a). 
VerDate Aug 31 2005 
02:04 Sep 05, 2007
Jkt 059200
PO 00000
Frm 00075
Fmt 6652
Sfmt 6201
E:\BILLS\H3162.PCS
H3162
bajohnson on PROD1PC71 with BILLS
HR 3162 PCS
SEC. 143. MEDICAID CITIZENSHIP DOCUMENTATION RE-
QUIREMENTS. 
(a) STATE OPTION
TO REQUIRE CHILDREN
TO 
PRESENT SATISFACTORY DOCUMENTARY EVIDENCE OF 
PROOF OF CITIZENSHIP OR NATIONALITY FOR PURPOSES 
OF ELIGIBILITY FOR MEDICAID; REQUIREMENT FOR AU-
DITING.— 
(1) IN GENERAL.—Section 1902 of the Social 
Security Act (42 U.S.C. 1396a) is amended— 
(A) in subsection (a)(46)— 
(i) by inserting ‘‘(A)’’ after ‘‘(46)’’; 
and 
(ii) by adding at the end the following 
new subparagraphs: 
‘‘(B) at the option of the State, require that, 
with respect to a child under 21 years of age (other 
than an individual described in section 1903(x)(2)) 
who declares to be a citizen or national of the 
United States for purposes of establishing initial eli-
gibility for medical assistance under this title (or, at 
State option, for purposes of renewing or redeter-
mining such eligibility to the extent that such satis-
factory documentary evidence of citizenship or na-
tionality has not yet been presented), there is pre-
sented satisfactory documentary evidence of citizen-
ship or nationality of the individual (using criteria 
VerDate Aug 31 2005 
02:04 Sep 05, 2007
Jkt 059200
PO 00000
Frm 00076
Fmt 6652
Sfmt 6201
E:\BILLS\H3162.PCS
H3162
bajohnson on PROD1PC71 with BILLS
HR 3162 PCS
determined by the State, which shall be no more re-
strictive than the documentation specified in section 
1903(x)(3)); and 
‘‘(C) comply with the auditing requirements of 
section 1903(x)(4);’’; and 
(B) in subsection (b)(3), by inserting ‘‘or 
any citizenship documentation requirement for 
a child under 21 years of age that is more re-
strictive than what a State may provide under 
section 1903(x)’’ before the period at the end. 
(2) ELIMINATION
OF
DENIAL
OF
PAYMENTS 
FOR CHILDREN.—Section 1903(i)(22) of such Act 
(42 U.S.C. 1396b(i)(22)) is amended by inserting 
‘‘(other than a child under the age of 21)’’ after ‘‘for 
an individual’’. 
(b) CLARIFICATION OF RULES FOR CHILDREN BORN 
IN THE UNITED STATES TO MOTHERS ELIGIBLE FOR 
MEDICAID.—Section 1903(x)(2) of such Act (42 U.S.C. 
1396b(x)(2)) is amended— 
(1) in subparagraph (C), by striking ‘‘or’’ at 
the end; 
(2) by redesignating subparagraph (D) as sub-
paragraph (E); and 
(3) by inserting after subparagraph (C) the fol-
lowing new subparagraph: 
VerDate Aug 31 2005 
02:04 Sep 05, 2007
Jkt 059200
PO 00000
Frm 00077
Fmt 6652
Sfmt 6201
E:\BILLS\H3162.PCS
H3162
bajohnson on PROD1PC71 with BILLS