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TITLE VII—ABSTINENCE 
EDUCATION 
SEC. 701. EXTENSION OF ABSTINENCE EDUCATION PRO-
GRAM. 
(a) 
EXTENSION
OF
APPROPRIATIONS.—Section 
510(d) (42 U.S.C. 710(d)) is amended by striking ‘‘2002’’ 
and inserting ‘‘2008’’. 
(b) ALLOTMENT
OF FUNDS.—Section 510(a) (42 
U.S.C. 710(a)) is amended—
(1) in the matter preceding paragraph (1), by 
striking ‘‘an application for the fiscal year under 
section 505(a)’’ and inserting ‘‘, for the fiscal year, 
an application under section 505(a), and an applica-
tion under this section (in such form and meeting 
such terms and conditions as determined appropriate 
by the Secretary),’’; and 
(2) in paragraph (2), to read as follows: 
‘‘(2) the percentage that would be determined 
for the State under section 502(c)(1)(B)(ii) if the 
calculation under such section took into consider-
ation only those States that transmitted both such 
applications for such fiscal year.’’. 
(c) REALLOTMENT
OF FUNDS.—Section 510 (42 
U.S.C. 710(a)) is amended by adding at the end the fol-
lowing new subsection:
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‘‘(e)(1) With respect to allotments under subsection 
(a) for fiscal year 2004 and subsequent fiscal years, the 
amount of any allotment to a State for a fiscal year that 
the Secretary determines will not be required to carry out 
a program under this section during such fiscal year or 
the succeeding fiscal year shall be available for reallotment 
from time to time during such fiscal years on such dates 
as the Secretary may fix, to other States that the Sec-
retary determines—
‘‘(A) require amounts in excess of amounts pre-
viously allotted under subsection (a) to carry out a 
program under this section; and 
‘‘(B) will use such excess amounts during such 
fiscal years. 
‘‘(2) Reallotments under paragraph (1) shall be made 
on the basis of such States’ applications under this sec-
tion, after taking into consideration the population of low-
income children in each such State as compared with the 
population of low-income children in all such States with 
respect to which a determination under paragraph (1) has 
been made by the Secretary. 
‘‘(3) Any amount reallotted under paragraph (1) to 
a State is deemed to be part of its allotment under sub-
section (a).’’.
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(d) EFFECTIVE DATE.—The amendments made by 
this section shall be effective with respect to the program 
under section 510 for fiscal years 2004 and succeeding 
fiscal years. 
TITLE VIII—TRANSITIONAL 
MEDICAL ASSISTANCE 
SEC. 801. EXTENSION OF MEDICAID TRANSITIONAL MED-
ICAL ASSISTANCE PROGRAM THROUGH FIS-
CAL YEAR 2004. 
(a) IN
GENERAL.—Section 1925(f ) (42 U.S.C. 
1396r–6(f )) is amended by striking ‘‘2002’’ and inserting 
‘‘2004’’. 
(b) 
CONFORMING
AMENDMENT.—Section 
1902(e)(1)(B) (42 U.S.C. 1396a(e)(1)(B)) is amended by 
striking ‘‘September 30, 2002’’ and inserting ‘‘the last 
date (if any) on which section 1925 applies under sub-
section (f) of that section’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect October 1, 2003. 
SEC. 802. ADJUSTMENT TO PAYMENTS FOR MEDICAID AD-
MINISTRATIVE COSTS TO PREVENT DUPLICA-
TIVE PAYMENTS AND TO FUND EXTENSION 
OF TRANSITIONAL MEDICAL ASSISTANCE. 
Section 1903 (42 U.S.C. 1396b) is amended—
139
(1) in subsection (a)(7), by striking ‘‘section 
1919(g)(3)(B)’’ and inserting ‘‘subsection (x) and 
section 1919(g)(3)(C)’’; and 
(2) by adding at the end the following: 
‘‘(x) ADJUSTMENTS TO PAYMENTS FOR ADMINISTRA-
TIVE COSTS TO FUND EXTENSION OF TRANSITIONAL 
MEDICAL ASSISTANCE.—
‘‘(1) REDUCTIONS IN PAYMENTS FOR ADMINIS-
TRATIVE COSTS.—Effective for each calendar quar-
ter in fiscal year 2004 and fiscal year 2005, the Sec-
retary shall reduce the amount paid under sub-
section (a)(7) to each State by an amount equal to 
45 percent for fiscal year 2004, and 80 percent for 
fiscal year 2005, of one-quarter of the annualized 
amount determined for the medicaid program under 
section 16(k)(2)(B) of the Food Stamp Act of 1977 
(7 U.S.C. 2025(k)(2)(B)). 
‘‘(2) 
ALLOCATION
OF
ADMINISTRATIVE 
COSTS.—None of the funds or expenditures de-
scribed in section 16(k)(5)(B) of the Food Stamp 
Act of 1977 (7 U.S.C. 2025(k)(5)(B)) may be used 
to pay for costs—
‘‘(A) eligible for reimbursement under sub-
section (a)(7) (or costs that would have been el-
140
igible for reimbursement but for this sub-
section); and 
‘‘(B) allocated for reimbursement to the 
program under this title under a plan submitted 
by a State to the Secretary to allocate adminis-
trative costs for public assistance programs; 
except that, for purposes of subparagraph (A), the 
reference in clause (iii) of that section to ‘subsection 
(a)’ is deemed a reference to subsection (a)(7) and 
clause (iv)(II) of that section shall be applied as if 
‘medicaid program’ were substituted for ‘food stamp 
program’.’’. 
TITLE IX—EFFECTIVE DATE 
SEC. 901. EFFECTIVE DATE. 
(a) IN GENERAL.—Except as otherwise provided, the 
amendments made by this Act shall take effect on the date 
of the enactment of this Act. 
(b) EXCEPTION.—In the case of a State plan under 
part A or D of title IV of the Social Security Act which 
the Secretary determines requires State legislation in 
order for the plan to meet the additional requirements im-
posed by the amendments made by this Act, the effective 
date of the amendments imposing the additional require-
ments shall be 3 months after the first day of the first 
calendar quarter beginning after the close of the first reg-