tunity Act Reconciliation of 1996
shall apply with respect to the dis-
tribution of support arrearages that—
‘‘(aa) accrued after the fam-
ily ceased to receive assistance
from the State, and
‘‘(bb) are collected before
October 1, 1997.
‘‘(II) POST-SEPTEMBER
1997.—
With respect to the amount so col-
lected on or after October 1, 1997—
‘‘(aa) IN
GENERAL.—The
Commissioner shall first distrib-
ute the amount so collected
(other than any amount de-
scribed in clause (iv)) to the fam-
ily to the extent necessary to sat-
isfy any support arrearages with
respect to the family that accrued
after the family ceased to receive
assistance from the State.
‘‘(bb) REIMBURSEMENT
OF
GOVERNMENTS
FOR
ASSISTANCE
PROVIDED
TO
THE
FAMILY.—
After the application of division
(aa) and clause (ii)(II)(aa) with
respect to the amount so col-
lected, the Commissioner shall re-
tain the Federal share of the
amount so collected, and pay to
the State the State share of the
amount so collected, but only to
the extent necessary to reimburse
amounts paid to the family as as-
sistance by the State.
‘‘(cc) DISTRIBUTION OF THE
REMAINDER
TO
THE
FAMILY.—
To the extent that neither divi-
sion (aa) nor division (bb) applies
to the amount so collected, the
Commissioner shall distribute the
amount to the family.
‘‘(ii) DISTRIBUTION OF ARREARAGES
THAT ACCRUED BEFORE THE FAMILY RE-
CEIVED ASSISTANCE.—
‘‘(I) PRE-OCTOBER 2000.—Except
as provided in subclause (II), the pro-
visions of this section (other than sub-
section (b)(1)) as in effect and applied
on the day before the date of the en-
actment of section 302 of the Per-
sonal Responsibility and Work Oppor-
tunity Reconciliation Act of 1996
shall apply with respect to the dis-
tribution of support arrearages that—
‘‘(aa) accrued before the
family received assistance from
the State; and
‘‘(bb) are collected before
October 1, 2000.
‘‘(II) POST-SEPTEMBER
2000.—
With respect to the amount so col-
lected on or after October 1, 2000—
‘‘(aa) IN
GENERAL.—The
Commissioner shall first distrib-
ute the amount so collected
(other than any amount de-
scribed in clause (iv)) to the fam-
ily to the extent necessary to sat-
isfy any support arrearages with
respect to the family that accrued
before the family received assist-
ance from the State.
‘‘(bb) REIMBURSEMENT
OF
GOVERNMENTS
FOR
ASSISTANCE
PROVIDED
TO
THE
FAMILY.—
After the application of clause
(i)(II)(aa) and division (aa) of
this subclause with respect to the
amount so collected, the Commis-
sioner shall retain the Federal
share of the amount so collected,
and pay to the State the State
share of the amount so collected,
but only to the extent necessary
to reimburse amounts paid to the
family as assistance by the State.
‘‘(cc) DISTRIBUTION OF THE
REMAINDER
TO
THE
FAMILY.—
To the extent that neither divi-
sion (aa) nor division (bb) applies
to the amount so collected, the
Commissioner shall distribute the
amount to the family.
‘‘(iii) DISTRIBUTION OF ARREARAGES
THAT ACCRUED WHILE THE FAMILY RE-
CEIVED
ASSISTANCE.—In the case of a
family described in this subparagraph,
paragraph (1) shall apply with respect to
the distribution of support arrearages that
accrued while the family received assist-
ance from the State.
‘‘(iv) ORDERING
RULES
FOR
DIS-
TRIBUTIONS.—For purposes of this sub-
paragraph, unless an earlier effective date
is required by this section, effective Octo-
ber 1, 2000, the Commissioner shall treat
any support arrearages collected, except
for amounts collected pursuant to section
464, as accruing in the following order:
‘‘(I) To the period after the fam-
ily ceased to receive assistance from
the State.
‘‘(II) To the period before the
family received assistance from the
State.
‘‘(III) To the period while the
family was receiving assistance from
the State.
‘‘(3) FAMILIES THAT NEVER RECEIVED ASSIST-
ANCE.—In the case of any other family, the Com-
missioner shall distribute the amount so collected to
the family.
‘‘(b) DEFINITIONS.—As used in this section:
‘‘(1) 
ASSISTANCE.—The 
term 
‘assistance’
means, with respect to a State—
‘‘(A) assistance under a State program
funded under part A; or
‘‘(B) foster care maintenance payments
under a State plan approved under part E.
‘‘(2) FEDERAL
SHARE.—The term ‘Federal
share’ means that portion of the amount collected
resulting from the application of the Federal medical
assistance percentage in effect for the fiscal year in
which the amount is collected.
‘‘(3) FEDERAL MEDICAL ASSISTANCE PERCENT-
AGE.—The term ‘Federal medical assistance per-
centage’ means—
‘‘(A) the Federal medical assistance per-
centage (as defined in section 1118), in the case
of Puerto Rico, the Virgin Islands, Guam, and
American Samoa; or
‘‘(B) the Federal medical assistance per-
centage (as defined in section 1905(b), as in ef-
fect on September 30, 1996) in the case of any
other State.
‘‘(4) STATE
SHARE.—The term ‘State share’
means 100 percent minus the Federal share.’’.
SEC. 5. ELIMINATION OF PROVISIONS OF LAW RELATING
TO STATE ENFORCEMENT OF CHILD SUP-
PORT OBLIGATIONS OTHER THAN MEDICAL
SUPPORT OBLIGATIONS.
(a) AMENDMENT OF THE SOCIAL SECURITY ACT.—
Except as otherwise expressly provided, wherever in this
section an amendment or repeal is expressed in terms of
an amendment to, or repeal of, a section or other provi-
sion, the reference shall be considered to be made to a
section or other provision of the Social Security Act.
(b) AMENDMENTS TO SECTION 451.—Section 451
(42 U.S.C. 651) is amended—
(1) by inserting ‘‘medical’’ before ‘‘support obli-
gations’’;
(2) by striking ‘‘obtaining child and spousal
support’’ and inserting ‘‘establishing child and
spousal support obligations’’; and
(3) by striking ‘‘obtaining support’’ and insert-
ing ‘‘establishing such obligations and obtaining
medical support’’.
(c) AMENDMENTS TO SECTION 452.—Section 452
(42 U.S.C. 652) is amended—
(1) in subsection (a)—
(A) in paragraph (1), by striking ‘‘obtain-
ing child support and support for the spouse (or
former spouse) with whom the noncustodial
parent’s child is living’’ and inserting ‘‘estab-
lishing child and spousal support obligations of
noncustodial parents and obtaining medical
support from noncustodial parents’’;
(B) in paragraph (4)—
(i) in subparagraph (A)—
(I) by striking ‘‘454(15)(B)’’ and
inserting ‘‘454(11)(B)’’; and
(II) by striking ‘‘and section
458’’;
(ii) in subparagraph (B), by striking
‘‘454(15)(A)’’ and inserting ‘‘454(11)(A)’’;
and
(iii) in subparagraph (C)—
(I) in clause (i), by striking ‘‘sub-
section (g) of this section and section
458’’ and inserting ‘‘subsection (e) of
this section’’; and
(II) in clause (ii), by striking ‘‘—
’’ and all that follows and inserting
‘‘whether Federal and other funds
made available to carry out the State
program are being appropriately ex-
pended, and are properly and fully ac-
counted for;’’
(C) in paragraph (7), by striking ‘‘collect-
ing child and spousal support’’ and inserting
‘‘establishing child and spousal support obliga-
tions and collecting child and spousal medical
support’’;
(D) in paragraph (8)—
(i) by inserting ‘‘the medical support
requirements of’’ before ‘‘court’’ the 1st
place such term appears; and
(ii) by inserting ‘‘medical support re-
quirements of’’ before ‘‘court’’ the 2nd
place such term appears; and
(iii) by striking ‘‘such order’’ and in-
serting ‘‘such requirements’’;
(E) in paragraph (10)—
(i) by striking ‘‘, but not be limited
to’’ and all that follows through the end of
subparagraph (A) and inserting ‘‘include—
‘‘(A) total program costs set forth in suffi-
cient detail to show the cost to the States and
the Federal Government, and an identification
of the financial impact of this part;’’;
(ii) in subparagraph (C)—
(I) in the matter preceding clause
(i), by striking ‘‘collect support’’ and
insert ‘‘receive support’’;
(II) in clause (iii), by striking
‘‘support was collected’’ and inserting
‘‘medical support was provided’’; and
(III) by striking clauses (iv)
through (vii) and inserting the follow-
ing:
‘‘(iv) the total amount of medical sup-
port provided as a result of State action;’’;
and
‘‘(v) the number of child support
cases filed in each State in the fiscal
year;’’; and
(iii) in subparagraph (G)—
(I) by striking ‘‘and on use of the
Internal Revenue Service for collec-
tions’’ and inserting ‘‘to obtain medi-
cal support’’; and
(II) by striking ‘‘on which collec-
tions were made’’ and inserting ‘‘with
respect to which medical support was
provided’’; and
(F) by striking paragraph (6) and redesig-
nating paragraphs (7) through (11) as para-
graphs (6) through (10), respectively;
(2) in subsections (d) and (e), by striking
‘‘454(16)’’ each place such term appears and insert-
ing ‘‘454(12)’’;
(3) in subsection (h)—
(A) by striking ‘‘and enforcing support or-
ders’’ and inserting ‘‘support orders and enforc-
ing the medical support requirements of such
orders’’; and
(B) by striking ‘‘and collect child support
awards’’ and inserting ‘‘child support orders
and obtain medical support under such orders’’;
(4) effective October 1, 1997, in subsection (k),
by striking ‘‘454(31)’’ and inserting ‘‘454(24)’’; and
(5) by striking subsections (b), (c), and (i) and
redesignating subsections (d) through (h), (j), and
(effective October 1, 1997) (k) as subsections (b)
through (h), respectively.
(d) AMENDMENT TO SECTION 453.—Section 453(b)
(42 U.S.C. 653(b)) is amended by striking ‘‘454(26)’’ and
inserting ‘‘454(18)’’.
(e) AMENDMENTS TO SECTION 454.—Section 454
(42 U.S.C. 654) is amended—
(1) by striking paragraph (4) and inserting the
following:
‘‘(4) provide that the State will provide services
relating to the establishment of paternity or the es-
tablishment or modification of child support obliga-
tions, or the enforcement of the medical support pro-
visions of such obligations, as appropriate, under the
State plan with respect to—
‘‘(A) each child for whom (i) assistance is
provided under the State program funded under
part A of this title, (ii) benefits or services for
foster care maintenance are provided under the
State program funded under part E of this
title, or (iii) medical assistance is provided
under the State plan approved under title XIX,
unless, in accordance with paragraph (21), good
cause or other exceptions exist; and
‘‘(B) any other child, if an individual ap-
plies for such services with respect to the
child;’’;
(2) in paragraph (6), by striking subparagraph
(C) and redesignating subparagraphs (D) and (E) as
subparagraphs (C) and (D), respectively;
(3) in paragraph (9)—
(A) in subparagraph (E), by striking
‘‘452(a)(11)’’ and inserting ‘‘452(a)(10)’’; and
(B) by striking subparagraph (C) and re-
designating subparagraphs (D) and (E) as sub-
paragraphs (C) and (D), respectively;
(4) in paragraph (13), by striking ‘‘collecting
support payments’’ and inserting ‘‘obtaining medical
support pursuant to such orders’’;
(5) in paragraph (15)(B)—
(A) by striking ‘‘(16)’’ and inserting
‘‘(12)’’; and
(B) by striking ‘‘sections 452(g) and 458’’
and inserting ‘‘section 452(e)’’;
(6) in paragraph (16)—
(A) by striking ‘‘452(d)’’ and inserting
‘‘452(b)’’; and
(B) by inserting ‘‘medical’’ before ‘‘support
enforcement’’;
(7) in paragraph (19), by inserting ‘‘medical’’
before ‘‘support’’ each place such term appears;
(8) in paragraph (21)(A), by striking ‘‘466(e)’’
and inserting ‘‘466(c)’’;
(9) in paragraph (23), by inserting ‘‘medical’’
before ‘‘support’’;