assistance based on an income finding by 
an Express Lane agency. 
‘‘(II) 
DETERMINATION
OF
ELIGI-
BILITY.—During such temporary enrollment 
period, the State shall determine the child’s 
eligibility for child health assistance under 
title XXI or for medical assistance under 
this title in accordance with this clause. 
‘‘(III) PROMPT FOLLOW UP.—In mak-
ing such a determination, the State shall 
take prompt action to determine whether the 
child should be enrolled in medical assist-
ance under this title or child health assist-
ance under title XXI pursuant to subpara-
graphs (A) and (B) of section 2102(b)(3) 
(relating to screen and enroll). 
‘‘(IV) REQUIREMENT FOR SIMPLIFIED 
DETERMINATION.—In making such a deter-
mination, the State shall use procedures 
that, to the maximum feasible extent, reduce 
the burden imposed on the individual of 
such determination. Such procedures may 
not require the child’s parent, guardian, or 
custodial relative to provide or verify infor-
mation that already has been provided to 
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the State agency by an Express Lane agen-
cy or another source of information unless 
the State agency has reason to believe the 
information is erroneous. 
‘‘(V) AVAILABILITY OF CHIP MATCHING 
FUNDS
DURING
TEMPORARY
ENROLLMENT 
PERIOD.—Medical assistance for items and 
services that are provided to a child enrolled 
in title XXI during a temporary enrollment 
period under this clause shall be treated as 
child health assistance under such title. 
‘‘(D) OPTION FOR AUTOMATIC ENROLLMENT.— 
‘‘(i) IN GENERAL.—At its option, a State 
may initiate an evaluation of an individual’s 
eligibility for medical assistance under this title 
without an application and determine the indi-
vidual’s eligibility for such assistance using find-
ings from one or more Express Lane agencies 
and information from sources other than a child, 
if the requirements of clauses (ii) and (iii) are 
met. 
‘‘(ii) INDIVIDUAL CHOICE REQUIREMENT.— 
The requirement of this clause is that the child 
is enrolled in medical assistance under this title 
or child health assistance under title XXI only if 
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the child (or a parent, caretaker relative, or 
guardian on the behalf of the child) has affirma-
tively assented to such enrollment. 
‘‘(iii) INFORMATION
REQUIREMENT.—The 
requirement of this clause is that the State in-
forms the parent, guardian, or custodial relative 
of the child of the services that will be covered, 
appropriate methods for using such services, pre-
mium or other cost sharing charges (if any) that 
apply, medical support obligations (under sec-
tion 1912(a)) created by enrollment (if applica-
ble), and the actions the parent, guardian, or rel-
ative must take to maintain enrollment and 
renew coverage. 
‘‘(E) EXPRESS LANE AGENCY DEFINED.—In this 
paragraph, the term ‘express lane agency’ means an 
agency that meets the following requirements: 
‘‘(i) The agency determines eligibility for 
assistance under the Food Stamp Act of 1977, 
the Richard B. Russell National School Lunch 
Act, the Child Nutrition Act of 1966, or the 
Child Care and Development Block Grant Act of 
1990. 
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‘‘(ii) The agency notifies the child (or a 
parent, caretaker relative, or guardian on the be-
half of the child)— 
‘‘(I) of the information which shall be 
disclosed; 
‘‘(II) that the information will be used 
by the State solely for purposes of deter-
mining eligibility for and for providing 
medical assistance under this title or child 
health assistance under title XXI; and 
‘‘(III) that the child, or parent, care-
taker relative, or guardian, may elect to not 
have the information disclosed for such pur-
poses. 
‘‘(iii) The agency and the State agency are 
subject to an interagency agreement limiting the 
disclosure and use of such information to such 
purposes. 
‘‘(iv) The agency is determined by the State 
agency to be capable of making the determina-
tions described in this paragraph and is identi-
fied in the State plan under this title or title 
XXI. 
For purposes of this subparagraph, the term ‘State 
agency’ refers to the agency determining eligibility for 
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medical assistance under this title or child health as-
sistance under title XXI. 
‘‘(F) CHILD
DEFINED.—For purposes of this 
paragraph, the term ‘child’ means an individual 
under 19 years of age, or, at the option of a State, 
such higher age, not to exceed 21 years of age, as the 
State may elect.’’. 
(b) CHIP.—Section 2107(e)(1) of such Act (42 U.S.C. 
1397gg(e)(1)) is amended by redesignating subparagraphs 
(B), (C), and (D) as subparagraphs (E), (H), and (I), re-
spectively, and by inserting after subparagraph (A) the fol-
lowing new subparagraph: 
‘‘(C) Section 1902(e)(13) (relating to the 
State option to rely on findings from an Express 
Lane agency to help evaluate a child’s eligibility 
for medical assistance).’’. 
(c) ELECTRONIC TRANSMISSION OF INFORMATION.— 
Section 1902 of such Act (42 U.S.C. 1396a) is amended by 
adding at the end the following new subsection: 
‘‘(dd) ELECTRONIC
TRANSMISSION
OF
INFORMA-
TION.—If the State agency determining eligibility for med-
ical assistance under this title or child health assistance 
under title XXI verifies an element of eligibility based on 
information from an Express Lane Agency (as defined in 
subsection (e)(13)(F)), or from another public agency, then 
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the applicant’s signature under penalty of perjury shall not 
be required as to such element. Any signature requirement 
for an application for medical assistance may be satisfied 
through an electronic signature, as defined in section 
1710(1) of the Government Paperwork Elimination Act (44 
U.S.C. 3504 note). The requirements of subparagraphs (A) 
and (B) of section 1137(d)(2) may be met through evidence 
in digital or electronic form.’’. 
(d) AUTHORIZATION OF INFORMATION DISCLOSURE.— 
(1) IN GENERAL.—Title XIX of the Social Secu-
rity Act is amended— 
(A) by redesignating section 1939 as section 
1940; and 
(B) by inserting after section 1938 the fol-
lowing new section: 
‘‘SEC. 1939. AUTHORIZATION TO RECEIVE PERTINENT IN-
FORMATION. 
‘‘(a) IN GENERAL.—Notwithstanding any other provi-
sion of law, a Federal or State agency or private entity 
in possession of the sources of data potentially pertinent 
to eligibility determinations under this title (including eli-
gibility files maintained by Express Lane agencies de-
scribed in section 1902(e)(13)(F), information described in 
paragraph (2) or (3) of section 1137(a), vital records infor-
mation about births in any State, and information de-
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scribed in sections 453(i) and 1902(a)(25)(I)) is authorized 
to convey such data or information to the State agency ad-
ministering the State plan under this title, to the extent 
such conveyance meets the requirements of subsection (b). 
‘‘(b) REQUIREMENTS FOR CONVEYANCE.—Data or in-
formation may be conveyed pursuant to subsection (a) only 
if the following requirements are met: 
‘‘(1) The individual whose circumstances are de-
scribed in the data or information (or such individ-
ual’s parent, guardian, caretaker relative, or author-
ized representative) has either provided advance con-
sent to disclosure or has not objected to disclosure 
after receiving advance notice of disclosure and a rea-
sonable opportunity to object. 
‘‘(2) Such data or information are used solely for 
the purposes of— 
‘‘(A) identifying individuals who are eligi-
ble or potentially eligible for medical assistance 
under this title and enrolling or attempting to 
enroll such individuals in the State plan; and 
‘‘(B) verifying the eligibility of individuals 
for medical assistance under the State plan. 
‘‘(3) An interagency or other agreement, con-
sistent with standards developed by the Secretary— 
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‘‘(A) prevents the unauthorized use, disclo-
sure, or modification of such data and otherwise 
meets applicable Federal requirements safe-
guarding privacy and data security; and 
‘‘(B) requires the State agency admin-
istering the State plan to use the data and infor-
mation obtained under this section to seek to en-
roll individuals in the plan. 
‘‘(c) CRIMINAL PENALTY.—A private entity described 
in the subsection (a) that publishes, discloses, or makes 
known in any manner, or to any extent not authorized by 
Federal law, any information obtained under this section 
shall be fined not more than $1,000 or imprisoned not more 
than 1 year, or both, for each such unauthorized publication 
or disclosure. 
‘‘(d) RULE OF CONSTRUCTION.—The limitations and 
requirements that apply to disclosure pursuant to this sec-
tion shall not be construed to prohibit the conveyance or 
disclosure of data or information otherwise permitted under 
Federal law (without regard to this section).’’. 
(2) CONFORMING AMENDMENT TO TITLE XXI.— 
Section 
2107(e)(1) 
of 
such 
Act 
(42 
U.S.C. 
1397gg(e)(1)), as amended by subsection (b), is 
amended by adding at the end the following new sub-
paragraph: 
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‘‘(J) Section 1939 (relating to authorization 
to receive data potentially pertinent to eligibility 
determinations).’’. 
(3) CONFORMING AMENDMENT TO PROVIDE AC-
CESS TO DATA ABOUT ENROLLMENT IN INSURANCE 
FOR PURPOSES OF EVALUATING APPLICATIONS AND 
FOR CHIP.—Section 1902(a)(25)(I)(i) of such Act (42 
U.S.C. 1396a(a)(25)(I)(i)) is amended— 
(A) by inserting ‘‘(and, at State option, in-
dividuals who are potentially eligible or who 
apply)’’ after ‘‘with respect to individuals who 
are eligible’’; and 
(B) by inserting ‘‘under this title (and, at 
State option, child health assistance under title 
XXI)’’ after ‘‘the State plan’’. 
(e) EFFECTIVE DATE.—The amendments made by this 
section are effective on January 1, 2008. 
SEC. 113. APPLICATION OF MEDICAID OUTREACH PROCE-
DURES TO ALL CHILDREN AND PREGNANT 
WOMEN. 
(a) IN GENERAL.—Section 1902(a)(55) of the Social 
Security Act (42 U.S.C. 1396a(a)(55)) is amended— 
(1) in the matter before subparagraph (A), by 
striking ‘‘individuals for medical assistance under 
subsection 
(a)(10)(A)(i)(IV), 
(a)(10)(A)(i)(VI), 
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(a)(10)(A)(i)(VII), or (a)(10)(A)(ii)(IX)’’ and insert-
ing ‘‘children and pregnant women for medical assist-
ance under any provision of this title’’; and 
(2) in subparagraph (B), by inserting before the 
semicolon at the end the following: ‘‘, which need not 
be the same application form for all such individ-
uals’’. 
(b) EFFECTIVE DATE.—The amendments made by sub-
section (a) take effect on January 1, 2008. 
SEC. 114. ENCOURAGING CULTURALLY APPROPRIATE EN-
ROLLMENT AND RETENTION PRACTICES. 
(a) USE OF MEDICAID FUNDS.—Section 1903(a)(2) of 
the Social Security Act (42 U.S.C. 1396b(a)(2)) is amended 
by adding at the end the following new subparagraph: 
‘‘(E) an amount equal to 75 percent of so much 
of the sums expended during such quarter (as found 
necessary by the Secretary for the proper and efficient 
administration of the State plan) as are attributable 
to translation or interpretation services in connection 
with the enrollment and retention under this title of 
children of families for whom English is not the pri-
mary language; plus’’. 
(b) USE OF COMMUNITY HEALTH WORKERS FOR OUT-
REACH ACTIVITIES.— 
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