tity for a fiscal year unless the eligible entity agrees, 
with respect to the costs to be incurred by the eligi-
ble entity for such fiscal year in carrying out the ac-
tivities described in subsection (b), to make available 
non-Federal contributions (in cash or in kind under 
paragraph (2)) toward such costs in an amount 
equal to not less than $1 for each $3 of Federal 
funds provided in the grant for such fiscal year. 
Such contributions may be made directly or through 
donations from public or private entities. 
‘‘(2) DETERMINATION
OF
AMOUNT
OF
NON- 
FEDERAL CONTRIBUTION.— 
‘‘(A) IN GENERAL.—Non-Federal contribu-
tions required in paragraph (1) may be in cash 
or in kind, fairly evaluated, including equipment 
or services (and excluding indirect or overhead 
costs). Amounts provided by the Federal Gov-
ernment, or services assisted or subsidized to 
any significant extent by the Federal Govern-
ment, may not be included in determining the 
amount of such non-Federal contributions. 
‘‘(B) 
MAINTENANCE
OF
EFFORT.—In 
making a determination of the amount of non- 
Federal contributions for purposes of paragraph 
(1), the Secretary may include only non-Federal 
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contributions in excess of the average amount 
of non-Federal contributions made by the eligi-
ble entity involved toward the activities de-
scribed in subsection (b) for the 2-year period 
preceding the first fiscal year for which the eli-
gible entity is applying to receive a grant under 
subsection (a). 
‘‘(C) INCLUSION OF RELEVANT NON-FED-
ERAL
CONTRIBUTIONS
FOR
MEDICAID.—In 
making a determination of the amount of non- 
Federal contributions for purposes of paragraph 
(1), the Secretary shall, subject to subpara-
graphs (A) and (B) of this paragraph, include 
any non-Federal amounts expended pursuant to 
title XIX of the Social Security Act by the eligi-
ble entity involved toward the activities de-
scribed in subparagraphs (A) and (B) of sub-
section (b)(1). 
‘‘(i) ADDITIONAL REQUIREMENTS.— 
‘‘(1) LIMITATION
ON
ADMINISTRATIVE
EX-
PENSES.—The Secretary may not make a grant to 
an eligible entity under subsection (a) unless the eli-
gible entity provides assurances that not more than 
10 percent of the grant will be expended for admin-
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istrative expenses with respect to the activities fund-
ed by the grant. 
‘‘(2) STATEWIDE PROVISION OF SERVICES.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), the Secretary may not make a grant 
under subsection (a) to an eligible entity unless 
the eligible entity provides assurances that any 
program funded by such grant will be made 
available throughout the State, including avail-
ability to members of an Indian tribe or tribal 
organization (as such terms are defined in sec-
tion 4 of the Indian Self-Determination and 
Education Assistance Act). 
‘‘(B) WAIVER.—The Secretary may waive 
the requirement under subparagraph (A) for an 
eligible entity if the Secretary determines that 
compliance by the eligible entity with the re-
quirement would result in an inefficient alloca-
tion of resources with respect to carrying out 
the purposes described in subsection (a). 
‘‘(j) TECHNICAL ASSISTANCE
AND PROVISION
OF 
SUPPLIES AND SERVICES IN LIEU OF GRANT FUNDS.— 
‘‘(1) TECHNICAL ASSISTANCE.—The Secretary 
may provide training and technical assistance with 
respect to the planning, development, and operation 
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of any program funded by a grant under subsection 
(a). The Secretary may provide such technical as-
sistance directly to eligible entities or through grants 
to, or contracts with, public and private entities. 
‘‘(2) PROVISION OF SUPPLIES AND SERVICES IN 
LIEU OF GRANT FUNDS.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), upon the request of an eligible entity 
receiving a grant under subsection (a), the Sec-
retary for the purpose of aiding the eligible en-
tity to carry out a program under subsection 
(b)— 
‘‘(i) may provide supplies, equipment, 
and services to the eligible entity; and 
‘‘(ii) may detail to the eligible entity 
any officer or employee of the Department 
of Health and Human Services. 
‘‘(B) CORRESPONDING REDUCTION IN PAY-
MENTS.—With respect to a request made by an 
eligible entity under subparagraph (A), the Sec-
retary shall reduce the amount of payments 
made under the grant under subsection (a) to 
the eligible entity by an amount equal to the 
fair market value of any supplies, equipment, or 
services provided by the Secretary and the costs 
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of detailing personnel (including pay, allow-
ances, and travel expenses) under subparagraph 
(A). The Secretary shall, for the payment of ex-
penses incurred in complying with such request, 
expend the amounts withheld. 
‘‘(k) REPORTS.—A grant under subsection (a) may 
be made only if the applicant involved agrees to submit 
to the Secretary such reports as the Secretary may require 
with respect to the grant. 
‘‘(l) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN
GENERAL.—For the purpose of car-
rying out this section, there are authorized to be ap-
propriated $50,000,000 for fiscal year 2008, and 
such sums as may be necessary for each of the fiscal 
years 2009 through 2012. 
‘‘(2) SET-ASIDE
FOR
TECHNICAL
ASSISTANCE 
AND PROVISION OF SUPPLIES AND SERVICES.—Of 
the amount appropriated under paragraph (1) for a 
fiscal year, the Secretary shall reserve not to exceed 
20 percent for carrying out subsection (j).’’. 
SEC. 3. OPTIONAL MEDICAID COVERAGE OF CERTAIN PER-
SONS 
SCREENED 
AND 
FOUND 
TO 
HAVE 
COLORECTAL CANCER. 
(a) 
COVERAGE
AS
OPTIONAL
CATEGORICALLY 
NEEDY GROUP.— 
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(1) IN
GENERAL.—Section 1902(a)(10)(A)(ii) 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1396a(a)(10)(A)(ii)) is amended— 
(A) in subclause (XVIII), by striking ‘‘or’’ 
at the end; 
(B) in subclause (XIX), by adding ‘‘or’’ at 
the end; and 
(C) by adding at the end the following: 
‘‘(XX) who are described in sub-
section (dd) (relating to certain per-
sons screened and found to need 
treatment from complications from 
screening or have colorectal cancer);’’. 
(2) GROUP DESCRIBED.—Section 1902 of the 
Social Security Act (42 U.S.C. 1396a) is amended 
by adding at the end the following: 
‘‘(dd) Individuals described in this subsection are in-
dividuals who— 
‘‘(1) 
are 
not 
described 
in 
subsection 
(a)(10)(A)(i); 
‘‘(2) have not attained age 65; 
‘‘(3) have been screened for colorectal cancer 
and need treatment for complications due to screen-
ing or colorectal cancer; and 
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‘‘(4) are not otherwise covered under creditable 
coverage, as defined in section 2701(c) of the Public 
Health Service Act.’’. 
(3) 
LIMITATION
ON
BENEFITS.—Section 
1902(a)(10) of the Social Security Act (42 U.S.C. 
1396a(a)(10)) is amended in the matter following 
subparagraph (G)— 
(A) by striking ‘‘and (XIV)’’ and inserting 
‘‘(XIV)’’; and 
(B) by inserting ‘‘, and (XV) the medical 
assistance made available to an individual de-
scribed in subsection (dd) who is eligible for 
medical assistance only because of subpara-
graph (A)(10)(ii)(XX) shall be limited to med-
ical assistance provided during the period in 
which such an individual requires treatment for 
complications due to screening or colorectal 
cancer’’ before the semicolon. 
(4) 
CONFORMING
AMENDMENTS.—Section 
1905(a) of the Social Security Act (42 U.S.C. 
1396d(a)) is amended in the matter preceding para-
graph (1)— 
(A) in clause (xii), by striking ‘‘or’’ at the 
end; 
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(B) in clause (xiii), by adding ‘‘or’’ at the 
end; and 
(C) by inserting after clause (xiii) the fol-
lowing: 
‘‘(xiv) individuals described in section 
1902(dd),’’. 
(b) PRESUMPTIVE ELIGIBILITY.— 
(1) IN GENERAL.—Title XIX of the Social Se-
curity Act (42 U.S.C. 1396 et seq.) is amended by 
inserting after section 1920B the following: 
‘‘OPTIONAL APPLICATION OF PRESUMPTIVE ELIGIBILITY 
PROVISIONS
FOR
CERTAIN
PERSONS
WITH 
COLORECTAL CANCER 
‘‘SEC. 1920C. A State may elect to apply the provi-
sions of section 1920B to individuals described in section 
1902(dd) (relating to certain colorectal cancer patients) 
in the same manner as such section applies to individuals 
described in section 1902(aa) (relating to certain breast 
or cervical cancer patients).’’. 
(2) CONFORMING AMENDMENTS.— 
(A) Section 1902(a)(47) of the Social Se-
curity Act (42 U.S.C. 1396a(a)(47)) is amend-
ed— 
(i) by striking ‘‘and’’ after ‘‘section 
1920’’ and inserting a comma; 
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(ii) by striking ‘‘and’’ after ‘‘with such 
section’’ and inserting a comma; and 
(iii) by inserting before the semicolon 
at the end the following: ‘‘, and provide for 
making medical assistance available to in-
dividuals described in section 1920C dur-
ing a presumptive eligibility period in ac-
cordance with such section’’. 
(B) Section 1903(u)(1)(d)(v) of such Act 
(42 U.S.C. 1396b(u)(1)(d)(v)) is amended— 
(i) by striking ‘‘or for’’ and inserting 
‘‘, for’’; and 
(ii) by inserting before the period the 
following: ‘‘, or for medical assistance pro-
vided to an individual described in section 
1920C during a presumptive eligibility pe-
riod under such section’’. 
(e) ENHANCED MATCH.—The first sentence of sec-
tion 1905(b) of the Social Security Act (42 U.S.C. 
1396d(b)) is amended— 
(1) by striking ‘‘and’’ before ‘‘(4)’’; and 
(2) by inserting before the period at the end the 
following: ‘‘, and (5) the Federal medical assistance 
percentage shall be equal to the enhanced FMAP de-
scribed in section 2105(b) with respect to medical 
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