In the Senate of the United States,
October 7 (legislative day, October 6), 2005.
Resolved, That the bill from the House of Representa-
tives (H.R. 3971) entitled ‘‘An Act to provide assistance to
individuals and States affected by Hurricane Katrina.’’, do
pass with the following
AMENDMENT:
Strike all after the enacting clause and insert the fol-
lowing:
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Medicare Cost-Sharing
and Welfare Extension Act of 2005’’.
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HR 3971 EAS
SEC. 2. EXTENSION OF QI PROGRAM THROUGH SEPTEMBER
2006.
(a) IN GENERAL.—Section 1902(a)(10)(E)(iv) of the
Social Security Act (42 U.S.C. 1396a(a)(10)(E)(iv)) is
amended by striking ‘‘September 2005’’ and inserting ‘‘Sep-
tember 2006’’.
(b) TOTAL AMOUNT AVAILABLE FOR ALLOCATION.—
Section 1933(g) of such Act (42 U.S.C. 1396u–3(g)) is
amended—
(1) in paragraph (2)—
(A) by striking ‘‘and’’ at the end of sub-
paragraph (B);
(B) by striking the period at the end of sub-
paragraph (C) and inserting ‘‘; and’’; and
(C) by adding at the end the following new
subparagraphs:
‘‘(D) for the period that begins on October
1, 2005, and ends on December 31, 2005, the
total allocation amount is $100,000,000; and
‘‘(E) for the period that begins on January
1, 2006, and ends on September 30, 2006, the
total allocation amount is $300,000,000.’’; and
(2) in paragraph (3), in the matter preceding
subparagraph (A), by inserting ‘‘or (D)’’ after ‘‘sub-
paragraph (B)’’.
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HR 3971 EAS
(c) EFFECTIVE DATE.—The amendments made by this
section shall be effective as of September 30, 2005.
SEC. 3. EXTENSION OF THE TEMPORARY ASSISTANCE FOR
NEEDY FAMILIES BLOCK GRANT PROGRAM,
TRANSITIONAL MEDICAL ASSISTANCE, AND
RELATED PROGRAMS THROUGH MARCH 31,
2006.
(a) IN GENERAL.—Activities authorized by part A of
title IV of the Social Security Act, and by sections 510,
1108(b), and 1925 of such Act, shall continue through
March 31, 2006, in the manner authorized for fiscal year
2005, notwithstanding section 1902(e)(1)(A) of such Act,
and out of any money in the Treasury of the United States
not otherwise appropriated, there are hereby appropriated
such sums as may be necessary for such purpose. Grants
and payments may be made pursuant to this authority
through the second quarter of fiscal year 2006 at the level
provided for such activities through the second quarter of
fiscal year 2005.
(b) 
CONFORMING
AMENDMENT.—Section
403(a)(3)(H)(ii) of the Social Security Act (42 U.S.C.
603(a)(3)(H)(ii)), as amended by section 2(b)(2)(A) of the
TANF Emergency Response and Recovery Act of 2005
(Public Law 109–68), is amended by striking ‘‘December
31, 2005’’ and inserting ‘‘March 31, 2006’’.
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HR 3971 EAS
(c) EXTENSION OF THE NATIONAL RANDOM SAMPLE
STUDY OF CHILD WELFARE AND CHILD WELFARE WAIVER
AUTHORITY THROUGH MARCH 31, 2006.—Activities au-
thorized by sections 429A and 1130(a) of the Social Secu-
rity Act shall continue through March 31, 2006, in the
manner authorized for fiscal year 2005, and out of any
money in the Treasury of the United States not otherwise
appropriated, there are hereby appropriated such sums as
may be necessary for such purpose. Grants and payments
may be made pursuant to this authority through the second
quarter of fiscal year 2006 at the level provided for such
activities through the second quarter of fiscal year 2005.
SEC. 4. RESTRICTION ON COVERED DRUGS UNDER THE
MEDICAID AND MEDICARE PROGRAMS.
(a) EXCLUSION UNDER MEDICARE BEGINNING
IN
2007.—Section 1860D–2(e)(2)(A) of the Social Security
Act (42 U.S.C. 1395w–102(e)(2)(A)) is amended by insert-
ing ‘‘and, only with respect to 2006, other than subpara-
graph (K) (relating to agents when used to treat sexual or
erectile dysfunction, unless such agents are used to treat a
condition, other than sexual or erectile dysfunction, for
which the agent has been approved by the Food and Drug
Administration)’’ after ‘‘agents)’’.
(b) RESTRICTION UNDER MEDICAID.—
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HR 3971 EAS
(1) IN GENERAL.—Section 1927(d)(2) of the So-
cial Security Act (42 U.S.C. 1396r–8(d)(2)) is
amended by adding at the end the following new sub-
paragraph:
‘‘(K) Agents when used to treat sexual or
erectile dysfunction, except that such exclusion or
other restriction shall not apply in the case of
such agents when used to treat a condition, other
than sexual or erectile dysfunction, for which the
agent has been approved by the Food and Drug
Administration.’’.
(2) EFFECTIVE DATE.—The amendment made by
this subsection shall apply to drugs dispensed on or
after the date that is 60 days after the date of enact-
ment of this Act.
Attest:
Secretary.