I 
110TH CONGRESS 
1ST SESSION H. R. 1376 
To amend title XIX of the Social Security Act to establish independent 
foster care adolescents as a mandatory category (and not an optional 
category) of individuals for coverage under State Medicaid programs. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 7, 2007 
Mr. CARDOZA introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to establish 
independent foster care adolescents as a mandatory cat-
egory (and not an optional category) of individuals for 
coverage under State Medicaid programs. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medicaid Foster Care 
Coverage Act of 2007’’. 
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SEC. 2. INDEPENDENT FOSTER CARE ADOLESCENTS ES-
TABLISHED AS MANDATORY CATEGORY (AND 
NOT OPTIONAL CATEGORY) OF INDIVIDUALS 
FOR MEDICAID COVERAGE. 
(a) ESTABLISHMENT AS MANDATORY CATEGORY.— 
Clause (i) of section 1902(a)(10)(A) of the Social Security 
Act (42 U.S.C. 1396a(a)(10)(A)) is amended— 
(1) in subclause (VI), by striking at the end 
‘‘or’’; 
(2) in subclause (VII), by adding at the end 
‘‘or’’; and 
(3) by adding at the end the following new sub-
clause: 
‘‘(VIII) who are independent fos-
ter care adolescents (as defined in sec-
tion 1905(w)(1));’’. 
(b) CONFORMING AMENDMENTS.— 
(1) Clause (ii) of such section is amended by 
striking subclause (XVII) and redesignating sub-
clauses (XVIII) and (XIX) as subclauses (XVII) and 
(XVIII), respectively. 
(2) Section 1905(w) of the Social Security Act 
(42 U.S.C. 1396d(w)) is amended— 
(A) in paragraph (1), by inserting ‘‘, sub-
ject to paragraph (3),’’ after ‘‘means’’; and 
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(B) in paragraph (3), by striking ‘‘section 
1902(a)(10)(A)(ii)(XVII)’’ and inserting ‘‘sec-
tion 1902(a)(10)(A)(I)(VIII)’’. 
(3) Section 1902 of such Act (42 U.S.C. 
1396a) is amended— 
(A) in the matter following subparagraph 
(G) of subsection (a)(10), by striking ‘‘subpara-
graph (A)(10)(ii)(XVIII)’’ and inserting ‘‘sub-
paragraph (A)(ii)(XVII)’’; and 
(B) in subsection (cc)(2)(A)(I), by striking 
‘‘subsection (a)(10)(A)(ii)(XIX)’’ and inserting 
‘‘subsection (a)(10)(A)(ii)(XVIII)’’. 
(4) Section 1903(f)(4) of such Act (42 U.S.C. 
1396b(f)(4)) is amended— 
(A) 
by 
striking 
‘‘1902(a)(10)(A)(ii)(XVII),’’ 
and 
inserting 
‘‘1902(a)(10)(A)(I)(VIII),’’ 
after 
‘‘1902(a)(10)(A)(I)(VII),’’; 
(B) 
by 
striking 
‘‘1902(a)(10)(A)(ii)(XVIII)’’ 
and 
inserting 
‘‘1902(a)(10)(A)(ii)(XVII)’’; and 
(C) by striking ‘‘1902(a)(10)(A)(ii)(XIX)’’ 
and inserting ‘‘1902(a)(10)(A)(ii)(XVIII)’’. 
(5) Section 1905 of such Act (42 U.S.C. 
1396d) is amended— 
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(A) in subsection (a)(2)(B), by striking 
‘‘1902(a)(10)(A)(ii)(XIX)’’ 
and 
inserting 
‘‘1902(a)(10)(A)(ii)(XVIII)’’; and 
(B) 
in 
subsection 
(b), 
by 
striking 
‘‘1902(a)(10)(A)(ii)(XVIII)’’ 
and 
inserting 
‘‘1902(a)(10)(A)(ii)(XVII)’’. 
(6) Section 1916(I) of such Act (42 U.S.C. 
1396o(I)) is amended in paragraphs (1) and (3), by 
striking ‘‘1902(a)(10)(A)(ii)(XIX)’’ and inserting 
‘‘1902(a)(10)(A)(ii)(XVIII)’’ each place it appears. 
(7) Section 1916A(b)(3) of such Act (42 U.S.C. 
1396o–1(b)(3)) is amended in subparagraphs (A)(v) 
and 
(B)(vii), 
by 
striking 
‘‘1902(a)(10)(A)(ii)(XVIII)’’ 
and 
inserting 
‘‘1902(a)(10)(A)(ii)(XVII)’’ each place it appears. 
(8) Section 1937(a)(2)(B)(x) of such Act (42 
U.S.C. 1396u–7(a)(2)(B)(x)) is amended by striking 
‘‘1902(a)(10)(A)(ii)(XVIII)’’ 
and 
inserting 
‘‘1902(a)(10)(A)(ii)(XVII)’’. 
(c) EFFECTIVE DATE.— 
(1) IN GENERAL.—Except as provided in para-
graph (2), the amendments made by subsections (a) 
and (b) shall apply to calendar quarters beginning 
on or after October 1, 2007, without regard to 
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whether or not final regulations to carry out such 
amendments have been promulgated by such date. 
(2) EXCEPTION
IF
STATE
LEGISLATION
RE-
QUIRED.—In the case of a State plan for medical as-
sistance under title XIX of the Social Security Act 
which the Secretary of Health and Human Services 
determines requires State legislation (other than leg-
islation appropriating funds) in order for the plan to 
meet the additional requirement imposed by the 
amendments made by subsection (a), the State plan 
shall not be regarded as failing to comply with the 
requirements of such title solely on the basis of its 
failure to meet this additional requirement before 
the first day of the first calendar quarter beginning 
after the close of the first regular session of the 
State legislature that begins after the date of the en-
actment of this Act. For purposes of the previous 
sentence, in the case of a State that has a 2-year 
legislative session, each year of such session shall be 
deemed to be a separate regular session of the State 
legislature. 
Æ 
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