title, or provides medical assistance for pregnant 
women under title XIX, whose family income ex-
ceeds the effective income level applicable under sub-
section (a)(10)(A)(i)(III) or (l)(2)(A) of section 
1902 to a family of the size involved as of January 
1, 2007.’’. 
(B) CONFORMING AMENDMENTS.—Section 
2104 of the Social Security Act (42 U.S.C. 
1397dd) is amended— 
(i) in subsection (a), in the matter 
preceding paragraph (1), by inserting 
‘‘subject to subsection (d),’’ after ‘‘under 
this section,’’; 
(ii) in subsection (b)(1), by inserting 
‘‘and subsection (d)’’ after ‘‘Subject to 
paragraph (4)’’; and 
(iii) in subsection (c)(1), by inserting 
‘‘subject to subsection (d),’’ after ‘‘for a 
fiscal year,’’. 
(3) PRESUMPTIVE
ELIGIBILITY
UNDER
TITLE 
XXI.— 
(A) 
APPLICATION
TO
PREGNANT 
WOMEN.—Section 2107(e)(1)(D) of the Social 
Security Act (42 U.S.C. 1397gg(e)(1)) is 
amended to read as follows: 
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‘‘(D) Sections 1920 and 1920A (relating to 
presumptive eligibility).’’. 
(B) EXCEPTION FROM LIMITATION ON AD-
MINISTRATIVE EXPENSES.—Section 2105(c)(2) 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1397ee(c)(2)) is amended by adding at the end 
the following new subparagraph: 
‘‘(C) EXCEPTION FOR PRESUMPTIVE ELI-
GIBILITY
EXPENDITURES.—The 
limitation 
under subparagraph (A) on expenditures shall 
not apply to expenditures attributable to the 
application of section 1920 or 1920A (pursuant 
to section 2107(e)(1)(D)), regardless of whether 
the child or pregnant woman is determined to 
be ineligible for the program under this title or 
title XIX.’’. 
(4) 
ADDITIONAL
AMENDMENTS
TO
TITLE 
XXI.— 
(A) NO
COST-SHARING
FOR
PREGNANCY 
RELATED SERVICES.—Section 2103(e)(2) of the 
Social Security Act (42 U.S.C. 1397cc(e)(2)) is 
amended— 
(i) in the heading, by inserting ‘‘OR 
PREGNANCY-RELATED
SERVICES’’ 
after 
‘‘PREVENTIVE SERVICES’’; and 
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(ii) by inserting before the period at 
the end the following: ‘‘or for pregnancy 
related services’’. 
(B) 
NO
WAITING
PERIOD.—Section 
2102(b)(1)(B) of the Social Security Act (42 
U.S.C. 1397bb(b)(1)(B)) is amended— 
(i) by striking ‘‘, and’’ at the end of 
clause (i) and inserting a semicolon; 
(ii) by striking the period at the end 
of clause (ii) and inserting ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(iii) may not apply a waiting period 
(including a waiting period to carry out 
paragraph (3)(C)) in the case of a targeted 
low-income pregnant woman.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section apply to items and services furnished on or 
after October 1, 2006, without regard to whether regula-
tions implementing such amendments have been promul-
gated. 
(d) CONSTRUCTION.—Nothing in this Act shall be 
construed as affecting the regulation promulgated at Fed-
eral Register 61956 (October 2, 2002), relating to eligi-
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