(2) SPECIAL RULES IN APPLYING TO TERRI-
TORIES.—(A) Section 1905(b)(2) of such Act (42
U.S.C. 1396d(b)(2)) is amended by striking ‘‘50
percent’’ and inserting ‘‘70 percent’’.
(B) Section 1108 of such Act (42 U.S.C. 1308)
is amended—
(i) in subsection (f), by striking ‘‘sub-
section (g)’’ and inserting ‘‘subsections (g) and
(h)’’; and
(ii) by adding at the end the following new
subsection:
‘‘(h) The limitations under subsection (f)—
‘‘(1) shall not apply with respect to expendi-
tures described in section 1903(h); and
‘‘(2) with respect to other expenditures made
for fiscal years beginning with fiscal year 2002 with
respect to a territory shall be 250 percent of the
amount otherwise permitted under such subsection
and subsection (g) with respect to such territory.’’.
(d) STATE-LIKE TREATMENT
OF TERRITORIES.—
Section 1108 of such Act (42 U.S.C. 1308) is amended—
(1) in subsection (f), by striking ‘‘subsection
(g)’’ and inserting ‘‘subsections (g) and (h)’’; and
(2) by adding at the end the following new sub-
section:
‘‘(h) EXEMPTION OF CERTAIN EXPENDITURES FROM
LIMITATION.—Amounts of expenditures attributable to
medical 
assistance 
provided 
under 
section
1902(a)(10)(A)(i)(VIII) (or otherwise required to carry
out the amendments made by the Working American
Families Access to Health Care Act of 2001) shall not
be taken into account in applying subsections (f) and
(g).’’.
(e) REQUIRED USE OF COMMUNITY-BASED ORGANI-
ZATIONS
IN
EXPENDITURES
FOR
OUTREACH
AND
MEDIA.—Section 1903(i) of such Act (42 U.S.C.
1396b(i)) is amended by inserting after paragraph (8) the
following new paragraph:
‘‘(9) with respect to amounts expended for out-
reach and media education campaigns (including
amounts expended for assistance to those applying
for medical assistance), unless at least 25 percent of
such amounts are made available for such expendi-
tures through community-based organizations; or’’.
(f) FLOOR FOR MEDICAID HMO PAYMENT FOR ALL
SERVICES; ACCESS TO SPECIALISTS.—Section 1932(b) of
such Act (42 U.S.C. 1396u–2(b)) is amended by adding
at the end the following new paragraphs:
‘‘(9) PAYMENT FLOOR FOR ALL SERVICES.—A
medicaid managed care organization shall not reim-
burse a hospital or other health care provider or pro-
fessional for the provision of services under this sec-
tion at a rate that is less the fee-for-service rate pro-
vided by the State for payment for such a hospital,
provider, or professional for such services under this
title in the case of individuals who are not enrolled
with such an organization under this section.
‘‘(10) ACCESS
TO
SPECIALISTS.—A medicaid
managed care organization shall assure access to
specialty care with appropriate competence and ex-
pertise to provide all specialty care required by mem-
bers enrolled under this section. The State shall es-
tablish safeguards and access to specialists of an en-
rollee’s choice in case of a failure to provide timely
access through the organization.’’.
(g) TOLL-FREE NUMBER.—Section 1902 of such Act
(42 U.S.C. 1396a) is amended by inserting after sub-
section (j) the following new subsection:
‘‘(k) The Secretary shall establish a toll-free tele-
phone number at which individuals who are eligible for
medical assistance under this title may file complaints con-
cerning health care providers who do not accept medical
assistance under this title for services they provide or con-
cerning other problems they have with the program under
this title.’’.
(h) COLLECTION
OF DATA
BY RACE
AND ETH-
NICITY.—The Secretary of Health and Human Services
shall provide for the collection of data on enrollment, re-
ceipt of services, and health outcomes under the medicaid
program under title XIX of the Social Security Act, bro-
ken down at least by the race and ethnicity of medicaid
recipients. The Director of the Office of Management and
Budget shall make such revisions in data collection stand-
ards as may be necessary to carry out this subsection.
(i) EFFECTIVE DATE.—The amendments made by
this section shall take effect on January 1, 2002.
Æ