‘‘(5) NO LIMITATION ON SCOPE OR DURATION
FOR FEHBP-EQUIVALENT CHILDREN’S HEALTH IN-
SURANCE COVERAGE.—With respect to coverage that
is equivalent to the benchmark benefit package de-
scribed in subsection (b)(1), or that is actuarially
equivalent to such package and otherwise meets the
requirements of paragraph (2)—
‘‘(A) services otherwise provided under
such coverage that are medically necessary to
maintain, improve, or prevent the deterioration
of the physical, developmental, or mental health
of the child may not be limited with respect to
scope or duration, except to the degree that
such services are not medically necessary; and
‘‘(B) such coverage shall include the option
to identify medically necessary appropriate al-
ternatives to traditional care or extra contrac-
tual services determined by the health plan to
be a more cost effective alternative than covered
items or services.’’.
SEC. 106. ELIMINATION OF 100 HOUR RULE AND OTHER
AFDC-RELATED ELIGIBILITY RESTRICTIONS.
(a) IN GENERAL.—Section 1931(b)(1)(A)(ii) of the
Social Security Act (42 U.S.C. 1396u–1(b)(1)(A)(ii)) is
amended by inserting ‘‘other than the requirement that
the child be deprived of parental support or care by reason
of the death, continued absence from the home, incapacity,
or unemployment of a parent,’’ after ‘‘section 407(a),’’.
(b) CONFORMING AMENDMENT.—Section 1905(a) of
such Act (42 U.S.C. 1396d(a)) is amended, in the matter
before paragraph (1), in clause (ii), by striking ‘‘if such
child is (or would, if needy, be) a dependent child under
part A of title IV’’.
(c) EFFECTIVE DATE.—The amendments made by
this section apply to eligibility determinations made on or
after October 1, 2000.
SEC. 107. LIMITATIONS ON CONFLICTS OF INTEREST.
(a) LIMITATION
ON CONFLICTS
OF INTEREST
IN
MARKETING ACTIVITIES.—
(1) TITLE XXI.—Section 2105(c) of the Social
Security Act (42 U.S.C. 300aa–5(c)) is amended by
adding at the end the following new paragraph:
‘‘(8) LIMITATION ON EXPENDITURES FOR MAR-
KETING ACTIVITIES.—Amounts expended by a State
for the use of an administrative vendor in marketing
health benefits coverage to low-income children
under this title shall not be considered, for purposes
of subsection (a)(2)(D), to be reasonable costs to ad-
minister the plan unless the following conditions are
met with respect to the vendor:
‘‘(A) The vendor is independent of any en-
tity offering the coverage in the same area of
the State in which the vendor is conducting
marketing activities.
‘‘(B) No person who is an owner, em-
ployee, consultant, or has a contract with the
vendor either has any direct or indirect finan-
cial interest with such an entity or has been ex-
cluded from participation in the program under
this title or title XVIII or XIX or debarred by
any Federal agency, or subject to a civil money
penalty under this Act.’’.
(b) PROHIBITION OF AFFILIATION WITH DEBARRED
INDIVIDUALS.—
(1) MEDICAID.—Section 1903(i) of such Act
(42 U.S.C. 1396b(i))is amended—
(A) by striking the period at the end of
paragraph (20) and inserting ‘‘; or’’; and
(B) by inserting after paragraph (20) the
following new paragraph:
‘‘(21) with respect to any amounts expended for
an entity that receives payments under the plan
unless—
‘‘(A) no person with an ownership or con-
trol interest (as defined in section 1124(a)(3))
in the entity is a person that is debarred, sus-
pended, or otherwise excluded from partici-
pating in procurement or non-procurement ac-
tivities under the Federal Acquisition Regula-
tion; and
‘‘(B) such entity has not entered into an
employment, consulting, or other agreement for
the provision of items or services that are mate-
rial to such entity’s obligations under the plan
with a person described in subparagraph (A).’’.
(2) TITLE XXI.—Section 2107(e)(1) of such Act
(42 U.S.C. 1397gg(e)(1)), as amended by section
102(b), is further amended by adding at the end the
following new subparagraph:
‘‘(F) Section 1903(i)(21) (relating to pro-
hibition of affiliation with debarred individ-
uals).’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall apply to expenditures made on or after
the date of the enactment of this Act.
SEC. 108. DEMONSTRATION PROGRAMS TO IMPROVE MED-
ICAID AND CHIP OUTREACH TO HOMELESS
INDIVIDUALS AND FAMILIES.
(a) AUTHORITY.—The Secretary of Health and
Human Services may award demonstration grants to not
more than 7 States (or other qualified entities) to conduct
innovative programs that are designed to improve out-
reach to homeless individuals and families under the pro-
grams described in subsection (b) with respect to enroll-
ment of such individuals and families under such pro-
grams and the provision of services (and coordinating the
provision of such services) under such programs.
(b) PROGRAMS FOR HOMELESS DESCRIBED.—The
programs described in this subsection are as follows:
(1) MEDICAID.—The program under title XIX
of the Social Security Act (42 U.S.C. 1396 et seq.).
(2) CHIP.—The program under title XXI of
such Act (42 U.S.C. 1397aa et seq.).
(3) TANF.—The program under part of A of
title IV of such Act (42 U.S.C. 601 et seq.).
(4) SAMHSA BLOCK GRANTS.—The program
of grants under part B of title XIX of the Public
Health Service Act (42 U.S.C. 300x–1 et seq.).
(5) FOOD
STAMP
PROGRAM.—The program
under the Food Stamp Act of 1977 (7 U.S.C. 2011
et seq.).
(6) WORKFORCE INVESTMENT ACT.—The pro-
gram under the Workforce Investment Act of 1999
(29 U.S.C. 2801 et seq.).
(7) WELFARE-TO-WORK.—The welfare-to-work
program under section 403(a)(5) of the Social Secu-
rity Act (42 U.S.C. 603(a)(5)).
(8) OTHER PROGRAMS.—Other public and pri-
vate benefit programs that serve low-income individ-
uals.
(c) APPROPRIATIONS.—For the purposes of carrying
out this section, there is appropriated, out of any funds
in the Treasury not otherwise appropriated, $10,000,000,
to remain available until expended.
TITLE II—ACCESS TO AFFORD-
ABLE CARE FOR ALL AMERI-
CANS
SEC. 201. EXTENSION OF COVERAGE TO SINGLE INDIVID-
UALS.
(a) REQUIREMENT TO EXTEND COVERAGE TO SIN-
GLE INDIVIDUALS.—Section 1902(a)(66) of the Social Se-
curity Act (42 U.S.C. 1396a(a)(66)), as added by section
101(a), is amended—
(1) 
by 
striking 
‘‘under 
paragraph
(10)(A)(ii)((XVIII)’’ and inserting ‘‘under—
‘‘(A) paragraph (10)(A)(ii)((XVIII)’’;
(2) by striking the period and inserting ‘‘;
and’’; and
(3) by adding at the end the following:
‘‘(B) paragraph (10)(A)(ii)(XIX) for indi-
viduals described in subsection (aa)(1) in ac-
cordance with the conditions described in para-
graphs (2), (3), (4), (5), and (6) of subsection
(aa).’’.
(b) COVERAGE UNDER MEDICAID.—
(1) IN
GENERAL.—Section 1902(a)(10)(A)(ii)
of 
the 
Social 
Security 
Act 
(42 
U.S.C.
1396a(a)(10)(A)(ii)), as amended by section 101(b),
is amended—
(A) by striking ‘‘or’’ at the end of sub-
clause (XVII);
(B) by adding ‘‘or’’ at the end of subclause
(XVIII); and
(C) by adding at the end the following new
subclause:
‘‘(XIX) who are individuals de-
scribed in subsection (aa)(1);’’.
(2) 
CONDITIONS
FOR
COVERAGE.—Section
1902 of such Act is amended by adding at the end
the following new subsection:
‘‘(aa)(1) The individuals described in this paragraph
are individuals—
‘‘(A) who are not otherwise eligible for medical
assistance under subsection (a)(10)(A); and
‘‘(B) whose income is at least—
‘‘(i) with respect to fiscal year 2003, 50
percent of the poverty line;
‘‘(ii) with respect to fiscal year, 2004, 100
percent of the poverty line;
‘‘(iii) with respect to fiscal year 2005, 150
percent of the poverty line;
‘‘(iv) with respect to fiscal year 2006, 200
percent of the poverty line;
‘‘(v) with respect to fiscal year 2007, 250
percent of the poverty line; and
‘‘(vi) with respect to fiscal year 2008, 300
percent of the poverty line.
‘‘(2) At State option, clause (iii), (iv), (v), or (vi) of
paragraph (1)(B) shall not apply but only if the State pro-
vides health coverage for an individual who would be de-
scribed in any such clause in accordance with section
2111.
‘‘(3) The State provides that individuals described in
paragraph (1) remain eligible for medical assistance for
a period (of at least 12 months) following the eligibility
determination required under such paragraph.
‘‘(4) The State has a State child health plan under
title XXI which (whether implemented under such title or
under this title) does not limit the acceptance of applica-
tions for individuals described in paragraph (1), does not
use a waiting list for such individuals who meet eligibility
standards to qualify for assistance (under this title or, if
the State offers such individuals assistance under section
2111(a)(2), title XXI), and provides benefits to all such
individuals in the State who apply for and meet eligibility
standards.
‘‘(5) The State does not cover individuals described
in paragraph (1) with higher family income without cov-
ering such individuals with a lower family income.
‘‘(6) Section 1920A(e) shall apply to individuals de-
scribed in paragraph (1) in the same manner as such sec-
tion applies to parents described in that section.’’.
(3) CONFORMING AMENDMENTS.—
(A) ELIGIBILITY
CATEGORIES.—Section
1905(a) of such Act (42 U.S.C. 1396d(a)), as
amended by section 101(b)(4)(A), is amended,
in the matter before paragraph (1)—
(i) by striking ‘‘or’’ at the end of
clause (xi);
(ii) by inserting ‘‘or’’ at the end of
clause (xii); and
(iii) by inserting after clause (xii) the
following new clause:
‘‘(xiii) who are individuals described in section
1902(aa)(1),’’.
(B) 
INCOME
LIMITATIONS.—Section
1903(f)(4) of such Act (42 U.S.C. 1396b(f)(4)),
as amended by section 101(b)(4)(B), is amend-
ed by inserting ‘‘1902(a)(10)(A)(ii)(XIX),’’
after ‘‘1902(a)(10)(A)(ii)(XVIII),’’.
(c) COVERAGE UNDER SCHIP.—
(1) IN GENERAL.—Section 2111 of such Act, as
added by section 101(c), is amended—
(A) in the heading, by inserting ‘‘AND
SINGLE ADULTS’’ before the period;
(B) in subsection (a)—
(i) by striking ‘‘Notwithstanding’’ and
inserting the following:
‘‘(1) FAMILIES.—Notwithstanding’’; and
(ii) by adding at the end the fol-
lowing:
‘‘(2) CERTAIN SINGLE INDIVIDUALS.—Notwith-
standing any other provision of this title, with re-
spect to a State that does not provide medical assist-
ance under section 1902(a)(10)(A)(ii)(XIX) for an
individual described in clause (iii), (iv), (v), or (vi)
of section 1902(aa)(1)(B), the State shall provide
health coverage under this title for such an indi-
vidual through an amendment to its State child
health plan under section 2102 in accordance with
this section and the conditions described in para-
graphs (3) and (4) of section 1902(aa).’’; and
(C) in subsection (b), by adding at the end
the following new paragraph:
‘‘(3) TREATMENT OF CERTAIN SINGLE INDIVID-
UALS.—A State child health plan shall treat, and
shall apply this section to, an individual described in
subsection (a)(2) in the same manner as such plan
treats and applies this section to a family described
in section 1902(k)(1).’’.
TITLE III—ADDITIONAL
PROVISIONS
SEC. 301. AVAILABILITY OF UNSUBSIDIZED COVERAGE.
(a) REQUIREMENT TO OFFER COVERAGE.—
(1) IN GENERAL.—Title XIX of the Social Se-
curity Act (42 U.S.C. 1396 et seq.) is amended—
(A) by redesignating section 1935 as sec-
tion 1936; and
(B) by adding at the end the following new
section:
‘‘AVAILABILITY OF COVERAGE
‘‘SEC. 1936. (a) IN GENERAL.—Beginning with cal-
endar year 2002, each State with a plan approved under
this title shall make available to any individual or family
with income that exceeds 300 percent of the poverty line
(as defined in section 673(2) of the Community Services
Block Grant Act (42 U.S.C. 9902(2)), including any revi-
sion required by such section) medical assistance provided
under this title or health coverage under section 2111
through payment of a premium determined in accordance
with subsection (b).
‘‘(b) DETERMINATION OF PREMIUMS.—
‘‘(1) IN
GENERAL.—Premiums for coverage
under this title shall be based on the pooled average
cost of medical assistance provided under this title
for the relevant comparison group for the individual
purchasing such coverage.
‘‘(2) NO ADJUSTMENT FOR HEALTH STATUS.—
Premiums imposed under this section may not be
adjusted for the health status of the individual.
‘‘(3) APPLICATION OF HIPAA.—The provisions
of title XXVII of the Public Health Service Act (42
U.S.C. 300gg et seq.) apply to coverage made avail-
able under this section.
‘‘(c) COMPARABILITY OF COVERAGE.—Medical as-
sistance made available under this section shall be pro-
vided to an individual or family purchasing such coverage
in the same amount, duration, and scope as such assist-