I 
110TH CONGRESS 
1ST SESSION 
H. R. 593 
To amend title XXI of the Social Security Act to provide grants to promote 
innovative outreach and enrollment under the Medicaid and State chil-
dren’s health insurance programs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 19, 2007 
Mr. REICHERT (for himself and Mr. TOWNS) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend title XXI of the Social Security Act to provide 
grants to promote innovative outreach and enrollment 
under the Medicaid and State children’s health insurance 
programs, and for other purposes. 
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 ‘‘Children’s Health In-
surance Promotion Act of 2007’’. 
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SEC. 2. GRANTS TO PROMOTE INNOVATIVE OUTREACH AND 
ENROLLMENT UNDER MEDICAID AND SCHIP. 
(a) GRANTS
FOR EXPANDED OUTREACH ACTIVI-
TIES.—Title XXI of the Social Security Act (42 U.S.C. 
1397aa et seq.) is amended by adding at the end the fol-
lowing: 
‘‘SEC. 2111. EXPANDED OUTREACH ACTIVITIES. 
‘‘(a) GRANTS TO CONDUCT INNOVATIVE OUTREACH 
AND ENROLLMENT EFFORTS.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants to eligible entities to— 
‘‘(A) conduct innovative outreach and en-
rollment efforts that are designed to increase 
the enrollment and participation of eligible chil-
dren under this title and title XIX; and 
‘‘(B) promote understanding of the impor-
tance of health insurance coverage for prenatal 
care and children. 
‘‘(2) PERFORMANCE BONUSES.—The Secretary 
may reserve a portion of the funds appropriated 
under subsection (g) for a fiscal year for the purpose 
of awarding performance bonuses during the suc-
ceeding fiscal year to eligible entities that meet en-
rollment goals or other criteria established by the 
Secretary. 
‘‘(b) PRIORITY FOR AWARD OF GRANTS.— 
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‘‘(1) IN
GENERAL.—In making grants under 
subsection (a)(1), the Secretary shall give priority 
to— 
‘‘(A) eligible entities that propose to target 
geographic areas with high rates of— 
‘‘(i) eligible but unenrolled children, 
including such children who reside in rural 
areas; or 
‘‘(ii) racial and ethnic minorities and 
health disparity populations, including 
those proposals that address cultural and 
linguistic barriers to enrollment; and 
‘‘(B) eligible entities that plan to engage in 
outreach efforts with respect to individuals de-
scribed in subparagraph (A) and that are— 
‘‘(i) Federal health safety net organi-
zations; or 
‘‘(ii) faith-based organizations or con-
sortia. 
‘‘(2) 10 PERCENT SET ASIDE FOR OUTREACH 
TO INDIAN CHILDREN.—An amount equal to 10 per-
cent of the funds appropriated under subsection (g) 
for a fiscal year shall be used by the Secretary to 
award grants to Indian Health Service providers and 
urban Indian organizations receiving funds under 
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title V of the Indian Health Care Improvement Act 
(25 U.S.C. 1651 et seq.) for outreach to, and enroll-
ment of, children who are Indians. 
‘‘(c) APPLICATION.—An eligible entity that desires to 
receive a grant under subsection (a)(1) shall submit to the 
Secretary an application in such form and manner, and 
containing such information, as the Secretary may decide. 
Such application shall include— 
‘‘(1) quality and outcomes performance meas-
ures to evaluate the effectiveness of activities funded 
by a grant awarded under this section to ensure that 
the activities are meeting their goals; and 
‘‘(2) an assurance that the entity shall— 
‘‘(A) conduct an assessment of the effec-
tiveness of such activities against such perform-
ance measures; and 
‘‘(B) cooperate with the collection and re-
porting of enrollment data and other informa-
tion determined as a result of conducting such 
assessments to the Secretary, in such form and 
manner as the Secretary shall require. 
‘‘(d) DISSEMINATION OF ENROLLMENT DATA AND 
INFORMATION DETERMINED FROM EFFECTIVENESS AS-
SESSMENTS; ANNUAL REPORT.—The Secretary shall— 
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‘‘(1) disseminate to eligible entities and make 
publicly available the enrollment data and informa-
tion collected and reported in accordance with sub-
section (c)(2)(B); and 
‘‘(2) submit to Congress an annual report on 
the outreach activities funded by grants awarded 
under this section. 
‘‘(e) SUPPLEMENT, NOT SUPPLANT.—Federal funds 
awarded under this section shall be used to supplement, 
not supplant, non-Federal funds that are otherwise avail-
able for activities funded under this section. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means any of the following: 
‘‘(A) A State or local government. 
‘‘(B) A Federal health safety net organiza-
tion. 
‘‘(C) A national, local, or community-based 
public or nonprofit private organization. 
‘‘(D) A faith-based organization or con-
sortia, to the extent that a grant awarded to 
such an entity is consistent with the require-
ments of section 1955 of the Public Health 
Service Act (42 U.S.C. 300x–65), relating to a 
grant award to non-governmental entities. 
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‘‘(E) An elementary school or secondary 
school, as such terms are defined in section 
9101 of the Elementary and Secondary Edu-
cation Act of 1965. 
‘‘(2) FEDERAL HEALTH SAFETY NET ORGANI-
ZATION.—The term ‘Federal health safety net orga-
nization’ means— 
‘‘(A) an Indian tribe, tribal organization, 
or an urban Indian organization receiving funds 
under title V of the Indian Health Care Im-
provement Act (25 U.S.C. 1651 et seq.), or an 
Indian Health Service provider; 
‘‘(B) a Federally-qualified health center 
(as defined in section 1905(l)(2)(B)); 
‘‘(C) a hospital defined as a dispropor-
tionate share hospital for purposes of section 
1923; 
‘‘(D) a covered entity described in section 
340B(a)(4) of the Public Health Service Act 
(42 U.S.C. 256b(a)(4)); and 
‘‘(E) any other entity or a consortium that 
serves children under a federally-funded pro-
gram, including the special supplemental nutri-
tion program for women, infants, and children 
(WIC) established under section 17 of the Child 
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Nutrition Act of 1966 (42 U.S.C. 1786), the 
head start and early head start programs under 
the Head Start Act (42 U.S.C. 9801 et seq.), 
the school lunch program established under the 
Richard B. Russell National School Lunch Act, 
and an elementary or secondary school. 
‘‘(3) INDIANS; INDIAN TRIBE; TRIBAL ORGANI-
ZATION; URBAN INDIAN ORGANIZATION.—The terms 
‘Indian’, ‘Indian tribe’, ‘tribal organization’, and 
‘urban Indian organization’ have the meanings given 
such terms in section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603). 
‘‘(g) APPROPRIATION.—There is appropriated, out of 
any money in the Treasury not otherwise appropriated, 
$50,000,000 for each of fiscal years 2008 and 2009 for 
the purpose of awarding grants under this section. 
Amounts appropriated and paid under the authority of 
this section shall be in addition to amounts appropriated 
under section 2104 and paid to States in accordance with 
section 2105, including with respect to expenditures for 
outreach 
activities 
in 
accordance 
with 
subsection 
(a)(1)(D)(iii) of that section.’’. 
(b) EXTENDING USE OF OUTSTATIONED WORKERS 
TO
ACCEPT
TITLE
XXI 
APPLICATIONS.—Section 
1902(a)(55) of the Social Security Act (42 U.S.C. 
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1396a(a)(55)) 
is 
amended 
by 
striking 
‘‘or 
(a)(10)(A)(ii)(IX)’’ and inserting ‘‘(a)(10)(A)(ii)(IX), or 
(a)(10)(A)(ii)(XIV), and applications for child health as-
sistance under title XXI’’. 
SEC. 3. STATE OPTION TO PROVIDE FOR SIMPLIFIED DE-
TERMINATIONS OF A CHILD’S FINANCIAL ELI-
GIBILITY FOR MEDICAL ASSISTANCE UNDER 
MEDICAID OR CHILD HEALTH ASSISTANCE 
UNDER SCHIP. 
(a) MEDICAID.—Section 1902(e) of the Social Secu-
rity Act (42 U.S.C. 1396a(e)) is amended by adding at 
the end the following: 
‘‘(13)(A) At the option of the State, the plan may 
provide that financial eligibility requirements for medical 
assistance are met for a child who is under an age speci-
fied by the State (not to exceed 21 years of age) by using 
a determination made within a reasonable period (as de-
termined by the State) before its use for this purpose, of 
the child’s family or household income, or if applicable for 
purposes of determining eligibility under this title or title 
XXI, assets or resources, by a Federal or State agency, 
or a public or private entity making such determination 
on behalf of such agency, specified by the plan, including 
an agency administering the State program funded under 
part A of title IV, the Food Stamp Act of 1977, the Rich-
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ard B. Russell National School Lunch Act, or the Child 
Nutrition Act of 1966, notwithstanding any differences in 
budget unit, disregard, deeming, or other methodology, 
but only if— 
‘‘(i) the agency has fiscal liabilities or re-
sponsibilities affected or potentially affected by 
such determination; and 
‘‘(ii) any information furnished by the 
agency pursuant to this subparagraph is used 
solely for purposes of determining financial eli-
gibility for medical assistance under this title or 
for child health assistance under title XXI. 
‘‘(B) Nothing in subparagraph (A) shall be con-
strued— 
‘‘(i) to authorize the denial of medical assist-
ance under this title or of child health assistance 
under title XXI to a child who, without the applica-
tion of this paragraph, would qualify for such assist-
ance; 
‘‘(ii) to relieve a State of the obligation under 
subsection (a)(8) to furnish medical assistance with 
reasonable promptness after the submission of an 
initial application that is evaluated or for which eval-
uation is requested pursuant to this paragraph; 
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‘‘(iii) to relieve a State of the obligation to de-
termine eligibility for medical assistance under this 
title or for child health assistance under title XXI on 
a basis other than family or household income (or, 
if applicable, assets or resources) if a child is deter-
mined ineligible for such assistance on the basis of 
information furnished pursuant to this paragraph; or 
‘‘(iv) as affecting the applicability of any non- 
financial requirements for eligibility for medical as-
sistance under this title or child health assistance 
under title XXI.’’. 
(b) SCHIP.—Section 2107(e)(1) of the Social Secu-
rity Act (42 U.S.C. 1397gg(e)(1)) is amended by adding 
at the end the following: 
‘‘(E) Section 1902(e)(13) (relating to the 
State option to base a determination of child’s 
financial eligibility for assistance on financial 
determinations made by a program providing 
nutrition or other public assistance).’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect as of the date of the enact-
ment of this Act and shall apply to child health assistance 
provided on or after October 1, 2008. 
Æ 
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