I
107TH CONGRESS
1ST SESSION
H. R. 2610
To amend title XXI of the Social Security Act to provide for coverage
of pregnancy-related assistance for targeted low-income pregnant women.
IN THE HOUSE OF REPRESENTATIVES
JULY 24, 2001
Mrs. LOWEY (for herself, Mr. HYDE, and Mr. MURTHA) 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
for coverage of pregnancy-related assistance for targeted
low-income pregnant women.
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 ‘‘Mothers and Newborns
Health Insurance Act of 2001’’.
SEC. 2. OPTIONAL COVERAGE OF LOW-INCOME, UNIN-
SURED PREGNANT WOMEN UNDER A STATE
CHILD HEALTH PLAN.
(a) IN GENERAL.—Title XXI of the Social Security
Act (42 U.S.C. 1397aa et seq.) is amended by adding at
the end the following:
‘‘SEC. 2111. OPTIONAL COVERAGE OF LOW-INCOME, UNIN-
SURED PREGNANT WOMEN.
‘‘(a) OPTIONAL COVERAGE.—Notwithstanding any
other provision of this title, a State child health plan may
provide for coverage of pregnancy-related assistance for
targeted low-income pregnant women in accordance with
this section.
‘‘(b) DEFINITIONS.—For purposes of this section:
‘‘(1) PREGNANCY-RELATED ASSISTANCE.—The
term ‘pregnancy-related assistance’ has the meaning
given the term ‘child health assistance’ in section
2110(a) as if any reference to targeted low-income
children were a reference to targeted low-income
pregnant women, except that the assistance shall be
limited to pregnancy-related services (as defined in
regulation for purposes of title XIX).
‘‘(2) 
TARGETED
LOW-INCOME
PREGNANT
WOMAN.—The term ‘targeted low-income pregnant
woman’ has the meaning given the term ‘targeted
low-income child’ in section 2110(b) as if any ref-
erence to a child were deemed a reference to a
woman during pregnancy and through the end of the
month in which the 60-day period (beginning on the
last day of her pregnancy) ends.
‘‘(c) 
REFERENCES
TO
TERMS
AND
SPECIAL
RULES.—In the case of, and with respect to, a State pro-
viding for coverage of pregnancy-related assistance to tar-
geted low-income pregnant women under subsection (a),
the following special rules apply:
‘‘(1) Any reference in this title (other than sub-
section (b)) to a targeted low-income child is deemed
to include a reference to a targeted low-income preg-
nant woman.
‘‘(2) Any such reference to child health assist-
ance with respect to such women is deemed a ref-
erence to pregnancy-related assistance.
‘‘(3) Any such reference to a child is deemed a
reference to a woman during pregnancy and the pe-
riod described in subsection (b)(2).
‘‘(4) The reference in section 2107(e)(1)(D) to
section 1920A (relating to presumptive eligibility for
children) is deemed a reference to section 1920 (re-
lating to presumptive eligibility for pregnant
women).
‘‘(5) The medicaid applicable income level is
deemed a reference to the income level established
under section 1902(l)(2)(A).
‘‘(6) Subsection (a) of section 2103 (relating to
required scope of health insurance coverage) shall
not apply insofar as a State limits coverage to serv-
ices described in subsection (b)(1) and the reference
to such section in section 2105(a)(1) is deemed not
to require, in such case, compliance with the require-
ments of section 2103(a).
‘‘(7) There shall be no exclusion of benefits for
services described in subsection (b)(1) based on any
pre-existing condition, and no waiting period (includ-
ing 
a 
waiting 
period 
to 
carry 
out 
section
2102(b)(3)(C)) shall apply.
‘‘(d) NO IMPACT ON ALLOTMENTS.—Nothing in this
section shall be construed as affecting the amount of any
initial allotment provided to a State under section
2104(b).
‘‘(e) APPLICATION OF FUNDING RESTRICTIONS.—
The coverage under this section (and the funding of such
coverage) is subject to the restrictions of section
2105(c).’’.
(b) APPLICATION OF QUALIFIED ENTITIES TO PRE-
SUMPTIVE ELIGIBILITY FOR PREGNANT WOMEN UNDER
MEDICAID.—Section 1920(b) of the Social Security Act
(42 U.S.C. 1396r–1(b)) is amended by adding at the end
after and below paragraph (2) the following flush sen-
tence:
‘‘The term ‘qualified provider’ includes a qualified entity
as defined in section 1920A(b)(3).’’.
(c) 
CONFORMING
AMENDMENTS.—Section
2102(b)(1)(B) of the Social Security Act (42 U.S.C.
1397bb(b)(1)(B)) is amended—
(1) by striking ‘‘and’’ at the end of clause (i);
(2) by striking the period at the end of clause
(ii) and inserting ‘‘, and’’; and
(3) by adding at the end the following:
‘‘(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 child who is pregnant, if the
State provides for coverage of pregnancy-
related assistance for targeted low-income
pregnant women in accordance with section
2111.’’.
(d) EFFECTIVE DATE.—The amendments made by
this section take effect on the date of enactment of this
Act and apply to allotments under title XXI of the Social
Security Act (42 U.S.C. 1397aa et seq.) for all fiscal
years.
SEC. 3. AUTOMATIC ENROLLMENT FOR CHILDREN BORN
TO 
WOMEN 
RECEIVING 
PREGNANCY-RE-
LATED ASSISTANCE.
(a) IN GENERAL.—Section 2111 of the Social Secu-
rity Act, as added by section 2, is amended by adding at
the end the following:
‘‘(f) AUTOMATIC
ENROLLMENT
FOR
CHILDREN
BORN TO WOMEN RECEIVING PREGNANCY-RELATED AS-
SISTANCE.—Notwithstanding any other provision of this
title or title XIX, if a child is born to a targeted low-in-
come pregnant woman who was receiving pregnancy-re-
lated assistance under this section on the date of the
child’s birth, the child shall be deemed to have applied for
child health assistance under the State child health plan
on the date of such birth, to have been found eligible for
such assistance under such plan (or, in the case of a State
that provides such assistance through the provision of
medical assistance under a plan under title XIX to have
applied for medical assistance under such title and to have
been found eligible for such assistance under such title on
the date of such birth) and to remain eligible for such as-
sistance until the child attains 1 year of age, so long as
the child is a member of the woman’s household.’’.
(b) EFFECTIVE DATE.—The amendment made by
subsection (a) takes effect on the date of enactment of
this Act and applies to allotments under title XXI of the
Social Security Act (42 U.S.C. 1397aa et seq.) for all fis-
cal years.
SEC. 4. EXPANDED AVAILABILITY OF FUNDING FOR ADMIN-
ISTRATIVE COSTS RELATED TO OUTREACH
AND ELIGIBILITY DETERMINATIONS.
Section 1931(h) of the Social Security Act (42 U.S.C.
1396u–1(h)) is amended—
(1) by striking the subsection heading and in-
serting ‘‘INCREASED FEDERAL MATCHING RATE
FOR ADMINISTRATIVE COSTS RELATED
TO OUT-
REACH AND ELIGIBILITY DETERMINATIONS’’; and
(2) in paragraph (2), by striking ‘‘eligibility de-
terminations’’ and all that follows and inserting ‘‘de-
terminations of the eligibility of children and preg-
nant women for benefits under the State plan under
this title or title XXI, outreach to children and preg-
nant women likely to be eligible for such benefits,
and such other outreach- and eligibility-related ac-
tivities as the Secretary may approve.’’.
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