section 1905(b) of the Social Security Act (42 
U.S.C. 1396d(b)). 
(2) STATE.—The term ‘‘State’’ has the mean-
ing given such term for purposes of title XIX of the 
Social Security Act (42 U.S.C. 1396 et seq.). 
(h) REPEAL.—Effective as of October 1, 2004, this 
section is repealed. 
SEC. 202. TEMPORARY GRANTS FOR STATE FISCAL RELIEF. 
(a) IN GENERAL.—Title XX of the Social Security 
Act (42 U.S.C. 1397–1397f) is amended by adding at the 
end the following:
‘‘SEC. 2008. ADDITIONAL TEMPORARY GRANTS FOR STATE 
FISCAL RELIEF. 
‘‘(a) IN GENERAL.—For the purpose of providing 
State fiscal relief allotments to States under this section, 
there are hereby appropriated, out of any funds in the 
Treasury not otherwise appropriated, $15,000,000,000. 
Such funds shall be available for obligation by the State 
through June 30, 2005, and for expenditure by the State 
through September 30, 2005. This section constitutes 
budget authority in advance of appropriations Acts and 
represents the obligation of the Federal Government to 
provide for the payment to States of amounts provided 
under this section.
‘‘(b) ALLOTMENT.—Funds appropriated under sub-
section (a) shall be allotted by the Secretary among the 
States in accordance with the following table:
‘‘State 
Allotment (in 
dollars) 
Alabama 
$170,940,139
Alaska 
$42,076,374
Amer. Samoa 
$414,007
Arizona 
$261,264,449
Arkansas 
$133,398,723
California 
$1,583,851,051
Colorado 
$143,030,332
Connecticut 
$207,204,156
Delaware 
$38,537,434
District of Columbia 
$65,034,813
Florida 
$624,655,953
Georgia 
$368,582,068
Guam 
$669,845
Hawaii 
$46,337,939
Idaho 
$48,659,904
Illinois 
$543,631,283
Indiana 
$271,629,605
Iowa 
$130,309,854
Kansas 
$94,370,028
Kentucky 
$212,122,967
Louisiana 
$239,827,085
Maine 
$92,781,591
Maryland 
$236,000,265
Massachusetts 
$472,765,757
Michigan 
$435,451,207
Minnesota 
$302,429,550
Mississippi 
$176,956,163
Missouri 
$302,534,081
Montana 
$36,437,168
Nebraska 
$79,550,313
Nevada 
$52,331,624
New Hampshire 
$54,101,351
New Jersey 
$411,954,920
New Mexico 
$112,850,197
New York 
$2,383,327,447
North Carolina 
$439,742,488
North Dakota 
$27,253,781
N. Mariana Islands 
$233,880
Ohio 
$616,448,513
Oklahoma 
$146,240,811
Oregon 
$167,002,460
Pennsylvania 
$745,862,667
Puerto Rico 
$18,916,230
Rhode Island 
$80,098,624
South Carolina 
$184,217,430
South Dakota 
$30,302,145
Tennessee 
$350,273,887
Texas 
$814,722,031
Utah 
$63,422,131
Vermont 
$40,549,714
Virgin Islands 
$624,499
Virginia 
$215,155,129
Washington 
$298,697,312
West Virginia 
$95,818,709
Wisconsin 
$270,901,128
Wyoming 
$17,496,788
Total 
$15,000,000,000
‘‘(c) USE OF FUNDS.—Funds appropriated under 
this section may be used by a State for services directed
at the goals set forth in section 2001, subject to the re-
quirements of this title. 
‘‘(d) PAYMENT TO STATES.—Not later than 30 days 
after amounts are appropriated under subsection (a), in 
addition to any payment made under section 2002 or 
2007, the Secretary shall make a lump sum payment to 
a State of the total amount of the allotment for the State 
as specified in subsection (b). 
‘‘(e) DEFINITION.—For purposes of this section, the 
term ‘State’ means the 50 States, the District of Colum-
bia, and the territories contained in the list under sub-
section (b).’’. 
(b) REPEAL.—Effective as of October 1, 2005, sec-
tion 2008 of the Social Security Act, as added by sub-
section (a), is repealed. 
(c) GAO STUDY AND REPORT.—
(1) STUDY.—The Comptroller General of the 
United States shall conduct a study to determine an 
appropriate index that could be used to temporarily 
adjust the Federal medical assistance percentage for 
purposes of programs authorized under the Social 
Security Act either with respect to all States during 
a period of national recession or with respect to a 
specific State when the State’s economy takes a sig-
nificant turn for the worse.
(2) REPORT.—Not later than 1 year after the 
date of the enactment of this Act, the Comptroller 
General of the United States shall submit a report 
to Congress on the study conducted under para-
graph (1). 
SEC. 203. INCREASING MEDICAID DSH ALLOTMENTS. 
(a) CONTINUATION OF MEDICAID DSH ALLOTMENT 
ADJUSTMENTS UNDER BIPA 2000.—
(1) IN GENERAL.—Section 1923(f) of the Social 
Security Act (42 U.S.C. 1396r–4(f))—
(A) in paragraph (2)—
(i) 
in 
the 
heading, 
by 
striking 
‘‘THROUGH 2002’’ and inserting ‘‘THROUGH 
2000’’; 
(ii) by striking ‘‘ending with fiscal 
year 2002’’ and inserting ‘‘ending with fis-
cal year 2000’’; and 
(iii) in the table in such paragraph, by 
striking the columns labeled ‘‘FY 01’’ and 
‘‘FY02’’; 
(B) in paragraph (3)(A), by striking 
‘‘paragraph (2)’’ and inserting ‘‘paragraph 
(4)’’; and 
(C) in paragraph (4), as added by section 
701(a)(1) of the Medicare, Medicaid, and
SCHIP Benefits Improvement and Protection 
Act of 2000 (as enacted into law by section 
1(a)(6) of Public Law 106–554)—
(i) by striking ‘‘FOR
FISCAL
YEARS 
2001 AND 2002’’ in the heading; 
(ii) in subparagraph (A), by striking 
‘‘Notwithstanding paragraph (2), the’’ and 
inserting ‘‘The’’; 
(iii) in subparagraph (C)—
(I) by striking ‘‘NO
APPLICA-
TION’’ and inserting ‘‘APPLICATION’’; 
and 
(II) by striking ‘‘without regard 
to’’ and inserting ‘‘taking into ac-
count’’. 
(2) INCREASE IN MEDICAID DSH ALLOTMENT 
FOR THE DISTRICT OF COLUMBIA.—
(A) IN GENERAL.—Effective for DSH al-
lotments beginning with fiscal year 2003, the 
item 
in 
the 
table 
contained 
in 
section 
1923(f)(2) of the Social Security Act (42 
U.S.C. 1396r–4(f)(2)) for the District of Co-
lumbia for the DSH allotment for FY 00 (fiscal 
year 2000) is amended by striking ‘‘32’’ and in-
serting ‘‘49’’.
(B) CONSTRUCTION.—Nothing in subpara-
graph (A) shall be construed as preventing the 
application of section 1923(f)(4) of the Social 
Security Act (as amended by subsection (a)) to 
the District of Columbia for fiscal year 2003 
and subsequent fiscal years. 
(3) EFFECTIVE DATE.—The amendments made 
by this subsection shall apply to DSH allotments for 
fiscal years beginning with fiscal year 2003. 
(b) INCREASE IN FLOOR FOR TREATMENT AS AN EX-
TREMELY LOW DSH STATE TO 3 PERCENT IN FISCAL 
YEAR 2003.—
(1) 
INCREASE
IN
DSH
FLOOR.—Section 
1923(f)(5) of the Social Security Act (42 U.S.C. 
1396r–4(f)(5)) is amended—
(A) by striking ‘‘fiscal year 1999’’ and in-
serting ‘‘fiscal year 2001’’; 
(B) by striking ‘‘August 31, 2000’’ and in-
serting ‘‘August 31, 2002’’; 
(C) by striking ‘‘1 percent’’ each place it 
appears and inserting ‘‘3 percent’’; and 
(D) by striking ‘‘fiscal year 2001’’ and in-
serting ‘‘fiscal year 2003’’. 
(2) EFFECTIVE DATE.—The amendments made 
by paragraph (1) take effect as if enacted on Octo-
ber 1, 2002, and apply to DSH allotments under 
title XIX of the Social Security Act for fiscal year 
2003 and each fiscal year thereafter. 
SEC. 204. INCREASED STATE ACCESS TO UNSPENT SCHIP 
FUNDS. 
(a) RETAINED AND REDISTRIBUTED ALLOTMENTS 
FOR
FISCAL
YEARS
1998 
AND
1999.—Paragraphs 
(2)(A)(i) and (2)(A)(ii) of section 2104(g) of the Social 
Security Act (42 U.S.C. 1397dd(g)) are each amended by 
striking ‘‘fiscal year 2002’’ and inserting ‘‘fiscal year 
2004’’. 
(b) EXTENSION AND REVISION OF RETAINED AND 
REDISTRIBUTED
ALLOTMENTS
FOR
FISCAL
YEAR 
2000.—
(1) PERMITTING AND EXTENDING RETENTION 
OF PORTION OF FISCAL YEAR 2000 ALLOTMENT.—
Paragraph (2) of such section 2104(g) is amended—
(A) in the heading, by striking ‘‘AND 1999’’ 
and inserting ‘‘THROUGH 2000’’; and 
(B) by adding at the end of subparagraph 
(A) the following: 
‘‘(iii) FISCAL
YEAR
2000
ALLOT-
MENT.—Of the amounts allotted to a State 
pursuant to this section for fiscal year 
2000 that were not expended by the State
by the end of fiscal year 2002, 50 percent 
of that amount shall remain available for 
expenditure by the State through the end 
of fiscal year 2004.’’. 
(2) REDISTRIBUTED ALLOTMENTS.—Paragraph 
(1) of such section 2104(g) is amended—
(A) in subparagraph (A), by inserting ‘‘or 
for fiscal year 2000 by the end of fiscal year 
2002,’’ after ‘‘fiscal year 2001,’’; 
(B) in subparagraph (A), by striking 
‘‘1998 or 1999’’ and inserting ‘‘1998, 1999, or 
2000’’; 
(C) in subparagraph (A)(i)—
(i) by striking ‘‘or’’ at the end of sub-
clause (I), 
(ii) by striking the period at the end 
of subclause (II) and inserting ‘‘; or’’; and 
(iii) by adding at the end the fol-
lowing new subclause: 
‘‘(III) the fiscal year 2000 allot-
ment, the amount specified in sub-
paragraph (C)(i) (less the total of the 
amounts under clause (ii) for such fis-
cal year), multiplied by the ratio of 
the amount specified in subparagraph
(C)(ii) for the State to the amount 
specified in subparagraph (C)(iii).’’; 
(D) in subparagraph (A)(ii), by striking 
‘‘or 1999’’ and inserting ‘‘, 1999, or 2000’’; 
(E) in subparagraph (B), by striking ‘‘with 
respect to fiscal year 1998 or 1999’’; 
(F) in subparagraph (B)(ii)—
(i) by inserting ‘‘with respect to fiscal 
year 1998, 1999, or 2000,’’ after ‘‘sub-
section (e),’’; and 
(ii) by striking ‘‘2002’’ and inserting 
‘‘2004’’; and 
(G) by adding at the end the following new 
subparagraph: 
‘‘(C) AMOUNTS USED IN COMPUTING RE-
DISTRIBUTIONS
FOR
FISCAL
YEAR
2000.—For 
purposes of subparagraph (A)(i)(III)—
‘‘(i) the amount specified in this 
clause is the amount specified in para-
graph (2)(B)(i)(I) for fiscal year 2000, less 
the total amount remaining available pur-
suant to paragraph (2)(A)(iii); 
‘‘(ii) the amount specified in this 
clause for a State is the amount by which 
the State’s expenditures under this title in
fiscal years 2000, 2001, and 2002 exceed 
the State’s allotment for fiscal year 2000 
under subsection (b); and 
‘‘(iii) the amount specified in this 
clause is the sum, for all States entitled to 
a redistribution under subparagraph (A) 
from the allotments for fiscal year 2000, of 
the amounts specified in clause (ii).’’. 
(3) CONFORMING AMENDMENTS.—Such section 
2104(g) is further amended—
(A) in its heading, by striking ‘‘AND 1999’’ 
and inserting ‘‘, 1999, AND 2000’’; and 
(B) in paragraph (3)—
(i) by striking ‘‘or fiscal year 1999’’ 
and inserting ‘‘, fiscal year 1999, or fiscal 
year 2000’’; and 
(ii) by striking ‘‘or November 30, 
2001’’ and inserting ‘‘November 30, 2001, 
or November 30, 2002’’, respectively. 
(c) EXTENSION AND REVISION OF RETAINED AND 
REDISTRIBUTED
ALLOTMENTS
FOR
FISCAL
YEAR 
2001.—
(1) PERMITTING AND EXTENDING RETENTION 
OF PORTION OF FISCAL YEAR 2001 ALLOTMENT.—
Paragraph (2) of such section 2104(g), as amended 
in subsection (b)(1)(B), is further amended—
(A) in the heading, by striking ‘‘2000’’ and 
inserting ‘‘2001’’; and 
(B) by adding at the end of subparagraph 
(A) the following: 
‘‘(iv) 
FISCAL
YEAR
2001
ALLOT-
MENT.—Of the amounts allotted to a State 
pursuant to this section for fiscal year 
2001 that were not expended by the State 
by the end of fiscal year 2003, 50 percent 
of that amount shall remain available for 
expenditure by the State through the end 
of fiscal year 2005.’’. 
(2) REDISTRIBUTED ALLOTMENTS.—Paragraph 
(1) of such section 2104(g), as amended in sub-
section (b)(2), is further amended—
(A) in subparagraph (A), by inserting ‘‘or 
for fiscal year 2001 by the end of fiscal year 
2003,’’ after ‘‘fiscal year 2002,’’; 
(B) in subparagraph (A), by striking 
‘‘1999, or 2000’’ and inserting ‘‘1999, 2000, or 
2001’’; 
(C) in subparagraph (A)(i)—
(i) by striking ‘‘or’’ at the end of sub-
clause (II), 
(ii) by striking the period at the end 
of subclause (III) and inserting ‘‘; or’’; and 
(iii) by adding at the end the fol-
lowing new subclause: 
‘‘(IV) the fiscal year 2001 allot-
ment, the amount specified in sub-
paragraph (D)(i) (less the total of the 
amounts under clause (ii) for such fis-
cal year), multiplied by the ratio of 
the amount specified in subparagraph 
(D)(ii) for the State to the amount 
specified in subparagraph (D)(iii).’’; 
(D) in subparagraph (A)(ii), by striking 
‘‘or 2000’’ and inserting ‘‘2000, or 2001’’; 
(E) in subparagraph (B)—
(i) by striking ‘‘and’’ at the end of 
clause (ii); 
(ii) by redesignating clause (iii) as 
clause (iv); and 
(iii) by inserting after clause (ii) the 
following new clause: 
‘‘(iii) notwithstanding subsection (e), 
with respect to fiscal year 2001, shall re-
main available for expenditure by the State 
through the end of fiscal year 2005; and’’; 
and 
(F) by adding at the end the following new 
subparagraph: 
‘‘(D) AMOUNTS USED IN COMPUTING RE-
DISTRIBUTIONS
FOR
FISCAL
YEAR
2001.—For 
purposes of subparagraph (A)(i)(IV)—
‘‘(i) the amount specified in this 
clause is the amount specified in para-
graph (2)(B)(i)(I) for fiscal year 2001, less 
the total amount remaining available pur-
suant to paragraph (2)(A)(iv); 
‘‘(ii) the amount specified in this 
clause for a State is the amount by which 
the State’s expenditures under this title in 
fiscal years 2001, 2002, and 2003 exceed 
the State’s allotment for fiscal year 2001 
under subsection (b); and 
‘‘(iii) the amount specified in this 
clause is the sum, for all States entitled to 
a redistribution under subparagraph (A) 
from the allotments for fiscal year 2001, of 
the amounts specified in clause (ii).’’.
(3) CONFORMING AMENDMENTS.—Such section 
2104(g) is further amended—
(A) in its heading, by striking ‘‘AND 2000’’ 
and inserting ‘‘2000, AND 2001’’; and 
(B) in paragraph (3)—
(i) by striking ‘‘or fiscal year 2000’’ 
and inserting ‘‘fiscal year 2000, or fiscal 
year 2001’’; and 
(ii) by striking ‘‘or November 30, 
2002,’’ and inserting ‘‘November 30, 2002, 
or November 30, 2003,’’, respectively. 
(d) AUTHORITY FOR QUALIFYING STATES TO USE 
PORTION OF SCHIP FUNDS FOR MEDICAID EXPENDI-
TURES.—Section 2105 of the Social Security Act (42 
U.S.C. 1397ee) is amended by adding at the end the fol-
lowing: 
‘‘(g) AUTHORITY FOR QUALIFYING STATES TO USE 
CERTAIN FUNDS FOR MEDICAID EXPENDITURES.—
‘‘(1) STATE OPTION.—
‘‘(A) IN GENERAL.—Notwithstanding any 
other provision of law, with respect to allot-
ments for fiscal years 1998, 1999, 2000, 2001, 
for fiscal years in which such allotments are 
available under subsections (e) and (g) of sec-
tion 2104, a qualifying State (as defined in
paragraph (2)) may elect to use not more than 
20 percent of such allotments (instead of for 
expenditures under this title) for payments for 
such fiscal year under title XIX in accordance 
with subparagraph (B). 
‘‘(B) PAYMENTS TO STATES.—
‘‘(i) IN GENERAL.—In the case of a 
qualifying State that has elected the option 
described in subparagraph (A), subject to 
the total amount of funds described with 
respect to the State in subparagraph (A), 
the Secretary shall pay the State an 
amount each quarter equal to the addi-
tional amount that would have been paid 
to the State under title XIX for expendi-
tures of the State for the fiscal year de-
scribed in clause (ii) if the enhanced 
FMAP (as determined under subsection 
(b)) had been substituted for the Federal 
medical assistance percentage (as defined 
in section 1905(b)) of such expenditures. 
‘‘(ii) EXPENDITURES
DESCRIBED.—
For purposes of clause (i), the expendi-
tures described in this clause are expendi-
tures for such fiscal years for providing
medical assistance under title XIX to indi-
viduals who have not attained age 19 and 
whose family income exceeds 150 percent 
of the poverty line. 
‘‘(iii) NO IMPACT ON DETERMINATION 
OF BUDGET NEUTRALITY FOR WAIVERS.—
In the case of a qualifying State that uses 
amounts paid under this subsection for ex-
penditures described in clause (ii) that are 
incurred under a waiver approved for the 
State, any budget neutrality determina-
tions with respect to such waiver shall be 
determined 
without 
regard 
to 
such 
amounts paid. 
‘‘(2) QUALIFYING STATE.—In this subsection, 
the term ‘qualifying State’ means a State that—
‘‘(A) as of April 15, 1997, has an income 
eligibility standard with respect to any 1 or 
more categories of children (other than infants) 
who are eligible for medical assistance under 
section 1902(a)(10)(A) or under a waiver under 
section 1115 implemented on January 1, 1994, 
that is up to 185 percent of the poverty line or 
above; and
‘‘(B) satisfies the requirements described 
in paragraph (3). 
‘‘(3) REQUIREMENTS.—The requirements de-
scribed in this paragraph are the following: 
‘‘(A) SCHIP INCOME
ELIGIBILITY.—The 
State has a State child health plan that (wheth-
er implemented under title XIX or this title)—
‘‘(i) as of January 1, 2001, has an in-
come eligibility standard that is at least 
200 percent of the poverty line or has an 
income eligibility standard that exceeds 
200 percent of the poverty line under a 
waiver under section 1115 that is based on 
a child’s lack of health insurance; 
‘‘(ii) subject to subparagraph (B), 
does not limit the acceptance of applica-
tions for children; and 
‘‘(iii) provides benefits to all children 
in the State who apply for and meet eligi-
bility standards on a statewide basis. 
‘‘(B) NO WAITING LIST IMPOSED.—With 
respect to children whose family income is at or 
below 200 percent of the poverty line, the State 
does not impose any numerical limitation, wait-
ing list, or similar limitation on the eligibility of
such children for child health assistance under 
such State plan. 
‘‘(C) ADDITIONAL
REQUIREMENTS.—The 
State has implemented at least 3 of the fol-
lowing policies and procedures (relating to cov-
erage of children under title XIX and this title): 
‘‘(i) UNIFORM, SIMPLIFIED APPLICA-
TION FORM.—With respect to children who 
are eligible for medical assistance under 
section 1902(a)(10)(A), the State uses the 
same uniform, simplified application form 
(including, if applicable, permitting appli-
cation other than in person) for purposes 
of establishing eligibility for benefits under 
title XIX and this title. 
‘‘(ii) ELIMINATION OF ASSET TEST.—
The State does not apply any asset test for 
eligibility under section 1902(l) or this title 
with respect to children. 
‘‘(iii) ADOPTION OF 12-MONTH CON-
TINUOUS
ENROLLMENT.—The State pro-
vides that eligibility shall not be regularly 
redetermined more often than once every 
year under this title or for children de-
scribed in section 1902(a)(10)(A).
‘‘(iv) SAME VERIFICATION AND REDE-
TERMINATION POLICIES; AUTOMATIC REAS-
SESSMENT OF ELIGIBILITY.—With respect 
to children who are eligible for medical as-
sistance under section 1902(a)(10)(A), the 
State provides for initial eligibility deter-
minations and redeterminations of eligi-
bility using the same verification policies 
(including with respect to face-to-face 
interviews), forms, and frequency as the 
State uses for such purposes under this 
title, and, as part of such redetermina-
tions, provides for the automatic reassess-
ment of the eligibility of such children for 
assistance under title XIX and this title. 
‘‘(v) OUTSTATIONING
ENROLLMENT 
STAFF.—The State provides for the receipt 
and initial processing of applications for 
benefits under this title and for children 
under title XIX at facilities defined as dis-
proportionate share hospitals under section 
1923(a)(1)(A) 
and 
Federally-qualified 
health 
centers 
described 
in 
section 
1905(l)(2)(B) 
consistent 
with 
section 
1902(a)(55).’’.
(e) EFFECTIVE DATE.—Subsections (a) through (c), 
and the amendments made by such subsections, shall be 
effective as if this section had been enacted on September 
30, 2002, and amounts under title XXI of the Social Secu-
rity Act (42 U.S.C. 1397aa et seq.) from allotments for 
fiscal years 1998 through 2000 are available for expendi-
ture on and after October 1, 2002, under the amendments 
made by such subsections as if this section had been en-
acted on September 30, 2002. 
SEC. 205. FEDERAL RESPONSIBILITY FOR EMERGENCY 
CARE FOR ILLEGAL IMMIGRANTS. 
(a) IN GENERAL.—Section 1903(a)(3) of the Social 
Security Act (42 U.S.C. 1396b(a)(3)) is amended—
(1) in subparagraph (D), by striking ‘‘plus’’ at 
the end and inserting ‘‘and’’; and 
(2) by adding at the end the following: 
‘‘(E) 100 percent of the sums expended 
with respect to costs incurred during such quar-
ter as are attributable to the provision of care 
and services that are furnished to an alien de-
scribed in subsection (v)(1) that are necessary 
for the treatment of an emergency medical con-
dition, as defined in subsection (v)(3); and’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect on July 1, 2003.
SEC. 206. INCREASED FEDERAL RESPONSIBILITY FOR 
TRANSLATION SERVICES. 
(a) IN GENERAL.—Section 1903(a)(3) of the Social 
Security Act (42 U.S.C. 1396b(a)(3)), as amended by sec-
tion 205(a), is amended by adding at the end the fol-
lowing: 
‘‘(F) 90 percent of the sums expended with 
respect to costs incurred during such quarter as 
are attributable to the provision of language 
services, including oral interpretation, trans-
lations of written materials, and other language 
services, for individuals with limited English 
proficiency who apply for, or receive, medical 
assistance under the State plan; and’’. 
(b) SCHIP.—Section 2105(A)(1) of the Social Secu-
rity Act (42 U.S.C.1397ee(a)(1)) is amended—
(1) in the matter preceding subparagraph (A), 
by striking ‘‘section 1905(b))’’ and inserting ‘‘sec-
tion 1905(b)) or, in the case of expenditures de-
scribed in subparagraph (D)(iv), 90 percent’’; and 
(2) in subparagraph (D)—
(A) in clause (iii), by striking ‘‘and’’ at the 
end; 
(B) by redesignating clause (iv) as clause 
(v); and
(C) by inserting after clause (iii) the fol-
lowing: 
‘‘(D) for expenditures attributable to the 
provision of language services, including oral in-
terpretation, translations of written materials, 
and other language services, for individuals 
with limited English proficiency who apply for, 
or receive, child health assistance under the 
plan; and’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on July 1, 2003. 
SEC. 207. INCREASED FEDERAL MATCHING RATES FOR 
CERTAIN SERVICES. 
(a) OUTSTATIONED WORKERS.—Section 1903(a)(3) 
of the Social Security Act (42 U.S.C. 1396b(a)(3)), as 
amended by sections 205(a) and 206(a), is amended by 
adding at the end the following: 
‘‘(G) 90 percent of the sums expended with 
respect to costs incurred during such quarter as 
are attributable to providing for the receipt and 
initial processing of applications of children and 
pregnant women for medical assistance con-
sistent 
with 
the 
requirements 
of 
section 
1902(a)(55); plus’’.