benefits under this title and also under title
XXI; and
‘‘(B) establishment and operation of an en-
rollment process that is coordinated with that
under title XXI so that a family need only
interact with a single State agency in order to
determine whether a child is eligible for benefits
under this title or title XXI and to apply for
such benefits.’’.
(B) EFFECTIVE DATE.—The amendments
made by subparagraph (A) apply to calendar
quarters beginning more than 6 months after
the date of the enactment of this Act.
(b) FINANCIAL INCENTIVES TO PROMOTE APPRO-
PRIATE ENROLLMENT.—
(1) EXPANDED AVAILABILITY OF FUNDING FOR
ADMINISTRATIVE
COSTS
RELATED
TO
OUTREACH
AND
ELIGIBILITY
DETERMINATIONS.—Section
1931(h) (42 U.S.C. 1396u–1(h)), as amended by
section 602 of the Medicare, Medicaid, and SCHIP
Balanced Budget Refinement Act of 1999 (113 Stat.
1501A–394), as enacted into law by section
1000(a)(6) of Public Law 106–113 is amended—
(A) in the matter preceding paragraph (1),
by striking ‘‘TRANSITIONAL’’ and all that fol-
lows through ‘‘COSTS’’ and inserting ‘‘IN-
CREASED FEDERAL MATCHING RATE FOR AD-
MINISTRATIVE COSTS RELATED
TO CERTAIN
OUTREACH
AND
ELIGIBILITY
DETERMINA-
TIONS’’;
(B) in paragraph (2), by inserting ‘‘either’’
after ‘‘attributable’’ and by inserting before the
period at the end the following: ‘‘or to adminis-
trative costs of determinations of the eligibility
of children and pregnant women for benefits
under the State plan under this title or title
XXI, outreach to children and pregnant women
likely to be eligible for such benefits, and such
other outreach- and eligibility-related activities
as the Secretary may approve’’; and
(C) by adding at the end the following new
paragraph:
‘‘(4) ENCOURAGING USE OF LOCAL AND COM-
MUNITY-BASED ORGANIZATIONS IN OUTREACH AND
ENROLLMENT ACTIVITIES.—The Secretary shall es-
tablish a procedure under which, if States do not
otherwise obligate the amounts made available under
this subsection, local and community-based public or
nonprofit organizations (including local and county
governments, public health departments, community
health centers, children’s hospitals, and dispropor-
tionate share hospitals) may seek to have adminis-
trative costs relating to outreach and enrollment of
children and pregnant women under this title and
title XXI be treated and reimbursed as administra-
tive costs of a State described in section 1903(a)(7),
if such organizations have the permission of the
State involved. A State may require such an organi-
zation to provide payment of such amounts as the
State would otherwise be responsible for in order to
obtain payment under this paragraph.’’.
(2) USE OF 3 PERCENT OF SCHIP FUNDS AT 90
PERCENT FEDERAL MATCH FOR ENROLLMENT AND
OUTREACH
ACTIVITIES.—Section 
2105(b) 
(42
U.S.C. 1397ee(b)) is amended—
(A) by designating the matter following the
dash as a paragraph (1) with appropriate in-
dentation and with the heading ‘‘(1) IN GEN-
ERAL’’;
(B) by inserting ‘‘subject to paragraph
(2)’’ after ‘‘(a)’’;
(C) by striking ‘‘(1)’’ and ‘‘(2)’’ and in-
serting ‘‘(A)’’ and ‘‘(B)’’, respectively; and
(D) by adding at the end the following
paragraph:
‘‘(2) SPECIAL
RULE
FOR
CERTAIN
ENROLL-
MENT AND OUTREACH ACTIVITIES.—
‘‘(A) IN GENERAL.—For purposes of sub-
section (a), in the case of a State that meets
the requirement of subparagraph (B), and sub-
ject to subparagraph (C), the ‘enhanced FMAP’
is equal to 90 percent with respect to amounts
expended on enrollment and outreach activities.
‘‘(B) REQUIREMENTS.—Subparagraph (A)
shall only apply to a State if the State meets
the following requirements:
‘‘(i) NO ASSET TEST.—The State does
not impose an asset test for eligibility
under the State child health plan or under
section 1902(l) with respect to children.
‘‘(ii) 
COMPLIANCE
WITH
OUTSTATIONING REQUIREMENT.—The Sec-
retary finds that the State is providing for
the receipt and initial processing of appli-
cations of certain individuals at facilities
defined as disproportionate share hospitals
under section 1923(a)(1)(A) and Feder-
ally-qualified health centers described in
section 1905(1)(2)(B) consistent with the
requirements of section 1902(a)(55).
‘‘(iii) COMPLIANCE WITH SIMPLIFIED
OUTREACH
AND
ENROLLMENT
PROVI-
SIONS.—The Secretary finds that the State
is providing for outreach and enrollment
under this title and title XIX consistent
with the requirements of sections 2102(c),
2102(d), and 1902(a)(66).
‘‘(iv) ALLOWING
MAIL
AND
TELE-
PHONE APPLICATIONS.—The State allows
applications for children under this title
and title XIX to be submitted by mail or
through telephone.
‘‘(C) LIMITATION TO 3 PERCENT OF AN-
NUAL
ALLOTMENT.—Subparagraph (A) shall
not apply to amounts expended by a State in a
fiscal year in excess of 3 percent of the amount
of the amount of its allotment under section
2104 for that fiscal year.’’.
(3) EFFECTIVE DATE.—The amendments made
by this subsection take effect on the date of the en-
actment of this Act and apply to expenditures made
on or after the date of the enactment of this Act.
(d) ADDITIONAL ENTITIES QUALIFIED TO DETER-
MINE MEDICAID PRESUMPTIVE ELIGIBILITY FOR LOW-IN-
COME CHILDREN.—Section 1920A(b)(3)(A)(i) (42 U.S.C.
1396r–1a(b)(3)(A)(i)) is amended—
(1) by striking ‘‘or (II)’’ and inserting ‘‘, (II)’’;
and
(2) by inserting ‘‘eligibility of a child for med-
ical assistance under the State plan under this title,
or eligibility of a child for child health assistance
under the program funded under title XXI, (III) is
an elementary school or secondary school, as such
terms are defined in section 14101 of the Elemen-
tary and Secondary Education Act of 1965 (20
U.S.C. 8801), an elementary or secondary school op-
erated or supported by the Bureau of Indian Affairs,
a State child support enforcement agency, a child
care resource and referral agency, or a State office
or private contractor that accepts applications for or
administers a program funded under part A of title
IV or that determines eligibility for any assistance
or benefits provided under any program of public or
assisted housing that receives Federal funds, includ-
ing the program under section 8 or any other section
of the United States Housing Act of 1937 (42
U.S.C. 1437 et seq.), or (IV) any other entity the
State so deems’’ before the semicolon.