agency administering a State plan under this title or title 
XXI, if— 
‘‘(1) such data or information are used only to 
establish or verify eligibility or provide coverage 
under this title or title XXI; and 
‘‘(2) an interagency or other agreement, con-
sistent with standards developed by the Secretary, 
prevents the unauthorized use, disclosure, or modi-
fication of such data and otherwise meets applicable 
Federal requirements safeguarding privacy and data 
security. 
‘‘(b) REQUIREMENTS FOR CONVEYANCE.—Data or 
information may be conveyed pursuant to this section only 
if the following requirements are met: 
‘‘(1) The individual whose circumstances are 
described in the data or information (or such indi-
vidual’s parent, guardian, caretaker relative, or au-
thorized representative) has either provided advance 
consent to disclosure or has not objected to disclo-
sure after receiving advance notice of disclosure and 
a reasonable opportunity to object. 
‘‘(2) Such data or information are used solely 
for the purposes of— 
‘‘(A) identifying individuals who are eligi-
ble or potentially eligible for assistance under 
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this title or title XXI and enrolling such indi-
viduals in the State plans established under 
such titles; and 
‘‘(B) verifying the eligibility of individuals 
for assistance under the State plans established 
under this title or title XXI. 
‘‘(3) An interagency or other agreement, con-
sistent with standards developed by the Secretary— 
‘‘(A) prevents the unauthorized use, disclo-
sure, or modification of such data and other-
wise meets applicable Federal requirements 
safeguarding privacy and data security; and 
‘‘(B) requires the State agencies admin-
istering the State plans established under this 
title and title XXI to use the data and informa-
tion obtained under this section to seek to en-
roll individuals in such plans. 
‘‘(c) CRIMINAL PENALTY.—A person described in the 
subsection (a) who publishes, divulges, discloses, or makes 
known in any manner, or to any extent not authorized by 
Federal law, any information obtained under this section 
shall be fined not more than $1,000 or imprisoned not 
more than 1 year, or both for each such unauthorized ac-
tivity. 
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‘‘(d) RULE OF CONSTRUCTION.—The limitations and 
requirements that apply to disclosure pursuant to this sec-
tion shall not be construed to prohibit the conveyance or 
disclosure of data or information otherwise permitted 
under Federal law (without regard to this section).’’. 
(2) CONFORMING AMENDMENT TO ASSURE AC-
CESS TO NATIONAL NEW HIRES DATABASE.—Section 
453(i)(1) (42 U.S.C. 653(i)(1)) is amended by strik-
ing ‘‘and programs funded under part A’’ and in-
serting ‘‘, programs funded under part A, and State 
plans approved under title XIX or XXI’’. 
(3) CONFORMING
AMENDMENT
TO
PROVIDE 
SCHIP PROGRAMS WITH ACCESS TO NATIONAL IN-
COME DATA.—Section 6103(l)(7)(D)(ii) of the Inter-
nal Revenue Code of 1986 is amended by inserting 
‘‘or title XXI’’ after ‘‘title XIX’’. 
(4) CONFORMING AMENDMENT TO PROVIDE AC-
CESS TO DATA ABOUT ENROLLMENT IN INSURANCE 
FOR PURPOSES OF EVALUATING APPLICATIONS AND 
FOR SCHIP.—Section 1902(a)(25)(I)(i) (42 U.S.C. 
1396a(a)(25)(I)(i)) is amended— 
(A) by inserting ‘‘(and, at State option, in-
dividuals who are potentially eligible or who 
apply)’’ after ‘‘with respect to individuals who 
are eligible’’; and 
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(B) by inserting ‘‘under this title (and, at 
State option, child health assistance under title 
XXI)’’ after ‘‘the State plan’’. 
SEC. 208. ENCOURAGING CULTURALLY APPROPRIATE EN-
ROLLMENT PRACTICES. 
Section 1903(a)(2) (42 U.S.C. 1396b(a)(2)) is 
amended by adding at the end the following new subpara-
graph: 
‘‘(E) an amount equal to 75 percent of so much 
of the sums expended during such quarter (as found 
necessary by the Secretary for the proper and effi-
cient administration of the State plan) as are attrib-
utable to translation or interpretation services in 
connection with the enrollment under this title of 
children of families for whom English is not their 
primary language; plus’’. 
SEC. 209. MODEL OF INTERSTATE COORDINATED ENROLL-
MENT AND COVERAGE PROCESS. 
In order to assure continuity of coverage of low-in-
come children under the Medicaid program and the State 
Children’s Health Insurance Program (SCHIP), the Sec-
retary of Health and Human Services, in consultation with 
State Medicaid and SCHIP directors, shall develop and 
disseminate a model process for the coordination of the 
enrollment and coverage under such programs of children 
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who, because of migration of families, emergency evacu-
ations, educational needs, or otherwise, frequently change 
their State of residency or otherwise are temporarily 
present outside of the State of their residency. 
SEC. 210. ELIMINATION OF COUNTING MEDICAID CHILD 
PRESUMPTIVE ELIGIBILITY COSTS AGAINST 
TITLE XXI ALLOTMENT. 
Section 2105(a)(1) (42 U.S.C. 1397ee(a)(1)) is 
amended— 
(1) in the matter preceding subparagraph (A), 
by striking ‘‘(or, in the case of expenditures de-
scribed in subparagraph (B), the Federal medical 
assistance percentage (as defined in the first sen-
tence of section 1905(b)))’’; and 
(2) by amending subparagraph (B) to read as 
follows: 
‘‘(B) [reserved]’’. 
SEC. 211. AUTHORITY FOR QUALIFYING STATES TO USE 
PORTION OF SCHIP ALLOTMENT FOR ANY 
FISCAL YEAR FOR CERTAIN MEDICAID EX-
PENDITURES. 
Section 2105(g)(1)(A) (42 U.S.C. 1397ee(g)(1)(A)), 
as amended by section 201(b) of the National Institutes 
of Health Reform Act of 2006 (Public Law 109–482) is 
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amended by striking ‘‘fiscal year 1998, 1999, 2000, 2001, 
2004, 2005, 2006, or 2007’’ and inserting ‘‘a fiscal year’’. 
SEC. 212. APPLICATION OF MEDICAID OUTREACH PROCE-
DURES TO ALL PREGNANT WOMEN AND CHIL-
DREN. 
(a) IN GENERAL.—Section 1902(a)(55) (42 U.S.C. 
1396a(a)(55)) is amended by striking ‘‘individuals for 
medical assistance under subsection (a)(10)(A)(i)(IV), 
(a)(10)(A)(i)(VI), 
(a)(10)(A)(i)(VII), 
or 
(a)(10)(A)(ii)(IX)’’ and inserting ‘‘child and pregnant 
women for medical assistance (including under clauses 
(i)(IV), (i)(VI), (i)(VII), and (ii)(IX) of paragraph 
(10)(A))’’. 
(b) EFFECTIVE DATE.— 
(1) IN GENERAL.—Except as provided in para-
graph (2), the amendment made by subsection (a) 
takes effect on January 1, 2008. 
(2) EXCEPTION FOR STATE LEGISLATION.—In 
the case of a State plan under title XIX of the So-
cial Security Act, which the Secretary of Health and 
Human Services determines requires State legisla-
tion in order for the plan to meet the additional re-
quirements imposed by the amendment made by 
subsection (a), the State plan shall not be regarded 
as failing to comply with the requirements of such 
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Act solely on the basis of its failure to meet these 
additional requirements before the first day of the 
first calendar quarter beginning after the close of 
the first regular session of the State legislature that 
begins after the date of enactment of this Act. For 
purposes of the previous sentence, in the case of a 
State that has a 2-year legislative session, each year 
of the session shall be considered to be a separate 
regular session of the State legislature. 
TITLE III—EFFECTIVE DATE 
SEC. 301. EFFECTIVE DATE. 
Unless otherwise provided, the amendments made by 
this Act shall take effect on October 1, 2007, and shall 
apply to child health assistance and medical assistance 
provided on or after that date without regard to whether 
or not final regulations to carry out such amendments 
have been promulgated by such date. 
Æ 
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