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SEC. 2. OPTIONAL MEDICAID COVERAGE OF CERTAIN
BREAST OR CERVICAL CANCER PATIENTS.
(a) COVERAGE AS OPTIONAL CATEGORICALLY NEEDY
GROUP.—
(1) IN GENERAL.—Section 1902(a)(10)(A)(ii) of
the 
Social 
Security 
Act 
(42 
U.S.C.
1396a(a)(10)(A)(ii)) is amended—
(A) in subclause (XVI), by striking ‘‘or’’ at
the end;
(B) in subclause (XVII), by adding ‘‘or’’ at
the end; and
(C) by adding at the end the following:
‘‘(XVIII) who are described in
subsection (aa) (relating to certain
breast or cervical cancer patients);’’.
(2) GROUP DESCRIBED.—Section 1902 of the So-
cial Security Act (42 U.S.C. 1396a) is amended by
adding at the end the following:
‘‘(aa) Individuals described in this subsection are indi-
viduals who—
‘‘(1) 
are 
not 
described 
in 
subsection
(a)(10)(A)(i);
‘‘(2) have not attained age 65;
‘‘(3) have been screened for breast and cervical
cancer under the Centers for Disease Control and Pre-
vention breast and cervical cancer early detection
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program established under title XV of the Public
Health Service Act (42 U.S.C. 300k et seq.) in accord-
ance with the requirements of section 1504 of that Act
(42 U.S.C. 300n) and need treatment for breast or
cervical cancer; and
‘‘(4) are not otherwise covered under creditable
coverage, as defined in section 2701(c) of the Public
Health Service Act (42 U.S.C. 300gg(c)).’’.
(3) 
LIMITATION
ON
BENEFITS.—Section
1902(a)(10) of the Social Security Act (42 U.S.C.
1396a(a)(10)) is amended in the matter following
subparagraph (G)—
(A) by striking ‘‘and (XIII)’’ and inserting
‘‘(XIII)’’; and
(B) by inserting ‘‘, and (XIV) the medical
assistance made available to an individual de-
scribed in subsection (aa) who is eligible for
medical assistance only because of subparagraph
(A)(10)(ii)(XVIII) shall be limited to medical as-
sistance provided during the period in which
such an individual requires treatment for breast
or cervical cancer’’ before the semicolon.
(4) 
CONFORMING
AMENDMENTS.—Section
1905(a) of the Social Security Act (42 U.S.C.
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1396d(a)) is amended in the matter preceding para-
graph (1)—
(A) in clause (xi), by striking ‘‘or’’ at the
end;
(B) in clause (xii), by adding ‘‘or’’ at the
end; and
(C) by inserting after clause (xii) the fol-
lowing:
‘‘(xiii) 
individuals 
described 
in 
section
1902(aa),’’.
(b) PRESUMPTIVE ELIGIBILITY.—
(1) IN GENERAL.—Title XIX of the Social Secu-
rity Act (42 U.S.C. 1396 et seq.) is amended by in-
serting after section 1920A the following:
‘‘PRESUMPTIVE ELIGIBILITY FOR CERTAIN BREAST OR
CERVICAL CANCER PATIENTS
‘‘SEC. 1920B. (a) STATE OPTION.—A State plan ap-
proved under section 1902 may provide for making medical
assistance available to an individual described in section
1902(aa) (relating to certain breast or cervical cancer pa-
tients) during a presumptive eligibility period.
‘‘(b) DEFINITIONS.—For purposes of this section:
‘‘(1) PRESUMPTIVE
ELIGIBILITY
PERIOD.—The
term ‘presumptive eligibility period’ means, with re-
spect to an individual described in subsection (a), the
period that—
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‘‘(A) begins with the date on which a quali-
fied entity determines, on the basis of prelimi-
nary information, that the individual is de-
scribed in section 1902(aa); and
‘‘(B) ends with (and includes) the earlier
of—
‘‘(i) the day on which a determination
is made with respect to the eligibility of
such individual for services under the State
plan; or
‘‘(ii) in the case of such an individual
who does not file an application by the last
day of the month following the month dur-
ing which the entity makes the determina-
tion referred to in subparagraph (A), such
last day.
‘‘(2) QUALIFIED ENTITY.—
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), the term ‘qualified entity’ means any
entity that—
‘‘(i) is eligible for payments under a
State plan approved under this title; and
‘‘(ii) is determined by the State agency
to be capable of making determinations of
the type described in paragraph (1)(A).
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‘‘(B) REGULATIONS.—The Secretary may
issue regulations further limiting those entities
that may become qualified entities in order to
prevent fraud and abuse and for other reasons.
‘‘(C) RULE OF CONSTRUCTION.—Nothing in
this paragraph shall be construed as preventing
a State from limiting the classes of entities that
may become qualified entities, consistent with
any limitations imposed under subparagraph
(B).
‘‘(c) ADMINISTRATION.—
‘‘(1) IN GENERAL.—The State agency shall pro-
vide qualified entities with—
‘‘(A) such forms as are necessary for an ap-
plication to be made by an individual described
in subsection (a) for medical assistance under
the State plan; and
‘‘(B) information on how to assist such in-
dividuals in completing and filing such forms.
‘‘(2) NOTIFICATION
REQUIREMENTS.—A quali-
fied entity that determines under subsection (b)(1)(A)
that an individual described in subsection (a) is pre-
sumptively eligible for medical assistance under a
State plan shall—
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‘‘(A) notify the State agency of the deter-
mination within 5 working days after the date
on which determination is made; and
‘‘(B) inform such individual at the time the
determination is made that an application for
medical assistance under the State plan is re-
quired to be made by not later than the last day
of the month following the month during which
the determination is made.
‘‘(3) APPLICATION FOR MEDICAL ASSISTANCE.—
In the case of an individual described in subsection
(a) who is determined by a qualified entity to be pre-
sumptively eligible for medical assistance under a
State plan, the individual shall apply for medical as-
sistance under such plan by not later than the last
day of the month following the month during which
the determination is made.
‘‘(d) PAYMENT.—Notwithstanding any other provision
of this title, medical assistance that—
‘‘(1) is furnished to an individual described in
subsection (a)—
‘‘(A) during a presumptive eligibility pe-
riod;
‘‘(B) by a entity that is eligible for pay-
ments under the State plan; and
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‘‘(2) is included in the care and services covered
by the State plan,
shall be treated as medical assistance provided by such plan
for purposes of clause (4) of the first sentence of section
1905(b).’’.
(2) CONFORMING AMENDMENTS.—
(A) Section 1902(a)(47) of the Social Secu-
rity Act (42 U.S.C. 1396a(a)(47)) is amended by
inserting before the semicolon at the end the fol-
lowing: ‘‘and provide for making medical assist-
ance available to individuals described in sub-
section (a) of section 1920B during a presump-
tive eligibility period in accordance with such
section’’.
(B) Section 1903(u)(1)(D)(v) of such Act
(42 U.S.C. 1396b(u)(1)(D)(v)) is amended—
(i) by striking ‘‘or for’’ and inserting
‘‘, for’’; and
(ii) by inserting before the period the
following: ‘‘, or for medical assistance pro-
vided to an individual described in sub-
section (a) of section 1920B during a pre-
sumptive eligibility period under such sec-
tion’’.
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(c) ENHANCED MATCH.—The first sentence of section
1905(b) of the Social Security Act (42 U.S.C. 1396d(b)) is
amended—
(1) by striking ‘‘and’’ before ‘‘(3)’’; and
(2) by inserting before the period at the end the
following: ‘‘, and (4) the Federal medical assistance
percentage shall be equal to the enhanced FMAP de-
scribed in section 2105(b) with respect to medical as-
sistance provided to individuals who are eligible for
such assistance only on the basis of section
1902(a)(10)(A)(ii)(XVIII)’’.
(d) EFFECTIVE DATE.—The amendments made by this
section apply to medical assistance for items and services
furnished on or after October 1, 2000, without regard to
whether final regulations to carry out such amendments
have been promulgated by such date.
Attest:
Secretary.