I 
107TH CONGRESS 
2D SESSION 
H. R. 5449
To provide for programs and activities to improve the health of Hispanic 
individuals, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 24, 2002
Mr. RODRIGUEZ (for himself, Mr. REYES, Mrs. NAPOLITANO, Ms. SOLIS, Mr. 
BACA, Ms. ROYBAL-ALLARD, Mr. MENENDEZ, Mr. HINOJOSA, and Mr. 
GONZALEZ) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To provide for programs and activities to improve the health 
of Hispanic individuals, and for other purposes.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Hispanic Health Improvement Act of 2002’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows:
Sec. 1. Short title; table of contents. 
TITLE I—HEALTH CARE COVERAGE 
Subtitle A—Coverage for Parents and Pregnant Women
Sec. 101. Coverage of parents and pregnant women under the medicaid pro-
gram and title XXI. 
Sec. 102. Automatic enrollment of children born to title XXI parents. 
Sec. 103. Optional coverage of children through age 20 under the medicaid pro-
gram and title XXI. 
Sec. 104. Technical and conforming amendments to authority to pay medicaid 
expansion costs from title XXI appropriation. 
Subtitle B—Outreach and Enrollment 
Sec. 111. Grants to promote innovative outreach and enrollment efforts under 
SCHIP. 
Subtitle C—Immigrant Children and Pregnant Women 
Sec. 121. Optional coverage of legal immigrants under the medicaid program 
and SCHIP. 
Sec. 122. Permitting States and localities to provide health care to all individ-
uals. 
Subtitle D—Eligibility Simplification 
Sec. 131. State option to provide for simplified determinations of a child’s fi-
nancial eligibility for medical assistance under medicaid. 
Sec. 132. Application of simplified title XXI procedures under the medicaid 
program. 
Subtitle E—SCHIP Wrap-Around Benefits 
Sec. 141. Requiring coverage of substantially equivalent dental services under 
SCHIP. 
Sec. 142. State option to provide wrap-around SCHIP coverage to children who 
have other health coverage. 
Subtitle F—Immunization Coverage Through SCHIP 
Sec. 151. Eligibility of children enrolled in the State Children’s Health Insur-
ance Program for the pediatric vaccine distribution program. 
Subtitle G—Limited English Proficient Communities 
Sec. 161. Increased Federal reimbursement for language services under the 
medicaid program and the State Children’s Health Insurance 
Program. 
Subtitle H—Binational Health Insurance 
Sec. 171. Binational health insurance. 
TITLE II—ACCESS AND AFFORDABILITY 
Subtitle A—Report on Programs for Improving the Health Status of 
Hispanic Individuals 
Sec. 201. Annual report regarding diabetes, HIV/AIDS, substance abuse, and 
mental health. 
Subtitle B—Diabetes Control and Prevention
Sec. 211. National diabetes education program of Centers for Disease Control 
and Prevention; increased authorization of appropriations for 
activities regarding Hispanic individuals. 
Sec. 212. National Institutes of Health; implementation of recommendations of 
diabetes research working group. 
Subtitle C—HIV Prevention Activities Regarding Hispanic Individuals 
Sec. 221. Programs of Centers for Disease Control and Prevention; representa-
tion of Hispanic individuals in membership of community plan-
ning groups. 
Sec. 222. AIDS education and training centers funded by Health Resources 
and Services Administration; establishment of center directed 
toward minority populations with HIV. 
Subtitle D—Prevention of Latina Adolescent Suicides 
Sec. 231. Short title. 
Sec. 232. Establishment of program for prevention of Latina adolescent sui-
cides. 
Subtitle E—Dental Health Services 
Sec. 241. Grants to improve the provision of dental health services through 
community health centers and public health departments. 
Sec. 242. School-based dental sealant program. 
Subtitle F—Border Health 
Sec. 251. Short title. 
Sec. 252. Definitions. 
Sec. 253. Border health services grants. 
Sec. 254. United States-Mexico Border Health Commission. 
Subtitle G—Community Health Workers 
Sec. 261. Short title. 
Sec. 262. Grants to promote positive health behaviors in women. 
Subtitle H—Patient Navigator, Outreach, and Chronic Disease Prevention 
Sec. 271. Short title. 
Sec. 272. HRSA grants for model community cancer and chronic disease care 
and prevention; HRSA grants for patient navigators. 
Sec. 273. NCI grants for model community cancer and chronic disease care and 
prevention; NCI grants for patient navigators. 
TITLE III—HEALTH DISPARITIES 
Subtitle A—Hispanic-Serving Health Professions Schools 
Sec. 301. Hispanic-serving health professions schools. 
Subtitle B—Health Career Opportunity Program 
Sec. 311. Educational assistance regarding undergraduates. 
Sec. 312. Centers of excellence. 
Subtitle C—Bilingual Health Professionals
Sec. 321. Training of bilingual health professionals with respect to minority 
health conditions. 
Subtitle D—Cultural Competence 
Sec. 331. Definition. 
Sec. 332. Activities of Office of Minority Health; Center for Linguistic and Cul-
tural Competence in Health Care. 
Sec. 333. Cultural competence demonstration projects. 
Subtitle E—Data Regarding Race and Ethnicity 
Sec. 341. Collection of data. 
Sec. 342. Development of standards; study to measure patient outcomes under 
medicare and medicaid programs. 
Subtitle F—National Assessment of Status of Latino Health 
Sec. 351. National assessment of status of Latino health. 
Subtitle G—Office of Minority Health 
Sec. 361. Revision and extension of programs of Office of Minority Health. 
Sec. 362. Establishment of individual Offices of Minority Health within agen-
cies of Public Health Service. 
Sec. 363. Assistant Secretary of Health and Human Services for Civil Rights.
TITLE I—HEALTH CARE 
COVERAGE 
Subtitle A—Coverage for Parents 
and Pregnant Women 
SEC. 101. COVERAGE OF PARENTS AND PREGNANT WOMEN 
UNDER THE MEDICAID PROGRAM AND TITLE 
XXI. 
(a) INCENTIVES TO IMPLEMENT COVERAGE OF PAR-
ENTS AND PREGNANT WOMEN.—
(1) UNDER MEDICAID.—
(A) ESTABLISHMENT OF NEW OPTIONAL 
ELIGIBILITY
CATEGORY.—Section 
1902(a)(10)(A)(ii) of the Social Security Act 
(42 U.S.C. 1396a(a)(10)(A)(ii)) is amended—
(i) by striking ‘‘or’’ at the end of sub-
clause (XVII); 
(ii) by adding ‘‘or’’ at the end of sub-
clause (XVIII); and 
(iii) by adding at the end the fol-
lowing: 
‘‘(XIX) who are individuals de-
scribed in subsection (k)(1) (relating 
to parents of categorically eligible chil-
dren);’’. 
(B) PARENTS DESCRIBED.—Section 1902 
of the Social Security Act is further amended 
by inserting after subsection (j) the following: 
‘‘(k)(1)(A) Individuals described in this paragraph 
are individuals—
‘‘(i) who are the parents of an individual who 
is under 19 years of age (or such higher age as the 
State may have elected under section 1902(l)(1)(D)) 
and who is eligible for medical assistance under sub-
section (a)(10)(A); 
‘‘(ii) who are not otherwise eligible for medical 
assistance under such subsection or under a waiver 
approved under section 1115 or otherwise (except 
under 
section 
1931 
or 
under 
subsection 
(a)(10)(A)(ii)(XIX)); and
‘‘(iii) whose family income exceeds the effective 
income level or resource level applicable under the 
State plan under part A of title IV as in effect as 
of July 16, 1996, but does not exceed the highest ef-
fective income level applicable to a child in the fam-
ily under this title. 
‘‘(B) In establishing an income eligibility level for in-
dividuals described in this paragraph, a State may vary 
such level consistent with the various income levels estab-
lished under subsection (l)(2) based on the ages of chil-
dren described in subsection (l)(1) in order to ensure, to 
the maximum extent possible, that such individuals shall 
be enrolled in the same program as their children. 
‘‘(C) An individual may not be treated as being de-
scribed in this paragraph unless, at the time of the individ-
ual’s enrollment under this title, the child referred to in 
subparagraph (A)(i) of the individual is also enrolled 
under this title. 
‘‘(D) In this subsection, the term ‘parent’ has the 
meaning given the term ‘caretaker relative’ for purposes 
of carrying out section 1931. 
‘‘(2) In the case of a parent described in paragraph 
(1) who is also the parent of a child who is eligible for 
child health assistance under title XXI, the State may
elect (on a uniform basis) to cover all such parents under 
section 2111 or under this title.’’. 
(C) ENHANCED MATCHING FUNDS AVAIL-
ABLE IF CERTAIN CONDITIONS MET.—Section 
1905 of the Social Security Act (42 U.S.C. 
1396d) is amended—
(i) in the fourth sentence of sub-
section (b), by striking ‘‘or subsection 
(u)(3)’’ and inserting ‘‘, (u)(3), or (u)(4)’’; 
and 
(ii) in subsection (u)—
(I) by redesignating paragraph 
(4) as paragraph (6), and 
(II) by inserting after paragraph 
(3) the following:
‘‘(4) For purposes of subsection (b) and section 
2105(a)(1): 
‘‘(A) PARENTS AND PREGNANT WOMEN.—The 
expenditures described in this subparagraph are the 
expenditures described in the following clauses (i) 
and (ii): 
‘‘(i) PARENTS.—If the conditions described 
in clause (iii) are met, expenditures for medical 
assistance for parents described in section 
1902(k)(1) and for parents who would be de-
scribed in such section but for the fact that 
they are eligible for medical assistance under 
section 1931 or under a waiver approved under 
section 1115. 
‘‘(ii) CERTAIN PREGNANT WOMEN.—If the 
conditions described in clause (iv) are met, ex-
penditures for medical assistance for pregnant 
women described in subsection (n) or under sec-
tion 1902(l)(1)(A) in a family the income of 
which exceeds the effective income level applica-
ble under subsection (a)(10)(A)(i)(III) or
(l)(2)(A) of section 1902 to a family of the size 
involved as of January 1, 2002. 
‘‘(iii) CONDITIONS
FOR
EXPENDITURES 
FOR
PARENTS.—The conditions described in 
this clause are the following: 
‘‘(I) The State has a State child 
health plan under title XXI which (wheth-
er implemented under such title or under 
this title) has an effective income level for 
children that is at least 200 percent of the 
poverty line. 
‘‘(II) State child health plan does not 
limit the acceptance of applications, does 
not use a waiting list for children who
meet eligibility standards to qualify for as-
sistance, and provides benefits to all chil-
dren in the State who apply for and meet 
eligibility standards. 
‘‘(III) The State plans under this title 
and title XXI do not provide coverage for 
parents with higher family income without 
covering parents with a lower family in-
come. 
‘‘(IV) The State does not apply an in-
come level for parents that is lower than 
the effective income level (expressed as a 
percent of the poverty line) that has been 
specified under the State plan under title 
XIX (including under a waiver authorized 
by 
the 
Secretary 
or 
under 
section 
1902(r)(2)), as of January 1, 2002, to be 
eligible for medical assistance as a parent 
under this title. 
‘‘(iv) CONDITIONS
FOR
EXPENDITURES 
FOR CERTAIN PREGNANT WOMEN.—The condi-
tions described in this clause are the following: 
‘‘(I) The State has established an ef-
fective income eligibility level for pregnant 
women under subsection (a)(10)(A)(i)(III)
or (l)(2)(A) of section 1902 that is at least 
185 percent of the poverty line. 
‘‘(II) The State plans under this title 
and title XXI do not provide coverage for 
pregnant women described in subpara-
graph (A)(ii) with higher family income 
without covering such pregnant women 
with a lower family income. 
‘‘(III) The State does not apply an in-
come level for pregnant women that is 
lower than the effective income level (ex-
pressed as a percent of the poverty line 
and considering applicable income dis-
regards) that has been specified under the 
State 
plan 
under 
subsection 
(a)(10)(A)(i)(III) or (l)(2)(A) of section 
1902, as of January 1, 2002, to be eligible 
for medical assistance as a pregnant 
woman. 
‘‘(IV) The State satisfies the condi-
tions described in subclauses (I) and (II) 
of clause (iii). 
‘‘(v) DEFINITIONS.—For purposes of this 
subsection:
‘‘(I) The term ‘parent’ has the mean-
ing given such term for purposes of section 
1902(k)(1). 
‘‘(II) The term ‘poverty line’ has the 
meaning given such term in section 
2110(c)(5).’’. 
(D) APPROPRIATION FROM TITLE XXI AL-
LOTMENT
FOR
MEDICAID
EXPANSION
COSTS 
FOR
PARENTS; 
ELIMINATION
OF
COUNTING 
MEDICAID
CHILD
PRESUMPTIVE
ELIGIBILITY 
COSTS AGAINST TITLE XXI ALLOTMENT.—Sub-
paragraph (B) of section 2105(a)(1) of the So-
cial Security Act, as amended by section 
104(a), is amended to read as follows: 
‘‘(B) PARENTS AND PREGNANT WOMEN.—
Expenditures for medical assistance that are at-
tributable to expenditures described in section 
1905(u)(4)(A).’’. 
(E) ONLY COUNTING ENHANCED PORTION 
FOR
COVERAGE
OF
ADDITIONAL
PREGNANT 
WOMEN.—Section 1905 of the Social Security 
Act (42 U.S.C. 1396d) is amended—
(i) in the fourth sentence of sub-
section (b), by inserting ‘‘(except in the
case of expenditures described in sub-
section (u)(5))’’ after ‘‘do not exceed’’; 
(ii) in subsection (u), by inserting 
after paragraph (4) (as inserted by sub-
paragraph (C)), the following: 
‘‘(5) For purposes of the fourth sentence of sub-
section (b) and section 2105(a), the following payments 
under this title do not count against a State’s allotment 
under section 2104: 
‘‘(A) REGULAR FMAP FOR EXPENDITURES FOR 
PREGNANT WOMEN WITH INCOME ABOVE JANUARY 
1, 2002 INCOME LEVEL AND BELOW 185 PERCENT OF 
POVERTY.—The portion of the payments made for
expenditures described in paragraph (4)(A)(ii) that 
represents the amount that would have been paid if 
the enhanced FMAP had not been substituted for 
the Federal medical assistance percentage.’’. 
(2) UNDER TITLE XXI.—
(A) PARENTS
AND
PREGNANT
WOMEN 
COVERAGE.—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 PARENTS OF TAR-
GETED LOW-INCOME CHILDREN OR TAR-
GETED LOW-INCOME PREGNANT WOMEN. 
‘‘(a) OPTIONAL COVERAGE.—Notwithstanding any 
other provision of this title, a State may provide for cov-
erage, through an amendment to its State child health 
plan under section 2102, of parent health assistance for 
targeted low-income parents, pregnancy-related assistance 
for targeted low-income pregnant women, or both, in ac-
cordance with this section, but only if—
‘‘(1) with respect to the provision of parent 
health assistance, the State meets the conditions de-
scribed in clause (iii) of section 1905(u)(4)(A); 
‘‘(2) with respect to the provision of pregnancy-
related assistance, the State meets the conditions de-
scribed in clause (iv) of section 1905(u)(4)(A); and 
‘‘(3) in the case of parent health assistance for 
targeted low-income parents, the State elects to pro-
vide 
medical 
assistance 
under 
section 
1902(a)(10)(A)(ii)(XIX), under section 1931, or 
under a waiver under section 1115 to individuals de-
scribed in section 1902(k)(1)(A)(i) and elects an ef-
fective income level that, consistent with paragraphs 
(1)(B) and (2) of section 1902(k), ensures to the 
maximum extent possible, that such individuals shall 
be enrolled in the same program as their children if
their children are eligible for coverage under title 
XIX (including under a waiver authorized by the 
Secretary or under section 1902(r)(2)). 
‘‘(b) DEFINITIONS.—For purposes of this title: 
‘‘(1) PARENT HEALTH ASSISTANCE.—The term 
‘parent health 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 parents. 
‘‘(2) PARENT.—The term ‘parent’ has the 
meaning given the term ‘caretaker relative’ for pur-
poses of carrying out section 1931. 
‘‘(3) 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 services related to pregnancy (which in-
clude prenatal, delivery, and postpartum services) 
and to other conditions that may complicate preg-
nancy. 
‘‘(4) TARGETED
LOW-INCOME
PARENT.—The 
term ‘targeted low-income parent’ has the meaning 
given the term targeted low-income child in section
2110(b) as if the reference to a child were deemed 
a reference to a parent (as defined in paragraph (3)) 
of the child; except that in applying such section—
‘‘(A) there shall be substituted for the in-
come level described in paragraph (1)(B)(ii)(I) 
the applicable income level in effect for a tar-
geted low-income child; 
‘‘(B) in paragraph (3), January 1, 2002, 
shall be substituted for July 1, 1997; and 
‘‘(C) in paragraph (4), January 1, 2002, 
shall be substituted for March 31, 1997. 
‘‘(5) 
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 a reference to a woman dur-
ing pregnancy and through the end of the month in 
which the 60-day period beginning on the last day 
of her pregnancy ends; except that in applying such 
section—
‘‘(A) there shall be substituted for the in-
come level described in paragraph (1)(B)(ii)(I) 
the applicable income level in effect for a tar-
geted low-income child;
‘‘(B) in paragraph (3), January 1, 2002, 
shall be substituted for July 1, 1997; and 
‘‘(C) in paragraph (4), January 1, 2002, 
shall be substituted for March 31, 1997. 
‘‘(6) PARENT.—The term ‘parent’ has the 
meaning given the term ‘caretaker relative’ for pur-
poses of carrying out section 1931. 
‘‘(c) 
REFERENCES
TO
TERMS
AND
SPECIAL 
RULES.—In the case of, and with respect to, a State pro-
viding for coverage of parent health assistance to targeted 
low-income parents or 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 in 
subsection (b)) to a targeted low-income child is 
deemed to include a reference to a targeted low-in-
come parent or a targeted low-income pregnant 
woman (as applicable). 
‘‘(2) Any such reference to child health assist-
ance—
‘‘(A) with respect to such parents is 
deemed a reference to parent health assistance; 
and
‘‘(B) with respect to such pregnant women, 
is deemed a reference to pregnancy-related as-
sistance.
‘‘(3) In applying section 2103(e)(3)(B) in the 
case of a family or pregnant woman provided cov-
erage under this section, the limitation on total an-
nual aggregate cost-sharing shall be applied to the 
entire family or such pregnant woman. 
‘‘(4) In applying section 2110(b)(4), any ref-
erence to ‘section 1902(l)(2) or 1905(n)(2) (as se-
lected by a State)’ is deemed a reference to the ef-
fective income level applicable to parents under sec-
tion 1931 or under a waiver approved under section 
1115, or, in the case of a pregnant woman, the in-
come level established under section 1902(l)(2)(A). 
‘‘(5) In applying section 2102(b)(3)(B), any 
reference to children found through screening to be 
eligible for medical assistance under the State med-
icaid plan under title XIX is deemed a reference to 
parents and pregnant women.’’. 
(B) ADDITIONAL ALLOTMENT FOR STATES 
PROVIDING COVERAGE OF PARENTS OR PREG-
NANT WOMEN.—
(i) IN GENERAL.—Section 2104 of the 
Social Security Act (42 U.S.C. 1397dd) is
amended by inserting after subsection (c) 
the following: 
‘‘(d) ADDITIONAL ALLOTMENTS FOR STATE COV-
ERAGE OF PARENTS OR PREGNANT WOMEN.—
‘‘(1) APPROPRIATION; TOTAL
ALLOTMENT.—
For the purpose of providing additional allotments 
to States under this title, there is appropriated, out 
of any money in the Treasury not otherwise appro-
priated—
‘‘(A) for fiscal year 2002, $2,000,000,000; 
‘‘(B) for fiscal year 2003, $2,000,000,000; 
‘‘(C) for fiscal year 2004, $3,000,000,000; 
‘‘(D) for fiscal year 2005, $3,000,000,000; 
‘‘(E) for fiscal year 2006, $5,000,000,000; 
‘‘(F) for fiscal year 2007, $5,000,000,000; 
‘‘(G) for fiscal year 2008, $5,000,000,000; 
‘‘(H) for fiscal year 2009, $5,000,000,000; 
‘‘(I) for fiscal year 2010, $5,000,000,000; 
and 
‘‘(J) for fiscal year 2011 and each fiscal 
year thereafter, the amount of the allotment 
provided under this paragraph for the preceding 
fiscal year increased by the percentage increase 
(if any) in the medical care expenditure cat-
egory of the Consumer Price Index for All 
Urban Consumers (United States city average). 
‘‘(2) STATE AND TERRITORIAL ALLOTMENTS.—
‘‘(A) IN GENERAL.—In addition to the al-
lotments provided under subsections (b) and 
(c), subject to paragraphs (3) and (4), of the 
amount available for the additional allotments 
under paragraph (1) for a fiscal year, the Sec-
retary shall allot to each State with a State 
child health plan approved under this title—
‘‘(i) in the case of such a State other 
than a commonwealth or territory de-
scribed in subparagraph (B), the same pro-
portion as the proportion of the State’s al-
lotment under subsection (b) (determined 
without regard to subsection (f)) to the 
total amount of the allotments under sub-
section (b) for such States eligible for an 
allotment under this paragraph for such 
fiscal year; and 
‘‘(ii) in the case of a commonwealth or 
territory described in subsection (c)(3), the 
same proportion as the proportion of the 
commonwealth’s or territory’s allotment 
under subsection (c) (determined without
regard to subsection (f)) to the total 
amount of the allotments under subsection 
(c) for commonwealths and territories eligi-
ble for an allotment under this paragraph 
for such fiscal year. 
‘‘(B) AVAILABILITY AND REDISTRIBUTION 
OF
UNUSED
ALLOTMENTS.—In applying sub-
sections (e) and (f) with respect to additional 
allotments made available under this subsection, 
the procedures established under such sub-
sections shall ensure such additional allotments 
are only made available to States which have 
elected to provide coverage under section 2111. 
‘‘(3) USE OF ADDITIONAL ALLOTMENT.—Addi-
tional allotments provided under this subsection are 
not available for amounts expended before October 
1, 2002. Such amounts are available for amounts ex-
pended on or after such date for child health assist-
ance for targeted low-income children, as well as for 
parent health assistance for targeted low-income 
parents, and pregnancy-related assistance for tar-
geted low-income pregnant women. 
‘‘(4) REQUIRING ELECTION TO PROVIDE COV-
ERAGE.—No payments may be made to a State 
under this title from an allotment provided under
this subsection unless the State has made an elec-
tion to provide parent health assistance for targeted 
low-income parents, or pregnancy-related assistance 
for targeted low-income pregnant women.’’. 
(ii) 
CONFORMING
AMENDMENTS.—
Section 2104 of the Social Security Act 
(42 U.S.C. 1397dd) is amended—
(I) in subsection (a), by inserting 
‘‘subject to subsection (d),’’ after 
‘‘under this section,’’; 
(II) in subsection (b)(1), by in-
serting ‘‘and subsection (d)’’ after 
‘‘Subject to paragraph (4)’’; and 
(III) in subsection (c)(1), by in-
serting ‘‘subject to subsection (d),’’ 
after ‘‘for a fiscal year,’’. 
(C) NO COST-SHARING FOR PREGNANCY-
RELATED
BENEFITS.—Section 2103(e)(2) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1397cc(e)(2)) is amended—
(i) in the heading, by inserting ‘‘AND 
PREGNANCY-RELATED
SERVICES’’ 
after 
‘‘PREVENTIVE SERVICES’’; and
(ii) by inserting before the period at 
the end the following: ‘‘and for pregnancy-
related services’’. 
(3) EFFECTIVE DATE.—The amendments made 
by this subsection apply to items and services fur-
nished on or after October 1, 2002, without regard 
to whether regulations implementing such amend-
ments have been issued.
(b) MAKING TITLE XXI BASE ALLOTMENTS PERMA-
NENT.—Section 2104(a) of the Social Security Act (42 
U.S.C. 1397dd(a)) is amended—
(1) by striking ‘‘and’’ at the end of paragraph 
(9); 
(2) by striking the period at the end of para-
graph (10) and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(11) for fiscal year 2008 and each fiscal year 
thereafter, the amount of the allotment provided 
under this subsection for the preceding fiscal year 
increased by the percentage increase (if any) in the 
medical care expenditure category of the Consumer 
Price Index for All Urban Consumers (United States 
city average).’’. 
(c) OPTIONAL APPLICATION OF PRESUMPTIVE ELI-
GIBILITY PROVISIONS TO PARENTS.—Section 1920A of
the Social Security Act (42 U.S.C. 1396r–1a) is amended 
by adding at the end the following: 
‘‘(e) A State may elect to apply the previous provi-
sions of this section to provide for a period of presumptive 
eligibility for medical assistance for a parent (as defined 
for purposes of section 1902(k)(1)) of a child with respect 
to whom such a period is provided under this section.’’. 
(d) CONFORMING AMENDMENTS.—
(1) 
ELIGIBILITY
CATEGORIES.—Section 
1905(a) of the Social Security Act (42 U.S.C. 
1396d(a)) is amended, in the matter before para-
graph (1)—
(A) by striking ‘‘or’’ at the end of clause 
(xii); 
(B) by inserting ‘‘or’’ at the end of clause 
(xiii); and 
(C) by inserting after clause (xiii) the fol-
lowing: 
‘‘(xiv) who are parents described (or treated as 
if described) in section 1902(k)(1),’’. 
(2) INCOME LIMITATIONS.—Section 1903(f)(4) 
of the Social Security Act (42 U.S.C. 1396b(f)(4)) 
is amended by inserting ‘‘1902(a)(10)(A)(ii)(XIX),’’ 
after ‘‘1902(a)(10)(A)(ii)(XVIII),’’.
(3) CONFORMING
AMENDMENT
RELATING
TO 
NO WAITING PERIOD FOR PREGNANT WOMEN.—Sec-
tion 2102(b)(1)(B) of the Social Security Act (42 
U.S.C. 1397bb(b)(1)(B)) is amended—
(A) by striking ‘‘, and’’ at the end of 
clause (i) and inserting a semicolon; 
(B) by striking the period at the end of 
clause (ii) and inserting ‘‘; and’’; and 
(C) 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 parent who is pregnant.’’. 
SEC. 102. AUTOMATIC ENROLLMENT OF CHILDREN BORN 
TO TITLE XXI PARENTS. 
(a) TITLE XXI.—Section 2102(b)(1) (42 U.S.C. 
1397bb(b)(1)) is amended by adding at the end the fol-
lowing: 
‘‘(C) AUTOMATIC
ELIGIBILITY
OF
CHIL-
DREN BORN TO PREGNANT WOMEN.—Such eli-
gibility standards shall provide for automatic
coverage of a child born to an individual who 
is provided assistance under this title in the 
same manner as medical assistance would be
provided under section 1902(e)(4) to a child de-
scribed in such section.’’. 
(b) CONFORMING AMENDMENT TO MEDICAID.—Sec-
tion 1902(e)(4) (42 U.S.C. 1396a(e)(4)) is amended in 
the first sentence by striking ‘‘so long as the child is a 
member of the woman’s household and the woman remains 
(or would remain if pregnant) eligible for such assist-
ance’’. 
SEC. 103. OPTIONAL COVERAGE OF CHILDREN THROUGH 
AGE 20 UNDER THE MEDICAID PROGRAM AND 
TITLE XXI. 
(a) MEDICAID.—
(1) IN GENERAL.—Section 1902(l)(1)(D) of the 
Social Security Act (42 U.S.C. 1396a(l)(1)(D)) is 
amended by inserting ‘‘(or, at the election of a 
State, 20 or 21 years of age)’’ after ‘‘19 years of 
age’’. 
(2) CONFORMING AMENDMENTS.—
(A) Section 1902(e)(3)(A) of the Social Se-
curity Act (42 U.S.C. 1396a(e)(3)(A)) is 
amended by inserting ‘‘(or 1 year less than the 
age the State has elected under subsection 
(l)(1)(D))’’ after ‘‘18 years of age’’. 
(B) Section 1902(e)(12) of the Social Se-
curity Act (42 U.S.C. 1396a(e)(12)) is amend-
ed by inserting ‘‘or such higher age as the State 
has elected under subsection (l)(1)(D)’’ after 
‘‘19 years of age’’. 
(C) Section 1920A(b)(1) of the Social Se-
curity Act (42 U.S.C. 1396r–1a(b)(1)) is 
amended by inserting ‘‘or such higher age as 
the 
State 
has 
elected 
under 
section 
1902(l)(1)(D)’’ after ‘‘19 years of age’’. 
(D) Section 1928(h)(1) of the Social Secu-
rity Act (42 U.S.C. 1396s(h)(1)) is amended by 
inserting ‘‘or 1 year less than the age the State 
has elected under section 1902(l)(1)(D)’’ before 
the period at the end. 
(E) Section 1932(a)(2)(A) of the Social 
Security Act (42 U.S.C. 1396u–2(a)(2)(A)) is 
amended by inserting ‘‘(or such higher age as 
the 
State 
has 
elected 
under 
section 
1902(l)(1)(D))’’ after ‘‘19 years of age’’. 
(b) TITLE XXI.—Section 2110(c)(1) of the Social 
Security Act (42 U.S.C. 1397jj(c)(1)) is amended by in-
serting ‘‘(or such higher age as the State has elected under 
section 1902(l)(1)(D))’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section take effect on October 1, 2002, and apply to 
medical assistance and child health assistance provided on
or after such date, whether or not regulations imple-
menting such amendments have been issued. 
SEC. 104. TECHNICAL AND CONFORMING AMENDMENTS TO 
AUTHORITY TO PAY MEDICAID EXPANSION 
COSTS FROM TITLE XXI APPROPRIATION. 
(a) AUTHORITY TO PAY MEDICAID EXPANSION 
COSTS
FROM
TITLE
XXI APPROPRIATION.—Section 
2105(a) of the Social Security Act (42 U.S.C. 1397ee(a)) 
is amended to read as follows: 
‘‘(a) ALLOWABLE EXPENDITURES.—
‘‘(1) IN GENERAL.—Subject to the succeeding 
provisions of this section, the Secretary shall pay to 
each State with a plan approved under this title, 
from its allotment under section 2104, an amount 
for each quarter equal to the enhanced FMAP of the 
following expenditures in the quarter: 
‘‘(A) CHILD HEALTH ASSISTANCE UNDER 
MEDICAID.—Expenditures for child health as-
sistance under the plan for targeted low-income 
children in the form of providing medical assist-
ance for expenditures described in the fourth 
sentence of section 1905(b). 
‘‘(B) RESERVED.—[reserved]. 
‘‘(C) CHILD HEALTH ASSISTANCE UNDER 
THIS TITLE.—Expenditures for child health as-
sistance under the plan for targeted low-income 
children in the form of providing health benefits 
coverage that meets the requirements of section 
2103. 
‘‘(D) ASSISTANCE
AND
ADMINISTRATIVE 
EXPENDITURES SUBJECT TO LIMIT.—Expendi-
tures only to the extent permitted consistent 
with subsection (c)—
‘‘(i) for other child health assistance 
for targeted low-income children; 
‘‘(ii) for expenditures for health serv-
ices initiatives under the plan for improv-
ing the health of children (including tar-
geted low-income children and other low-
income children); 
‘‘(iii) for expenditures for outreach ac-
tivities as provided in section 2102(c)(1) 
under the plan; and 
‘‘(iv) for other reasonable costs in-
curred by the State to administer the plan.
‘‘(2) ORDER OF PAYMENTS.—Payments under a 
subparagraph of paragraph (1) from a State’s allot-
ment for expenditures described in each such sub-
paragraph shall be made on a quarterly basis in the 
order of such subparagraph in such paragraph.
‘‘(3) NO DUPLICATIVE PAYMENT.—In the case 
of expenditures for which payment is made under 
paragraph (1), no payment shall be made under title 
XIX.’’. 
(b) CONFORMING AMENDMENTS.—
(1) SECTION
1905(u).—Section 1905(u)(1)(B) 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1396d(u)(1)(B)) is amended by inserting ‘‘and sec-
tion 2105(a)(1)’’ after ‘‘subsection (b)’’. 
(2) SECTION 2105(c).—Section 2105(c)(2)(A) of 
the Social Security Act (42 U.S.C. 1397ee(c)(2)(A)) 
is amended by striking ‘‘subparagraphs (A), (C), 
and (D) of’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall be effective as if included in the enact-
ment of the Balanced Budget Act of 1997 (Public Law 
105–33; 111 Stat. 251), whether or not regulations imple-
menting such amendments have been issued. 
Subtitle B—Outreach and 
Enrollment 
SEC. 111. GRANTS TO PROMOTE INNOVATIVE OUTREACH 
AND ENROLLMENT EFFORTS UNDER SCHIP. 
(a) IN GENERAL.—Section 2104(f) of the Social Se-
curity Act (42 U.S.C. 1397dd(f)) is amended—
(1) by striking ‘‘The Secretary’’ and inserting 
the following: 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
the Secretary’’; and 
(2) by adding at the end the following: 
‘‘(2) GRANTS TO PROMOTE INNOVATIVE OUT-
REACH AND ENROLLMENT EFFORTS.—
‘‘(A) IN
GENERAL.—Prior to any redis-
tribution under paragraph (1) of unexpended 
allotments made to States under subsection (b) 
or (c) for fiscal year 2000 and any fiscal year 
thereafter, the Secretary shall—
‘‘(i) reserve from such unexpended al-
lotments the lesser of $50,000,000 or the 
total amount of such unexpended allot-
ments for grants under this paragraph for 
the fiscal year in which the redistribution 
occurs; and 
‘‘(ii) subject to subparagraph (B), use 
such reserved funds to make grants to 
local and community-based public or non-
profit organizations (including organiza-
tions involved in women’s health, pediatric 
advocacy, local and county governments, 
public health departments, Federally-quali-
fied health centers, children’s hospitals, 
and hospitals defined as disproportionate 
share hospitals under the State plan under 
title XIX) to conduct innovative outreach 
and enrollment efforts that are consistent 
with section 2102(c) and to promote un-
derstanding of the importance of health in-
surance coverage for prenatal care and 
children. 
‘‘(B) PRIORITY FOR GRANTS IN CERTAIN 
AREAS.—In making grants under subparagraph 
(A)(ii), the Secretary shall give priority to grant 
applicants that propose to target the outreach 
and enrollment efforts funded under the grant 
to geographic areas—
‘‘(i) with high rates of eligible but 
unenrolled children, including such chil-
dren who reside in rural areas; or 
‘‘(ii) with high rates of families for 
whom English is not their primary lan-
guage. 
‘‘(C) 
APPLICATIONS.—An 
organization 
that desires to receive a grant under this para-
graph shall submit an application to the Sec-
retary in such form and manner, and con-
taining such information, as the Secretary may 
decide.’’. 
(b) EXTENDING USE OF OUTSTATIONED WORKERS 
TO
ACCEPT
TITLE
XXI 
APPLICATIONS.—Section 
1902(a)(55) of such Act (42 U.S.C. 1396a(a)(55)) is 
amended by inserting ‘‘, and applications for child health 
assistance under title XXI’’ after ‘‘(a)(10)(A)(ii)(IX)’’. 
Subtitle C—Immigrant Children 
and Pregnant Women 
SEC. 121. OPTIONAL COVERAGE OF LEGAL IMMIGRANTS 
UNDER THE MEDICAID PROGRAM AND SCHIP. 
(a) MEDICAID PROGRAM.—Section 1903(v) of the 
Social Security Act (42 U.S.C. 1396b(v)) is amended—
(1) in paragraph (1), by striking ‘‘paragraph 
(2)’’ and inserting ‘‘paragraphs (2) and (4)’’; and 
(2) by adding at the end the following: 
‘‘(4)(A) A State may elect (in a plan amendment 
under this title) to provide medical assistance under this
title for aliens who are lawfully residing in the United 
States (including battered aliens described in section 
431(c) of the Personal Responsibility and Work Oppor-
tunity Reconciliation Act of 1996) and who are otherwise 
eligible for such assistance, within any of the following eli-
gibility categories:
‘‘(i) PREGNANT WOMEN.—Women during preg-
nancy (and during the 60-day period beginning on 
the last day of the pregnancy). 
‘‘(ii) CHILDREN.—Children (as defined under 
such plan), including optional targeted low-income 
children described in section 1905(u)(2)(B). 
‘‘(B)(i) In the case of a State that has elected to pro-
vide medical assistance to a category of aliens under sub-
paragraph (A), no debt shall accrue under an affidavit of 
support against any sponsor of such an alien on the basis 
of provision of assistance to such category and the cost 
of such assistance shall not be considered as an unreim-
bursed cost. 
‘‘(ii) The provisions of sections 401(a), 402(b), 403, 
and 421 of the Personal Responsibility and Work Oppor-
tunity Reconciliation Act of 1996 shall not apply to a 
State that makes an election under subparagraph (A).’’. 
(b) TITLE XXI.—Section 2107(e)(1) of the Social 
Security Act (42 U.S.C. 1397gg(e)(1)) is amended by add-
ing at the end the following: 
‘‘(E) Section 1903(v)(4) (relating to op-
tional coverage of permanent resident alien chil-
dren), but only if the State has elected to apply 
such section to that category of children under 
title XIX.’’.
(c) EFFECTIVE DATE.—The amendments made by 
this section take effect on October 1, 2002, and apply to 
medical assistance and child health assistance furnished 
on or after such date. 
SEC. 122. PERMITTING STATES AND LOCALITIES TO PRO-
VIDE HEALTH CARE TO ALL INDIVIDUALS. 
(a) IN GENERAL.—Section 411 of the Personal Re-
sponsibility and Work Opportunity Reconciliation Act of 
1996 (8 U.S.C. 1621) is amended—
(1) in subsection (b)—
(A) by striking paragraphs (1) and (3); 
and 
(B) by redesignating paragraphs (2) and 
(4) as paragraphs (1) and (2), respectively; and 
(2) in subsection (c)—
(A) in paragraph (1)—
(i) in the matter preceding subpara-
graph (A), by striking ‘‘(2) and (3)’’ and 
inserting ‘‘(2), (3), and (4)’’; and 
(ii) in subparagraph (B), by striking 
‘‘health,’’; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(4) Such term does not include any health 
benefit for which payments or assistance are pro-
vided to an individual, household, or family eligibility 
unit by an agency of a State or local government or 
by appropriated funds of a State or local govern-
ment.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply to health care furnished before, 
on, or after the date of the enactment of this Act. 
Subtitle D—Eligibility 
Simplification 
SEC. 131. STATE OPTION TO PROVIDE FOR SIMPLIFIED DE-
TERMINATIONS OF A CHILD’S FINANCIAL ELI-
GIBILITY FOR MEDICAL ASSISTANCE UNDER 
MEDICAID. 
(a) IN GENERAL.—Section 1902(e) of the Social Se-
curity Act (42 U.S.C. 1396a(e)) is amended by adding at 
the end the following: 
‘‘(13)(A) At the option of the State, the plan may 
provide that financial eligibility requirements for medical 
assistance are met for an individual who is under an age 
specified by the State (not to exceed 19 years of age) 
based on a determination, during the 12 months prior to 
applying for such assistance, of the individual’s family or 
household income or resources by a Federal or State agen-
cy (or a public or private entity making such determina-
tion on behalf of such agency) specified by the plan, pro-
vided that such agency has fiscal liabilities or responsibil-
ities affected or potentially affected by such determina-
tions, and provided that all information furnished by such 
agency pursuant to this subparagraph is used solely for 
purposes of determining eligibility for medical assistance 
under the State plan approved under this title or for child 
health assistance under a State plan approved under title 
XXI. 
‘‘(B) Nothing in subparagraph (A) shall be construed 
to authorize the denial of medical assistance under a State 
plan approved under this title or of child health assistance 
under a State plan approved under title XXI to an indi-
vidual under 19 years of age who, without regard to the 
application of this paragraph or an option exercised there-
under, would qualify for such assistance.’’.
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) takes effect on October 1, 2002. 
SEC. 132. APPLICATION OF SIMPLIFIED TITLE XXI PROCE-
DURES UNDER THE MEDICAID PROGRAM. 
(a) APPLICATION UNDER MEDICAID.—
(1) IN GENERAL.—Section 1902(l) of the Social 
Security Act (42 U.S.C. 1396a(l)) is amended—
(A) in paragraph (3), by inserting ‘‘subject 
to paragraph (5)’’, after ‘‘Notwithstanding sub-
section (a)(17),’’; and
(B) by adding at the end the following: 
‘‘(5) With respect to determining the eligibility of in-
dividuals under 19 years of age (or such higher age as 
the State has elected under paragraph (1)(D)) for medical 
assistance under subsection (a)(10)(A) and, separately, 
with respect to determining the eligibility of individuals 
for 
medical 
assistance 
under 
subsection 
(a)(10)(A)(i)(VIII) 
or 
(a)(10)(A)(ii)(XIX), 
notwith-
standing any other provision of this title, if the State has 
established a State child health plan under title XXI—
‘‘(A) the State may not apply a resource stand-
ard; 
‘‘(B) the State shall use the same simplified eli-
gibility form (including, if applicable, permitting ap-
plication other than in person) as the State uses 
under such State child health plan with respect to 
such individuals; 
‘‘(C) the State shall provide for initial eligibility 
determinations and redeterminations of eligibility 
using verification policies, forms, and frequency that 
are no less restrictive than the policies, forms, and 
frequency the State uses for such purposes under 
such State child health plan with respect to such in-
dividuals; and
‘‘(D) the State shall not require a face-to-face 
interview for purposes of initial eligibility determina-
tions and redeterminations unless the State requires 
such an interview for such purposes under such child 
health plan with respect to such individuals.’’. 
(2) EFFECTIVE DATE.—The amendments made 
by paragraph (1) apply to determinations of eligi-
bility made on or after the date that is 1 year after 
the date of the enactment of this Act, whether or 
not regulations implementing such amendments have 
been issued. 
(b) PRESUMPTIVE ELIGIBILITY.—
(1) IN GENERAL.—Section 1920A(b)(3)(A)(i) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1396r–
1a(b)(3)(A)(i)) is amended by inserting ‘‘a child care 
resource and referral agency,’’ after ‘‘a State or trib-
al child support enforcement agency,’’. 
(2) APPLICATION TO PRESUMPTIVE 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).’’.
(3) APPLICATION UNDER TITLE XXI.—
(A) IN GENERAL.—Section 2107(e)(1)(D) 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1397gg(e)(1)) is amended to read as follows: 
‘‘(D) Sections 1920 and 1920A (relating to 
presumptive eligibility).’’. 
(B) CONFORMING
ELIMINATION
OF
RE-
SOURCE TEST.—Section 2102(b)(1)(A) of such 
Act (42 U.S.C. 1397bb(b)(1)(A)) is amended—
(i) by striking ‘‘ and resources (in-
cluding 
any 
standards 
relating 
to 
spenddowns and disposition of resources)’’; 
and 
(ii) by adding at the end the fol-
lowing: ‘‘Effective 1 year after the date of 
the enactment of the Hispanic Health Im-
provement Act 2002, such standards may 
not include the application of a resource 
standard or test.’’. 
(c) AUTOMATIC REASSESSMENT OF ELIGIBILITY FOR 
TITLE XXI AND MEDICAID BENEFITS FOR CHILDREN 
LOSING MEDICAID OR TITLE XXI ELIGIBILITY.—
(1) LOSS OF MEDICAID ELIGIBILITY.—Section 
1902(a) of the Social Security Act (42 U.S.C. 
1396a(a)) is amended—
(A) by striking the period at the end of 
paragraph (65) and inserting ‘‘; and’’, and 
(B) by inserting after paragraph (65) the 
following: 
‘‘(66) provide, in the case of a State with a 
State child health plan under title XXI, that before 
medical assistance to a child (or a parent of a child) 
is discontinued under this title, a determination of 
whether the child (or parent) is eligible for benefits 
under title XXI shall be made and, if determined to 
be so eligible, the child (or parent) shall be auto-
matically enrolled in the program under such title 
without the need for a new application.’’.
(2) LOSS OF TITLE XXI ELIGIBILITY AND CO-
ORDINATION WITH MEDICAID.—Section 2102(b) (42 
U.S.C. 1397bb(b)) is amended—
(A) in paragraph (3), by redesignating 
subparagraphs (D) and (E) as subparagraphs 
(E) and (F), respectively, and by inserting after 
subparagraph (C) the following: 
‘‘(D) that before health assistance to a 
child (or a parent of a child) is discontinued 
under this title, a determination of whether the 
child (or parent) is eligible for benefits under 
title XIX is made and, if determined to be so
eligible, the child (or parent) is automatically 
enrolled in the program under such title with-
out the need for a new application;’’; 
(B) by redesignating paragraph (4) as 
paragraph (5); and 
(C) by inserting after paragraph (3) the 
following new paragraph: 
‘‘(4) COORDINATION
WITH
MEDICAID.—The 
State shall coordinate the screening and enrollment 
of individuals under this title and under title XIX 
consistent with the following: 
‘‘(A) Information that is collected under 
this title or under title XIX which is needed to 
make an eligibility determination under the 
other title shall be transmitted to the appro-
priate administering entity under such other 
title in a timely manner so that coverage is not 
delayed and families do not have to submit the 
same information twice. Families shall be pro-
vided the information they need to complete the 
application process for coverage under both ti-
tles and be given appropriate notice of any de-
terminations made on their applications for 
such coverage.
‘‘(B) If a State does not use a joint appli-
cation under this title and such title, the State 
shall—
‘‘(i) promptly inform a child’s parent 
or caretaker in writing and, if appropriate, 
orally, that a child has been found likely to 
be eligible under title XIX; 
‘‘(ii) provide the family with an appli-
cation for medical assistance under such 
title and offer information about what (if 
any) further information, documentation, 
or other steps are needed to complete such 
application process; 
‘‘(iii) offer assistance in completing 
such application process; and 
‘‘(iv) promptly transmit the separate 
application under this title or the informa-
tion obtained through such application, 
and all other relevant information and doc-
umentation, including the results of the 
screening process, to the State agency 
under title XIX for a final determination 
on eligibility under such title. 
‘‘(C) Applicants are notified in writing 
of—
‘‘(i) benefits (including restrictions on 
cost-sharing) under title XIX; and 
‘‘(ii) eligibility rules that prohibit chil-
dren who have been screened eligible for 
medical assistance under such title from 
being enrolled under this title, other than 
provisional temporary enrollment while a 
final eligibility determination is being made 
under such title. 
‘‘(D) If the agency administering this title 
is different from the agency administering a 
State plan under title XIX, such agencies shall 
coordinate the screening and enrollment of ap-
plicants for such coverage under both titles. 
‘‘(E) The coordination procedures estab-
lished between the program under this title and 
under title XIX shall apply not only to the ini-
tial eligibility determination of a family but also 
to any renewals or redeterminations of such eli-
gibility.’’. 
(3) EFFECTIVE DATE.—The amendments made 
by paragraphs (1) and (2) apply to individuals who 
lose eligibility under the medicaid program under 
title XIX, or under a State child health insurance 
plan under title XXI, respectively, of the Social Se-
curity Act on or after October 1, 2002 (or, if later, 
60 days after the date of the enactment of this Act), 
whether or not regulations implementing such 
amendments have been issued. 
(d) PROVISION OF MEDICAID AND CHIP APPLICA-
TIONS AND INFORMATION UNDER THE SCHOOL LUNCH 
PROGRAM.—Section 9(b)(2)(B) of the Richard B. Russell 
National School Lunch Act (42 U.S.C. 1758(b)(2)(B)) is 
amended—
(1) by striking ‘‘(B) Applications’’ and inserting 
‘‘(B)(i) Applications’’; and 
(2) by adding at the end the following:
‘‘(ii)(I) Applications for free and reduced price 
lunches that are distributed pursuant to clause (i) to par-
ents or guardians of children in attendance at schools par-
ticipating in the school lunch program under this Act shall 
also contain information on the availability of medical as-
sistance under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) and of child health and other assist-
ance under title XXI of such Act, including information 
on how to obtain an application for assistance under such 
programs. 
‘‘(II) Information on the programs referred to in sub-
clause (I) shall be provided on a form separate from the
application form for free and reduced price lunches under 
clause (i).’’. 
(e) 12-MONTHS CONTINUOUS ELIGIBILITY.—
(1) MEDICAID.—Section 1902(e)(12) of the So-
cial Security Act (42 U.S.C. 1396a(e)(12)) is 
amended—
(A) by striking ‘‘At the option of the State, 
the plan may’’ and inserting ‘‘The plan shall’’; 
(B) by striking ‘‘an age specified by the 
State (not to exceed 19 years of age)’’ and in-
serting ‘‘19 years of age (or such higher age as 
the 
State 
has 
elected 
under 
subsection 
(l)(1)(D)) or, at the option of the State, who is 
eligible for medical assistance as the parent of 
such a child’’; and 
(C) in subparagraph (A), by striking ‘‘a 
period (not to exceed 12 months) ’’ and insert-
ing ‘‘the 12-month period beginning on the 
date’’. 
(2) TITLE
XXI.—Section 2102(b)(2) of such 
Act (42 U.S.C. 1397bb(b)(2)) is amended by adding 
at the end the following: ‘‘Such methods shall pro-
vide 12-months continuous eligibility for children 
under this title in the same manner that section 
1902(e)(12) provides 12-months continuous eligi-
bility for children described in such section under 
title XIX. If a State has elected to apply section 
1902(e)(12) to parents, such methods may provide 
12-months continuous eligibility for parents under 
this title in the same manner that such section pro-
vides 12-months continuous eligibility for parents 
described in such section under title XIX.’’. 
(3) EFFECTIVE DATE.—
(A) IN GENERAL.—The amendments made 
by this subsection shall take effect on October 
1, 2002 (or, if later, 60 days after the date of 
the enactment of this Act), whether or not reg-
ulations implementing such amendments have 
been issued. 
Subtitle E—SCHIP Wrap-Around 
Benefits 
SEC. 141. REQUIRING COVERAGE OF SUBSTANTIALLY 
EQUIVALENT 
DENTAL 
SERVICES 
UNDER 
SCHIP. 
(a) IN GENERAL.—Section 2103(c)(2) of the Social 
Security Act (42 U.S.C. 1397cc(c)(2)) is amended by add-
ing at the end the following new subparagraph: 
‘‘(E) Dental services.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect on January 1, 2003.
SEC. 142. STATE OPTION TO PROVIDE WRAP-AROUND 
SCHIP COVERAGE TO CHILDREN WHO HAVE 
OTHER HEALTH COVERAGE. 
(a) IN GENERAL.—
(1) SCHIP.—
(A) STATE
OPTION
TO
PROVIDE
WRAP-
AROUND
COVERAGE.—Section 2110(b) of the 
Social Security Act (42 U.S.C. 1397jj(b)) is 
amended—
(i) in paragraph (1)(C), by inserting 
‘‘, subject to paragraph (5),’’ after ‘‘under 
title XIX or’’; and 
(ii) by adding at the end the following 
new paragraph: 
‘‘(5) STATE OPTION TO PROVIDE WRAP-AROUND 
COVERAGE.—A State may waive the requirement of 
paragraph (1)(C) that a targeted low-income child 
may not be covered under a group health plan or 
under health insurance coverage, if the State satis-
fies the conditions described in subsection (c)(8). 
The State may waive such requirement in order to 
provide—
‘‘(A) dental services; 
‘‘(B) cost-sharing protection; or 
‘‘(C) all services.
In waiving such requirement, a State may limit the 
application of the waiver to children whose family in-
come does not exceed a level specified by the State, 
so long as the level so specified does not exceed the 
maximum income level otherwise established for 
other children under the State child health plan.’’; 
and 
(B) 
CONDITIONS
DESCRIBED.—Section 
2105(c) of such Act (42 U.S.C. 1397ee(c)) is 
amended by adding at the end the following 
new paragraph:
‘‘(8) CONDITIONS
FOR
PROVISION
OF
WRAP 
AROUND
COVERAGE.—For 
purposes 
of 
section 
2110(b)(5), the conditions described in this para-
graph are the following: 
‘‘(A) INCOME
ELIGIBILITY.—The State 
child health plan (whether implemented under 
title XIX or this XXI)—
‘‘(i) has an income eligibility standard 
not less than that described in paragraph 
(4) of such section; 
‘‘(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. 
‘‘(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) NO MORE FAVORABLE TREATMENT.—
The State child health plan may not provide 
more favorable coverage of dental services to 
the children covered under section 2110(b)(5) 
than to children otherwise covered under this 
title.’’. 
(C) STATE OPTION TO WAIVE WAITING PE-
RIOD.—Section 2102(b)(1)(B) of such Act (42 
U.S.C. 1397bb(b)(1)(B)) is amended—
(i) in clause (i), by striking ‘‘and’’ at 
the end; 
(ii) in clause (ii), by striking the pe-
riod and inserting ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing new clause:
‘‘(iii) at State option, may not apply 
a waiting period in the case of child de-
scribed in section 2110(b)(5), if the State 
satisfies 
the 
requirements 
of 
section 
2105(c)(8).’’. 
(2) APPLICATION OF ENHANCED MATCH UNDER 
MEDICAID.—Section 1905 of such Act (42 U.S.C. 
1396d) is amended—
(A) in subsection (b), in the fourth sen-
tence, by striking ‘‘or subsection (u)(3)’’ and 
inserting ‘‘(u)(3), or (u)(4)’’; and 
(B) in subsection (u)—
(i) by redesignating paragraph (4) as 
paragraph (5); and 
(ii) by inserting after paragraph (3) 
the following new paragraph: 
‘‘(4) For purposes of subsection (b), the expenditures 
described in this paragraph are expenditures for items and 
services for children described in section 2110(b)(5), but 
only in the case of a State that satisfies the requirements 
of section 2105(c)(8).’’. 
(3) APPLICATION OF SECONDARY PAYOR PROVI-
SIONS.—Section 2107(e)(1) of such Act (42 U.S.C. 
1397gg(e)(1)), as amended by section 121(b), is 
amended—
(A) by redesignating subparagraphs (B) 
through (E) as subparagraphs (C) through (F), 
respectively; and 
(B) by inserting after subparagraph (A) 
the following new subparagraph: 
‘‘(B) Section 1902(a)(25) (relating to co-
ordination of benefits and secondary payor pro-
visions) with respect to children covered under 
a waiver described in section 2110(b)(5).’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall take effect on January 1, 2003, and 
shall apply to child health assistance and medical assist-
ance provided on or after that date. 
Subtitle F—Immunization 
Coverage Through SCHIP 
SEC. 151. ELIGIBILITY OF CHILDREN ENROLLED IN THE 
STATE 
CHILDREN’S 
HEALTH 
INSURANCE 
PROGRAM FOR THE PEDIATRIC VACCINE DIS-
TRIBUTION PROGRAM. 
(a) IN GENERAL.—Section 1928(b)(2)(B)(ii)(I) of 
the Social Security Act (42 U.S.C. 1396s(b)(2)(B)(ii)(I)) 
is amended by inserting ‘‘(other than a State child health 
plan under title XXI)’’ after ‘‘policy or plan’’.
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) applies with respect to vaccines adminis-
tered on or after the date of the enactment of this Act. 
Subtitle G—Limited English 
Proficient Communities 
SEC. 161. INCREASED FEDERAL REIMBURSEMENT FOR 
LANGUAGE SERVICES UNDER THE MEDICAID 
PROGRAM 
AND 
THE 
STATE 
CHILDREN’S 
HEALTH INSURANCE PROGRAM. 
(a) MEDICAID.—Section 1903(a)(3) of the Social Se-
curity 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) 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; plus’’. 
(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) be redesignating clause (iv) as clause 
(v); and 
(C) by inserting after clause (iii) the fol-
lowing: 
‘‘(iv) for expenditures attributable to 
the provision of language services, includ-
ing oral interpretation, translations of 
written materials, and other language serv-
ices, for individuals with limited English 
proficiency who apply for, or receive, child 
health assistance under the plan; and’’. 
(c) NONAPPLICATION OF LIMIT ON ADMINISTRATIVE 
EXPENDITURES.—Section 2105(a) of the Social Security 
Act (42 U.S.C.1397ee(a)) is amended by adding at the 
end the following: 
‘‘(3) NONAPPLICATION OF LIMIT ON ADMINIS-
TRATIVE
EXPENDITURES.—The 10 percent limita-
tion on expenditures not used for medicaid or health
assistance imposed under subsection (c)(2)(A) shall 
not apply to payments made under this subsection 
for expenditures described in paragraph (1).’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on October 1, 2003. 
Subtitle H—Binational Health 
Insurance 
SEC. 171. BINATIONAL HEALTH INSURANCE. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall enter into a contract with the Insti-
tute of Medicine for the conduct of a study concerning 
binational health insurance efforts. In conducting such 
study, the Institute shall solicit input from border health 
experts and health insurance companies. 
(b) REPORT.—Not later than 1 year after the date 
on which the Secretary of Health and Human Services en-
ters into the contract under subsection (a), the Institute 
of Medicine shall submit to the Secretary and the appro-
priate committees of Congress a report concerning the 
study conducted under subsection (a). Such report shall 
include the recommendations of the Institute on ways to 
expand or improve binational health insurance efforts.
(3) research programs carried out through the 
National Institutes of Health; and 
(4) activities of the Office of Public Health and 
Science, including activities of the Office of Minority 
Health. 
(b) DATA COLLECTION.—Each report under sub-
section (a) shall include information on programs carried 
out through the Public Health Service to collect data that 
relates to the health status of Hispanic individuals regard-
ing diabetes, HIV infection, AIDS, substance abuse, and 
mental health.
Subtitle B—Diabetes Control and 
Prevention 
SEC. 211. NATIONAL DIABETES EDUCATION PROGRAM OF 
CENTERS FOR DISEASE CONTROL AND PRE-
VENTION; INCREASED AUTHORIZATION OF 
APPROPRIATIONS FOR ACTIVITIES REGARD-
ING HISPANIC INDIVIDUALS. 
(a) IN GENERAL.—For the purpose of carrying out 
the activities described in subsection (b) through the Divi-
sion of Diabetes Translation of the Centers for Disease 
Control and Prevention, there are authorized to be appro-
priated $100,000,000 for fiscal year 2003, and such sums 
as may be necessary for each of the fiscal years 2004 
through 2007. Such authorization of appropriations is in
addition to other authorizations of appropriations that are 
available for such purpose. 
(b) INCREASE IN PREVENTION ACTIVITIES.—The ac-
tivities referred to in subsection (a) are—
(1) identifying geographic areas in which the 
incidence of or mortality from diabetes in Hispanic 
individuals is significantly above the national aver-
age for such individuals; 
(2) carrying out in such areas prevention activi-
ties regarding diabetes that are directed toward His-
panic individuals, including education programs and 
screening programs; 
(3) designing and assisting with the implemen-
tation of school-based programs aimed at modifying 
environmental risk factors and access to care for 
high-risk and diagnosed Hispanic youth; and 
(4) designing and assisting with the implemen-
tation of diabetes-specific programs to improve diag-
nosis, treatment, and self-management training in 
community health clinics. 
SEC. 212. NATIONAL INSTITUTES OF HEALTH; IMPLEMEN-
TATION OF RECOMMENDATIONS OF DIABE-
TES RESEARCH WORKING GROUP. 
For the purpose of carrying out the plan to imple-
ment the recommendations of the Diabetes Research
Working Group of the National Institute on Diabetes and 
Digestive and Kidney Diseases (which plan was developed 
and submitted to the Congress pursuant to the Depart-
ment of Health and Human Services Appropriations Act, 
2000), which most impact the Hispanic community, in-
cluding research into obesity, behavioral and environ-
mental risk factors, and special needs of minority women, 
children and the elderly, there are authorized to be appro-
priated $363,000,000 for fiscal year 2003, and such sums 
as may be necessary for each of the fiscal years 2004 
through 2007. 
Subtitle C—HIV Prevention Activi-
ties Regarding Hispanic Individ-
uals 
SEC. 221. PROGRAMS OF CENTERS FOR DISEASE CONTROL 
AND PREVENTION; REPRESENTATION OF HIS-
PANIC INDIVIDUALS IN MEMBERSHIP OF 
COMMUNITY PLANNING GROUPS. 
(a) IN GENERAL.—With respect to community plan-
ning groups that the Centers for Disease Control and Pre-
vention utilizes in carrying out programs for the preven-
tion of HIV infection, the Secretary, acting through the 
Director of such Centers, shall carry out the following: 
(1) The Secretary shall identify community 
planning groups for which Hispanic individuals are
underrepresented as members in relation to the 
number of Hispanic individuals with HIV who reside 
in the communities involved. 
(2) The Secretary shall develop a plan to in-
crease the representation of Hispanic individuals in 
the membership of the community planning groups 
identified under paragraph (1). Such plan may pro-
vide for facilitating the participation of Hispanic in-
dividuals as members in such groups by assisting the 
individuals with the incidental costs incurred by the 
individuals in being such members, such as the costs 
of transportation and child-care services. 
(3) The plan shall include a strategy and de-
tailed timeline for implementing the plan. 
(b) DEFINITION.—In this section, the term ‘‘commu-
nity planning group’’ has the meaning that applies for 
purposes of programs established pursuant to the Ryan 
White Comprehensive AIDS Resources Emergency Act of 
1990 (including title XXVI of the Public Health Service 
Act).
SEC. 222. AIDS EDUCATION AND TRAINING CENTERS FUND-
ED BY HEALTH RESOURCES AND SERVICES 
ADMINISTRATION; ESTABLISHMENT OF CEN-
TER DIRECTED TOWARD MINORITY POPU-
LATIONS WITH HIV. 
(a) IN GENERAL.—In carrying out section 2692 of 
the Public Health Service Act (42 U.S.C. 300ff-111), the 
Secretary, acting through the Administrator of the Health 
Resources and Services Administration, shall make grants 
to eligible Hispanic-serving institutions for the purpose of 
carrying out projects under such section with respect to 
HIV in racial and ethnic minority groups. 
(b) CULTURAL
COMPETENCE.—A condition for 
grants under subsection (a) is that the applicants involved
agree that the education and training provided through 
projects under such subsection will be provided in a cul-
turally competent manner (as defined in section 331). 
(c) ELIGIBLE INSTITUTIONS.—In this section: 
(1) 
ELIGIBLE
HISPANIC-SERVING
INSTITU-
TION.—The term ‘‘eligible Hispanic-serving institu-
tion’’ means a Hispanic-serving institution that has 
a record of carrying out HIV-related activities with 
respect to Hispanic individuals. 
(2) 
HISPANIC-SERVING
INSTITUTION.—The 
term ‘‘Hispanic-serving institution’’ has the meaning
given such term in section 502 of the Higher Edu-
cation Act of 1965 (20 U.S.C. 1101a). 
Subtitle D—Prevention of Latina 
Adolescent Suicides 
SEC. 231. SHORT TITLE. 
This subtitle may be cited as the ‘‘Latina Adolescent 
Suicide Prevention Act’’. 
SEC. 232. ESTABLISHMENT OF PROGRAM FOR PREVENTION 
OF LATINA ADOLESCENT SUICIDES. 
Title V of the Public Health Service Act (42 U.S.C. 
290aa et seq.) is amended by inserting after section 520A 
the following section: 
‘‘SEC. 520B. PREVENTION OF LATINA ADOLESCENT SUI-
CIDES. 
‘‘(a) IN GENERAL.—The Secretary shall carry out a 
program to make awards of grants, cooperative agree-
ments, or contracts to public and nonprofit private entities 
for the purpose of reducing suicide attempts and deaths 
among Latina adolescents and for the purpose of dealing 
with depression and other related emotional conditions 
which may contribute to suicide. 
‘‘(b) COLLABORATION.—The Secretary shall ensure 
that the program carried out under this section is devel-
oped in collaboration with the relevant institutes at the 
National Institutes of Health, the Health Resources and
Services Administration, the Centers for Disease Control 
and Prevention, and the Administration on Children and 
Families. 
‘‘(c) PREFERENCE.—In making awards under sub-
section (a), the Secretary shall give preference to appli-
cants that—
‘‘(1) demonstrate a strong linkage with schools 
and are actually supported by and operated within 
a school facility or associated setting; 
‘‘(2) provide direct services to Latina adoles-
cents and their family members when appropriate; 
and 
‘‘(3) serve geographic areas that already have a 
high 
concentration 
of 
underserved 
adolescent 
Latinas or a rapidly growing Hispanic population, 
based on the latest census data. 
‘‘(d) REQUIREMENTS.—A condition for the receipt of 
an award under subsection (a) is that the applicant in-
volved demonstrate that the project to be carried out with 
the award will—
‘‘(1) provide for the timely assessment and 
treatment of Latina adolescents at risk for suicide; 
‘‘(2) use evidenced-based strategies;
‘‘(3) be based on exemplary practices that are 
adapted to the unique characteristics and needs of 
the local community; 
‘‘(4) be integrated into the existing health care 
system in the community, including primary health 
care, mental health services, and substance abuse 
services as appropriate; 
‘‘(5) be integrated into other systems in the 
community to address the needs of Latina adoles-
cents including the educational system, juvenile jus-
tice, and recreation; 
‘‘(6) provide support services to the families 
and friends of those who plan, attempt, or actually 
commit suicide; 
‘‘(7) provide culturally, linguistically, and devel-
opmentally appropriate services; 
‘‘(8) agree to outcomes evaluation to determine 
the success of the program and the possibility of 
replication to other adolescent girls at risk of sui-
cide; 
‘‘(9) provide or ensure referral for mental 
health and substance abuse services as needed; and 
‘‘(10) ensure that staff used in the program are 
trained in suicide prevention and in the identifica-
tion of conditions which left untreated may lead to
suicide, are capable of providing culturally and lin-
guistically appropriate services, and that profes-
sionals involved in the system of care are given 
training in identifying persons at risk of suicide. 
‘‘(e) COORDINATION.—A condition for the receipt of 
an award under subsection (a) is that the applicant in-
volved demonstrate that—
‘‘(1) the application has the support of the local 
communities and the approval of the political sub-
division to be served by the project to be carried out 
under the award; and 
‘‘(2) the applicant has discussed the application 
with local and State mental health officials.
‘‘(f) MATCHING REQUIREMENT.—With respect to the 
costs to be incurred by an applicant in carrying out a 
project under subsection (a), the Secretary may require 
as a condition of the receipt of the award that the appli-
cant make available (directly or through donations from 
public or private entities) non-Federal contributions to-
ward such costs in an amount that is not less than 25 
percent of such costs ($1 for each $3 of Federal funds 
provided under the award). 
‘‘(g) EVALUATION.—The Secretary shall ensure that 
entities receiving awards under subsection (a) submit an
evaluation of the project carried out under the award that 
includes an evaluation of—
‘‘(1) the efficacy of project strategies; and 
‘‘(2) short, intermediate, and long-term out-
comes, including the overall impact of the project on 
the self-esteem of Latina adolescents, their emo-
tional well-being and development, ability to deal in 
a positive and confident manner with their families, 
peers, and social environment, and to make con-
structive and personally fulfilling life choices. 
‘‘(h) DISSEMINATION AND EDUCATION.—The Sec-
retary shall ensure that the findings from the program 
carried out under this section are disseminated to State 
and local governmental agencies and private providers of 
mental health and substance abuse services. 
‘‘(i) DURATION OF PROJECTS.—With respect to an 
award under subsection (a), the period during which pay-
ments under such award are made may not exceed 5 years. 
‘‘(j) DEFINITION.—In this section, the term ‘adoles-
cent’ means an individual between the ages of 11 and 17 
(inclusive). 
‘‘(k) FUNDING.—
‘‘(1) AUTHORIZATION
OF
APPROPRIATIONS.—
For the purpose of carrying out this section, there 
are authorized to be appropriated $10,000,000 for
fiscal year 2003, and such sums as may be nec-
essary for each of the fiscal years 2004 and 2005. 
‘‘(2) ALLOCATION
FOR
PROGRAM
MANAGE-
MENT.—Of the amount appropriated under para-
graph (1) for a fiscal year, the Secretary may re-
serve not more than 1 percent for administering the 
program under this section.’’. 
Subtitle E—Dental Health Services 
SEC. 241. GRANTS TO IMPROVE THE PROVISION OF DENTAL 
HEALTH SERVICES THROUGH COMMUNITY 
HEALTH CENTERS AND PUBLIC HEALTH DE-
PARTMENTS. 
Part D of title III of the Public Health Service Act 
(42 U.S.C. 254b et seq.) is amended by inserting before 
section 330, the following: 
‘‘SEC. 329. GRANT PROGRAM TO EXPAND THE AVAIL-
ABILITY OF SERVICES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Health Resources and Services Administration, shall 
establish a program under which the Secretary may award 
grants to eligible entities and eligible individuals to expand 
the availability of primary dental care services in dental 
health professional shortage areas or medically under-
served areas. 
‘‘(b) ELIGIBILITY.—
‘‘(1) ENTITIES.—To be eligible to receive a 
grant under this section an entity—
‘‘(A) shall be—
‘‘(i) a health center receiving funds 
under section 330 or designated as a Fed-
erally qualified health center; 
‘‘(ii) a county or local public health 
department, if located in a federally-des-
ignated dental health professional shortage 
area; 
‘‘(iii) an Indian tribe or tribal organi-
zation (as defined in section 4 of the In-
dian Self-Determination and Education 
Assistance Act (25 U.S.C. 450b)); or 
‘‘(iv) a dental education program ac-
credited by the Commission on Dental Ac-
creditation; and 
‘‘(B) shall prepare and submit to the Sec-
retary an application at such time, in such 
manner, and containing such information as the 
Secretary may require. 
‘‘(2) INDIVIDUALS.—To be eligible to receive a 
grant under this section an individual shall—
‘‘(A) be a dental health professional li-
censed or certified in accordance with the laws
106
‘‘(B) The health professions schools of the 
consortium are schools of medicine or osteo-
pathic medicine, public health, dentistry, veteri-
nary medicine, optometry, pharmacy, allied 
health, chiropractic, or podiatric medicine, or 
graduate programs in mental health practice 
(including such programs in clinical psy-
chology). 
‘‘(C) Except as provided in subparagraph 
(D), the membership of the consortium includes 
not less than one nonprofit private community-
based organization and not less than three 
health professions schools. 
‘‘(D) In the case of an applicant whose ex-
clusive activity under the award will be carrying 
out one or more programs described in sub-
section (a)(6), the membership of the consor-
tium includes not less than one nonprofit pri-
vate community-based organization and not less 
than one health professions schools. 
‘‘(E) The members of the consortium have 
entered into an agreement specifying—
‘‘(i) that each of the members will 
comply with the conditions upon which the 
award is made; and
126
awards are equitably allocated with respect to 
the various racial and minority populations. 
‘‘(B) With respect to grants, cooperative 
agreements, and contracts that are available 
under the sections specified in subparagraph 
(A), the Secretary shall—
‘‘(i) carry out activities to inform enti-
ties, as appropriate, that the entities may 
be eligible for awards of such assistance; 
‘‘(ii) provide technical assistance to 
such entities in the process of preparing 
and submitting applications for the awards 
in accordance with the policies of the Sec-
retary regarding such application; and 
‘‘(iii) inform populations, as appro-
priate, that members of the populations 
may be eligible to receive services or other-
wise participate in the activities carried out 
with such awards. 
‘‘(3) CULTURAL COMPETENCY OF SERVICES.—
The Secretary shall ensure that information and 
services provided pursuant to subsection (b) are pro-
vided in the language and cultural context that is 
most appropriate for the individuals for whom the 
information and services are intended.