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‘‘(I) IN GENERAL.—Under this clause, 
the State establishes a screening threshold 
set as a percentage of the Federal poverty 
level that exceeds the highest income 
threshold applicable under this title to the 
child by a minimum of 30 percentage 
points or, at State option, a higher number 
of percentage points that reflects the value 
(as determined by the State and described 
in the State plan) of any differences be-
tween income methodologies used by the 
program administered by the Express Lane 
agency and the methodologies used by the 
State in determining eligibility for medical 
assistance under this title. 
‘‘(II) CHILDREN
WITH
INCOME
NOT 
ABOVE THRESHOLD.—If the income of a 
child does not exceed the screening thresh-
old, the child is deemed to satisfy the in-
come eligibility criteria for medical assist-
ance under this title regardless of whether 
such child would otherwise satisfy such cri-
teria. 
‘‘(III) 
CHILDREN
WITH
INCOME 
ABOVE THRESHOLD.—If the income of a 
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child exceeds the screening threshold, the 
child shall be considered to have an income 
above the Medicaid applicable income level 
described in section 2110(b)(4) and to sat-
isfy 
the 
requirement 
under 
section 
2110(b)(1)(C) (relating to the requirement 
that CHIP matching funds be used only 
for children not eligible for Medicaid). If 
such a child is enrolled in child health as-
sistance under title XXI, the State shall 
provide the parent, guardian, or custodial 
relative with the following: 
‘‘(aa) Notice that the child may 
be eligible to receive medical assist-
ance under the State plan under this 
title if evaluated for such assistance 
under the State’s regular procedures 
and notice of the process through 
which a parent, guardian, or custodial 
relative can request that the State 
evaluate the child’s eligibility for med-
ical assistance under this title using 
such regular procedures. 
‘‘(bb) A description of differences 
between the medical assistance pro-
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vided under this title and child health 
assistance under title XXI, including 
differences in cost-sharing require-
ments and covered benefits. 
‘‘(iii) TEMPORARY ENROLLMENT IN CHIP 
PENDING SCREEN AND ENROLL.— 
‘‘(I) IN GENERAL.—Under this clause, 
a State enrolls a child in child health as-
sistance under title XXI for a temporary 
period if the child appears eligible for such 
assistance based on an income finding by 
an Express Lane agency. 
‘‘(II) 
DETERMINATION
OF
ELIGI-
BILITY.—During such temporary enroll-
ment period, the State shall determine the 
child’s eligibility for child health assistance 
under title XXI or for medical assistance 
under this title in accordance with this 
clause. 
‘‘(III) PROMPT FOLLOW UP.—In mak-
ing such a determination, the State shall 
take prompt action to determine whether 
the child should be enrolled in medical as-
sistance under this title or child health as-
sistance under title XXI pursuant to sub-
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paragraphs 
(A) 
and 
(B) 
of 
section 
2102(b)(3) (relating to screen and enroll). 
‘‘(IV) REQUIREMENT FOR SIMPLIFIED 
DETERMINATION.—In making such a de-
termination, the State shall use procedures 
that, to the maximum feasible extent, re-
duce the burden imposed on the individual 
of such determination. Such procedures 
may not require the child’s parent, guard-
ian, or custodial relative to provide or 
verify information that already has been 
provided to the State agency by an Ex-
press Lane agency or another source of in-
formation unless the State agency has rea-
son to believe the information is erroneous. 
‘‘(V) AVAILABILITY OF CHIP MATCH-
ING FUNDS DURING TEMPORARY ENROLL-
MENT
PERIOD.—Medical assistance for 
items and services that are provided to a 
child enrolled in title XXI during a tem-
porary enrollment period under this clause 
shall be treated as child health assistance 
under such title. 
‘‘(D) OPTION FOR AUTOMATIC ENROLLMENT.— 
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‘‘(i) IN GENERAL.—At its option, a State 
may initiate an evaluation of an individual’s eli-
gibility for medical assistance under this title 
without an application and determine the indi-
vidual’s eligibility for such assistance using 
findings from one or more Express Lane agen-
cies and information from sources other than a 
child, if the requirements of clauses (ii) and (iii) 
are met. 
‘‘(ii) 
INDIVIDUAL
CHOICE
REQUIRE-
MENT.—The requirement of this clause is that 
the child is enrolled in medical assistance under 
this title or child health assistance under title 
XXI only if the child (or a parent, caretaker 
relative, or guardian on the behalf of the child) 
has affirmatively assented to such enrollment. 
‘‘(iii) INFORMATION
REQUIREMENT.—The 
requirement of this clause is that the State in-
forms the parent, guardian, or custodial relative 
of the child of the services that will be covered, 
appropriate methods for using such services, 
premium or other cost sharing charges (if any) 
that apply, medical support obligations (under 
section 1912(a)) created by enrollment (if appli-
cable), and the actions the parent, guardian, or 
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relative must take to maintain enrollment and 
renew coverage. 
‘‘(E) EXPRESS
LANE
AGENCY
DEFINED.—In 
this paragraph, the term ‘express lane agency’ 
means an agency that meets the following require-
ments: 
‘‘(i) The agency determines eligibility for 
assistance under the Food Stamp Act of 1977, 
the Richard B. Russell National School Lunch 
Act, the Child Nutrition Act of 1966, or the 
Child Care and Development Block Grant Act 
of 1990. 
‘‘(ii) The agency notifies the child (or a 
parent, caretaker relative, or guardian on the 
behalf of the child)— 
‘‘(I) of the information which shall be 
disclosed; 
‘‘(II) that the information will be used 
by the State solely for purposes of deter-
mining eligibility for and for providing 
medical assistance under this title or child 
health assistance under title XXI; and 
‘‘(III) that the child, or parent, care-
taker relative, or guardian, may elect to 
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not have the information disclosed for such 
purposes. 
‘‘(iii) The agency and the State agency are 
subject to an interagency agreement limiting 
the disclosure and use of such information to 
such purposes. 
‘‘(iv) The agency is determined by the 
State agency to be capable of making the deter-
minations described in this paragraph and is 
identified in the State plan under this title or 
title XXI. 
For purposes of this subparagraph, the term ‘State 
agency’ refers to the agency determining eligibility 
for medical assistance under this title or child health 
assistance under title XXI. 
‘‘(F) CHILD DEFINED.—For purposes of this 
paragraph, the term ‘child’ means an individual 
under 19 years of age, or, at the option of a State, 
such higher age, not to exceed 21 years of age, as 
the State may elect.’’. 
(b) CHIP.—Section 2107(e)(1) of such Act (42 
U.S.C. 1397gg(e)(1)) is amended by redesignating sub-
paragraphs (B), (C), and (D) as subparagraphs (E), (H), 
and (I), respectively, and by inserting after subparagraph 
(A) the following new subparagraph: 
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