209 
‘‘(1) outreach to families of Indian children 
likely to be eligible for child health assistance under 
the State children’s health insurance program estab-
lished under title XXI of the Social Security Act, see 
sections 2105(c)(2)(C) and 1139(a) of such Act (42 
U.S.C. 1397ee(c)(2), 1320b–9); and 
‘‘(2) ensuring that child health assistance is 
provided under such program to targeted low-income 
children who are Indians and that payments are 
made under such program to Indian Health Pro-
grams and Urban Indian Organizations operating in 
the State that provide such assistance, see sections 
2102(b)(3)(D) and 2105(c)(6)(B) of such Act (42 
U.S.C. 1397bb(b)(3)(D), 1397ee(c)(6)(B)). 
‘‘SEC. 411. EXCLUSION WAIVER AUTHORITY FOR AFFECTED 
INDIAN HEALTH PROGRAMS AND SAFE HAR-
BOR TRANSACTIONS UNDER THE SOCIAL SE-
CURITY ACT. 
‘‘For provisions relating to— 
‘‘(1) exclusion waiver authority for affected In-
dian Health Programs under the Social Security 
Act, see section 1128(k) of the Social Security Act 
(42 U.S.C. 1320a–7(k)); and 
‘‘(2) certain transactions involving Indian 
Health Programs deemed to be in safe harbors 
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210 
under that Act, see section 1128B(b)(4) of the So-
cial Security Act (42 U.S.C. 1320a–7b(b)(4)). 
‘‘SEC. 412. PREMIUM AND COST SHARING PROTECTIONS 
AND ELIGIBILITY DETERMINATIONS UNDER 
MEDICAID AND SCHIP AND PROTECTION OF 
CERTAIN INDIAN PROPERTY FROM MEDICAID 
ESTATE RECOVERY. 
‘‘For provisions relating to— 
‘‘(1) premiums or cost sharing protections for 
Indians furnished items or services directly by In-
dian Health Programs or through referral under the 
contract health service under the Medicaid program 
established under title XIX of the Social Security 
Act, see sections 1916(j) and 1916A(a)(1) of the So-
cial Security Act (42 U.S.C. 1396o(j), 1396o– 
1(a)(1)); 
‘‘(2) rules regarding the treatment of certain 
property for purposes of determining eligibility 
under such programs, see sections 1902(e)(13) and 
2107(e)(1)(B) of such Act (42 U.S.C. 1396a(e)(13), 
1397gg(e)(1)(B)); and 
‘‘(3) the protection of certain property from es-
tate recovery provisions under the Medicaid pro-
gram, see section 1917(b)(3)(B) of such Act (42 
U.S.C. 1396p(b)(3)(B)). 
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‘‘SEC. 413. TREATMENT UNDER MEDICAID AND SCHIP MAN-
AGED CARE. 
‘‘For provisions relating to the treatment of Indians 
enrolled in a managed care entity under the Medicaid pro-
gram under title XIX of the Social Security Act and In-
dian Health Programs and Urban Indian Organizations 
that are providers of items or services to such Indian en-
rollees, see sections 1932(h) and 2107(e)(1)(H) of the So-
cial 
Security 
Act 
(42 
U.S.C. 
1396u–2(h), 
1397gg(e)(1)(H)). 
‘‘SEC. 414. NAVAJO NATION MEDICAID AGENCY FEASI-
BILITY STUDY. 
‘‘(a) STUDY.—The Secretary shall conduct a study 
to determine the feasibility of treating the Navajo Nation 
as a State for the purposes of title XIX of the Social Secu-
rity Act, to provide services to Indians living within the 
boundaries of the Navajo Nation through an entity estab-
lished having the same authority and performing the same 
functions as single-State medicaid agencies responsible for 
the administration of the State plan under title XIX of 
the Social Security Act. 
‘‘(b) CONSIDERATIONS.—In conducting the study, 
the Secretary shall consider the feasibility of— 
‘‘(1) assigning and paying all expenditures for 
the provision of services and related administration 
funds, under title XIX of the Social Security Act, to 
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