I
107TH CONGRESS
2D SESSION
H. R. 5067
To amend titles XIX and XXI of the Social Security Act to permit States
the option of coverage of aliens who are citizens covered under the
Compact of Free Association legally residing in the United States under
the Medicaid Program and the State children’s health insurance program
(SCHIP).
IN THE HOUSE OF REPRESENTATIVES
JULY 8, 2002
Mrs. MINK of Hawaii introduced the following bill; which was referred to the
Committee on Energy and Commerce
A BILL
To amend titles XIX and XXI of the Social Security Act
to permit States the option of coverage of aliens who
are citizens covered under the Compact of Free Associa-
tion legally residing in the United States under the Med-
icaid Program and the State children’s health insurance
program (SCHIP).
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Compact of Free Asso-
ciation Children’s Health Improvement Act of 2002’’.
SEC. 2. OPTIONAL COVERAGE OF ALIENS WHO ARE CITI-
ZENS COVERED UNDER THE COMPACT OF
FREE ASSOCIATION LEGALLY RESIDING IN
THE UNITED STATES 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 new
paragraph:
‘‘(4)(A) A State may elect (in a plan amendment
under this title) to provide medical assistance under this
title, notwithstanding sections 401(a), 402(b), 403, and
421 of the Personal Responsibility and Work Opportunity
Reconciliation Act of 1996, for aliens who are citizens cov-
ered under the Compact of Free Association legally resid-
ing in the United States and who are otherwise eligible
for such assistance, within either or both of the following
eligibility 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) In the case of a State that has elected to provide
medical assistance to a category of aliens under subpara-
graph (A), no debt shall accrue under an affidavit of sup-
port 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.’’.
(b) SCHIP.—Section 2107(e)(1) of such Act (42
U.S.C. 1397gg(e)(1)) as amended by section 803 of the
Medicare, Medicaid, and SCHIP Benefits Improvement
and Protection Act of 2000, as enacted into law by section
1(a)(6) of Public Law 106–554, is amended by redesig-
nating subparagraphs (C) and (D) as subparagraph (D)
and (E), respectively, and by inserting after subparagraph
(B) the following new subparagraph:
‘‘(C) Section 1903(v)(4) (relating to op-
tional coverage of categories of citizens covered
under the Compact of Free Association legally
residing in the United States), but only if the
State has elected to apply such section to the
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.
Æ