‘‘(1) IN
GENERAL.—For the purpose of car-
rying out this section, there are authorized to be ap-
propriated— 
‘‘(A) for fiscal year 2009, $50,000,000; 
‘‘(B) for fiscal year 2010, $75,000,000; 
‘‘(C) for fiscal year 2011, $150,000,000; 
‘‘(D) for fiscal year 2012, $200,000,000; 
and 
‘‘(E) for fiscal year 2013, $250,000,000. 
‘‘(2) SET-ASIDE
FOR
TECHNICAL
ASSISTANCE 
AND PROVISION OF SUPPLIES AND SERVICES.—Of 
the amount appropriated under paragraph (1) for a 
fiscal year, the Secretary shall reserve not to exceed 
20 percent for carrying out subsection (j).’’. 
SEC. 3. OPTIONAL MEDICAID COVERAGE OF CERTAIN PER-
SONS 
SCREENED 
AND 
FOUND 
TO 
HAVE 
COLORECTAL CANCER. 
(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 (XVIII), by striking ‘‘or’’ 
at the end; 
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(B) in subclause (XIX), by adding ‘‘or’’ at 
the end; and 
(C) by adding at the end the following: 
‘‘(XX) who are described in sub-
section (dd) (relating to certain per-
sons screened and found to need 
treatment from complications from 
screening or have colorectal cancer);’’. 
(2) GROUP DESCRIBED.—Section 1902 of the 
Social Security Act (42 U.S.C. 1396a) is amended 
by adding at the end the following: 
‘‘(dd) Individuals described in this subsection are in-
dividuals who— 
‘‘(1) 
are 
not 
described 
in 
subsection 
(a)(10)(A)(i); 
‘‘(2) have not attained age 65; 
‘‘(3) have been screened for colorectal cancer 
and need treatment for complications due to screen-
ing or colorectal cancer; and 
‘‘(4) are not otherwise covered under creditable 
coverage, as defined in section 2701(c) of the Public 
Health Service Act.’’. 
(3) 
LIMITATION
ON
BENEFITS.—Section 
1902(a)(10) of the Social Security Act (42 U.S.C. 
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1396a(a)(10)) is amended in the matter following 
subparagraph (G)— 
(A) by striking ‘‘and (XIV)’’ and inserting 
‘‘(XIV)’’; and 
(B) by inserting ‘‘, and (XV) the medical 
assistance made available to an individual de-
scribed in subsection (dd) who is eligible for 
medical assistance only because of subpara-
graph (A)(10)(ii)(XX) shall be limited to med-
ical assistance provided during the period in 
which such an individual requires treatment for 
complications due to screening or colorectal 
cancer’’ before the semicolon. 
(4) 
CONFORMING
AMENDMENTS.—Section 
1905(a) of the Social Security Act (42 U.S.C. 
1396d(a)) is amended in the matter preceding para-
graph (1)— 
(A) in clause (xii), by striking ‘‘or’’ at the 
end; 
(B) in clause (xiii), by adding ‘‘or’’ at the 
end; and 
(C) by inserting after clause (xiii) the fol-
lowing: 
‘‘(xiv) individuals described in section 
1902(dd),’’. 
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(b) PRESUMPTIVE ELIGIBILITY.— 
(1) IN GENERAL.—Title XIX of the Social Se-
curity Act (42 U.S.C. 1396 et seq.) is amended by 
inserting after section 1920B the following: 
‘‘OPTIONAL APPLICATION OF PRESUMPTIVE ELIGIBILITY 
PROVISIONS
FOR
CERTAIN
PERSONS
WITH 
COLORECTAL CANCER 
‘‘SEC. 1920C. A State may elect to apply the provi-
sions of section 1920B to individuals described in section 
1902(dd) (relating to certain colorectal cancer patients) 
in the same manner as such section applies to individuals 
described in section 1902(aa) (relating to certain breast 
or cervical cancer patients).’’. 
(2) CONFORMING AMENDMENTS.— 
(A) Section 1902(a)(47) of the Social Se-
curity Act (42 U.S.C. 1396a(a)(47)) is amend-
ed— 
(i) by striking ‘‘and’’ after ‘‘section 
1920’’ and inserting a comma; 
(ii) by striking ‘‘and’’ after ‘‘with such 
section’’ and inserting a comma; and 
(iii) by inserting before the semicolon 
at the end the following: ‘‘, and provide for 
making medical assistance available to in-
dividuals described in section 1920C dur-
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ing a presumptive eligibility period in ac-
cordance 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 section 
1920C during a presumptive eligibility pe-
riod under such section’’. 
(c) ENHANCED MATCH.—The first sentence of sec-
tion 1905(b) of the Social Security Act (42 U.S.C. 
1396d(b)) is amended— 
(1) by striking ‘‘and’’ before ‘‘(4)’’; and 
(2) by inserting before the period at the end the 
following: ‘‘, and (5) the Federal medical assistance 
percentage shall be equal to the enhanced FMAP de-
scribed in section 2105(b) with respect to medical 
assistance provided to individuals who are eligible 
for such assistance only on the basis of section 
1902(a)(10)(A)(ii)(XX)’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section apply to medical assistance for items and serv-
ices furnished on or after October 1, 2009, without regard 
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to whether final regulations to carry out such amendments 
have been promulgated by such date. 
Æ 
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