325 
(2) PHYSICIAN, 
PRACTITIONER.—The terms 
‘‘physician’’ and ‘‘practitioner’’ have the meaning 
given those terms in subparagraphs (D) and (E), re-
spectively, of such section. 
(3) MEDICARE PROGRAM.—The term ‘‘Medicare 
program’’ means the program of health insurance 
administered by the Secretary of Health and Human 
Services under title XVIII of the Social Security Act 
(42 U.S.C. 1395 et seq.). 
SEC. 530. REMOVING BARRIERS TO HEALTH CARE AND NU-
TRITION ASSISTANCE HEALTH COVERAGE 
FOR CHILDREN, PREGNANT WOMEN, AND 
LAWFULLY RESIDING INDIVIDUALS. 
(a) MEDICAID.—Section 1903(v) of the Social Secu-
rity Act (42 U.S.C. 1396b(v)) is amended by striking 
paragraph (4) and inserting the following new paragraph: 
‘‘(4)(A) Notwithstanding sections 401(a), 402(b), 
403, and 421 of the Personal Responsibility and Work Op-
portunity Reconciliation Act of 1996, payment shall be 
made under this section for care and services that are fur-
nished to individuals, including those described in para-
graph (1), if they otherwise meet the eligibility require-
ments for medical assistance under the State plan ap-
proved under this title (other than the requirement of the 
receipt of aid or assistance under title IV, supplemental 
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326 
security income benefits under title XVI, or a State sup-
plementary payment), and are— 
‘‘(i) lawfully present in the United States; 
‘‘(ii) children under age 21, including optional 
targeted low-income children described in section 
1905(u)(2)(B); or 
‘‘(iii) pregnant women during pregnancy (and 
during the 60-day period beginning on the last day 
of the pregnancy). 
‘‘(B) 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 the Social Secu-
rity Act (42 U.S.C. 1397gg(e)(1)) is amended by striking 
subparagraph (H) and inserting the following new sub-
paragraph: 
‘‘(H) Paragraph (4) of section 1903(v) (re-
lating to individuals who, but for sections 
401(a), 403, and 421 of the Personal Responsi-
bility and Work Opportunity Reconciliation Act 
of 1996, would be eligible for medical assistance 
under title XXI).’’. 
(c) NUTRITION ASSISTANCE.— 
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327 
(1) SUPPLEMENTAL NUTRITION ASSISTANCE.— 
Notwithstanding sections 401(a), 402(a), and 403(a) 
of the Personal Responsibility and Work Oppor-
tunity Reconciliation Act of 1996 (8 U.S.C. 1611(a); 
1612(a), 1613(a)) and section 6(f) of the Food and 
Nutrition Act of 2008 (7 U.S.C 2015(f)), persons 
who are lawfully present in the United States shall 
be not be ineligible for benefits under the supple-
mental nutrition assistance program on the basis of 
their immigration status or date of entry into the 
United States. 
(2) ELIGIBILITY
FOR
FAMILIES
WITH
CHIL-
DREN.—Section of the 421(d)(3) of the Personal Re-
sponsibility and Work Opportunity Reconciliation 
Act of 1996 (8 U.S.C. 1631(d)(3)) is amended by 
striking ‘‘to the extent that a qualified alien is eligi-
ble under section 402(a)(2)(J)’’ and inserting, ‘‘to 
the extent that a child is a member of a household 
under the supplemental nutrition assistance pro-
gram’’. 
(3) ENSURING
PROPER
SCREENING.—Section 
11(e)(2)(B) of the Food and Nutrition Act of 2008 
(7 U.S.C. 2020(e)(2)(B)) is amended— 
(A) by redesignating clauses (vi) and (viii) 
as clauses (vii) and (viii); and 
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328 
(B) by inserting after clause (v) the fol-
lowing: 
‘‘(vi) shall provide a method for imple-
menting section 421 of the Personal Re-
sponsibility and Work Opportunity Rec-
onciliation Act of 1996 (8 U.S.C. 1631) 
that does not require any unnecessary in-
formation from persons who may be ex-
empt from that provision;’’. 
SEC. 531. REMOVING MEDICARE BARRIER TO HEALTH 
CARE. 
Section 1818(a)(3) of the Social Security Act (42 
U.S.C. 1395i–2(a)(3)) is amended by amending clause (B) 
to read as follows: ‘‘(B) an individual who is lawfully 
present in the United States’’. 
CHAPTER 2—LUNG CANCER MORTALITY 
REDUCTION 
SEC. 541. SHORT TITLE. 
This chapter may be cited as the ‘‘Lung Cancer Mor-
tality Reduction Act of 2009’’. 
SEC. 542. FINDINGS. 
Congress makes the following findings: 
(1) Lung cancer is the leading cause of cancer 
death for both men and women, accounting for 28 
percent of all cancer deaths. 
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329 
(2) Lung cancer kills more people annually 
than breast cancer, prostate cancer, colon cancer, 
liver cancer, melanoma, and kidney cancer combined. 
(3) Since the National Cancer Act of 1971 
(Public Law 92–218; 85 Stat. 778), coordinated and 
comprehensive research has raised the 5-year sur-
vival rates for breast cancer to 88 percent, for pros-
tate cancer to 99 percent, and for colon cancer to 
64 percent. 
(4) However, the 5-year survival rate for lung 
cancer is still only 15 percent and a similar coordi-
nated and comprehensive research effort is required 
to achieve increases in lung cancer survivability 
rates. 
(5) Sixty percent of lung cancer cases are now 
diagnosed as nonsmokers or former smokers. 
(6) Two-thirds of nonsmokers diagnosed with 
lung cancer are women. 
(7) Certain minority populations, such as Afri-
can-American males, have disproportionately high 
rates of lung cancer incidence and mortality, not-
withstanding their similar smoking rate. 
(8) Members of the baby boomer generation are 
entering their sixties, the most common age at which 
people develop lung cancer. 
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