319 
‘‘(iii) served by the runaway and 
homeless youth grant program established 
under the Runaway and Homeless Youth 
Act (42 U.S.C. 5701 et seq.); 
‘‘(iv) a migratory child (as defined in 
section 1309 of the Elementary and Sec-
ondary Education Act of 1965 (20 U.S.C. 
6399)); 
‘‘(v) an eligible child (as defined in 
paragraph (15)(A)); or 
‘‘(vi)(I) a foster child whose care and 
placement is the responsibility of an agen-
cy that administers a State plan under 
part B or E of title IV of the Social Secu-
rity Act (42 U.S.C. 621 et seq.); or 
‘‘(II) a foster child who a court has 
placed with a caretaker household. 
‘‘(B) 
REDUCED
PRICE
LUNCHES
OR 
BREAKFASTS.—Subject to paragraph (6), any 
local educational agency may certify any child 
who is not eligible for free school lunch or 
breakfast as eligible for reduced price lunches 
or breakfasts, without further application, by 
directly communicating with the appropriate 
State or local agency to obtain documentation 
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320 
of the status of the child as a child eligible for 
reduced price meals (as defined in paragraph 
(15)(A)).’’; 
(B) in paragraph (6)(A), by striking ‘‘or 
(5)’’ both places it appears and inserting ‘‘(5), 
or (15)’’; and 
(C) in paragraph (15)— 
(i) in subparagraph (A)— 
(I) by amending clause (i) to 
read as follows: 
‘‘(i) ELIGIBLE CHILD.—The term ‘eli-
gible child’ means a child— 
‘‘(I)(aa) who is eligible for and 
receiving medical assistance under the 
Medicaid program; and 
‘‘(bb) who is a member of a fam-
ily with an income as measured by the 
Medicaid program that does not ex-
ceed 133 percent of the poverty line 
(as determined under the poverty 
guidelines updated periodically in the 
Federal Register by the Department 
of Health and Human Services under 
the authority of section 673(2) of the 
Community Services Block Grant Act 
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321 
(42 U.S.C. 9902(2), including any re-
vision required by such section)) ap-
plicable to a family of the size used 
for purposes of determining eligibility 
for the Medicaid program; 
‘‘(II) who is eligible for the Med-
icaid program because such child re-
ceives supplemental security income 
benefits under title XVI of the Social 
Security Act (42 U.S.C. 1381–1385) 
or State supplementary benefits of the 
type referred to in section 1616(a) of 
such Act (or payments of the type de-
scribed in section 212(a) of Public 
Law 93–66); 
‘‘(III) who is eligible for the 
Medicaid program because such child 
receives an adoption assistance pay-
ment made under section 473(a) of 
the Social Security Act (42 U.S.C. 
673(a)) or under a similar State-fund-
ed or State-operated program, as de-
termined by the Secretary; 
‘‘(IV) who is eligible for the Med-
icaid program because such child re-
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322 
ceives a kinship guardianship assist-
ance payment made under section 
473(d) of the Social Security Act (42 
U.S.C. 673(d)) or under a similar 
State-funded or State-operated pro-
gram, as determined by the Secretary, 
without regard to whether such child 
was previously in foster care; or 
‘‘(V) who is a member of a 
household (as that term is defined in 
section 245.2 of title 7, Code of Fed-
eral Regulations (or successor regula-
tions)) with a child described in sub-
clause (I), (II), (III), or (IV).’’; and 
(II) by adding at the end the fol-
lowing: 
‘‘(iii) CHILD ELIGIBLE FOR REDUCED 
PRICE MEALS.—The term ‘child eligible for 
reduced price meals’ means a child— 
‘‘(I)(aa) who is eligible for and 
receiving medical assistance under the 
Medicaid program; and 
‘‘(bb) who is a member of a fam-
ily with an income as measured by the 
Medicaid program that does exceed 
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kjohnson on DSK79L0C42PROD with BILLS
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133 percent but does not exceed 185 
percent of the poverty line (as deter-
mined under the poverty guidelines 
updated periodically in the Federal 
Register by the Department of Health 
and Human Services under the au-
thority of section 673(2) of the Com-
munity Services Block Grant Act (42 
U.S.C. 9902(2), including any revision 
required by such section)) applicable 
to a family of the size used for pur-
poses of determining eligibility for the 
Medicaid program; or 
‘‘(II) who is a member of a 
household (as that term is defined in 
section 245.2 of title 7, Code of Fed-
eral Regulations (or successor regula-
tions)) with a child described in sub-
clause (I).’’; 
(ii) by striking subparagraphs (B), 
(C), (D), (E), (G), and (H); 
(iii) in subparagraph (F)— 
(I) in the enumerator, by striking 
‘‘(F)’’ and inserting ‘‘(D)’’; and 
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kjohnson on DSK79L0C42PROD with BILLS
324 
(II) by striking ‘‘conducting the 
demonstration 
project 
under 
this 
paragraph’’ and inserting ‘‘carrying 
out this paragraph’’; 
(iv) by inserting after subparagraph 
(A) the following: 
‘‘(B) AGREEMENTS TO CARRY OUT CER-
TIFICATION.—To certify a child under subpara-
graph (A)(v) or (B) of paragraph (5), a State 
agency shall enter into an agreement with 1 or 
more State agencies conducting eligibility deter-
minations for the Medicaid program. 
‘‘(C) PROCEDURES.—Subject to paragraph 
(6), an agreement under subparagraph (B) 
shall establish procedures under which— 
‘‘(i) an eligible child may be certified 
for free lunches under this Act and free 
breakfasts under section 4 of the Child 
Nutrition Act of 1966 (42 U.S.C. 1773), 
without further application (as defined in 
paragraph (4)(G)); and 
‘‘(ii) a child eligible for reduced price 
meals may be certified for reduced price 
lunches under this Act or reduced price 
breakfasts under section 4 of the Child 
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