‘‘(E) An elementary or secondary school. 
‘‘(2) FEDERAL HEALTH SAFETY NET ORGANI-
ZATION.—The term ‘Federal health safety net orga-
nization’ means—
‘‘(A) an Indian tribe, tribal organization, 
or an urban Indian organization receiving funds 
under title V of the Indian Health Care Im-
provement Act (25 U.S.C. 1651 et seq.), or an 
Indian Health Service provider; 
‘‘(B) a federally-qualified health center (as 
defined in section 1905(l)(2)(B)); 
‘‘(C) a hospital defined as a dispropor-
tionate share hospital for purposes of section 
1923; 
‘‘(D) a covered entity described in section 
340B(a)(4) of the Public Health Service Act 
(42 U.S.C. 256b(a)(4)); and 
‘‘(E) any other entity or a consortium that 
serves children under a federally-funded pro-
gram, including the special supplemental nutri-
tion program for women, infants, and children 
(WIC) established under section 17 of the Child 
Nutrition Act of 1966 (42 U.S.C. 1786), the 
head start and early head start programs under 
the Head Start Act (42 U.S.C. 9801 et seq.),
the school lunch program established under the 
Richard B. Russell National School Lunch Act, 
and an elementary or secondary school. 
‘‘(3) INDIANS; INDIAN TRIBE; TRIBAL ORGANI-
ZATION; URBAN INDIAN ORGANIZATION.—The terms 
‘Indian’, ‘Indian tribe’, ‘tribal organization’, and 
‘urban Indian organization’ have the meanings given 
such terms in section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603). 
‘‘(g) APPROPRIATION.—There is appropriated, out of 
any money in the Treasury not otherwise appropriated, 
$50,000,000 for each of fiscal years 2006 and 2007 for 
the purpose of awarding grants under this section. 
Amounts appropriated and paid under the authority of 
this section shall be in addition to amounts appropriated 
under section 2104 and paid to States in accordance with 
section 2105, including with respect to expenditures for 
outreach 
activities 
in 
accordance 
with 
subsection 
(a)(1)(D)(iii) of that section.’’. 
(b) EXTENDING USE OF OUTSTATIONED WORKERS 
TO
ACCEPT
TITLE
XXI 
APPLICATIONS.—Section 
1902(a)(55) of the Social Security Act (42 U.S.C. 
1396a(a)(55)) 
is 
amended 
by 
striking 
‘‘or 
(a)(10)(A)(ii)(IX)’’ and inserting ‘‘(a)(10)(A)(ii)(IX), or
(a)(10)(A)(ii)(XIV), and applications for child health as-
sistance under title XXI’’. 
SEC. 3. STATE OPTION TO PROVIDE FOR SIMPLIFIED DE-
TERMINATIONS OF A CHILD’S FINANCIAL ELI-
GIBILITY FOR MEDICAL ASSISTANCE UNDER 
MEDICAID OR CHILD HEALTH ASSISTANCE 
UNDER SCHIP. 
(a) MEDICAID.—Section 1902(e) of the Social Secu-
rity Act (42 U.S.C. 1396a(e)) is amended by adding at 
the end the following: 
‘‘(13)(A) At the option of the State, the plan may 
provide that financial eligibility requirements for medical 
assistance are met for a child who is under an age speci-
fied by the State (not to exceed 21 years of age) by using 
a determination made within a reasonable period (as de-
termined by the State) before its use for this purpose, of 
the child’s family or household income, or if applicable for 
purposes of determining eligibility under this title or title 
XXI, assets or resources, by a Federal or State agency, 
or a public or private entity making such determination 
on behalf of such agency, specified by the plan, including 
(but not limited to) an agency administering the State 
program funded under part A of title IV, the Food Stamp 
Act of 1977, the Richard B. Russell National School 
Lunch Act, or the Child Nutrition Act of 1966, notwith-
standing any differences in budget unit, disregard, deem-
ing, or other methodology, but only if—
‘‘(i) the agency has fiscal liabilities or respon-
sibilities affected or potentially affected by such de-
termination; and 
‘‘(ii) any information furnished by the agency 
pursuant to this subparagraph is used solely for pur-
poses of determining financial eligibility for medical 
assistance under this title or for child health assist-
ance under title XXI. 
‘‘(B) Nothing in subparagraph (A) shall be con-
strued—
‘‘(i) to authorize the denial of medical assist-
ance under this title or of child health assistance 
under title XXI to a child who, without the applica-
tion of this paragraph, would qualify for such assist-
ance; 
‘‘(ii) to relieve a State of the obligation under 
subsection (a)(8) to furnish medical assistance with 
reasonable promptness after the submission of an 
initial application that is evaluated or for which eval-
uation is requested pursuant to this paragraph; 
‘‘(iii) to relieve a State of the obligation to de-
termine eligibility for medical assistance under this 
title or for child health assistance under title XXI on
a basis other than family or household income (or, 
if applicable, assets or resources) if a child is deter-
mined ineligible for such assistance on the basis of 
information furnished pursuant to this paragraph; or 
‘‘(iv) as affecting the applicability of any non-
financial requirements for eligibility for medical as-
sistance under this title or child health assistance 
under title XXI.’’. 
(b) SCHIP.—Section 2107(e)(1) of the Social Secu-
rity Act (42 U.S.C. 1397gg(e)(1)) is amended by adding 
at the end the following: 
‘‘(E) Section 1902(e)(13) (relating to the 
State option to base a determination of child’s 
financial eligibility for assistance on financial 
determinations made by a program providing 
nutrition or other public assistance).’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section take effect on October 1, 2005.
Æ