HR 4859 IH 
share of the amount collected on behalf of a 
family shall not apply to the extent that— 
‘‘(i) the State distributes such amount 
to the family; and 
‘‘(ii) such amount is disregarded in 
determining the amount and type of assist-
ance paid to the family.’’. 
(B) STATE PLAN TO INCLUDE ELECTION 
AS TO WHICH RULES TO APPLY IN DISTRIB-
UTING
CHILD
SUPPORT
ARREARAGES
COL-
LECTED ON BEHALF OF FAMILIES FORMERLY 
RECEIVING
ASSISTANCE.—Section 454 of the 
Social Security Act (42 U.S.C. 654) is amend-
ed— 
(i) by striking ‘‘and’’ at the end of 
paragraph (32); 
(ii) by striking the period at the end 
of paragraph (33) and inserting ‘‘; and’’; 
and 
(iii) by inserting after paragraph (33) 
the following: 
‘‘(34) include an election by the State to apply 
section 457(a)(2)(B) of this Act or former section 
457(a)(2)(B) of this Act (as in effect for the State 
immediately before the date this paragraph first ap-
HR 4859 IH 
plies to the State) to the distribution of the amounts 
which are the subject of such sections, and for so 
long as the State elects to so apply such former sec-
tion, the amendments made by subsection (e) of sec-
tion 101 of the Child Support Improvement Act of 
2004 shall not apply with respect to the State, not-
withstanding subsection (f)(1) of such section 101.’’. 
(C) APPROVAL
OF
ESTIMATION
PROCE-
DURES.—Not later than the date that is 6 
months after the date of enactment of this Act, 
the Secretary of Health and Human Services, 
in consultation with the States (as defined for 
purposes of part D of title IV of the Social Se-
curity Act), shall establish the procedures to be 
used to make the estimate described in section 
457(a)(6) of such Act. 
(2) CURRENT
SUPPORT
AMOUNT
DEFINED.— 
Section 457(c) of the Social Security Act (42 U.S.C. 
657(c)) is amended by adding at the end the fol-
lowing: 
‘‘(5) CURRENT SUPPORT AMOUNT.—The term 
‘current support amount’ means, with respect to 
amounts collected as support on behalf of a family, 
the amount designated as the monthly support obli-
HR 4859 IH 
gation of the noncustodial parent in the order re-
quiring the support.’’. 
(c) BAN ON RECOVERY OF MEDICAID COSTS FOR 
CERTAIN BIRTHS.—Section 454 of the Social Security Act 
(42 U.S.C. 654), as amended by subsection (b)(1)(B), is 
amended— 
(1) by striking ‘‘and’’ at the end of paragraph 
(33); 
(2) by striking the period at the end of para-
graph (34) and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (34) the fol-
lowing: 
‘‘(35) provide that the State shall not use the 
State program operated under this part to collect 
any amount owed to the State by reason of costs in-
curred under the State plan approved under title 
XIX for the birth of a child for whom support rights 
have been assigned pursuant to section 408(a)(3), 
471(a)(17), or 1912.’’. 
(d) STATE OPTION TO DISCONTINUE OLDER SUP-
PORT ASSIGNMENTS.—Section 457(b) of the Social Secu-
rity Act (42 U.S.C. 657(b)) is amended to read as follows: 
‘‘(b) CONTINUATION OF ASSIGNMENTS.— 
‘‘(1) STATE OPTION TO DISCONTINUE PRE-1997 
SUPPORT ASSIGNMENTS.—
HR 4859 IH 
‘‘(A) IN GENERAL.—Any rights to support 
obligations assigned to a State as a condition of 
receiving assistance from the State under part 
A and in effect on September 30, 1997 (or such 
earlier date on or after August 22, 1996, as the 
State may choose), may remain assigned after 
such date. 
‘‘(B) DISTRIBUTION OF AMOUNTS AFTER 
ASSIGNMENT
DISCONTINUATION.—If a State 
chooses to discontinue the assignment of a sup-
port obligation described in subparagraph (A), 
the State may treat amounts collected pursuant 
to such assignment as if such amounts had 
never been assigned and may distribute such 
amounts to the family in accordance with sub-
section (a)(4). 
‘‘(2) STATE OPTION TO DISCONTINUE POST-1997 
SUPPORT ASSIGNMENTS.— 
‘‘(A) IN GENERAL.—Any rights to support 
obligations accruing before the date on which a 
family first receives assistance under part A 
that are assigned to a State under that part 
and in effect before the implementation date of 
this section may remain assigned after such 
date.