275 
petent services in the linguistic context most 
appropriate for the individuals served by the 
program; 
‘‘(E) contain a plan to document and dis-
seminate project descriptions and results to 
other States and organizations as identified by 
the Secretary; and 
‘‘(F) describe plans to enhance the capac-
ity of individuals to utilize health services and 
health-related social services under Federal, 
State, and local programs by— 
‘‘(i) assisting individuals in estab-
lishing eligibility under the programs and 
in receiving the services or other benefits 
of the programs; and 
‘‘(ii) providing other services, as the 
Secretary determines to be appropriate, 
which may include transportation and 
translation services. 
‘‘(d) PRIORITY.—In awarding grants under sub-
section (a), the Secretary shall give priority to those appli-
cants— 
‘‘(1) who propose to target geographic areas 
that— 
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‘‘(A)(i) have a high percentage of residents 
who are uninsured or underinsured (if the tar-
geted geographic area is located in a State that 
has elected to make medical assistance available 
under section 1902(a)(10)(A)(i)(VIII) of the 
Social Security Act to individuals described in 
such section); or 
‘‘(ii) have a high percentage of under-
insured residents in a particular geographic 
area (if the targeted geographic area is located 
in a State that has not so elected); and 
‘‘(B) have a high percentage of families for 
whom English is not their primary language or 
including 
smaller 
limited-English-proficient 
communities within the region that are not oth-
erwise reached by linguistically appropriate 
health services; 
‘‘(2) with experience in providing health or 
health-related social services to individuals who are 
underserved with respect to such services; and 
‘‘(3) with documented community activity and 
experience with community health workers. 
‘‘(e) COLLABORATION WITH ACADEMIC INSTITU-
TIONS.—The Secretary shall encourage community health 
worker programs receiving funds under this section to col-
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laborate with academic institutions, including minority- 
serving institutions. Nothing in this section shall be con-
strued to require such collaboration. 
‘‘(f) QUALITY ASSURANCE AND COST EFFECTIVE-
NESS.—The Secretary shall establish guidelines for ensur-
ing the quality of the training and supervision of commu-
nity health workers under the programs funded under this 
section and for ensuring the cost effectiveness of such pro-
grams. 
‘‘(g) MONITORING.—The Secretary shall monitor 
community health worker programs identified in approved 
applications and shall determine whether such programs 
are in compliance with the guidelines established under 
subsection (f). 
‘‘(h) TECHNICAL ASSISTANCE.—The Secretary may 
provide technical assistance to community health worker 
programs identified in approved applications with respect 
to planning, developing, and operating programs under the 
grant. 
‘‘(i) REPORT TO CONGRESS.— 
‘‘(1) IN
GENERAL.—Not later than 4 years 
after the date on which the Secretary first awards 
grants under subsection (a), the Secretary shall sub-
mit to Congress a report regarding the grant 
project. 
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‘‘(2) CONTENTS.—The report required under 
paragraph (1) shall include the following: 
‘‘(A) A description of the programs for 
which grant funds were used. 
‘‘(B) The number of individuals served. 
‘‘(C) An evaluation of— 
‘‘(i) the effectiveness of these pro-
grams; 
‘‘(ii) the cost of these programs; and 
‘‘(iii) the impact of the project on the 
health outcomes of the community resi-
dents. 
‘‘(D) Recommendations for sustaining the 
community health worker programs developed 
or assisted under this section. 
‘‘(E) Recommendations regarding training 
to enhance career opportunities for community 
health workers. 
‘‘(j) DEFINITIONS.—In this section: 
‘‘(1) COMMUNITY HEALTH WORKER.—The term 
‘community health worker’ means an individual who 
promotes health or nutrition within the community 
in which the individual resides— 
‘‘(A) by serving as a liaison between com-
munities and health care agencies; 
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‘‘(B) by providing guidance and social as-
sistance to community residents; 
‘‘(C) by enhancing community residents’ 
ability to effectively communicate with health 
care providers; 
‘‘(D) by providing culturally and linguis-
tically appropriate health or nutrition edu-
cation; 
‘‘(E) by advocating for individual and com-
munity health, including dental, oral, mental, 
and environmental health, or nutrition needs; 
‘‘(F) by taking into consideration the 
needs of the communities served, including the 
prevalence rates of risk factors that impede 
achieving healthy behaviors and good health 
outcomes among women and children, especially 
among racial and ethnic minority women and 
children; and 
‘‘(G) by providing referral and followup 
services. 
‘‘(2) COMMUNITY SETTING.—The term ‘commu-
nity setting’ means a home or a community organi-
zation that serves a population. 
‘‘(3) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means— 
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‘‘(A) a unit of State, territorial, local, or 
tribal government (including a federally recog-
nized tribe or Alaska Native village); or 
‘‘(B) a community-based organization. 
‘‘(4) MEDICALLY UNDERSERVED COMMUNITY.— 
The term ‘medically underserved community’ means 
a community— 
‘‘(A) that has a substantial number of in-
dividuals who are members of a medically un-
derserved population, as defined by section 
330(b)(3); 
‘‘(B) a significant portion of which is a 
health professional shortage area as designated 
under section 332; and 
‘‘(C) that includes populations that are lin-
guistically isolated, such as geographic areas 
with a shortage of health professionals able to 
provide linguistically appropriate services. 
‘‘(5) SUPPORT.—The term ‘support’ means the 
provision of training, supervision, and materials 
needed to effectively deliver the services described in 
subsection (b), reimbursement for services, and 
other benefits. 
‘‘(6) TARGET POPULATION.—The term ‘target 
population’ means women of reproductive age, re-
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gardless of their current childbearing status and 
children under 21 years of age. 
‘‘(k) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$15,000,000 for each of fiscal years 2015 through 2019.’’. 
SEC. 502. REMOVING BARRIERS TO HEALTH CARE AND NU-
TRITION ASSISTANCE FOR CHILDREN, PREG-
NANT WOMEN, AND LAWFULLY PRESENT IN-
DIVIDUALS. 
(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 Opportunity Reconciliation Act of 1996 
and paragraph (1), payment shall be made to a 
State under this section for medical assistance fur-
nished to an alien under this title (including an alien 
described in such paragraph) who meets any of the 
following conditions: 
‘‘(i) The alien is otherwise eligible for such 
assistance under the State plan approved under 
this title (other than the requirement of the re-
ceipt of aid or assistance under title IV, supple-
mental security income benefits under title 
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XVI, or a State supplementary payment) within 
either or both of the following eligibility cat-
egories: 
‘‘(I) Children under 21 years of age, 
including any optional targeted low-income 
child (as such term is defined in section 
1905(u)(2)(B)). 
‘‘(II) Pregnant women during preg-
nancy and during the 60-day period begin-
ning on the last day of the pregnancy. 
‘‘(ii) The alien is lawfully present in the 
United States. 
‘‘(B) No debt shall accrue under an affidavit of 
support against any sponsor of an alien who meets 
the conditions specified in subparagraph (A) on the 
basis of the provision of medical assistance to such 
alien under this paragraph and the cost of such as-
sistance shall not be considered as an unreimbursed 
cost.’’. 
(b) 
SCHIP.—Subparagraph 
(J) 
of 
section 
2107(e)(1) of the Social Security Act (42 U.S.C. 
1397gg(e)(1)) is amended to read as follows: 
‘‘(J) Paragraph (4) of section 1903(v) (re-
lating to coverage of categories of children, 
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pregnant women, and other lawfully present in-
dividuals).’’. 
(c) SUPPLEMENTAL NUTRITION ASSISTANCE.—Not-
withstanding sections 401(a), 402(a), and 403(a) of the 
Personal Responsibility and Work Opportunity Reconcili-
ation 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 supplemental nutrition assistance program on 
the basis of their immigration status or date of entry into 
the United States. 
(d) ELIGIBILITY FOR FAMILIES WITH CHILDREN.— 
Section of the 421(d)(3) of the Personal Responsibility 
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 
eligible 
under 
section 
402(a)(2)(J)’’ and inserting, ‘‘to the extent that a child 
is a member of a household under the supplemental nutri-
tion assistance program’’. 
(e) 
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— 
(1) by redesignating clauses (vi) and (vii) as 
clauses (vii) and (viii); and 
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(2) by inserting after clause (v) the following: 
‘‘(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. 503. REPEAL OF DENIAL OF BENEFITS. 
Section 115 of the Personal Responsibility and Work 
Opportunity Reconciliation Act of 1996 (21 U.S.C. 862a) 
is amended— 
(1) in subsection (a) by striking paragraph (2); 
(2) in subsection (b) by striking paragraph (2); 
and 
(3) in subsection (e) by striking paragraph (2). 
SEC. 504. BIRTH DEFECTS PREVENTION, RISK REDUCTION, 
AND AWARENESS. 
(a) IN GENERAL.—The Secretary shall establish and 
implement a birth defects prevention and public awareness 
program, consisting of the activities described in sub-
sections (c) and (d). 
(b) DEFINITIONS.—In this section: 
(1) The term ‘‘pregnancy and breastfeeding in-
formation services’’ includes only— 
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‘‘(1) REVIEW OF PREGNANCY-RELATED DEATH 
AND PREGNANCY-ASSOCIATED DEATH CASES.—For 
purposes of subsection (a), with respect to a State 
that receives a grant under subsection (a), the fol-
lowing shall apply: 
‘‘(A) MANDATORY
REPORTING
OF
PREG-
NANCY-RELATED DEATHS.— 
‘‘(i) IN GENERAL.—The State shall, 
through the State maternal mortality re-
view committee, develop a process, sepa-
rate from any reporting process established 
by the State department of health prior to 
the date of the enactment of this section, 
that provides for mandatory and confiden-
tial case reporting by individuals and enti-
ties described in clause (ii) of pregnancy- 
related deaths to the State department of 
health. 
‘‘(ii) INDIVIDUALS AND ENTITIES DE-
SCRIBED.—Individuals and entities de-
scribed in this clause include each of the 
following: 
‘‘(I) Health care providers. 
‘‘(II) Medical examiners. 
‘‘(III) Medical coroners. 
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