(c) EFFECTIVE DATE.— 
(1) RETROACTIVE APPLICATION.—The amend-
ments made by this section shall take effect as if in-
cluded in the enactment of the Deficit Reduction Act 
of 2005 (Public Law 109–171; 120 Stat. 4). 
(2) RESTORATION
OF
ELIGIBILITY.—In the 
case of an individual who, during the period that 
began on July 1, 2006, and ends on the date of en-
actment of this Act, was determined to be ineligible 
for medical assistance under a State Medicaid pro-
gram solely as a result of the application of sub-
sections (i)(22) and (x) of section 1903 of the Social 
Security Act (as in effect during such period), but 
who would have been determined eligible for such as-
sistance if such subsections, as amended by sub-
sections (a) and (b), had applied to the individual, 
a State may deem the individual to be eligible for 
such assistance as of the date that the individual 
was determined to be ineligible for such medical as-
sistance on such basis. 
VerDate Aug 31 2005 
00:50 Mar 17, 2007
Jkt 059200
PO 00000
Frm 00062
Fmt 6652
Sfmt 6201
E:\BILLS\H1535.IH
H1535
hmoore on PROD1PC68 with HMBILLS
SEC. 206. STATE OPTION TO PROVIDE FOR ‘‘EXPRESS LANE’’ 
AND SIMPLIFIED DETERMINATIONS OF A 
CHILD’S FINANCIAL ELIGIBILITY FOR MED-
ICAL 
ASSISTANCE 
UNDER 
MEDICAID 
OR 
CHILD HEALTH ASSISTANCE UNDER SCHIP. 
(a) 
MEDICAID.—Section 
1902(e) 
(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 eligibility requirements (including such re-
quirements applicable to redeterminations or renewals of 
eligibility) for medical assistance relating to income, assets 
(or resources), or citizenship status are met for a child 
who is under an age specified by the State (not to exceed 
21 years of age) by using a determination made within 
a reasonable period (as determined by the State) before 
its use for this purpose, of the child’s family or household 
income, or if applicable for purposes of determining eligi-
bility under this title or title XXI, assets or resources, or 
citizenship status, respectively, (notwithstanding any other 
provision of law, including sections 1902(a)(46)(B), 
1903(x), and 1137(d)), 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 an 
agency administering the State program funded under 
part A of title IV, the Food Stamp Act of 1977, the Rich-
ard B. Russell National School Lunch Act, or the Child 
VerDate Aug 31 2005 
00:50 Mar 17, 2007
Jkt 059200
PO 00000
Frm 00063
Fmt 6652
Sfmt 6201
E:\BILLS\H1535.IH
H1535
hmoore on PROD1PC68 with HMBILLS
Nutrition Act of 1966, notwithstanding any differences in 
budget unit, disregard, deeming, or other methodology, 
but only if— 
‘‘(i) the agency has fiscal liabilities or respon-
sibilities affected by such determination; and 
‘‘(ii) the agency or entity notifies the child’s 
family— 
‘‘(I) of the information which shall be dis-
closed in accordance with this subparagraph; 
‘‘(II) that the information disclosed will be 
used solely for purposes of determining eligi-
bility for medical assistance under this title or 
for child health assistance under title XXI; and 
‘‘(III) that interagency agreements limit 
the use of such information to that purpose; 
and 
‘‘(iii) the requirements of section 1939 are sat-
isfied. 
‘‘(B) Nothing in this paragraph shall be construed 
to relieve a State of the obligation to determine, on an-
other basis, eligibility for medical assistance under this 
title or for child health assistance under title XXI if a 
child is determined ineligible for such assistance on the 
basis of information furnished pursuant to this paragraph. 
VerDate Aug 31 2005 
00:50 Mar 17, 2007
Jkt 059200
PO 00000
Frm 00064
Fmt 6652
Sfmt 6201
E:\BILLS\H1535.IH
H1535
hmoore on PROD1PC68 with HMBILLS
‘‘(C) If a State applies the eligibility process de-
scribed in subparagraph (A) to individuals eligible under 
this title and to individuals eligible under title XXI, the 
State may, at its option, implement its duties under sub-
paragraphs (A) and (B) of section 2102(b)(3) using either 
or both of the following approaches: 
‘‘(i) The State may— 
‘‘(I) establish a threshold percentage of the 
Federal poverty level (that shall exceed the in-
come eligibility level applicable for a population 
of individuals under this title by 30 percentage 
points (as a fraction of the Federal poverty 
level) or such other higher number of percent-
age points as the State determines reflects the 
typical application of income methodologies by 
the non-health program and the State plan 
under this title); and 
‘‘(II) provide that, with respect to any in-
dividual within such population whom a non- 
health agency determines has income that does 
not exceed such threshold percentage for such 
population, such individual is eligible for med-
ical assistance under this title (regardless of 
whether such individual would otherwise be de-
VerDate Aug 31 2005 
00:50 Mar 17, 2007
Jkt 059200
PO 00000
Frm 00065
Fmt 6652
Sfmt 6201
E:\BILLS\H1535.IH
H1535
hmoore on PROD1PC68 with HMBILLS
termined to be eligible to receive such assist-
ance). 
In exercising the approach under this clause, a State 
shall inform families whose children are enrolled in 
a State child health plan under title XXI based on 
having family income above the threshold described 
in subclause (I) that they may qualify for medical 
assistance under this title and, at their option, can 
seek a regular eligibility determination for such as-
sistance for their child. 
‘‘(ii) Regardless of whether a State otherwise 
provides for presumptive eligibility under section 
1920A, a State may provide presumptive eligibility 
under this title, consistent with subsection (e) of sec-
tion 1920A, to a child who, based on a determina-
tion by a non-health agency, would qualify for child 
health assistance under a State child health plan 
under title XXI. During such presumptive eligibility 
period, the State may determine the child’s eligibility 
for medical assistance under this title, pursuant to 
subparagraph (A) of section 2102(b)(3), based on 
telephone contact with family members, access to 
data available in electronic or paper form, and other 
means of gathering information that are less bur-
densome to the family than completing an applica-
VerDate Aug 31 2005 
00:50 Mar 17, 2007
Jkt 059200
PO 00000
Frm 00066
Fmt 6652
Sfmt 6201
E:\BILLS\H1535.IH
H1535
hmoore on PROD1PC68 with HMBILLS
tion form on behalf of the child. The procedures de-
scribed in the previous sentence may be used regard-
less of whether the State uses similar procedures 
under other circumstances for purposes of deter-
mining eligibility for medical assistance under this 
title. 
‘‘(D) At the option of a State, the eligibility process 
described in subparagraph (A) may apply to an individual 
who is not a child. 
‘‘(E)(i) At the option of a State, an individual deter-
mined to be eligible for medical assistance or child health 
assistance pursuant to subparagraph (A), (C), or (D) or 
other procedures through which eligibility is determined 
based on data obtained from sources other than the indi-
vidual may receive medical assistance under this title if 
such individual (or, in the case of an individual under age 
19 (or if the State elects the option under subparagraph 
(A), age 20 or 21) who is not authorized to consent to 
medical care, the individual’s parent, guardian, or other 
caretaker relative) has acknowledged notice of such deter-
mination and has consented to such eligibility determina-
tion. The State (at its option) may waive any otherwise 
applicable requirements for signatures by or on behalf of 
an individual who has so consented. 
VerDate Aug 31 2005 
00:50 Mar 17, 2007
Jkt 059200
PO 00000
Frm 00067
Fmt 6652
Sfmt 6201
E:\BILLS\H1535.IH
H1535
hmoore on PROD1PC68 with HMBILLS
‘‘(ii) In the case of an individual enrolled pursuant 
to clause (i), the State shall inform the individual (or, in 
the case of an individual under age 19 (or if the State 
elects the option under subparagraph (A), age 20 or 21), 
the individual’s parent, guardian, or other caretaker rel-
ative) about the significance of such enrollment, including 
appropriate methods to access covered services. 
‘‘(F) For purposes of this paragraph— 
‘‘(i) the term ‘non-health agency’ means an 
agency or entity described in subparagraph (A); and 
‘‘(ii) the term ‘non-health benefits’ means the 
benefits or assistance provided by a non-health agen-
cy.’’. 
(b) 
SCHIP.—Section 
2107(e)(1) 
(42 
U.S.C. 
1397gg(e)(1)), as amended by sections 103(b) and 132(b), 
is amended by redesignating subparagraphs (C) through 
(F) as subparagraphs (D) through (G) and by inserting 
after subparagraph (B) the following new subparagraph: 
‘‘(C) Section 1902(e)(13) (relating to the 
State option to base a determination of a child’s 
eligibility for assistance on determinations made 
by a program providing nutrition or other pub-
lic assistance (except that the State option 
under subparagraph (D) of such section shall 
VerDate Aug 31 2005 
00:50 Mar 17, 2007
Jkt 059200
PO 00000
Frm 00068
Fmt 6652
Sfmt 6201
E:\BILLS\H1535.IH
H1535
hmoore on PROD1PC68 with HMBILLS
apply under this title only if an individual is 
pregnant)).’’. 
(c) PRESUMPTIVE ELIGIBILITY.—Section 1920A (42 
U.S.C. 1396r–1a) is amended— 
(1) in subsection (b)(3)(A)(i), is amended by 
striking ‘‘or (IV)’’ and inserting ‘‘(IV) is an agency 
or entity described in section 1902(e)(13)(A), or 
(V)’’; and 
(2) by adding at the end the following: 
‘‘(e) In the case of a State with a child health plan 
under title XXI that provides for presumptive eligibility 
under such plan for children, the State shall make a rea-
sonable effort to place each presumptively eligible child in 
the program under this title or title XXI for which the 
child appears most likely to qualify. During the child’s pe-
riod of presumptive eligibility, the State shall receive Fed-
eral matching funds under section 1903 or section 2105, 
depending on the program in which the child has been 
placed. If at the conclusion of such period, the child is 
found to qualify for, and is enrolled in, the program estab-
lished under this title or title XXI when the child was en-
rolled in the program under the other such title during 
such period, the State’s receipt of Federal matching funds 
shall be adjusted both retroactively and prospectively so 
that Federal matching funds are provided, both during 
VerDate Aug 31 2005 
00:50 Mar 17, 2007
Jkt 059200
PO 00000
Frm 00069
Fmt 6652
Sfmt 6201
E:\BILLS\H1535.IH
H1535
hmoore on PROD1PC68 with HMBILLS
and following such period of presumptive eligibility, based 
on the program in which the child is enrolled.’’. 
(d) SIGNATURE REQUIREMENTS.—Section 1902(a) 
(42 U.S.C. 1396a(a)) is amended by adding at the end 
the following: ‘‘Notwithstanding any other provision of 
law, a signature under penalty of perjury shall not be re-
quired on an application form for medical assistance as 
to any element of eligibility for which eligibility is based 
on information received from a source other than appli-
cant, rather than on representations from the applicant. 
Notwithstanding any other provision of law, any signature 
requirement for an application for medical assistance may 
be satisfied through an electronic signature, as defined in 
section 1710(1) of the Government Paperwork Elimi-
nation Act (44 U.S.C. 3504 note).’’. 
SEC. 207. INFORMATION TECHNOLOGY CONNECTIONS TO 
IMPROVE HEALTH COVERAGE DETERMINA-
TIONS. 
(a) ENHANCED FEDERAL FUNDING FOR IMPROVE-
MENTS RELATED
TO IMPLEMENTATION
OF CERTAIN 
MODEL OUTREACH AND ENROLLMENT PRACTICES.— 
(1) IN GENERAL.—Section 1903(a)(3)(A) (42 
U.S.C. 1396b(a)(3)(A)) is amended— 
(A) by striking ‘‘and’’ at the end of clause 
(i); and 
VerDate Aug 31 2005 
00:50 Mar 17, 2007
Jkt 059200
PO 00000
Frm 00070
Fmt 6652
Sfmt 6201
E:\BILLS\H1535.IH
H1535
hmoore on PROD1PC68 with HMBILLS
(B) by adding at the end the following new 
clause: 
‘‘(iii) 75 percent of so much of the sums 
expended during such quarter as are attrib-
utable to the design, development, or installa-
tion of such mechanized claims processing and 
information retrieval systems and the imple-
mentation of administrative systems and proc-
esses (including modification of eligibility com-
puter systems to permit the exchange of elec-
tronic information with other Federal or State 
programs) as the Secretary determines are di-
rectly related to the implementation of a model 
outreach and enrollment practice described in 
subparagraph (B), (C), (D), (E), or (F) of sec-
tion 1905(y)(3), and’’. 
(2) CONFORMING
AMENDMENT
TO
ENSURE 
AVAILABILITY FOR TERRITORIES.—Section 1108(g) 
(42 U.S.C. 1308(g)) is amended by adding at the 
end the following new paragraph: 
‘‘(4) ADDITIONAL INCREASE FOR CERTAIN EX-
PENDITURES.—With respect to fiscal year 2008 and 
each fiscal year thereafter, if Puerto Rico, the Virgin 
Islands, Guam, the Northern Mariana Islands, or 
American Samoa qualify for a payment under sec-
VerDate Aug 31 2005 
00:50 Mar 17, 2007
Jkt 059200
PO 00000
Frm 00071
Fmt 6652
Sfmt 6201
E:\BILLS\H1535.IH
H1535
hmoore on PROD1PC68 with HMBILLS
tion 1903(a)(3)(A)(iii) for a calendar quarter of 
such fiscal year, the additional Federal financial par-
ticipation under such section shall not be counted to-
wards the limitation on expenditures under title XIX 
for such commonwealth or territory otherwise deter-
mined under subsection (f) and this subsection for 
such fiscal year.’’. 
(b) AUTHORIZATION
OF
INFORMATION
DISCLO-
SURE.— 
(1) IN GENERAL.—Title XIX (42 U.S.C. 1396 
et seq.) is amended— 
(A) by redesignating section 1939 as sec-
tion 1940; and 
(B) by inserting after section 1938 the fol-
lowing: 
‘‘AUTHORIZATION TO RECEIVE PERTINENT INFORMATION 
‘‘SEC. 1939. (a) IN GENERAL.—Notwithstanding any 
other provision of law, a Federal or State agency or pri-
vate entity in possession of the sources of data potentially 
pertinent to eligibility determinations under this title or 
title XXI (including eligibility files maintained by pro-
grams described in section 1902(e)(13)(A), information 
described in paragraph (2) or (3) of section 1137(a), vital 
records information about births in any State, and infor-
mation described in sections 453(i) and 1902(a)(25)(I)) 
is authorized to convey such data or information to a State 
VerDate Aug 31 2005 
00:50 Mar 17, 2007
Jkt 059200
PO 00000
Frm 00072
Fmt 6652
Sfmt 6201
E:\BILLS\H1535.IH
H1535
hmoore on PROD1PC68 with HMBILLS