(B) REPORTS TO THE CONGRESS.—
(i) REPORT ON VARIATIONS IN STATE
PERFORMANCE
ATTRIBUTABLE
TO
DEMO-
GRAPHIC VARIABLES.—Not later than Octo-
ber 1, 2000, the Secretary shall submit to
the Congress a report that identifies any de-
mographic or economic variables that ac-
count for differences in the performance lev-
els achieved by the States with respect to the
performance measures used in the system,
and contains the recommendations of the
Secretary for such adjustments to the system
as may be necessary to ensure that the rel-
ative performance of States is measured
from a baseline that takes account of any
such variables.
(ii) INTERIM REPORT.—Not later than
March 1, 2001, the Secretary shall submit
to the Congress an interim report that con-
tains the findings of the study required by
subparagraph (A).
(iii) FINAL REPORT.—Not later than
October 1, 2003, the Secretary shall submit
to the Congress a final report that contains
the final findings of the study required by
subparagraph (A). The report shall include
any recommendations for changes in the
system that the Secretary determines would
improve the operation of the child support
enforcement program.
(2) DEVELOPMENT OF MEDICAL SUPPORT INCEN-
TIVE.—
(A) IN GENERAL.—The Secretary of Health
and Human Services, in consultation with State
directors of programs operated under part D of
title IV of the Social Security Act and represent-
atives of children potentially eligible for medical
support, shall develop a performance measure
based on the effectiveness of States in establish-
ing and enforcing medical support obligations,
and shall make recommendations for the incorpo-
ration of the measure, in a revenue neutral man-
ner, into the incentive payment system estab-
lished by section 458A of the Social Security Act.
(B) REPORT.—Not later than October 1,
1999, the Secretary shall submit to the Congress
a report that describes the performance measure
and contains the recommendations required by
subparagraph (A).
(e) TECHNICAL AMENDMENTS.—
(1) IN GENERAL.—Section 341 of the Personal
Responsibility and Work Opportunity Reconciliation
Act of 1996 (42 U.S.C. 658 note) is amended—
(A) by striking subsection (a) and redesig-
nating subsections (b), (c), and (d) as subsections
(a), (b), and (c), respectively; and
(B) in subsection (c) (as so redesignated)—
(i) by striking paragraph (1) and in-
serting the following:
‘‘(1) CONFORMING
AMENDMENTS
TO
PRESENT
SYSTEM.—The amendments made by subsection (a) of
this section shall become effective with respect to a
State as of the date the amendments made by section
103(a) (without regard to section 116(a)(2)) first
apply to the State.’’; and
(ii) in paragraph (2), by striking ‘‘(c)’’
and inserting ‘‘(b)’’.
(2) EFFECTIVE DATE.—The amendments made
by this section shall take effect as if included in the
enactment of section 341 of the Personal Responsibil-
ity and Work Opportunity Reconciliation Act of
1996.
(f) ELIMINATION OF PREDECESSOR INCENTIVE PAY-
MENT SYSTEM.—
(1) REPEAL.—Section 458 of the Social Security
Act (42 U.S.C. 658) is repealed.
(2) CONFORMING AMENDMENTS.—
(A) Section 458A of the Social Security Act
(42 U.S.C. 658a) is redesignated as section 458.
(B) Subsection (d)(1) of this section is
amended by striking ‘‘458A’’ and inserting
‘‘458’’.
(3) EFFECTIVE DATE.—The amendments made
by this subsection shall take effect on October 1, 2001.
(g) GENERAL EFFECTIVE DATE.—Except as otherwise
provided in this section, the amendments made by this sec-
tion shall take effect on October 1, 1999.