or other inpatient facility that receives support in any 
form from any State program, or other program, sup-
ported in whole or in part by funds appropriated to any 
Federal department or agency pursuant to this title, shall 
have in effect policies and procedures to ensure that each 
individual who has not attained age 25 and who is fur-
nished services at such hospital, home, program, or facil-
ity, respectively, is referred to the most medically appro-
priate level of care and is furnished with a discharge plan 
from such hospital, home, program, or facility, respec-
tively, that includes an assurance that such individual is 
placed in a permanent living arrangement as soon as such 
discharge is medically appropriate.’’. 
(b) REQUIREMENT APPLIED TO BLOCK GRANTS RE-
GARDING MENTAL HEALTH
AND SUBSTANCE ABUSE 
UNDER TITLE XIX OF THE PHSA.—Section 1943(a) of 
the Public Health Service Act (42 U.S.C. 300x–53(a)) is 
amended— 
(1) in paragraph (2), at the end by striking 
‘‘and’’; 
(2) in paragraph (3), at the end by striking the 
period and inserting ‘‘; and’’; and 
(3) by adding at the end the following new 
paragraph: 
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‘‘(4) ensure that any private or public hospital, 
nursing home, hospice program, subacute care facil-
ity, transitional care facility, residential treatment 
facility, rehabilitation facility, or other inpatient fa-
cility that receives support in any form from any 
State program, or other program, supported in 
whole or in part by funds appropriated to any Fed-
eral department or agency pursuant to this part, 
shall have in effect policies and procedures to ensure 
that each individual who has not attained age 25 
and who is furnished services at such hospital, home, 
program, or facility, respectively, is referred to the 
most medically appropriate level of care and is fur-
nished with a discharge plan from such hospital, 
home, program, or facility, respectively, that includes 
an assurance that such individual is placed in a per-
manent living arrangement as soon as such dis-
charge is medically appropriate.’’. 
(c) REQUIREMENT APPLIED TO STATE PLAN FOR 
MEDICAL ASSISTANCE UNDER MEDICAID PROGRAM.— 
Section 1902(a) of the Social Security Act (42 U.S.C. 
1396a(a)) is amended— 
(1) in paragraph (69), at the end by striking 
‘‘and’’; 
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(2) in paragraph (70), at the end by striking 
the period and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (70) the fol-
lowing new paragraph: 
‘‘(71) provide that each hospital, nursing facil-
ity, hospice program, subacute care facility, transi-
tional care facility, residential treatment facility, re-
habilitation facility, or other inpatient facility receiv-
ing funds under the plan, shall have in effect policies 
and procedures to ensure that each child who is an 
individual who has not attained age 25 and who is 
furnished services at such hospital, home, program, 
or facility, respectively, is referred to the most medi-
cally appropriate level of care and is furnished with 
a discharge plan from such hospital, home, program, 
or facility, respectively, that includes an assurance 
that such individual is placed in a permanent living 
arrangement as soon as such discharge is medically 
appropriate.’’. 
(d) EFFECTIVE DATES.— 
(1) 
PUBLIC
HEALTH
AMENDMENTS.—The 
amendments made by subsections (a) and (b) shall 
apply to support provided for periods beginning on 
or after October 1, 2007. 
(2) MEDICAID AMENDMENT.— 
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(A) IN GENERAL.—Except as provided in 
paragraph (2), the amendment made by sub-
section (c) shall apply to calendar quarters be-
ginning on or after October 1, 2007, without 
regard to whether or not final regulations to 
carry out such amendments have been promul-
gated by such date. 
(B) EXCEPTION
IF
STATE
LEGISLATION 
REQUIRED.—In the case of a State plan for 
medical assistance under title XIX of the Social 
Security Act which the Secretary of Health and 
Human Services determines requires State leg-
islation (other than legislation appropriating 
funds) in order for the plan to meet the addi-
tional requirement imposed by the amendment 
made by subsection (c), the State plan shall not 
be regarded as failing to comply with the re-
quirements of such title solely on the basis of 
its failure to meet this additional requirement 
before the first day of the first calendar quarter 
beginning after the close of the first regular 
session of the State legislature that begins after 
the date of the enactment of this Act. For pur-
poses of the previous sentence, in the case of a 
State that has a 2-year legislative session, each 
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year of such session shall be deemed to be a 
separate regular session of the State legislature. 
TITLE II—YOUTH EMERGENCY 
AND TRANSITIONAL HOUSING 
Subtitle A—Runaway and 
Homeless Youth Act Programs 
SEC. 201. SHORT TITLE. 
This subtitle may be cited as the ‘‘Runaway and 
Homeless Youth Act Reauthorization of 2008’’. 
SEC. 202. FINDINGS. 
Section 302 of the Runaway and Homeless Youth Act 
(42 U.S.C. 5701) is amended— 
(1) by redesignating paragraphs (3) and (4) as 
paragraphs (4) and (5), respectively, and 
(2) by inserting after paragraph (2) the fol-
lowing: 
‘‘(3) services to such young people should be de-
veloped and provided using a positive youth develop-
ment approach that ensures the young person a 
sense of— 
‘‘(A) safety and structure; 
‘‘(B) belonging and membership; 
‘‘(C) self-worth and social contribution; 
‘‘(D) independence and control over one’s 
life; and 
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