In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
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Question: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Teacher and Nurse Support Act of 
2007''.

SEC. 2. FINDINGS AND PURPOSE.

    (a) Findings.--Congress finds the following:
            (1) According to the National Center for Education 
        Statistics, over the next 10 years, the United States will need 
        more than 2,000,000 new teachers to replace the teachers who 
        are retiring or leaving the classroom for other careers.
            (2) The Hart-Rudman National Security Report on education 
        recommended that the President direct the Department of 
        Education to work with the States to devise a comprehensive 
        plan to avert a looming shortage of high-quality teachers.
            (3) According to the National Center for Education 
        Statistics, 20 percent of all new teachers leave the teaching 
        profession within 3 years. Providing loan forgiveness or loan 
        cancellation is one step that would help retain high-quality 
        teachers in schools that need teachers.
            (4) The American Hospital Association has reported more 
        than 118,000 unfilled registered nurse positions in hospitals 
        in the United States. Additionally, the National Commission on 
        Nursing Workforce for Long-Term Care released a report in May, 
        2005, stating that there are nearly 100,000 vacant nursing 
        positions in long-term care facilities on any given day, and 
        the nurse turnover rate exceeds 50 percent. The shortage is 
        costing long-term care facilities an estimated $4 billion a 
        year in recruitment and training expenses.
            (5) College loans are more of a burden than ever for 
        students and families. According to a recent United States 
        Public Interest Research Group report, average student loan 
        debt almost doubled from $9,200 in 1992-1993 to $16,928 in 
        1999-2000.
    (b) Purpose.--The purpose of this Act is to improve access to, and 
the delivery of, high-quality educational and health services 
throughout the United States by reducing the shortage of qualified 
teachers and nurses.

SEC. 3. LOAN FORGIVENESS.

    (a) Loan Forgiveness.--Section 428J of the Higher Education Act of 
1965 (20 U.S.C. 1078-10) is amended to read as follows:

``SEC. 428J. LOAN FORGIVENESS FOR TEACHERS AND NURSES.

    ``(a) Statement of Purpose.--It is the purpose of this section to 
encourage individuals to enter and continue in the teaching and nursing 
professions.
    ``(b) Program Authorized.--
            ``(1) In general.--The Secretary shall carry out a program 
        to forgive, in accordance with this section, the student loan 
        debt of any borrower who has one or more loans described under 
        paragraph (2) made on or after October 1, 1998, and who--
                    ``(A) has been employed--
                            ``(i) as a full-time teacher--
                                    ``(I) in a school that qualifies 
                                under section 465(a)(2)(A) for loan 
                                cancellation for Perkins loan 
                                recipients who teach in those schools;
                                    ``(II) if employed as a secondary 
                                school teacher, is teaching a subject 
                                area that is relevant to the borrower's 
                                academic major as certified by the 
                                chief administrative officer of the 
                                public or nonprofit private secondary 
                                school in which the borrower is 
                                employed; and
                                    ``(III) if employed as an 
                                elementary school teacher, has 
                                demonstrated, as certified by the chief 
                                administrative officer of the public or 
                                nonprofit private elementary school in 
                                which the borrower is employed, 
                                knowledge and teaching skills in 
                                reading, writing, mathematics, and 
                                other areas of the elementary school 
                                curriculum; or
                            ``(ii) as a full-time eligible nurse--
                                    ``(I) in a clinical setting; or
                                    ``(II) as a member of the nursing 
                                faculty at an accredited school of 
                                nursing (as those terms are defined in 
                                section 801 of the Public Health 
                                Service Act (42 U.S.C. 296)); and
                    ``(B) is not in default on a loan for which the 
                borrower seeks forgiveness.
            ``(2) Method of loan forgiveness.--To provide the loan 
        forgiveness authorized in paragraph (1), the Secretary shall, 
        subject to paragraph (3), carry out a program--
                    ``(A) through the holder of the loan, to assume the 
                obligation to repay a qualified loan amount (as 
                determined under subsection (c)) for a loan made under 
                section 428 or 428H of this part; and
                    ``(B) to cancel a qualified loan amount (as so 
                determined) for a Federal Direct Stafford Loan or a 
                Federal Direct Unsubsidized Stafford Loan made under 
                part D of this title;
            ``(3) Treatment of consolidation loans.--A loan amount for 
        a loan made under section 428C or section 455(g) may be a 
        qualified loan amount for the purposes of paragraph (2) only to 
        the extent that such loan amount was used to repay a loan made 
        under section 428 or 428H, a Federal Direct Stafford Loan, or a 
        Federal Direct Unsubsidized Stafford Loan for a borrower who 
        meets the requirements of paragraph (1), as determined in 
        accordance with regulations prescribed by the Secretary.
    ``(c) Qualified Loan Amount.--
            ``(1) In general.--
                    ``(A) Aggregate amount.--The Secretary shall, in 
                installments in accordance with subparagraph (B), 
                forgive under this section not more than $17,500 in the 
                aggregate of the student loan obligation of a borrower.
                    ``(B) Annual installments.--The Secretary shall 
                forgive the student loan obligation of a borrower in 
                annual installments after each of 5 years of service 
                described in clause (i) or (ii) of subsection 
                (b)(1)(A)(i) in an amount not to exceed the lesser of 
                the remaining outstanding obligation of the borrower 
                or--
                            ``(i) $2,000 at the completion of the first 
                        year of such service;
                            ``(ii) $2,500 at the completion of the 
                        second year of such service;
                            ``(iii) $3,500 at the completion of the 
                        third year of such service;
                            ``(iv) $4,500 at the completion of the 
                        fourth year of such service; and
                            ``(v) $5,000 at the completion of the fifth 
                        year of such service.
            ``(2) Forbearance on qualified loan amount.--A holder of a 
        loan on which a borrower is seeking forgiveness under this 
        section--
                    ``(A) shall grant forbearance, at the request of 
                the borrower, in annual increments for each of the 
                years of qualifying service if the holder believes, at 
                the time of the borrower's annual request, that the 
                amount expected to be forgiven under this section at 
                the completion of the period of qualifying service will 
                satisfy the anticipated remaining outstanding balance 
                on the loan; and
                    ``(B) may offer other forbearance options to the 
                borrower.
    ``(d) Regulations.--The Secretary is authorized to issue such 
regulations as may be necessary to carry out the provisions of this 
section.
    ``(e) Construction.--Nothing in this section shall be construed to 
authorize any refunding of any repayment of a loan.
    ``(f) List of Schools.--If the list of schools in which a teacher 
may perform service pursuant to subsection (b)(1)(A)(i) is not 
available before May 1 of any year, the Secretary may use the list for 
the year preceding the year for which the determination is made to make 
the service determination.
    ``(g) Additional Eligibility Provisions.--
            ``(1) Continued eligibility for teachers.--Any teacher who 
        performs service in a school that--
                    ``(A) meets the requirements of subsection 
                (b)(1)(A)(i)(I) in any year during such service; and
                    ``(B) in a subsequent year fails to meet the 
                requirements of that subsection,
        may continue to teach in the school and shall be eligible for 
        loan forgiveness pursuant to subsection (b).
            ``(2) Prevention of double benefits.--No borrower may, for 
        the same service, receive a benefit under both this subsection 
        and--
                    ``(A) subtitle D of title I of the National and 
                Community Service Act of 1990 (42 U.S.C. 12571 et 
                seq.); or
                    ``(B) section 846 of the Public Health Service Act 
                (42 U.S.C. 297n).
    ``(h) Definitions.--In this section:
            ``(1) Eligible nurse.--The term `eligible nurse' means a 
        nurse who meets all of the following:
                    ``(A) The nurse graduated from--
                            ``(i) an accredited school of nursing (as 
                        those terms are defined in section 801 of the 
                        Public Health Service Act (42 U.S.C. 296));
                            ``(ii) a nursing center; or
                            ``(iii) an academic health center that 
                        provides nurse training.
                    ``(B) The nurse holds a valid and unrestricted 
                license to practice nursing in the State in which the 
                nurse practices in a clinical setting.
                    ``(C) The nurse holds 1 or more of the following:
                            ``(i) A graduate degree in nursing or 
                        equivalent degree.
                            ``(ii) A nursing degree from a collegiate 
                        school of nursing (as defined in section 801 of 
                        the Public Health Service Act (42 U.S.C. 296)).
                            ``(iii) A nursing degree from an associate 
                        degree school of nursing (as defined in section 
                        801 of the Public Health Service Act (42 U.S.C. 
                        296)).
                            ``(iv) A nursing degree from a diploma 
                        school of nursing (as defined in section 801 of 
                        the Public Health Service Act (42 U.S.C. 296)).
            ``(2) Year.--The term `year', where applied to service as a 
        teacher (or service as a member of the nursing faculty at an 
        accredited school of nursing (as those terms are defined in 
        section 801 of the Public Health Service Act (42 U.S.C. 296))), 
        means an academic year as defined by the Secretary.''.
    (b) Repeal of Loan Cancellation Provision.--Section 460 of the 
Higher Education Act of 1965 (20 U.S.C. 1087j) is repealed.

SEC. 4. PHASE OUT OF CURRENT PROGRAM.

    An individual who began the required period of teaching described 
in section 428J(b)(1) or 460(b)(1)(A) of the Higher Education Act of 
1965 (20 U.S.C. 1078-10 and 1087j) as such sections were in effect on 
the day before the date of enactment of this Act, shall--
            (1) be eligible to receive loan forgiveness or loan 
        cancellation in the amount described in, and in accordance with 
        the requirements of, such sections as in effect on the day 
        before the date of enactment of this Act; and
            (2) not be eligible to receive loan forgiveness under 
        section 428J of the Higher Education Act of 1965 as in effect 
        on the date of enactment of this Act.

Answer: Teacher and Nurse Support Act of 2007 - Amends the Higher Education Act of 1965 to increase to a maximum of $17,500 the aggregate student loan obligation eligible for forgiveness or cancellation under the Federal Family Education Loan or Direct Loan programs for teachers who serve full-time in certain elementary or secondary schools that enroll a high proportion of disadvantaged students.

Includes, under these student loan forgiveness and cancellation programs, nurses who serve in a clinical setting or as a member of the nursing faculty at an accredited school of nursing. Directs the Secretary of Education to repay such loan obligation in annual installments up to specified maximum amounts after each of five years of such service.


Question: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``American Missile Protection Act of 
1998''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) The threat of weapons of mass destruction delivered by 
        long-range ballistic missiles is among the most serious 
        security issues facing the United States.
                    (A) In a 1994 Executive Order, President Clinton 
                certified, that ``I ... find that the proliferation of 
                nuclear, biological, and chemical weapons (`weapons of 
                mass destruction') and the means of delivering such 
                weapons, constitute an unusual and extraordinary threat 
                to the national security, foreign policy, and economy 
                of the United States, and hereby declare a national 
                emergency to deal with that threat.'' This state of 
                emergency was reaffirmed in 1995, 1996, and 1997.
                    (B) In 1994 the President stated, that ``there is 
                nothing more important to our security and the world's 
                stability than preventing the spread of nuclear weapons 
                and ballistic missiles''.
                    (C) Several countries hostile to the United States 
                have been particularly determined to acquire missiles 
                and weapons of mass destruction. President Clinton 
                observed in January of 1998, for example, that ``Saddam 
                Hussein has spent the better part of this decade, and 
                much of his nation's wealth, not on providing for the 
                Iraqi people, but on developing nuclear, chemical and 
                biological weapons and the missiles to deliver them''.
                    (D) In 1996, the Senate affirmed that, ``it is in 
                the supreme interest of the United States to defend 
                itself from the threat of limited ballistic missile 
                attack, whatever the source.''
            (2) The long-range ballistic missile threat to the United 
        States is increasing.
                    (A) Several adversaries of the United States have 
                stated their intention to acquire intercontinental 
                ballistic missiles capable of attacking the United 
                States.
                            (i) Libyan leader Muammar Qaddafi has 
                        stated, ``If they know that you have a 
                        deterrent force capable of hitting the United 
                        States, they would not be able to hit you. If 
                        we had possessed a deterrent--missiles that 
                        could reach New York--we would have hit it at 
                        the same moment. Consequently, we should build 
                        this force so that they and others will no 
                        longer think about an attack.''
                            (ii) Abu Abbas, the head of the Palestine 
                        Liberation Front, has stated, ``I would love to 
                        be able to reach the American shore, but this 
                        is very difficult. Someday an Arab country will 
                        have ballistic missiles. Someday an Arab 
                        country will have a nuclear bomb. It is better 
                        for the United States and for Israel to reach 
                        peace with the Palestinians before that day.''
                            (iii) Saddam Hussein has stated, ``Our 
                        missiles cannot reach Washington. If we could 
                        reach Washington, we would strike if the need 
                        arose.''
                            (iv) Iranian actions speak for themselves. 
                        Iran's aggressive pursuit of medium-range 
                        ballistic missiles capable of striking Central 
                        Europe--aided by the continuing collaboration 
                        of outside agents--demonstrates Tehran's intent 
                        to acquire ballistic missiles of ever-
                        increasing range.
                    (B) Over 30 non-NATO countries possess ballistic 
                missiles, with at least 10 of those countries 
                developing over 20 new types of ballistic missiles.
                    (C) From the end of World War II until 1980, 
                ballistic missiles were used in one conflict. Since 
                1980, thousands of ballistic missiles have been fired 
                in at least six different conflicts.
                    (D) The clear trend among countries hostile to the 
                United States is toward having ballistic missiles of 
                greater range.
                            (i) North Korea first acquired 300-
                        kilometer range Scud Bs, then developed and 
                        deployed 500-kilometer range Scud Cs, is 
                        currently deploying the 1000-kilometer range 
                        No-Dong, and is developing the 2000-kilometer 
                        range Taepo-Dong 1 and 6000-kilometer range 
                        Taepo-Dong 2, which would be capable of 
                        striking Alaska and Hawaii.
                            (ii) Iran acquired 150-kilometer range CSS-
                        8s, progressed through the Scud B and Scud C, 
                        and is developing the 1300-kilometer range 
                        Shahab-3 and 2000-kilometer range Shahab-4, 
                        which would allow Iran to strike Central 
                        Europe.
                            (iii) Iraq, in a two-year crash program, 
                        produced a new missile, the Al-Hussein, with 
                        twice the range of its Scud Bs.
                            (iv) Experience gained from extending the 
                        range of short- and medium-range ballistic 
                        missiles facilitates the development of 
                        intercontinental ballistic missiles.
                    (E) The technical information, hardware, and other 
                resources necessary to build ballistic missiles are 
                increasingly available and accessible worldwide.
                            (i) Due to advances in information 
                        technology, a vast amount of technical 
                        information relating to ballistic missile 
                        design, much of it formerly classified, has 
                        become widely available and is increasingly 
                        accessible through the Internet and other 
                        distribution avenues.
                            (ii) Components, tools, and materials to 
                        support ballistic missile development are 
                        increasingly available in the commercial 
                        aerospace industry.
                            (iii) Increasing demand for satellite-based 
                        telecommunications is adding to the demand for 
                        commercial Space Launch Vehicles, which employ 
                        technology that is essentially identical to 
                        that of intercontinental ballistic missiles. As 
                        this increasing demand is met, the technology 
                        and expertise associated with space launch 
                        vehicles also proliferate.
                    (F) Russia and China have provided significant 
                technical assistance to rogue nation ballistic missile 
                programs, accelerating the pace of those efforts. In 
                June of 1997, the Director of Central Intelligence, 
                reporting to Congress on weapons of mass destruction-
                related equipment, materials, and technology, stated 
                that ``China and Russia continued to be the primary 
                suppliers, and are key to any future efforts to stem 
                the flow of dual-use goods and modern weapons to 
                countries of concern.''
                    (G) Russia and China continue to engage in missile 
                proliferation.
                            (i) Despite numerous Russian assurances not 
                        to assist Iran with its ballistic missile 
                        program, the Deputy Assistant Secretary of 
                        State for Nonproliferation testified to the 
                        Senate, that ``the problem is this: there is a 
                        disconnect between those reassurances, which we 
                        welcome, and what we believe is actually 
                        occurring.''
                            (ii) Regarding China's actions to 
                        demonstrate the sincerity of its commitment to 
                        nonproliferation, the Director of Central 
                        Intelligence testified to the Senate on January 
                        28, 1998, that, ``the jury is still out on 
                        whether the recent changes are broad enough in 
                        scope and whether they will hold over the 
                        longer term. As such, Chinese activities in 
                        this area will require continued close 
                        watching.''
                    (H) The inability of the United States to defend 
                itself against weapons of mass destruction delivered by 
                long-range ballistic missile provides additional 
                incentive for hostile nations to develop long-range 
                ballistic missiles with which to threaten the United 
                States. Missiles are widely viewed as valuable tools 
                for deterring and coercing a vulnerable United States.
            (3) The ability of the United States to anticipate future 
        ballistic missile threats is questionable.
                    (A) The Intelligence Community has failed to 
                anticipate many past technical innovations (for 
                example, Iraq's extended-range Al-Hussein missiles and 
                its development of a space launch vehicle) and outside 
                assistance enables rogue states to surmount traditional 
                technological obstacles to obtaining or developing 
                ballistic missiles of increasing range.
                    (B) In June of 1997, the Director of Central 
                Intelligence reported to Congress that ``many Third 
                World countries--with Iran being the most prominent 
                example--are responding to Western counter-
                proliferation efforts by relying more on legitimate 
                commercial firms as procurement fronts and by 
                developing more convoluted procurement networks.''
                    (C) In June of 1997, the Director of Central 
                Intelligence stated to Congress that ``gaps and 
                uncertainties preclude a good projection of exactly 
                when `rest of the world' countries will deploy ICBMs.''
                    (D) In 1997, the Director of Central Intelligence 
                testified that Iran would have a medium-range missile 
                by 2007. One year later the Director stated, ``since I 
                testified, Iran's success in getting technology and 
                materials from Russian companies, combined with recent 
                indigenous Iranian advances, means that it could have a 
                medium-range missile much sooner than I assessed last 
                year.'' Department of State officials have testified 
                that Iran could be prepared to deploy such a missile as 
                early as late 1998, nine years earlier than had been 
                predicted one year before by the Director of Central 
                Intelligence.
            (4) The failure to prepare adequately for long-range 
        ballistic missile threats could have severe national security 
        and foreign policy consequences for the United States.
                    (A) An attack on the United States by a ballistic 
                missile equipped with a weapon of mass destruction 
                could inflict catastrophic death or injury to citizens 
                of the United States and severe damage to their 
                property.
                    (B) A rogue state's ability to threaten the United 
                States with an intercontinental ballistic missile may 
                constrain the United States' options in dealing with 
                regional threats to its interests, deter the United 
                States from taking appropriate action, or prompt allies 
                to question United States security guarantees, thereby 
                weakening alliances of the United States and the United 
                States' world leadership position.
            (5) The United States must be prepared for rogue nations 
        acquiring long-range ballistic missiles armed with weapons of 
        mass destruction.
                    (A) In its resolution of ratification for the START 
                II Treaty, the United States Senate declared that 
                ``because deterrence may be inadequate to protect the 
                United States against long-range ballistic missile 
                threats, missile defenses are a necessary part of new 
                deterrent strategies.''
                    (B) In September of 1994, Secretary of Defense 
                Perry stated that in the post-Cold War era, ``we now 
                have opportunity to create a new relationship based not 
                on MAD, not on Mutual Assured Destruction, but rather 
                on another acronym, MAS, or Mutual Assured Safety.''
                    (C) On February 12, 1997, the Under Secretary of 
                Defense for Policy testified to the Senate that ``I and 
                the administration are quite willing to acknowledge 
                that if we saw a rogue state, a potential proliferant, 
                beginning to develop a long-range ICBM capable of 
                reaching the United States, we would have to give very, 
                very serious attention to deploying a limited national 
                missile defense.''
            (6) The United States has no defense deployed against 
        weapons of mass destruction delivered by long-range ballistic 
        missiles and no policy to deploy such a national missile 
        defense system.

SEC. 3. NATIONAL MISSILE DEFENSE POLICY.

    It is the policy of the United States to deploy as soon as is 
technologically possible an effective National Missile Defense system 
capable of defending the territory of the United States against limited 
ballistic missile attack (whether accidental, unauthorized, or 
deliberate).

Answer: American Missile Protection Act of 1998 - States as U.S. policy to deploy as soon as technologically possible an effective National Missile Defense system capable of defending U.S. territory against limited ballistic missile attack (whether accidental, unauthorized, or deliberate).


Question: SECTION 1. SHORT TITLE.

    This Act may be cited as ``Medicaid/SCHIP Optional Coverage for 
Young Adults Act of 2003''.

SEC. 2. PROVIDING STATE OPTION FOR SCHIP AND MEDICAID COVERAGE OF YOUNG 
              ADULTS UP TO AGE 23.

    (a) In General.--
            (1) Medicaid.--(A) Section 1902(l)(1)(D) of the Social 
        Security Act (42 U.S.C. 1396a(l)(1)(D)) is amended by inserting 
        ``(or, at the option of the State, who have not attained 20, 
        21, or 22 years of age, as the State may elect)'' after ``have 
        not attained 19 years of age''.
            (B) Clause (i) of section 1905(a) of the Social Security 
        Act (42 U.S.C. 1396d(a)) is amended by striking ``under the age 
        of 21, or, at the option of the State, under the age of 20, 19, 
        or 18 as the State may choose'' and inserting ``under the age 
        of 23, or, at the option of the State, under the age of 22, 21, 
        20, 19, or 18 as the State may elect''.
            (2) SCHIP.--Section 2110(c)(1) of such Act (42 U.S.C. 
        1397jj(c)(1)) is amended by inserting after ``19 years of age'' 
        the following: ``(or, at the option of the State and subject to 
        the availability of additional allotments under section 
        2104(d), 20, 21, 22, or 23 years of age)''.
    (b) Availability of Enhanced Matching Funds.--
            (1) Under medicaid.--Section 1905 of the Social Security 
        Act (42 U.S.C. 1396d) is amended--
                    (A) in the fourth sentence of subsection (b), by 
                striking ``or subsection (u)(3)'' and inserting ``, 
                (u)(3), or (u)(4)(A)''; and
                    (B) in subsection (u)--
                            (i) by adding at the end of paragraph (1) 
                        the following new subparagraph:
            ``(C) Only with respect to expenditures described in 
        paragraph (4)(A), if the State is providing for benefits under 
        its State child health plan under title XXI for children under 
        19 years of age exclusively through benefits under its State 
        plan under this title, the State is also providing under such 
        plan the benefits for individuals over 18 years of age who are 
        eligible for such benefits only because of an election referred 
        to in such paragraph.'';
                            (ii) by redesignating paragraph (4) as 
                        paragraph (5); and
                            (iii) by inserting after paragraph (3) the 
                        following new paragraph:
    ``(4) For purposes of the fourth sentence of subsection (b) and 
section 2105(a), the expenditures described in this paragraph are 
expenditures for medical assistance for individuals who are over 18 
(and less than 23) years of age and who are eligible for such medical 
assistance because of an election by the State under section 
1902(l)(1)(D) or clause (i) of section 1905(a).''.
            (2) Additional allotments for providing coverage of 
        optional young adults.--
                    (A) In general.--Section 2104 of such Act (42 
                U.S.C. 1397dd) is amended by inserting after subsection 
                (c) the following:
    ``(d) Additional Allotments for the Provision of Coverage to 
Optional Young Adults.--
            ``(1) Appropriation; total allotment.--For the purpose of 
        providing additional allotments to States under this title, 
        there is appropriated, out of any money in the Treasury not 
        otherwise appropriated, for each of fiscal years 2004 through 
        2007, $200,000,000.
            ``(2) State and territorial allotments.--In addition to the 
        allotments provided under subsections (b) and (c), subject to 
        paragraph (3), of the amount available for the additional 
        allotments under paragraph (1) for a fiscal year, the Secretary 
        shall allot to each State with a State child health plan 
        approved under this title--
                    ``(A) in the case of such a State other than a 
                commonwealth or territory described in subparagraph 
                (B), the same proportion as the proportion of the 
                State's allotment under subsection (b) (determined 
                without regard to subsection (f)) to the total amount 
                of the allotments under subsection (b) for such States 
                eligible for an allotment under this paragraph for such 
                fiscal year; and
                    ``(B) in the case of a commonwealth or territory 
                described in subsection (c)(3), the same proportion as 
                the proportion of the commonwealth's or territory's 
                allotment under subsection (c) (determined without 
                regard to subsection (f)) to the total amount of the 
                allotments under subsection (c) for commonwealths and 
                territories eligible for an allotment under this 
                paragraph for such fiscal year.
            ``(3) Use of additional allotment.--Additional allotments 
        provided under this subsection are not available for amounts 
        expended before October 1, 2003. Such amounts are available for 
        amounts expended on or after such date only for--
                    ``(A) expenditures described in section 
                1905(u)(4)(A); and
                    ``(B) child health assistance for individuals who 
                are targeted low-income children and over 18 years of 
                age and who are low-income children only because of an 
                election by the State under section 2110(c)(1).''.
                    (B) Conforming amendments.--Section 2104 of the 
                Social Security Act (42 U.S.C. 1397dd) is amended--
                            (i) in subsection (a), in the matter 
                        preceding paragraph (1), by inserting ``subject 
                        to subsection (d),'' after ``under this 
                        section,'';
                            (ii) in subsection (b)(1), by inserting 
                        ``and subsection (d)'' after ``Subject to 
                        paragraph (4)''; and
                            (iii) in subsection (c)(1), by inserting 
                        ``subject to subsection (d),'' after ``for a 
                        fiscal year,''.
    (c) Effective Date.--The amendments made by this section apply to 
items and services furnished on or after October 1, 2003, without 
regard to whether regulations implementing such amendments have been 
promulgated.

SEC. 3. GRANTS TO IMPLEMENT MEDICAID AND SCHIP EXPANSIONS.

    (a) In General.--The Secretary of Health and Human Services shall 
provide for grants to small and rural States (as defined by the 
Secretary) in order to enable such States to implement expansions of 
eligibility for children and young adults their State medicaid plans 
under title XIX of the Social Security Act and State child health plans 
under title XXI of such Act. Such grants shall be available for 
planning, implementation, and outreach with respect to such expanded 
eligibility populations.
    (b) Terms and Conditions.--Grants under this section shall be made 
available under such terms and conditions, including the approval of a 
grant application, as the Secretary shall specify.
    (c) Authorization of Appropriations.--There are authorized to be 
appropriated such sums as may be necessary to provide for grants under 
this section.

Answer:
Medicaid/SCHIP Optional Coverage for Young Adults Act of 2003 - Amends titles XIX (Medicaid) and XXI (State Children's Health Insurance) (SCHIP) of the Social Security Act to give States the option of providing SCHIP and Medicaid coverage, with an enhanced matching rate, to low-income youth up to age 23.

Directs the Secretary to provide for grants to small and rural States in order to enable them to implement expansions of eligibility for children and young adults under SSA titles XIX and XXI.