In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

SECTION 1. SHORT TITLE.

This Act may be cited as the ''Health Care for America's Children
Act of 1998''.

SEC. 2. FINDINGS.

Congress makes the following findings:
(1) Over 10,000,000 children in the United States, 1 in 7,
lack health insurance coverage.
(2) Nearly half of those children (4,700,000) are eligible
for health benefits coverage through the medicaid program but
are not enrolled in that program.
(3) Children without health insurance coverage are 4 times
more likely to go without needed medical or surgical care.
(4) One out of 5 children who are uninsured for a year or
longer are missing all of their current immunizations.
(5) Children without health insurance are less likely to
have a family doctor, less likely to receive timely preventive
care, and less likely to receive treatment, even for serious
illnesses.
(6) Uninsured children are more likely to need emergency
room care at twice the cost of office-based care.
(7) A recent report by the Agency for Health Care Policy
and Research (AHCPR) stressed the need for States to engage in
outreach activities to increase the enrollment of medicaid-
eligible children.
(8) Outreach activities like shortened and simplified
applications, presumptive and continuous eligibility, and
outstationing of eligibility workers in schools and day care
centers have been found to be effective in getting medicaid-
eligible children enrolled in the medicaid program.

SEC. 3. MEDICAID CHILDREN'S ENROLLMENT PERFORMANCE BONUS.

Section 1903 of the Social Security Act (42 U.S.C. 1396b) is
amended by adding at the end the following:
''(x)(1) In General.--Beginning with fiscal year 1999 and each
fiscal year thereafter, in addition to any other payment under this
title, the Secretary shall pay to each State that satisfies the
requirements of paragraphs (2) and (3) a children's enrollment
performance bonus under this subsection for such fiscal year in such
amount as the Secretary shall determine.
''(2) Demonstration of Implementation of Outreach Strategies.--A
State shall demonstrate to the satisfaction of the Secretary that the
State has a commitment to reach and enroll children who are eligible
for medical assistance under, but not enrolled in, the State plan under
this title through effective implementation of each of the following
outreach activities:
''(A) Streamlined eligibility procedures.--
''(i) In general.--The State uses streamlined
procedures described in clause (ii) for determining the
eligibility for medical assistance under, and
enrollment in, the State plan under this title of--
''(I) children in families with incomes
that do not exceed the effective income level
(expressed as a percent of the poverty line)
that has been specified under such State plan
(including under a waiver authorized by the
Secretary or under section 1902(r)(2) for the
child to be eligible for medical assistance
under section 1902(l)(2) or 1905(n)(2) (as
selected by a State)) for the age of such
child; and
''(II) children determined eligible for
such assistance, and enrolled in the State plan
under this title in accordance with the
requirements of paragraphs (1) and (2) of
section 1931(b).
''(ii) Procedures described.--The streamlined
procedures described in this clause include--
''(I) using shortened and simplified
applications for the children described in
clause (i);
''(II) eliminating the assets test for
determining the eligibility of such children;
and
''(III) allowing applications for such
children to be submitted by mail or telephone.
''(B) Continuous eligibility for children.--The State
provides (or demonstrates to the satisfaction of the Secretary
that, not later than fiscal year 2001, the State shall provide)
for 12-months of continuous eligibility for children in
accordance with section 1902(e)(12).
''(C) Presumptive eligibility for children.--The State
provides (or demonstrates to the satisfaction of the Secretary
that, not later than fiscal year 2001, the State shall provide)
for making medical assistance available to children during a
presumptive eligibility period in accordance with section
1920A.
''(D) Outstationing and alternative applications.--The
State complies with the requirements of section 1902(a)(55)
(relating to outstationing of eligibility workers for the
receipt and initial processing of applications for medical
assistance and the use of alternative application forms).
''(E) Simplified verification of eligibility
requirements.--The State demonstrates to the satisfaction of
the Secretary that the State uses only the minimum level of
verification requirements as are necessary for the State to
ensure accurate eligibility determinations under the State plan
under this title.
''(3) Report on Number of Enrollments Resulting From Outreach.--A
State shall annually report to the Secretary on the number of full year
equivalent children that are determined to be eligible for medical
assistance under the State plan under this title and are enrolled under
the plan as a result of--
''(A) having been provided presumptive eligibility in
accordance with section 1920A;
''(B) having submitted an application for such assistance
through an outstationed eligibility worker; and
''(C) having submitted an application for such assistance
by mail or telephone.
''(4) No Substitution of Spending.--Amounts paid to a State under
this subsection shall be used to supplement and not supplant other
Federal, State, or local funds provided to the State under this title
or title XXI. Amounts provided to the State under any other provisions
of this title shall not be reduced solely as a result of the State's
eligibility for a performance bonus under this subsection.''.
Health Care for America's Children Act of 1998 - Amends title XIX (Medicaid) of the Social Security Act to direct the Secretary of Health and Human Services to pay a children's enrollment performance bonus to each State that: (1) demonstrates its commitment to reach and enroll Medicaid-eligible children in its State Medicaid plan through implementation of various specified outreach activities; and (2) reports annually to the Secretary on the number of full year equivalent Medicaid-eligible children who enrolled under the State Medicaid plan as a result of having been provided presumptive eligibility and having applied for Medicaid assistance through an outstationed eligibility worker and by mail or telephone.