#aae? ,,congress #b;d ,session ,9 ! ,h\se ( ,repres5tatives1 ,u4 ,s41 ,janu>y #ah1 #bjah ,,h\se ,,am5dm5t ,,to ,,s5ate ,,am5dm5t3 ,t ! ,h\se agree to ! am5dm5t ( ! ,s5ate to ! bill 7,h4,r4 #aie7 entitl$ ,an ,act to am5d title #dd1 ,unit$ ,/ates ,code1 to re/rict ! di/ribution ( free pr9t$ copies ( ! ,f$]al ,regi/] to ,memb]s ( ,congress & o!r (fic]s & employees ( ! ,unit$ ,/ates1 & = o!r purposes41 ) ! foll[+ ,9 lieu ( ! matt] propos$ to be ins]t$ by ! am5dm5t ( ! ,s5ate1 ins]t ! foll[+3 ,b ,ext5sion ( ,cont9u+ ,appropriations ,act1 #bjah #bjja4 ,! ,cont9u+ ,appropriations ,act1 #bjah 7division ,d ( ,public ,law #aae-ef7 is am5d$-- 7#a7 by /rik+ ! date specifi$ 9 section #ajf7c7 & ins]t+ ,febru>y #af1 #bjah2 & 7#b7 by add+ aft] section #adg ! foll[+3 #adh4 ,funds appropriat$ by ! ,dep>tm5t ( ,def5se ,missile ,defeat & ,def5se ,enhancem5ts ,appropriations ,act1 #bjah 7division ,b ( ,public ,law #aae-if7 may be obligat$ & exp5d$ not)/&+ section #ejd7;a77#a7 ( ! ,national ,security ,act ( #aidg 7#ej ,u4,s4,c4 #cjid7;a77#a774 #adi4 ,am\nts made available by section #aja = ,dep>tm5t ( ,agriculture--,food & ,nutrition ,s]vice--,*ild ,nutrition ,programs to c>ry out section #gdi7;g7 ( ! ,agriculture ,appropriations ,act ( #bjaj 7,public ,law #aaa-hj7 may be apportion$ up to ! rate = op]ations necess>y to ensure t ! program c be fully op]ational by ,may #bjah4 #aej4 ,am\nts made available by section #aja = ,national ,a]onautics & ,space ,adm9i/ration--,exploration may be apportion$ up to ! rate = op]ations necess>y to ma9ta9 ! plann$ laun* capability s*$ules = ! ,space ,laun* ,sy/em laun* vehicle1 ,exploration ,gr\nd ,sy/ems1 & ,orion ,multi-,purpose ,crew ,vehicle programs4 #aea4 ,am\nts made available by section #aja = ,dep>tm5t ( ,en]gy--,en]gy ,programs--,(fice ( ! ,inspector ,g5]al may be apportion$ up to ! rate = op]ations necess>y to su/a9 /aff+ levels a*iev$ on ,june #cj1 #bjag4 #aeb4 ,am\nts made available by section #aja = ,small ,bus9ess ,adm9i/ration--,bus9ess ,loans ,program ,acc\nt may be apportion$ up to ! rate = op]ations necess>y to accommodate increas$ dem& = commitm5ts = g5]al bus9ess loans au?oriz$ "u section #g7;a7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcf7;a774 #aec4 ,= #bjah1 ! ,secret>y ( ,h\s+ & ,urban ,developm5t may make tempor>y adju/m5ts to ! ,section #h h\s+ *oice v\*] annual r5ewal fund+ allocations & adm9i/rative fee eligibility det]m9ations = public h\s+ ag5cies 9 an area = :i* ! ,presid5t decl>$ a disa/] 9 #bjag or #bjah "u title ,,iv ( ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act 7#db ,u4,s4,c4 #eagj et seq471 to avoid significant adv]se fund+ impacts t w\ld o!rwise result f ! disa/] & t w\ld o!rwise prev5t a public h\s+ ag5cy f leas+ up to its au?oriz$ level ( units "u contract 7b n to exce$ su* level71 ^u reque/ by & 9 consultation ) a public h\s+ ag5cy & support$ by docum5tation z requir$ by ! ,secret>y t demon/rates ! ne$ = ! adju/m5t4 4 #bjjb4 ,! ,fur!r ,additional ,cont9u+ ,appropriations ,act1 #bjah 7division ,a ( ,public ,law #aae-if7 is am5d$ by /rik+ section #ajjb4 ,?is division may be cit$ z ! ,ext5sion ( ,cont9u+ ,appropriations ,act1 #bjah4 ,c ,,heal?y ,,kids ,act #cjja4 ,%ort title ,?is division may be cit$ z ! ,help+ ,ensure ,access = ,little ,ones1 ,toddl]s1 & ,hopeful ,y\? by ,keep+ ,insurance ,deliv]y ,/able ,act or ! ,,heal?y ,,kids ,act4 #cjjb4 ,six-ye> fund+ ext5sion ( ! ,*ildr5's ,heal? ,insurance ,program 7a7 ,fund+ 7#a7 ,9 g5]al ,section #bajd7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7a771 z am5d$ by section #cbja7;a7 ( ! ,,*ip & ,public ,heal? ,fund+ ,ext5sion ,act 7division ,c ( ,public ,law #aae-if71 is am5d$-- 7,a7 9 p>agraph 7#bj77;,b71 by /rik+ 2 & & ins]t+ a semicolon2 7,b7 by /rik+ p>agraph 7#ba7 & ins]t+ ! foll[+ new p>agraphs3 7#ba7 = fiscal ye> #bjah1 #ba1ejj1jjj1jjj2 7#bb7 = fiscal ye> #bjai1 #bb1fjj1jjj1jjj2 7#bc7 = fiscal ye> #bjbj1 #bc1gjj1jjj1jjj2 7#bd7 = fiscal ye> #bjba1 #bd1hjj1jjj1jjj2 7#be7 = fiscal ye> #bjbb1 #be1ijj1jjj1jjj2 & 7#bf7 = fiscal ye> #bjbc1 = purposes ( mak+ two semi-annual allotm5ts-- 7,a7 #b1hej1jjj1jjj = ! p]iod beg9n+ on ,octob] #a1 #bjbb1 & end+ on ,m>* #ca1 #bjbc2 & 7,b7 #b1hej1jjj1jjj = ! p]iod beg9n+ on ,april #a1 #bjbc1 & end+ on ,septemb] #cj1 #bjbc4 4 7#b7 ,prev5tion ( duplicate appropriations = fiscal ye> #bjah ,not)/&+ any o!r provision ( law1 ins(> z funds h be5 appropriat$ "u subsection 7a77#ba7 ( section #bajd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd71 z su* subsection is 9 effect on ! day be=e ! date ( ! enactm5t ( ?is ,act1 to provide allotm5ts to ,/ates "u ! ,/ate ,*ildr5's ,heal? ,insurance ,program e/abli%$ "u title ,,xxi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;aa et seq47 7:e!r implem5t$ "u title ,,xix1 ,,xxi1 or bo?1 ( ! ,social ,security ,act7 = fiscal ye> #bjah-- 7,a7 any am\nts t are s appropriat$ t are n s allott$ & obligat$ be=e ! date ( ! enactm5t ( ?is ,act1 are resc9d$2 & 7,b7 any am\nt provid$ = ,,*ip allotm5ts to a ,/ate "u ?is section 7& ! am5dm5ts made by ?is section7 = su* fiscal ye> %all be r$uc$ by ! am\nt ( su* appropriations s allott$ & obligat$ be=e su* date4 7b7 ,allotm5ts 7#a7 ,9 g5]al ,section #bajd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7m771 z am5d$ by section #cbja7;b7 ( ! ,,*ip & ,public ,heal? ,fund+ ,ext5sion ,act 7division ,c ( ,public ,law #aae-if71 is am5d$-- 7,a7 9 p>agraph 7#b77;,b7-- 7i7 9 ! matt] prec$+ clause 7i71 by /rik+ 7#ai7 & ins]t+ 7#be72 7ii7 9 clause 7i71 by /rik+ & #bjag & ins]t+ 1 #bjag1 & #bjbc2 & 7iii7 9 clause 7ii7-- 7,i7 9 ! matt] prec$+ subclause 7,i71 by /rik+ & p>agraph 7#aj72 & 7,,ii7 9 subclause 7,i71 by ins]t+ 7or1 9 ! case ( fiscal ye> #bjah1 "u p>agraph 7#d77 aft] clause 7i72 7,b7 9 p>agraph 7#e71 by /rik+ #bjah & ins]t+ #bjbc2 7,c7 9 p>agraph 7#g7-- 7i7 9 subp>agraph 7,a71 by /rik+ #bjag & ins]t+ #bjbc2 7ii7 9 subp>agraph 7,b71 9 ! matt] prec$+ clause 7i71 by ins]t+ 7or1 9 ! case ( fiscal ye> #bjah1 by n lat] ?an ! date t is #fj days aft] ! date ( ! enactm5t ( ! ,,heal?y ,,kids ,act7 aft] be=e ! ,augu/ #ca prec$+ ! beg9n+ ( ! fiscal ye>2 & 7iii7 9 ! matt] foll[+ subp>agraph 7,b71 by /rik+ or fiscal ye> #bjaf & ins]t+ fiscal ye> #bjaf1 fiscal ye> #bjah1 fiscal ye> #bjbj1 or fiscal ye> #bjbb2 7,d7 9 p>agraph 7#i71 by /rik+ #bjah & ins]t+ #bjbc2 & 7,e7 by am5d+ p>agraph 7#aj7 to read z foll[s3 7#aj7 ,= fiscal ye> #bjbc 7,a7 ,fir/ half ,subject to p>agraphs 7#e7 & 7#g71 f ! am\nt made available "u subp>agraph 7,a7 ( p>agraph 7#bf7 ( subsection 7a7 = ! semi-annual p]iod describ$ 9 su* subp>agraph1 increas$ by ! am\nt ( ! appropriation = su* p]iod "u section #cjjb7;b77#b7 ( ! ,,heal?y ,,kids ,act1 ! ,secret>y %all compute a ,/ate allotm5t = ea* ,/ate 7includ+ ! ,di/rict ( ,columbia & ea* commonweal? & t]ritory7 = su* semi-annual p]iod 9 an am\nt equal to ! fir/ half ratio 7describ$ 9 subp>agraph 7,d77 ( ! am\nt describ$ 9 subp>agraph 7,c74 7,b7 ,second half ,subject to p>agraphs 7#e7 & 7#g71 f ! am\nt made available "u subp>agraph 7,b7 ( p>agraph 7#bf7 ( subsection 7a7 = ! semi-annual p]iod describ$ 9 su* subp>agraph1 ! ,secret>y %all compute a ,/ate allotm5t = ea* ,/ate 7includ+ ! ,di/rict ( ,columbia & ea* commonweal? & t]ritory7 = su* semi-annual p]iod 9 an am\nt equal to ! am\nt made available "u su* subp>agraph1 multipli$ by ! ratio (-- 7i7 ! am\nt ( ! allotm5t to su* ,/ate "u subp>agraph 7,a72 to 7ii7 ! total ( ! am\nt ( all ( ! allotm5ts made available "u su* subp>agraph4 7,c7 ,full ye> am\nt bas$ on rebas$ am\nt ,! am\nt describ$ 9 ?is subp>agraph = a ,/ate is equal to ! ,f$]al paym5ts to ! ,/ate t are attributable to 7& c\ntable t[>ds7 ! total am\nt ( allotm5ts available "u ?is section to ! ,/ate 9 fiscal ye> #bjbb 7includ+ paym5ts made to ! ,/ate "u subsection 7n7 = fiscal ye> #bjbb z well z am\nts r$i/ribut$ to ! ,/ate 9 fiscal ye> #bjbb71 multipli$ by ! allotm5t increase factor "u p>agraph 7#f7 = fiscal ye> #bjbc4 7,d7 ,fir/ half ratio ,! fir/ half ratio describ$ 9 ?is subp>agraph is ! ratio (-- 7i7 ! sum (-- 7,i7 ! am\nt made available "u subsection 7a77#bf77;,a72 & 7,,ii7 ! am\nt ( ! appropriation = su* p]iod "u section #cjjb7;b77#b7 ( ! ,,heal?y ,,kids ,act2 to 7ii7 ! sum (-- 7,i7 ! am\nt describ$ 9 clause 7i72 & 7,,ii7 ! am\nt made available "u subsection 7a77#bf77;,b74 4 7#b7 ,"o-"t appropriation = fiscal ye> #bjbc ,!re is appropriat$ to ! ,secret>y ( ,heal? & ,human ,s]vices1 out ( any money 9 ! ,treasury n o!rwise appropriat$1 #bj1bjj1jjj1jjj to accompany ! allotm5t made = ! p]iod beg9n+ on ,octob] #a1 #bjbb1 & end+ on ,m>* #ca1 #bjbc1 "u p>agraph 7#bf77;,a7 ( section #bajd7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7a77 7z add$ by subsection 7a771 to rema9 available until exp5d$4 ,su* am\nt %all be us$ to provide allotm5ts to ,/ates "u p>agraph 7#aj7 ( section #bajd7m7 ( su* ,act 7z add$ by p>agraph 7#a77 = ! fir/ #f mon?s ( fiscal ye> #bjbc 9 ! same mann] z allotm5ts are provid$ "u subsection 7a77#bf77;,a7 ( su* section #bajd & subject to ! same t]ms & conditions z apply to ! allotm5ts provid$ f su* subsection 7a77#bf77;,a74 7c7 ,ext5sion ( ! ,*ild ,enrollm5t ,cont+5cy ,fund ,section #bajd7n7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7n77 is am5d$-- 7#a7 9 p>agraph 7#b7-- 7,a7 9 subp>agraph 7,a77ii7-- 7i7 by /rik+ #bjaj1 #bjaa1 #bjab1 #bjac1 #bjad1 & #bjaf & ins]t+ #bjaj ?r\gh #bjad1 #bjaf1 & #bjah ?r\gh #bjbb2 & 7ii7 by /rik+ fiscal ye> #bjae & fiscal ye> #bjag & ins]t+ fiscal ye>s #bjae1 #bjag1 & #bjbc2 & 7,b7 9 subp>agraph 7,b7-- 7i7 by /rik+ #bjaj1 #bjaa1 #bjab1 #bjac1 #bjad1 & #bjaf & ins]t+ #bjaj ?r\gh #bjad1 #bjaf1 & #bjah ?r\gh #bjbb2 & 7ii7 by /rik+ fiscal ye> #bjae & fiscal ye> #bjag & ins]t+ fiscal ye>s #bjae1 #bjag1 & #bjbc2 & 7#b7 9 p>agraph 7#c77;,a71 9 ! matt] prec$+ clause 7i71 by /rik+ or a semi-annual allotm5t p]iod = fiscal ye> #bjae or #bjag & ins]t+ or 9 any ( fiscal ye>s #bjah ?r\gh #bjbb 7or a semi-annual allotm5t p]iod = fiscal ye> #bjae1 #bjag1 or #bjbc74 7d7 ,ext5sion ( qualify+ /ates option 7#a7 ,9 g5]al ,section #baje7;g77#d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;ee7g77#d77 is am5d$-- 7,a7 9 ! head+1 by /rik+ ?r\gh #bjag & ins]t+ ?r\gh #bjbc2 & 7,b7 9 subp>agraph 7,a71 by /rik+ #bjag & ins]t+ #bjbc4 7#b7 ,te*nical am5dm5ts ,section #bajd7;f77#b77;,b77ii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7f77#b77;,b77ii771 z am5d$ by section #cbja7;c7 ( ! ,,*ip & ,public ,heal? ,fund+ ,ext5sion ,act 7division ,c ( ,public ,law #aae-if71 is am5d$-- 7,a7 9 subclause 7,i71 by /rik+ = ! mon? 7z def9$ 9 subclause 7,,ii77 & ins]t+ 7z def9$ 9 subclause 7,,ii77 = ! mon?2 7,b7 9 subclause 7,,ii71 by ins]t+ 1 z 9 effect on ! day be=e ! date ( ! enactm5t ( ! ,,heal?y ,,kids ,act1 aft] section #baje7;g77#d77;,a72 & 7,c7 9 subclause 7,,vi7-- 7i7 by ins]t+ 1 z 9 effect on ! day be=e ! date ( ! enactm5t ( ! ,,heal?y ,,kids ,act aft] 1 section #baje7;g77#d72 & 7ii7 by ins]t+ 1 z s 9 effect aft] "u section #baje7;g77#d74 7e7 ,ext5sion ( express lane eligibility option ,section #aijb7;e77#ac77;,i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7e77#ac77;,i77 is am5d$ by /rik+ #bjag & ins]t+ #bjbc4 7f7 ,assurance ( af=dability /&>d = *ildr5 & families 7#a7 ,9 g5]al ,section #baje7;d77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;ee7d77#c77 is am5d$-- 7,a7 9 ! p>agraph head+1 by /rik+ until ,octob] #a1 #bjai & ins]t+ ?r\gh ,septemb] #cj1 #bjbc2 & 7,b7 9 subp>agraph 7,a71 9 ! matt] prec$+ clause 7i7-- 7i7 by /rik+ #bjai & ins]t+ #bjbc2 & 7ii7 by /rik+ ,! prec$+ s5t5ce %all n be con/ru$ z prev5t+ a ,/ate dur+ su* p]iod & ins]t+ ,dur+ ! p]iod t beg9s on ,octob] #a1 #bjai1 & ends on ,septemb] #cj1 #bjbc1 ! prec$+ s5t5ce %all only apply ) respect to *ildr5 9 families ^: income does n exce$ #cjj p]c5t ( ! pov]ty l9e 7z def9$ 9 section #baaj7;c77#e77 applicable to a family ( ! size involv$4 ,! prec$+ s5t5ces %all n be con/ru$ z prev5t+ a ,/ate dur+ any su* p]iods4 7#b7 ,con=m+ am5dm5ts ,section #aijb7;gg77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7gg77#b77 is am5d$-- 7,a7 9 ! p>agraph head+1 by /rik+ until ,octob] #a1 #bjai & ins]t+ ?r\gh ,septemb] #cj1 #bjbc2 & 7,b7 by /rik+ ,septemb] #cj1 #bjai1 & ins]t+ ,septemb] #cj1 #bjbc 7b dur+ ! p]iod t beg9s on ,octob] #a1 #bjai1 & ends on ,septemb] #cj1 #bjbc1 only ) respect to *ildr5 9 families ^: income does n exce$ #cjj p]c5t ( ! pov]ty l9e 7z def9$ 9 section #baaj7;c77#e77 applicable to a family ( ! size involv$74 7g7 ,,*ip look-,alike plans 7#a7 ,bl5d+ risk pools ,section #bajg ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;gg7 is am5d$ by add+ at ! end ! foll[+3 7g7 ,use ( bl5d$ risk pools 7#a7 ,9 g5]al ,no?+ 9 ?is title 7or any o!r provision ( ,f$]al law7 %all be con/ru$ z prev5t+ a ,/ate f consid]+ *ildr5 enroll$ 9 a qualifi$ ,,*ip look-alike program & *ildr5 enroll$ 9 a ,/ate *ild heal? plan "u ?is title 7or a waiv] ( su* plan7 z memb]s ( a s+le risk pool4 7#b7 ,qualifi$ ,,*ip look-alike program ,9 ?is subsection1 ! t]m qualifi$ ,,*ip look-alike program means a ,/ate program-- 7,a7 "u :i* *ildr5 :o are "u ! age ( #ai & are n eligible to receive m$ical assi/ance "u title ,,xix or *ild heal? assi/ance "u ?is title may pur*ase cov]age ?r\gh ! ,/ate t provides b5efits t are at lea/ id5tical to ! b5efits provid$ "u ! ,/ate *ild heal? plan "u ?is title 7or a waiv] ( su* plan72 & 7,b7 t is fund$ exclusively ?r\gh non-,f$]al funds1 includ+ funds receiv$ by ! ,/ate 9 ! =m ( premiums = ! pur*ase ( su* cov]age4 4 7#b7 ,cov]age rule 7,a7 ,9 g5]al ,section #ejjj;,a7f77#a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ 9 subp>agraph 7,a77iii71 by ins]t+ or "u a qualifi$ ,,*ip look-alike program 7z def9$ 9 section #bajg7;g7 ( ! ,social ,security ,act7 be=e ! comma at ! end4 7,b7 ,effective date ,! am5dm5t made by subp>agraph 7,a7 %all apply ) respect to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjag4 7h7 ,availability ( unus$ fiscal ye> #bjah r$i/ribution am\nts ,any am\nts t h be5 r$i/ribut$ to ,/ates "u subsection 7f7 ( section #bajd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7 = fiscal ye> #bjah t are n1 or w n be1 exp5d$ by ! end ( t fiscal ye> %all be-- 7#a7 adju/$ by ! ,secret>y be=e ! end ( fiscal ye> #bjah to reflect an updat$ e/imate ( %ortfalls "u subsection 7f77#b77;,a7 ( su* section2 & 7#b7 available = r$i/ribution "u subsection 7f7 ( su* section = subsequ5t fiscal ye>s4 #cjjc4 ,ext5sion ( c]ta9 programs & demon/ration projects 7a7 ,*ildhood obesity demon/ration project ,section #aaci;,a7e77#h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#i;a7e77#h77 is am5d$-- 7#a7 by /rik+ & #aj1jjj1jjj & ins]t+ 1 #aj1jjj1jjj2 & 7#b7 by ins]t+ aft] #bjag ! foll[+3 1 & #cj1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbc4 7b7 ,p$iatric quality measures program ,section #aaci;,a7i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#i;a7i77 is am5d$-- 7#a7 by /rik+ ,out ( any & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,out ( any 2 7#b7 by /rik+ !re is appropriat$ = ea* & ins]t+ 8!re is appropriat$-- 7,a7 = ea* 2 7#c7 by /rik+ 1 & !re is appropriat$ = ! p]iod & ins]t+ 82 7,b7 = ! p]iod 2 7#d7 by /rik+ 4 ,funds appropriat$ "u ?is subsection %all rema9 available until exp5d$4 & ins]t+ 2 &2 & 7#e7 by add+ at ! end ! foll[+3 7,c7 = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbc1 #ij1jjj1jjj = ! purpose ( c>ry+ out ?is section 7o!r ?an subsections 7e71 7f71 & 7g774 7#b7 ,availability ,funds appropriat$ "u ?is subsection %all rema9 available until exp5d$4 4 #cjjd4 ,ext5sion ( outrea* & enrollm5t program 7a7 ,9 g5]al ,section #baac ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigmm7 is am5d$-- 7#a7 9 subsection 7a77#a71 by /rik+ #bjag & ins]t+ #bjbc2 & 7#b7 9 subsection 7g7-- 7,a7 by /rik+ & #dj1jjj1jjj & ins]t+ 1 #dj1jjj1jjj2 & 7,b7 by ins]t+ aft] #bjag ! foll[+3 1 & #abj1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbc4 7b7 ,mak+ organizations t use p>5t m5tors eligible ,to receive grants ,section #baac7;f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigmm7f77 is am5d$-- 7#a7 9 p>agraph 7#a77;,e71 by /rik+ or community-bas$ d\la programs & ins]t+ 1 community-bas$ d\la programs1 or p>5t m5tors2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#e7 ,p>5t m5tor ,! t]m p>5t m5tor means an individual :o-- 7,a7 is a p>5t or gu>dian ( at lea/ "o *ild :o is an eligible *ild "u ?is title or title ,,xix2 & 7,b7 is tra9$ to assi/ families ) *ildr5 :o h no heal? insurance cov]age ) respect to improv+ ! social det]m9ants ( ! heal? ( su* *ildr51 includ+ by provid+-- 7i7 education ab\t heal? insurance cov]age1 includ+1 ) respect to obta9+ su* cov]age1 eligibility crit]ia & application & r5ewal processes2 7ii7 assi/ance ) complet+ & submitt+ applications = heal? insurance cov]age2 7iii7 a liaison betwe5 families & repres5tatives ( ,/ate plans "u title ,,xix or ,/ate *ild heal? plans "u ?is title2 7iv7 guidance on id5tify+ m$ical & d5tal homes & community ph>macies = *ildr52 & 7v7 assi/ance & ref]rals to successfully address social det]m9ants ( *ildr5's heal?1 includ+ pov]ty1 food insuffici5cy1 & h\s+4 4 7c7 ,exclusion f modifi$ adju/$ gross income ,section #aijb7;e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7e77 is am5d$-- 7#a7 9 ! fir/ p>agraph 7#ad71 relat+ to income det]m9$ us+ modifi$ adju/$ gross income1 by add+ at ! end ! foll[+ new subp>agraph3 7,j7 ,exclusion ( p>5t m5tor comp5sation f income det]m9ation ,any nom9al am\nt receiv$ by an individual z comp5sation1 includ+ a /ip5d1 = p>ticipation z a p>5t m5tor 7z def9$ 9 p>agraph 7#e7 ( section #baac7;f77 9 an activity or program fund$ ?r\gh a grant "u su* section %all be disreg>d$ = purposes ( det]m9+ ! income eligibility ( su* individual = m$ical assi/ance "u ! ,/ate plan or any waiv] ( su* plan4 2 & 7#b7 by /rik+ 7#ad7 ,exclusion & ins]t+ 7#ae7 ,exclusion4 #cjje4 ,ext5sion & r$uction ( additional ,f$]al f9ancial p>ticipation = ,,*ip ,section #baje7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;ee7b77 is am5d$ 9 ! second s5t5ce by ins]t+ & dur+ ! p]iod t beg9s on ,octob] #a1 #bjai1 & ends on ,septemb] #cj1 #bjbj1 ! enhanc$ ,,fmap det]m9$ = a ,/ate = a fiscal ye> 7or = any portion ( a fiscal ye> occurr+ dur+ su* p]iod7 %all be increas$ by #aa4e p]c5tage po9ts aft] #bc p]c5tage po9ts14 #cjjf4 ,m$icaid ,improvem5t ,fund ,section #aida ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifw-#a7 is am5d$-- 7#a7 9 subsection 7a71 9 ! fir/ s5t5ce1 by ins]t+ be=e ! p]iod at ! end ! foll[+3 1 &1 9 accordance ) subsection 7b77#c71 = ! purposes ( subp>agraph 7,b7 ( su* subsection2 & 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#b7-- 7i7 9 ! fir/ s5t5ce1 by ins]t+ pursuant to p>agraph 7#a7 aft] 9 ! ,fund2 7ii7 by ins]t+ aft] ! fir/ s5t5ce ! foll[+ s5t5ce3 ,am\nts 9 ! ,fund pursuant to p>agraph 7#c7 %all be available 9 advance ( appropriations b only if ! total am\nt obligat$ f ! ,fund does n exce$ ! am\nt available to ! ,fund "u su* p>agraph 7#c742 & 7iii7 9 ! la/ s5t5ce1 by /rik+ s5t5ce & ins]t+ s5t5ces2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,additional fund+ = ,/ate activities relat+ to me*aniz$ claims sy/ems 7,a7 ,9 g5]al ,9 addition to ! am\nt made available "u p>agraph 7#a71 !re %all be available to ! ,fund1 = exp5ditures f ! ,fund 9 accordance ) subp>agraph 7,b71 = fiscal ye> #bjbc & !reaft]1 #ihj1jjj1jjj1 to rema9 available until exp5d$4 7,b7 ,purposes ,! ,secret>y %all use am\nts made available to ! ,fund "u subp>agraph 7,a7 to pay to ea* ,/ate :i* has a plan approv$ "u ?is title1 = ea* qu>t] beg9n+ dur+ or aft] fiscal ye> #bjbc an am\nt equal to-- 7i7 #ajj p]c5t m9us ! p]c5t specifi$ 9 clause 7i7 ( section #aijc7;a77#c77;,a7 ( s mu* ( ! sums exp5d$ by ! ,/ate dur+ su* qu>t] z are attributable to ! activities describ$ 9 su* clause2 7ii7 #ajj p]c5t m9us ! ,f$]al m$ical assi/ance p]c5tage appli$ "u clause 7iii7 ( su* section ( s mu* ( ! sums exp5d$ dur+ su* qu>t] 7z f\nd necess>y by ! ,secret>y "u su* clause7 by ! ,/ate z are attributable to ! activities describ$ 9 su* clause2 & 7iii7 #ajj p]c5t m9us ! p]c5t specifi$ 9 section #aijc7;a77#c77;,b7 ( s mu* ( ! sums exp5d$ by ! ,/ate dur+ su* qu>t] z are attributable to ! activities describ$ 9 su* section4 4 ,d ,susp5sion ( c]ta9 heal?-relat$ taxes #djja4 ,ext5sion ( moratorium on m$ical device excise tax 7a7 ,9 g5]al ,section #daia7;c7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ ,decemb] #ca1 #bjag & ins]t+ ,decemb] #ca1 #bjai 4 7b7 ,effective date ,! am5dm5t made by ?is section %all apply to sales aft] ,decemb] #ca1 #bjag4 #djjb4 ,delay 9 implem5tation ( excise tax on high co/ employ]-sponsor$ heal? cov]age ,section #ijja7;c7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act is am5d$ by /rik+ ,decemb] #ca1 #bjai & ins]t+ ,decemb] #ca1 #bjba4 #djjc4 ,susp5sion ( annual fee on heal? insurance provid]s 7b7 ,9 g5]al ,section #ijaj7;j7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act is am5d$-- 7#a7 by /rik+ & at ! end ( p>agraph 7#a71 7#b7 by /rik+ ! p]iod at ! end ( p>agraph 7#b7 & ins]t+ 1 & end+ be=e ,janu>y #a1 #bjai1 &1 & 7#c7 by add+ at ! end ! foll[+ new p>agraph3 7#c7 beg9n+ aft] ,decemb] #ca1 #bjai4 4 7c7 ,effective date ,! am5dm5ts made by ?is section %all apply to cal5d> ye>s beg9n+ aft] ,decemb] #ca1 #bjah4 ,e ,budget>y ,effects #ejja4 ,budget>y effects 7a7 ,9 g5]al ,! budget>y effects ( division ,c & ea* succe$+ division %all n be ent]$ on ei!r ,,paygo scorec>d ma9ta9$ pursuant to section #d7;d7 ( ! ,/atutory ,pay-,z-,y-,g ,act ( #bjaj4 7b7 ,s5ate paygo scorec>ds ,! budget>y effects ( division ,c & ea* succe$+ division %all n be ent]$ on any ,,paygo scorec>d ma9ta9$ = purposes ( section #dajf ( ,h4 ,con4 ,res4 #ga 7#aae? ,congress74 7c7 ,classification ( budget>y effects ,not)/&+ ,rule #c ( ! ,budget ,scorekeep+ ,guidel9es set =? 9 ! jo9t explanatory /atem5t ( ! committee ( conf]5ce accompany+ ,conf]5ce ,report #aje-bag & section #bej7;c77#h7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe1 ! budget>y effects ( division ,c & ea* succe$+ division %all n be e/imat$-- 7#a7 = purposes ( section #bea ( su* ,act2 & 7#b7 = purposes ( p>agraph 7#d77;,c7 ( section #c ( ! ,/atutory ,pay-,z-,y-,g ,act ( #bjaj z be+ includ$ 9 an appropriation ,act4 ,cl]k4