,i #aae? ,,congress #a/ ,session ,h4 ,r4 #deda ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,decemb] #d1 #bjag,mrs4 ,murphy ( ,florida 7= h]self1 ,mr4 ,neal1 & ,mr4 ,pallone7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,ways & ,means1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to ext5d fund+ = c]ta9 public heal? programs1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,cont9u+ ,community ,heal? & ,m$ical ,pr(essional ,programs to ,improve ,our ,nation & ,keep ,insurance ,deliv]y ,/able ,act ( #bjag or ! ,,*ampion ,,kids ,act ( #bjag4 #b4 ,table ( cont5ts ,! table ( cont5ts ( ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4 ,sec4 #b4 ,table ( cont5ts4 ,title ,i--,m$icaid & ,public ,heal? ,ext5d]s ,sec4 #aja4 ,ext5sion = community heal? c5t]s & ! ,national ,heal? ,s]vice ,corps4 ,sec4 #ajb4 ,ext5sion = special diabetes programs4 ,sec4 #ajc4 ,reau?orization ( program ( paym5ts to tea*+ heal? c5t]s t op]ate graduate m$ical education programs4 ,sec4 #ajd4 ,ext5sion = family-to-family heal? in=mation c5t]s4 ,sec4 #aje4 ,y\? emp[]m5t program2 p]sonal responsibility education4 ,sec4 #ajf4 ,decreas+ r$uction 9 ,m$icaid ,,d% allotm5ts4 ,sec4 #ajg4 ,increase 9 t]ritorial cap = ,m$icaid paym5ts4 ,sec4 #ajh4 ,pu]to ,rico & ,unit$ ,/ates ,virg9 ,isl& ,disa/] ,relief ,m$icaid4 ,sec4 #aji4 ,delay ( ,bip>tisan ,budget ,act ( #bjac ?ird-p>ty liability provisions4 ,title ,,ii--,,*ip ,sec4 #bja4 ,five-ye> fund+ ext5sion ( ! ,*ildr5's ,heal? ,insurance ,program4 ,sec4 #bjb4 ,ext5sion ( c]ta9 programs & demon/ration projects4 ,sec4 #bjc4 ,ext5sion ( outrea* & enrollm5t program4 ,sec4 #bjd4 ,ext5sion ( additional ,f$]al f9ancial p>ticipation = ,,*ip4 ,title ,,iii--,(fset ,sec4 #cja4 ,implem5tation ( ,(fice ( ,inspector ,g5]al recomm5dation to delay c]ta9 ,m$ic>e plan prepaym5ts4 ,i ,m$icaid & ,public ,heal? ,ext5d]s #aja4 ,ext5sion = community heal? c5t]s & ! ,national ,heal? ,s]vice ,corps 7a7 ,community heal? c5t]s fund+ ,section #ajejc7;b77#a77;,e7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#a77;,e77 is am5d$ by /rik+ #bjag & ins]t+ #bjai4 7b7 ,o!r community heal? c5t]s provisions ,section #ccj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b7 is am5d$-- 7#a7 9 subsection 7b77#a77;,a77ii71 by /rik+ abuse & ins]t+ use disord]2 7#b7 9 subsection 7b77#b77;,a71 by /rik+ abuse & ins]t+ use disord]2 7#c7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 by /rik+ subp>agraphs 7,b7 ?r\gh 7,d72 7,b7 by /rik+ 7#a7 ,9 g5]al & all t foll[s ?r\gh ,! ,secret>y & ins]t+ ! foll[+3 7#a7 ,c5t]s ,! ,secret>y 2 & 7,c7 9 p>agraph 7#a71 z am5d$1 by r$esignat+ clauses 7i7 ?r\gh 7v7 z subp>agraphs 7,a7 ?r\gh 7,e7 & mov+ ! m>g9 ( ea* ( su* r$esignat$ subp>agraph #b ems to ! left2 7#d7 by /rik+ subsection 7d7 & ins]t+ ! foll[+3 7d7 ,improv+ quality ( c>e 7#a7 ,supplem5tal aw>ds ,! ,secret>y may aw>d supplem5tal grant funds to heal? c5t]s fund$ "u ?is section to implem5t evid5ce-bas$ models = increas+ access to high-quality prim>y c>e s]vices1 :i* may include models relat$ to-- 7,a7 improv+ ! deliv]y ( c>e = individuals ) multiple *ronic conditions2 7,b7 work=ce configuration2 7,c7 r$uc+ ! co/ ( c>e2 7,d7 enhanc+ c>e coord9ation2 7,e7 exp&+ ! use ( teleheal? & te*nology-enabl$ collaborative le>n+ & capacity build+ models2 7,f7 c>e integration1 includ+ integration ( behavioral heal?1 m5tal heal?1 or sub/ance use disord] s]vices2 & 7,g7 address+ em]g+ public heal? or sub/ance use disord] issues to meet ! heal? ne$s ( ! population s]v$ by ! heal? c5t]4 7#b7 ,su/a9ability ,9 mak+ supplem5tal aw>ds "u ?is subsection1 ! ,secret>y may consid] :e!r ! heal? c5t] involv$ has submitt$ a plan = cont9u+ ! activities fund$ "u ?is subsection aft] supplem5tal fund+ is exp5d$4 7#c7 ,special consid]ation ,! ,secret>y may give special consid]ation to applications = supplem5tal fund+ "u ?is subsection t seek to address significant b>ri]s to access to c>e 9 areas ) a great] %ortage ( heal? c>e provid]s & heal? s]vices relative to ! national av]age4 2 7#e7 9 subsection 7e77#a7-- 7,a7 9 subp>agraph 7,b7-- 7i7 by /rik+ #b ye>s & ins]t+ #a ye>2 & 7ii7 by add+ at ! end ! foll[+3 ,! ,secret>y %all n make a grant "u ?is p>agraph unless ! applicant provides assurances to ! ,secret>y t )9 #abj days ( receiv+ grant fund+ = ! op]ation ( ! heal? c5t]1 ! applicant w submit1 = approval by ! ,secret>y1 an implem5tation plan to meet ! requirem5ts ( subsection 7l77#c74 ,! ,secret>y may ext5d su* #abj-;day p]iod = a*iev+ compliance ^u a demon/ration ( good cause by ! heal? c5t]42 & 7,b7 9 subp>agraph 7,c7-- 7i7 9 ! subp>agraph head+1 by /rik+ & plans2 7ii7 by /rik+ or plan 7z describ$ 9 subp>agraphs 7,b7 & 7,c7 ( subsection 7c77#a772 7iii7 by /rik+ or plan1 includ+ ! pur*ase & ins]t+ ! foll[+3 8includ+-- 7i7 ! pur*ase 2 7iv7 by ins]t+ 1 :i* may include data & in=mation sy/ems aft] ( equipm5t2 7v7 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7vi7 by add+ at ! end ! foll[+3 7ii7 ! provision ( tra9+ & te*nical assi/ance2 & 7iii7 o!r activities t-- 7,i7 r$uce co/s associat$ ) ! provision ( heal? s]vices2 7,,ii7 improve access to1 & availability (1 heal? s]vices provid$ to individuals s]v$ by ! c5t]s2 7,,iii7 enhance ! quality & coord9ation ( heal? s]vices2 or 7,,iv7 improve ! heal? /atus ( communities4 2 7#f7 9 subsection 7e77#e77;,b7-- 7,a7 9 ! head+ ( subp>agraph 7,b71 by /rik+ & plans2 & 7,b7 by /rik+ & subp>agraphs 7,b7 & 7,c7 ( subsection 7c77#a7 to a heal? c5t] or to a network or plan & ins]t+ to a heal? c5t] or to a network2 7#g7 by /rik+ subsection 7s72 7#h7 by r$esignat+ subsections 7g7 ?r\gh 7r7 z subsections 7h7 ?r\gh 7s71 respectively2 7#i7 by ins]t+ aft] subsection 7f71 ! foll[+3 7g7 ,new access po9ts & exp&$ s]vices 7#a7 ,approval ( new access po9ts 7,a7 ,9 g5]al ,! ,secret>y may approve applications = grants "u subp>agraph 7,a7 or 7,b7 ( subsection 7e77#a7 to e/abli% new deliv]y sites4 7,b7 ,special consid]ation ,9 c>ry+ out subp>agraph 7,a71 ! ,secret>y may give special consid]ation to applicants t h demon/rat$ ! new deliv]y site w be locat$ )9 a sp>sely populat$ area1 or an area :i* has a level ( unmet ne$ t is high] relative to o!r applicants4 7,c7 ,consid]ation ( applications ,9 c>ry+ out subp>agraph 7,a71 ! ,secret>y %all approve applications = grants "u subp>agraphs 7,a7 & 7,b7 ( subsection 7e77#a7 9 su* a mann] t ! ratio ( ! m$ically und]s]v$ populations 9 rural areas :i* may be expect$ to use ! s]vices provid$ by ! applicants involv$ to ! m$ically und]s]v$ populations 9 urban areas :i* may be expect$ to use ! s]vices provid$ by ! applicants is n less ?an two to ?ree or great] ?an ?ree to two4 7,d7 ,s]vice area ov]lap ,if 9 c>ry+ out subp>agraph 7,a7 ! applicant proposes to s]ve an area t is curr5tly s]v$ by ano!r heal? c5t] fund$ "u ?is section1 ! ,secret>y may consid] :e!r ! aw>d ( fund+ to an additional heal? c5t] 9 ! area c be ju/ifi$ bas$ on ! unmet ne$ = additional s]vices )9 ! cat*m5t area4 7#b7 ,approval ( exp&$ s]vice applications 7,a7 ,9 g5]al ,! ,secret>y may approve applications = grants "u subp>agraph 7,a7 or 7,b7 ( subsection 7e77#a7 to exp& ! capacity ( ! applicant to provide requir$ prim>y heal? s]vices describ$ 9 subsection 7b77#a7 or additional heal? s]vices describ$ 9 subsection 7b77#b74 7,b7 ,priority expansion projects ,9 c>ry+ out subp>agraph 7,a71 ! ,secret>y may give special consid]ation to exp&$ s]vice applications t seek to address em]g+ public heal? or behavioral heal?1 m5tal heal?1 or sub/ance abuse issues ?r\gh increas+ ! availability ( additional heal? s]vices describ$ 9 subsection 7b77#b7 9 an area 9 :i* !re are significant b>ri]s to access+ c>e4 7,c7 ,consid]ation ( applications ,9 c>ry+ out subp>agraph 7,a71 ! ,secret>y %all approve applications = applicants 9 su* a mann] t ! ratio ( ! m$ically und]s]v$ populations 9 rural areas :i* may be expect$ to use ! s]vices provid$ by ! applicants involv$ to ! m$ically und]s]v$ populations 9 urban areas :i* may be expect$ to use ! s]vices provid$ by su* applicants is n less ?an two to ?ree or great] ?an ?ree to two4 2 7#aj7 9 subsection 7i7 7z s r$esignat$7-- 7,a7 9 p>agraph 7#a71 by /rik+ & *ildr5 & y\? at risk ( homelessness & ins]t+ 1 *ildr5 & y\? at risk ( homelessness1 homeless vet]ans1 & vet]ans at risk ( homelessness2 & 7,b7 9 p>agraph 7#e7-- 7i7 by /rik+ subp>agraph 7,b72 7ii7 by r$esignat+ subp>agraph 7,c7 z subp>agraph 7,b72 & 7iii7 9 subp>agraph 7,b7 7z s r$esignat$7-- 7,i7 9 ! subp>agraph head+1 by /rik+ abuse & ins]t+ use disord]2 & 7,,ii7 by /rik+ abuse & ins]t+ use disord]2 7#aa7 9 subsection 7l7 7z s r$esignat$7-- 7,a7 9 p>agraph 7#b7-- 7i7 9 ! p>agraph head+1 by ins]t+ unmet be=e ne$2 7ii7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ & an application = a grant "u subsection 7g7 aft] subsection 7e77#a72 7iii7 9 subp>agraph 7,a71 by ins]t+ unmet be=e ne$ = heal? s]vices2 7iv7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7v7 9 subp>agraph 7,c71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7vi7 by add+ aft] subp>agraph 7,c7 ! foll[+3 7,d7 9 ! case ( an application = a grant pursuant to subsection 7g77#a71 a demon/ration t ! applicant has consult$ ) appropriate ,/ate & local gov]nm5t ag5cies1 & heal? c>e provid]s reg>d+ ! ne$ = ! heal? s]vices to be provid$ at ! propos$ deliv]y site4 2 7,b7 9 p>agraph 7#c7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ or subsection 7g7 aft] subsection 7e77#a77;,b72 7ii7 9 subp>agraph 7,b71 by /rik+ 9 ! cat*m5t area ( ! c5t] & ins]t+ 1 includ+ o!r heal? c>e provid]s t provide c>e )9 ! cat*m5t area1 local hospitals1 & specialty provid]s 9 ! cat*m5t area ( ! c5t]1 to provide access to s]vices n available ?r\gh ! heal? c5t] & to r$uce ! non-urg5t use ( hospital em]g5cy dep>tm5ts2 7iii7 9 subp>agraph 7,h77ii71 by ins]t+ :o %all be directly employ$ by ! c5t] aft] approves ! selection ( a director = ! c5t]2 7iv7 9 subp>agraph 7,l71 by /rik+ & at ! end2 7v7 9 subp>agraph 7,m71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7vi7 by ins]t+ aft] subp>agraph 7,m71 ! foll[+3 7,n7 ! c5t] has writt5 policies & proc$ures 9 place to ensure ! appropriate use ( ,f$]al funds 9 compliance ) applicable ,f$]al /atutes1 regulations1 & ! t]ms & conditions ( ! ,f$]al aw>d4 2 & 7,c7 by /rik+ p>agraph 7#d72 7#ab7 9 subsection 7m7 7z s r$esignat$71 by add+ at ! end ! foll[+3 ,funds exp5d$ to c>ry out activities "u ?is subsection & op]ational support activities "u subsection 7n7 %all n exce$ #c p]c5t ( ! am\nt appropriat$ = ?is section = ! fiscal ye> involv$42 7#ac7 9 subsection 7q7 7z s r$esignat$71 by /rik+ grants = new heal? c5t]s "u subsections 7c7 & 7e7 & ins]t+ op]at+ grants "u subsection 7e71 applications = new access po9ts & exp&$ s]vice pursuant to subsection 7g72 7#ad7 9 subsection 7r77#d7 7z s r$esignat$71 by add+ at ! end ! foll[+3 ,a waiv] provid$ by ! ,secret>y "u ?is p>agraph may n rema9 9 effect = m ?an #a ye> & may n be ext5d$ aft] su* p]iod4 ,an entity may n receive m ?an "o waiv] "u ?is p>agraph 9 consecutive ye>s42 7#ae7 9 subsection 7s77#c7 7z s r$esignat$7-- 7,a7 by /rik+ appropriate committees ( ,congress a report conc]n+ ! di/ribution ( funds "u ?is section & ins]t+ ! foll[+3 8,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 a report includ+1 at a m9imum-- 7,a7 ! di/ribution ( funds = c>ry+ out ?is section 2 7,b7 by /rik+ populations4 ,su* report %all include an assessm5t & ins]t+ ! foll[+3 8populations2 7,b7 an assessm5t 2 7,c7 by /rik+ & ! rationale = any sub/antial *anges 9 ! di/ribution ( funds4 & ins]t+ a semicolon2 & 7,d7 by add+ at ! end ! foll[+3 7,c7 ! di/ribution ( aw>ds & fund+ = new or exp&$ s]vices 9 ea* ( rural areas & urban areas2 7,d7 ! di/ribution ( aw>ds & fund+ = e/abli%+ new access po9ts1 & ! numb] ( new access po9ts creat$2 7,e7 ! am\nt ( unexp5d$ fund+ = loan gu>antees & loan gu>antee au?ority "u title ,,xvi2 7,f7 ! rationale = any sub/antial *anges 9 ! di/ribution ( funds2 7,g7 ! rate ( closures = heal? c5t]s & access po9ts2 7,h7 ! numb] & reason = any grants aw>d$ pursuant to subsection 7e77#a77;,b72 & 7,i7 ! numb] & reason = any waiv]s provid$ pursuant to subsection 7r77#d74 2 & 7#af7 9 subsection 7s7 7z s r$esignat$7 by add+ at ! end ! foll[+ new p>agraph3 7#e7 ,fund+ = p>ticipation ( heal? c5t]s 9 ,all ( ,u ,rese>* ,program ,9 addition to any am\nts made available pursuant to p>agraph 7#a7 ( ?is subsection1 section #djb;,a ( ?is ,act1 or section #ajejc ( ! ,pati5t ,protection & ,af=dable ,c>e ,act1 !re is au?oriz$ to be appropriat$1 & !re is appropriat$1 out ( any monies 9 ! ,treasury n o!rwise appropriat$1 to ! ,secret>y #be1jjj1jjj = fiscal ye> #bjah to support ! p>ticipation ( heal? c5t]s 9 ! ,all ( ,u ,rese>* ,program "u ! ,precision ,m$ic9e ,initiative "u section #dih;,e ( ?is ,act4 4 7c7 ,national ,heal? ,s]vice ,corps ,section #ajejc7;b77#b77;,e7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#b77;,e77 is am5d$ by /rik+ #bjag & ins]t+ #bjai4 7d7 ,con=m+ am5dm5t ,section #cjad7;h77#a7 ( title #ah1 ,unit$ ,/ates ,code1 is am5d$ by /rik+ 1 z am5d$ by section #bba ( ! ,m$ic>e ,access & ,,*ip ,reau?orization ,act ( #bjae14 #ajb4 ,ext5sion = special diabetes programs 7a7 ,special diabetes program = type ,i diabetes ,section #ccj;,b7b77#b77;,c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#b7;b77#b77;,c77 is am5d$ by /rik+ #bjag & ins]t+ #bjai4 7b7 ,special diabetes program = ,indians ,section #ccj;,c7c77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#c7;c77#b77 is am5d$-- 7#a7 9 subp>agraph 7,c71 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,d71 by /rik+ ! p]iod at ! end & ins]t+ & #aab1ejj1jjj = ! p]iod consi/+ ( ! second1 ?ird1 & f\r? qu>t]s ( fiscal ye> #bjah2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,e7 #aej1jjj1jjj = fiscal ye> #bjai4 4 #ajc4 ,reau?orization ( program ( paym5ts to tea*+ heal? c5t]s t op]ate graduate m$ical education programs 7a7 ,paym5ts ,subsection 7a7 ( section #cdj;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;h7 is am5d$ to read z foll[s3 7a7 ,paym5ts 7#a7 ,9 g5]al ,subject to subsection 7h77#b71 ! ,secret>y %all make paym5ts "u ?is section = direct exp5ses & indirect exp5ses to qualifi$ tea*+ heal? c5t]s t are li/$ z sponsor+ in/itutions by ! relevant accr$it+ body =-- 7,a7 ma9t5ance ( exi/+ approv$ graduate m$ical resid5cy tra9+ programs2 7,b7 expansion ( exi/+ approv$ graduate m$ical resid5cy tra9+ programs2 & 7,c7 e/abli%m5t ( new approv$ graduate m$ical resid5cy tra9+ programs1 z appropriate4 7#b7 ,priority ,9 mak+ paym5ts pursuant to p>agraph 7#a77;,c71 ! ,secret>y %all give priority to qualifi$ tea*+ heal? c5t]s t-- 7,a7 s]ve a heal? pr(essional %ortage area ) a designation 9 effect "u section #ccb or a m$ically und]s]v$ community 7z def9$ 9 section #gii;,b72 or 7,b7 are locat$ 9 a rural area 7z def9$ 9 section #ahhf7;d77#b77;,d7 ( ! ,social ,security ,act74 4 7b7 ,fund+ ,subsection 7g7 ( section #cdj;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;h7 is am5d$-- 7#a7 by /rik+ ,to c>ry out & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,to c>ry out 2 7#b7 by /rik+ & #ae1jjj1jjj = ! fir/ qu>t] ( fiscal ye> #bjah & ins]t+ 1 #ae1jjj1jjj = ! fir/ qu>t] ( fiscal ye> #bjah1 #aaa1ejj1jjj = ! p]iod consi/+ ( ! second1 ?ird1 & f\r? qu>t]s ( fiscal ye> #bjah1 & #abf1ejj1jjj = fiscal ye> #bjai1 to rema9 available until exp5d$2 & 7#c7 by add+ at ! end ! foll[+3 7#b7 ,adm9i/rative exp5ses ,( ! am\nt made available to c>ry out ?is section = any fiscal ye>1 ! ,secret>y may n use m ?an #e p]c5t ( su* am\nt = ! exp5ses ( adm9i/]+ ?is section4 4 7c7 ,annual report+ ,subsection 7h77#a7 ( section #cdj;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;h7 is am5d$-- 7#a7 by r$esignat+ subp>agraph 7,d7 z subp>agraph 7,h72 & 7#b7 by ins]t+ aft] subp>agraph 7,c7 ! foll[+3 7,d7 ,! numb] ( pati5ts treat$ by resid5ts describ$ 9 p>agraph 7#d74 7,e7 ,! numb] ( visits by pati5ts treat$ by resid5ts describ$ 9 p>agraph 7#d74 7,f7 ,( ! numb] ( resid5ts describ$ 9 p>agraph 7#d7 :o complet$ _! resid5cy tra9+ at ! end ( su* resid5cy academic ye>1 ! numb] & p]c5tage ( su* resid5ts ent]+ prim>y c>e practice 7mean+ any ( ! areas ( practice li/$ 9 ! def9ition ( a prim>y c>e resid5cy program 9 section #gdi;,a74 7,g7 ,( ! numb] ( resid5ts describ$ 9 p>agraph 7#d7 :o complet$ _! resid5cy tra9+ at ! end ( su* resid5cy academic ye>1 ! numb] & p]c5tage ( su* resid5ts :o ent]$ practice at a heal? c>e facility-- 7i7 prim>ily s]v+ a heal? pr(essional %ortage area ) a designation 9 effect "u section #ccb or a m$ically und]s]v$ community 7z def9$ 9 section #gii;,b72 or 7ii7 locat$ 9 a rural area 7z def9$ 9 section #ahhf7;d77#b77;,d7 ( ! ,social ,security ,act74 4 7d7 ,report on tra9+ co/s ,n lat] ?an ,m>* #ca1 #bjai1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,congress a report on ! direct graduate exp5ses ( approv$ graduate m$ical resid5cy tra9+ programs1 & ! indirect exp5ses associat$ ) ! additional co/s ( tea*+ resid5ts1 ( qualifi$ tea*+ heal? c5t]s 7z su* t]ms are us$ or def9$ 9 section #cdj;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;h774 7e7 ,def9ition ,subsection 7j7 ( section #cdj;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;h7 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#b7 & 7#c7 z p>agraphs 7#c7 & 7#d71 respectively2 & 7#b7 by ins]t+ aft] p>agraph 7#a7 ! foll[+3 7#b7 ,new approv$ graduate m$ical resid5cy tra9+ program ,! t]m new approv$ graduate m$ical resid5cy tra9+ program means an approv$ graduate m$ical resid5cy tra9+ program = :i* ! sponsor+ qualifi$ tea*+ heal? c5t] has n receiv$ a paym5t "u ?is section = a previ\s fiscal ye> 7o!r ?an pursuant to subsection 7a77#a77;,c774 4 7f7 ,te*nical correction ,subsection 7f7 ( section #cdj;,h 7#db ,u4,s4,c4 #bef;h7 is am5d$ by /rik+ hospital ea* place x appe>s & ins]t+ tea*+ heal? c5t]4 7g7 ,paym5ts = previ\s fiscal ye>s ,! provisions ( section #cdj;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;h71 z 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act1 %all cont9ue to apply ) respect to paym5ts "u su* section = fiscal ye>s be=e fiscal ye> #bjah4 #ajd4 ,ext5sion = family-to-family heal? in=mation c5t]s ,section #eja7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gja7;c77 is am5d$-- 7#a7 9 p>agraph 7#a77;,a7-- 7,a7 9 clause 7v71 by /rik+ & at ! end2 7,b7 9 clause 7vi71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new clause3 7vii7 #f1jjj1jjj = ea* ( fiscal ye>s #bjah & #bjai4 2 7#b7 9 p>agraph 7#c77;,c71 by ins]t+ be=e ! p]iod ! foll[+3 1 & ) respect to fiscal ye>s #bjah & #bjai1 su* c5t]s %all also be develop$ 9 all t]ritories & at lea/ "o su* c5t] %all be develop$ = ,indian tribes2 & 7#c7 by am5d+ p>agraph 7#e7 to read z foll[s3 7#e7 ,= purposes ( ?is subsection-- 7,a7 ! t]m ,indian tribe has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc72 7,b7 ! t]m ,/ate means ea* ( ! #ej ,/ates & ! ,di/rict ( ,columbia2 & 7,c7 ! t]m t]ritory means ,pu]to ,rico1 ,guam1 ,am]ican ,samoa1 ! ,virg9 ,isl&s1 & ! ,nor!rn ,m>iana ,isl&s4 4 #aje4 ,y\? emp[]m5t program2 p]sonal responsibility education 7a7 ,y\? emp[]m5t program 7#a7 ,9 g5]al ,section #eaj ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gaj7 is am5d$ to read z foll[s3 #eaj4 ,y\? emp[]m5t program 7a7 ,9 g5]al 7#a7 ,allotm5ts to ,/ates ,= ! purpose describ$ 9 subsection 7b71 ! ,secret>y %all1 = ea* ( fiscal ye>s #bjah & #bjai1 allot to ea* ,/ate :i* has transmitt$ an application = ! fiscal ye> "u section #eje7;a7 an am\nt equal to ! product (-- 7,a7 ! am\nt appropriat$ pursuant to subsection 7e77#a7 = ! fiscal ye>1 m9us ! am\nt res]v$ "u subsection 7e77#b7 = ! fiscal ye>2 & 7,b7 ! proportion t ! numb] ( l[-income *ildr5 9 ! ,/ate be>s to ! total ( su* numb]s ( *ildr5 = all ! ,/ates4 7#b7 ,o!r allotm5ts 7,a7 ,o!r entities ,= ! purpose describ$ 9 subsection 7b71 ! ,secret>y %all1 = ea* ( fiscal ye>s #bjah & #bjai1 = any ,/ate :i* has n transmitt$ an application = ! fiscal ye> "u section #eje7;a71 allot to "o or m entities 9 ! ,/ate ! am\nt t w\ld h be5 allott$ to ! ,/ate "u p>agraph 7#a7 if ! ,/ate _h submitt$ su* an application4 7,b7 ,process ,! ,secret>y %all select ! recipi5ts ( allotm5ts "u subp>agraph 7,a7 by means ( a competitive grant process "u :i*-- 7i7 n lat] ?an #cj days aft] ! deadl9e = ! ,/ate involv$ to submit an application = ! fiscal ye> "u section #eje7;a71 ! ,secret>y publi%es a notice solicit+ grant applications2 & 7ii7 n lat] ?an #abj days aft] su* deadl9e1 all su* applications mu/ be submitt$4 7b7 ,purpose 7#a7 ,9 g5]al ,except = rese>* "u p>agraph 7#e7 & in=mation collection & report+ "u p>agraph 7#f71 ! purpose ( an allotm5t "u subsection 7a7 to a ,/ate 7or to ano!r entity 9 ! ,/ate pursuant to subsection 7a77#b77 is to enable ! ,/ate or o!r entity to implem5t education exclusively on sexual risk avoidance 7mean+ volunt>ily refra9+ f sexual activity74 7#b7 ,requir$ compon5ts ,education on sexual risk avoidance pursuant to an allotm5t "u ?is section %all-- 7,a7 ensure t ! unambigu\s & prim>y emphasis & context = ea* topic describ$ 9 p>agraph 7#c7 is a message to y\? t normalizes ! optimal heal? behavior ( avoid+ nonm>ital sexual activity2 7,b7 be m$ically accurate & complete2 7,c7 be age-appropriate2 & 7,d7 be bas$ on adolesc5t le>n+ & developm5tal !ories = ! age gr\p receiv+ ! education4 7#c7 ,topics ,education on sexual risk avoidance pursuant to an allotm5t "u ?is section %all address ea* ( ! foll[+ topics3 7,a7 ,! holi/ic individual & societal b5efits associat$ ) p]sonal responsibility1 self-regulation1 goal sett+1 heal?y decisionmak+1 & a focus on ! future4 7,b7 ,! advantage ( refra9+ f nonm>ital sexual activity 9 ord] to improve ! future prospects & physical & emotional heal? ( y\?4 7,c7 ,! increas$ likelihood ( avoid+ pov]ty :5 y\? atta9 self-suffici5cy & emotional maturity be=e engag+ 9 sexual activity4 7,d7 ,! f\ndational compon5ts ( heal?y relation%ips & _! impact on ! =mation ( heal?y m>riages & safe & /able families4 7,e7 ,h[ o!r y\? risk behaviors1 su* z drug & alcohol usage1 increase ! risk = te5 sex4 7,f7 ,h[ to resi/ & avoid1 & receive help reg>d+1 sexual co]cion & dat+ viol5ce1 recogniz+ t ev5 ) cons5t te5 sex rema9s a y\? risk behavior4 7#d7 ,contraception ,education on sexual risk avoidance pursuant to an allotm5t "u ?is section %all ensure t-- 7,a7 any in=mation provid$ on contraception is m$ically accurate & ensures t /ud5ts und]/& t contraception (f]s physical risk r$uction1 b n risk elim9ation2 & 7,b7 ! education does n include demon/rations1 simulations1 or di/ribution ( contraceptive devices4 7#e7 ,rese>* 7,a7 ,9 g5]al ,a ,/ate or o!r entity receiv+ an allotm5t pursuant to subsection 7a7 may use up to #bj p]c5t ( su* allotm5t to build ! evid5ce base = sexual risk avoidance education by conduct+ or support+ rese>*4 7,b7 ,requirem5ts ,any rese>* conduct$ or support$ pursuant to subp>agraph 7,a7 %all be-- 7i7 rigor\s2 7ii7 evid5ce-bas$2 & 7iii7 design$ & conduct$ by indep5d5t rese>*]s :o h exp]i5ce 9 conduct+ & publi%+ rese>* 9 pe]-review$ outlets4 7#f7 ,in=mation collection & report+ ,a ,/ate or o!r entity receiv+ an allotm5t pursuant to subsection 7a7 %all1 z specifi$ by ! ,secret>y-- 7,a7 collect in=mation on ! programs & activities fund$ ?r\gh ! allotm5t2 & 7,b7 submit reports to ! ,secret>y on ! data f su* programs & activities4 7c7 ,national evaluation 7#a7 ,9 g5]al ,! ,secret>y %all-- 7,a7 9 consultation ) appropriate ,/ate & local ag5cies1 conduct "o or m rigor\s evaluations ( ! education fund$ ?r\gh ?is section & associat$ data2 & 7,b7 submit a report to ! ,congress on ! results ( su* evaluations1 toge!r ) a summ>y ( ! in=mation collect$ pursuant to subsection 7b77#f74 7#b7 ,consultation ,9 conduct+ ! evaluations requir$ by p>agraph 7#a71 includ+ ! e/abli%m5t ( evaluation me?odologies1 ! ,secret>y %all consult ) relevant /akehold]s4 7d7 ,applicability ( c]ta9 provisions 7#a7 ,sections #ejc1 #ejg1 & #ejh apply to allotm5ts "u subsection 7a7 to ! same ext5t & 9 ! same mann] z su* sections apply to allotm5ts "u section #ejb7;c74 7#b7 ,sections #eje & #ejf apply to allotm5ts "u subsection 7a7 to ! ext5t det]m9$ by ! ,secret>y to be appropriate4 7e7 ,fund+ 7#a7 ,9 g5]al ,to c>ry out ?is section1 !re is appropriat$1 out ( any money 9 ! ,treasury n o!rwise appropriat$1 #ge1jjj1jjj = ea* ( fiscal ye>s #bjah & #bjai4 7#b7 ,res]vation ,! ,secret>y %all res]ve1 = ea* ( fiscal ye>s #bjah & #bjai1 n m ?an #bj p]c5t ( ! am\nt appropriat$ pursuant to p>agraph 7#a7 = adm9i/]+ ! program "u ?is section1 includ+ ! conduct+ ( national evaluations & ! provision ( te*nical assi/ance to ! recipi5ts ( allotm5ts4 4 7#b7 ,effective date ,! am5dm5t made by ?is section takes effect on ,octob] #a1 #bjag4 7b7 ,p]sonal responsibility education 7#a7 ,9 g5]al ,section #eac ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gac7 is am5d$-- 7,a7 9 subsection 7a77#a77;,a71 by /rik+ #bjag & ins]t+ #bjai2 7,b7 9 subsection 7a77#d7-- 7i7 9 subp>agraph 7,a71 by /rik+ #bjag ea* place x appe>s & ins]t+ #bjai2 & 7ii7 9 subp>agraph 7,b7-- 7,i7 9 ! subp>agraph head+1 by /rik+ #c-ye> grants & ins]t+ ,competitive ,,prep grants2 & 7,,ii7 9 clause 7i71 by /rik+ solicit applications to aw>d #c-ye> grants 9 ea* ( fiscal ye>s #bjab ?r\gh #bjag & ins]t+ cont9ue ?r\gh fiscal ye> #bjai grants aw>d$ = any ( fiscal ye>s #bjae ?r\gh #bjag2 7,c7 9 subsection 7c77#a71 by ins]t+ aft] y\? ) ,,hiv_/,,aids1 ! foll[+3 victims ( human traffick+12 & 7,d7 9 subsection 7f71 by /rik+ #bjag & ins]t+ #bjai4 7#b7 ,effective date ,! am5dm5ts made by ?is subsection take effect on ,octob] #a1 #bjag4 #ajf4 ,decreas+ r$uction 9 ,m$icaid ,,d% allotm5ts ,section #aibc7;f77#g77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#d7;f77#g77;,a77 is am5d$-- 7#a7 9 clause 7i71 9 ! matt] prec$+ subclause 7,i71 by /rik+ #bjah & ins]t+ #bjbc2 & 7#b7 9 clause 7ii71 by /rik+ subclauses 7,i7 ?r\gh 7,,viii7 & ins]t+ ! foll[+3 7,i7 #e1jjj1jjj1jjj = fiscal ye> #bjbc2 7,,ii7 #e1ejj1jjj1jjj = fiscal ye> #bjbd2 & 7,,iii7 #f1jjj1jjj1jjj = fiscal ye> #bjbe4 4 #ajg4 ,increase 9 t]ritorial cap = ,m$icaid paym5ts ,section #aajh7;g77#e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acjh7;g77#e77 is am5d$-- 7#a7 9 subp>agraph 7,a7-- 7,a7 by /rik+ subp>agraph 7,b7 & ins]t+ subp>agraphs 7,b71 7,c71 & 7,d72 & 7,b7 by /rik+ #bjai & ins]t+ #bjbb2 & 7#b7 by add+ at ! end ! foll[+ new subp>agraphs3 7,c7 ,! am\nt ( ! increase o!rwise provid$ "u subp>agraph 7,a7 =-- 7i7 ,pu]to ,rico %all1 aft] application ( subp>agraph 7,b71 be fur!r increas$ by #a1fjj1jjj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb2 & 7ii7 ! ,virg9 ,isl&s %all be fur!r increas$ by #ee1jjj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb4 7,d7 ,! am\nt ( ! increase o!rwise provid$ "u subp>agraph 7,a7 = ,guam1 ! ,nor!rn ,m>iana ,isl&s1 & ,am]ica ,samoa1 respectively1 %all be fur!r increas$ by su* am\nts t ! total am\nt ( increases "u ?is subp>agraph is equal to #aej1jjj1jjj4 ,9 apply+ ! previ\s s5t5ce1 ! ,secret>y %all increase am\nts = su* t]ritories 9 su* a proportion z w\ld be appli$ "u subp>agraph 7,a7 if su* t]ritories 7 ! only t]ritories to :i* su* subp>agraph appli$4 4 #ajh4 ,pu]to ,rico & ,unit$ ,/ates ,virg9 ,isl& ,disa/] ,relief ,m$icaid 7a7 ,simplifi$ eligibility det]m9ations & r$et]m9ations 7#a7 ,9 g5]al ,not)/&+ any provision ( title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 a ,/ate %all1 z a condition ( p>ticipation 9 ! ,m$icaid program "u su* title & )\t submitt+ an am5dm5t to ! ,/ate ,m$icaid plan-- 7,a7 use /reaml9$ proc$ures describ$ 9 p>agraph 7#b7 9 process+ applications & det]m9+ & r$et]m9+ eligibility = m$ical assi/ance "u ! ,/ate ,m$icaid plan = ,,drm-eligible ,m>ia ,survivors dur+ ! ,,drm cov]age p]iod2 & 7,b7 provide1 9 ! case ( su* a ,survivor1 = m$ical assi/ance "u ! ,/ate ,m$icaid plan to su* ,survivor dur+ su* p]iod bas$ on ! family income level eligibility requirem5ts e/abli%$ "u ! ,/ate ,m$icaid plan or1 if high]1 "u ! ,/ate ,m$icaid plan ( ! ,/ate 9 :i* su* ,survivor resid$ z ( ,septemb] #ag1 #bjag4 7#b7 ,/reaml9$ proc$ures ,! /reaml9$ proc$ures describ$ 9 ?is p>agraph1 ) respect to a ,/ate & an applicant = m$ical assi/ance "u ! ,/ate ,m$icaid plan1 are ! foll[+3 7,a7 ,common application =m ,use ( a common #a-page application =m develop$ by ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,national ,association ( ,/ate ,m$icaid ,directors4 ,su* =m %all-- 7i7 require an applicant to provide an expect$ address = ! duration ( ! ,,drm cov]age p]iod & to agree to update t in=mation if x *anges dur+ su* p]iod2 7ii7 include notice reg>d+ ! p5alties = mak+ a fraudul5t application2 7iii7 require ! applicant to assign to ! ,/ate any rights ( ! applicant 7or any o!r p]son :o is a ,,drm-eligible ,m>ia ,survivor & on ^: behalf ! applicant has ! legal au?ority to execute an assignm5t ( su* rights7 "u any gr\p heal? plan or o!r ?ird-p>ty cov]age = heal? c>e2 & 7iv7 require ! applicant to li/ any heal? insurance cov]age :i* ! applicant 0 enroll$ 9 imm$iately prior to submitt+ su* application4 7,b7 ,self-atte/ation ,self-atte/ation by ! applicant = m$ical assi/ance "u ! ,/ate ,m$icaid plan t ! applicant is a ,,drm-eligible ,m>ia ,survivor1 includ+ ) respect to citiz5%ip1 id5tity1 immigration /atus1 & income requirem5ts4 7,c7 ,no docum5tation ,no requirem5t = docum5tation evid5c+ ! basis on :i* ! applicant qualifies to be a ,,drm-eligible ,m>ia ,survivor4 7,d7 ,issuance ( eligibility c>d ,issuance ( a ,,drm assi/ance eligibility c>d to an applicant :o completes su* application1 includ+ ! self-atte/ation requir$ "u subp>agraph 7,b74 ,su* c>d %all be valid z long z ! ,,drm cov]age p]iod is 9 effect & %all be accompani$ by notice ( ! t]m9ation date = ! ,,drm cov]age p]iod &1 if applicable1 notice t su* t]m9ation date may be ext5d$4 ,if ! ,presid5t ext5ds ! ,,drm cov]age p]iod1 ! ,/ate %all notify ,,drm-eligible ,m>ia ,survivors enroll$ 9 ! ,/ate ,m$icaid plan ( ! new t]m9ation date = ! ,,drm cov]age p]iod4 7,e7 ,deem$ eligibility ,if an applicant completes ! application & pres5ts x to a provid] or facility p>ticipat+ 9 ! ,/ate ,m$icaid plan t is qualifi$ to make presumptive eligibility det]m9ations "u su* plan 7:i* at a m9imum %all consi/ ( facilities id5tifi$ 9 section #aijb7;a77#ee7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#ee77 & x appe>s to ! provid] t ! applicant is a ,,drm-eligible ,m>ia ,survivor bas$ on ! in=mation 9 ! application1 ! applicant w be deem$ to be a ,,drm-eligible ,m>ia ,survivor eligible = m$ical assi/ance "u ! ,/ate ,m$icaid plan4 7,f7 ,cont9u\s eligibility ,cont9u\s eligibility1 )\t ! ne$ = any r$et]m9ation ( eligibility1 = ! duration ( ! ,,drm cov]age p]iod4 7b7 ,no cont9uation ( ,,drm assi/ance 7#a7 ,9 g5]al ,except z provid$ 9 p>agraphs 7#b7 & 7#c71 no ,,drm assi/ance %all be provid$ aft] ! end ( ! ,,drm cov]age p]iod4 7#b7 ,presumptive eligibility ,9 ! case ( any ,,drm-eligible ,m>ia ,survivor :o is receiv+ ,,drm assi/ance f a ,/ate 9 accordance ) ?is section & :o1 z ( ! end ( ! ,,drm cov]age p]iod1 has an application p5d+ = m$ical assi/ance "u ! ,/ate ,m$icaid plan = p]iods beg9n+ aft] ! end ( su* p]iod1 ! ,/ate %all provide su* ,survivor ) a p]iod ( presumptive eligibility = m$ical assi/ance "u ! ,/ate ,m$icaid plan 7n to exce$ #fj days7 until a det]m9ation ) respect to ! ,survivor's application has be5 made4 7#c7 ,pregnant wom5 ,9 ! case ( a ,,drm-eligible ,m>ia ,survivor :o is receiv+ ,,drm assi/ance f a ,/ate 9 accordance ) ?is section & ^: pregnancy end$ dur+ ! #fj-;day p]iod prior to ! end ( ! ,,drm cov]age p]iod1 or :o is pregnant z ( ! end ( su* p]iod1 su* ,survivor %all cont9ue to be eligible = ,,drm assi/ance aft] ! end ( ! ,,drm cov]age p]iod1 includ+ 7b n limit$ to7 all pregnancy-relat$ & po/p>tum m$ical assi/ance available "u ! ,/ate ,m$icaid plan1 ?r\gh ! end ( ! mon? 9 :i* ! #fj-;day p]iod 7beg9n+ on ! la/ day ( h] pregnancy7 ends4 7c7 ,treatm5t ( ,m>ia survivors provid$ assi/ance prior to date ( enactm5t ,any ,m>ia ,survivor :o is provid$ m$ical assi/ance "u a ,/ate ,m$icaid plan 9 accordance ) guidance f ! ,secret>y dur+ ! p]iod t beg9s on ,septemb] #ag1 #bjag1 & ends on ! date ( enactm5t ( ?is ,act %all be treat$ z a ,,drm-eligible ,m>ia ,survivor1 )\t ! ne$ to file an additional application1 = purposes ( eligibility = m$ical assi/ance "u ?is section4 7d7 ,scope ( cov]age 7#a7 ,9 g5]al ,a ,/ate provid+ m$ical assi/ance "u a ,/ate ,m$icaid plan to a ,,drm-eligible ,m>ia ,survivor pursuant to ?is section %all provide m$ical assi/ance t is ei!r-- 7,a7 equal 9 am\nt & scope to ! m$ical assi/ance t w\ld o!rwise be made available to su* ,survivor if ! ,survivor 7 a ,/ate resid5t enroll$ 9 ! ,/ate ,m$icaid plan2 or 7,b7 if great] 9 am\nt & scope1 equal 9 am\nt & scope to ! m$ical assi/ance t w\ld h be5 made available to su* ,survivor "u ! ,/ate ,m$icaid plan ( ! ,/ate 9 :i* su* ,survivor resid$ z ( ,septemb] #ag1 #bjag4 ,cov]age = su* m$ical assi/ance = ,,drm-eligible ,m>ia ,survivors %all be retroactive to items & s]vices furni%$ on or aft] ,septemb] #ag1 #bjag 7or 9 ! case ( applications = ,,drm assi/ance submitt$ aft] ,janu>y #a1 #bjah1 ! fir/ day ( ! #e? mon? prec$+ ! date on :i* su* application is submitt$74 7#b7 ,*ildr5 born to pregnant wom5 ,9 ! case ( a *ild born to a ,,drm-eligible ,m>ia ,survivor :o is provid$ ,,drm assi/ance dur+ ! ,,drm cov]age p]iod1 su* *ild %all be treat$ z hav+ be5 born to a pregnant woman eligible = m$ical assi/ance "u ! ,/ate ,m$icaid plan & %all be eligible = m$ical assi/ance "u su* plan 9 accordance ) section #aijb7;e77#d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7e77#d774 ,! ,f$]al m$ical assi/ance p]c5tage applicable to ! ,/ate ,m$icaid plan %all apply to m$ical assi/ance provid$ to a *ild "u su* plan 9 accordance ) ! prec$+ s5t5ce & ,f$]al paym5ts = su* assi/ance %all n be consid]$ to be paym5ts "u ?is section4 7e7 #ajj p]c5t ,f$]al mat*+ paym5ts 7#a7 ,9 g5]al ,not)/&+ section #aije7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7b771 subject to p>agraph 7#b71 ! ,f$]al m$ical assi/ance p]c5tage or ! ,f$]al mat*+ rate o!rwise appli$ "u section #aijc7;a7 ( su* ,act 7#db ,u4,s4,c4 #acif;b7a77 %all be #ajj p]c5t =-- 7,a7 provid+ ,,drm assi/ance to ,,drm-eligible ,m>ia ,survivors dur+ ! ,,drm cov]age p]iod 9 accordance ) ?is section2 7,b7 co/s directly attributable to adm9i/rative activities relat$ to ! provision ( su* ,,drm assi/ance2 & 7,c7 ,,drm assi/ance provid$ 9 accordance ) p>agraph 7#b7 or 7#c7 ( subsection 7b7 aft] ! end ( ! ,,drm cov]age p]iod4 7#b7 ,limitation 7,a7 ,t]ritories ,paym5ts provid$ to a ,/ate t is a t]ritory 7z def9$ 9 section #aajh7;c77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acjh7;c77#a777 9 accordance ) ?is subsection %all be subject to subsections 7f7 & 7g7 ( section #aajh ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acjh74 7,b7 ,o!r ,/ates 7i7 ,9 g5]al ,9 ! case ( ,/ates n describ$ 9 subp>agraph 7,a71 ! diff]5ce betwe5-- 7,i7 ! total am\nt ( paym5ts made to su* ,/ates 9 accordance ) ?is subsection1 by reason ( ! ,f$]al m$ical assi/ance p]c5tage or ! ,f$]al mat*+ rate appli$ "u p>agraph 7#a72 & 7,,ii7 ! total am\nt ( paym5ts t w\ld o!rwise be made to su* ,/ates if ! ,f$]al m$ical assi/ance p]c5tage & ! ,f$]al mat*+ rate "u section #aije7;b7 ( ! ,social ,security ,act & #aijc7;a7 ( su* ,act 7 appli$1 may n exce$ ! am\nt appropriat$ "u clause 7ii74 7ii7 ,appropriations ,!re are appropriat$1 out ( any am\nts 9 ! ,treasury n o!rwise appropriat$1 #a1jjj1jjj1jjj = ! ,,drm cov]age p]iod = purposes ( mak+ paym5ts 9 accordance ) ?is subsection to ,/ates n describ$ 9 subp>agraph 7,a74 7#c7 ,exemption f error rate p5alties ,all paym5ts attributable to provid+ ,,drm assi/ance 9 accordance ) ?is section %all be disreg>d$ = purposes ( section #aijc7u7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7u774 7f7 ,v]ification ( /atus z a ,m>ia survivor 7#a7 ,9 g5]al ,a ,/ate %all make a good fai? ef=t to v]ify ! /atus ( an individual :o is enroll$ 9 ! ,/ate ,m$icaid plan z a ,,drm-eligible ,m>ia ,survivor "u ! provisions ( ?is section4 ,su* ef=t %all n delay ! det]m9ation ( ! eligibility ( ! ,survivor = ,,drm assi/ance "u ?is section4 7#b7 ,evid5ce ( v]ification ,a ,/ate may satisfy ! v]ification requirem5t "u p>agraph 7#a7 ) respect to an individual by %[+ t ! ,/ate obta9$ in=mation f ! ,social ,security ,adm9i/ration1 ! ,int]nal ,rev5ue ,s]vice1 or ! ,/ate ,m$icaid ,ag5cy = ! ,/ate f :i* ! individual is f 7if ! individual 0 n a resid5t ( su* ,/ate on any day dur+ ! week prec$+ ,septemb] #ag1 #bjag74 7g7 ,provid] paym5t rates ,9 ! case ( any ,,drm assi/ance provid$ 9 accordance ) ?is section to a ,,drm-eligible ,m>ia ,survivor t is cov]$ "u ! ,/ate ,m$icaid plan 7z appli$ )\t reg>d to ?is section7 ! ,/ate %all pay a provid] ( su* assi/ance ! same paym5t rate z ! ,/ate w\ld o!rwise pay = ! assi/ance if ! assi/ance 7 provid$ "u ! ,/ate ,m$icaid plan 7or1 if no su* paym5t rate applies "u ! ,/ate ,m$icaid plan1 ! usual & cu/om>y prevail+ rate = ! item or s]vice = ! community 9 :i* x is provid$74 7h7 ,application to individuals eligible = m$ical assi/ance ,no?+ 9 ?is section %all be con/ru$ z affect+ any rights accord$ to an individual :o is a recipi5t ( m$ical assi/ance "u a ,/ate ,m$icaid plan :o is det]m9$ to be a ,,drm-eligible ,m>ia ,survivor b ! provision ( ,,drm assi/ance to su* individual %all be limit$ to ! provision ( su* assi/ance 9 accordance ) ?is section4 7i7 ,def9itions ,9 ?is section3 7#a7 ,,drm assi/ance ,! t]m ,,drm assi/ance means m$ical assi/ance "u a ,/ate ,m$icaid plan = a ,,drm-eligible ,m>ia ,survivor dur+ ! ,,drm cov]age p]iod4 7#b7 ,,drm cov]age p]iod 7,a7 ,9 g5]al ,! t]m ,,drm cov]age p]iod means ! p]iod beg9n+ on ,septemb] #ag1 #bjag1 &1 subject to subp>agraph 7,b71 end+ on ! date t is #bd mon?s aft] ! date ( enactm5t ( ?is ,act4 7,b7 ,secret>y au?ority to ext5d ,,drm cov]age p]iod ,! ,secret>y may ext5d ! ,,drm cov]age p]iod = an additional #ab mon?s4 ,any ref]5ce to ! t]m ,,drm cov]age p]iod 9 ?is section %all include any ext5sion "u ?is subp>agraph4 7#c7 ,,drm-eligible ,m>ia survivor def9$ 7,a7 ,9 g5]al ,! t]m ,,drm-eligible ,m>ia ,survivor means a ,m>ia ,survivor ^: family income does n exce$ ! income eligibility /&>d :i* w\ld apply to ! ,survivor "u ! ,/ate ,m$icaid plan ( ! ,/ate 9 :i* ! ,survivor applies = m$ical assi/ance4 7,b7 ,no res\rces1 resid5cy1 or categorical eligibility requirem5ts ,eligibility "u subp>agraph 7,a7 %all be det]m9$ )\t application ( any res\rces te/1 ,/ate resid5cy1 or categorical eligibility requirem5ts4 7,c7 ,def9ition ( *ild ,= purposes ( subp>agraph 7,a71 a ,,drm-eligible ,m>ia ,survivor %all be det]m9$ to be a *ild 9 accordance ) ! def9ition ( *ild "u ! ,/ate ,m$icaid plan4 7#d7 ,m>ia ,survivor 7,a7 ,9 g5]al ,! t]m ,m>ia ,survivor means an individual :o1 on any day dur+ ! week prec$+ ,septemb] #ag1 #bjag1 _h a prim>y resid5ce 9 ,pu]to ,rico or ! ,virg9 ,isl&s4 7,b7 ,treatm5t ( curr5t ,m$icaid b5efici>ies ,no?+ 9 ?is section %all be con/ru$ z prev5t+ an individual :o is o!rwise entitl$ to m$ical assi/ance "u a ,/ate ,m$icaid plan f be+ treat$ z a ,m>ia ,survivor "u ?is section4 7,c7 ,treatm5t ( homeless p]sons ,= purposes ( ?is section1 9 ! case ( an individual :o 0 homeless on any day dur+ ! week describ$ 9 subp>agraph 7,a71 ! individual's resid5ce %all be deem$ to be ! place ( resid5ce z o!rwise det]m9$ = su* an individual "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#e7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#f7 ,/ate ,! t]m ,/ate has ! mean+ giv5 t t]m = purposes ( title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#g7 ,/ate ,m$icaid plan ,! t]m ,/ate ,m$icaid plan means a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 7or a waiv] ( su* plan74 #aji4 ,delay ( ,bip>tisan ,budget ,act ( #bjac ?ird-p>ty liability provisions 7a7 ,9 g5]al ,section #bjb7;c7 ( ! ,bip>tisan ,budget ,act ( #bjac 7,public ,law #aac-fg2 #abg ,/at4 #aagg2 #db ,u4,s4,c4 #acif;a note71 z am5d$ by section #baa ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad 7,public ,law #aac-ic2 #abh ,/at4 #ajdg2 #db ,u4,s4,c4 #acif;a note7 & section #bbj ( ! ,m$ic>e ,access & ,,*ip ,reau?orization ,act ( #bjae 7,public ,law #aad-aj71 is am5d$ by /rik+ #bjag & ins]t+ #bjai4 7b7 ,effective date2 treatm5t ,! am5dm5t made by subp>agraph 7,a7 %all take effect on ,septemb] #cj1 #bjag1 & %all apply ) respect to claims p5d+1 g5]at$1 or fil$ aft] su* date4 ,,ii ,,*ip #bja4 ,five-ye> fund+ ext5sion ( ! ,*ildr5's ,heal? ,insurance ,program 7a7 ,appropriation2 total allotm5t ,section #bajd7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7a77 is am5d$-- 7#a7 9 p>agraph 7#ai71 by /rik+ &2 7#b7 9 p>agraph 7#bj71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7#c7 by add+ at ! end ! foll[+ new p>agraphs3 7#ba7 = fiscal ye> #bjah1 #ba1ejj1jjj1jjj2 7#bb7 = fiscal ye> #bjai1 #bb1fjj1jjj1jjj2 7#bc7 = fiscal ye> #bjbj1 #bc1gjj1jjj1jjj2 7#bd7 = fiscal ye> #bjba1 #bd1hjj1jjj1jjj2 & 7#be7 = fiscal ye> #bjbb1 = purposes ( mak+ #b semi-annual allotm5ts-- 7,a7 #b1hej1jjj1jjj = ! p]iod beg9n+ on ,octob] #a1 #bjba1 & end+ on ,m>* #ca1 #bjbb2 & 7,b7 #b1hej1jjj1jjj = ! p]iod beg9n+ on ,april #a1 #bjbb1 & end+ on ,septemb] #cj1 #bjbb4 4 7b7 ,allotm5ts 7#a7 ,9 g5]al ,section #bajd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7m77 is am5d$-- 7,a7 9 p>agraph 7#b7-- 7i7 9 ! head+1 by /rik+ ?r\gh #bjaf & ins]t+ ?r\gh #bjbb2 & 7ii7 9 subp>agraph 7,b7-- 7,i7 9 ! matt] prec$+ clause 7i71 by /rik+ 7#ai7 & ins]t+ 7#bd72 7,,ii7 9 clause 7ii71 9 ! matt] prec$+ subclause 7,i71 by ins]t+ 7o!r ?an fiscal ye> #bjbb7 aft] ev5-numb]$ fiscal ye>2 & 7,,iii7 9 clause 7ii77,i71 by ins]t+ 7or1 9 ! case ( fiscal ye> #bjah1 "u p>agraph 7#d77 aft] clause 7i72 7,b7 9 p>agraph 7#e7-- 7i7 by /rik+ or 7#d7 & ins]t+ 7#d71 or 7#aj72 & 7ii7 by /rik+ or #bjag & ins]t+ 1 #bjag1 or #bjbb2 7,c7 9 p>agraph 7#g7-- 7i7 9 subp>agraph 7,a71 by /rik+ #bjag & ins]t+ #bjbb2 7ii7 9 subp>agraph 7,b71 9 ! matt] prec$+ clause 7i71 by ins]t+ 7or1 9 ! case ( fiscal ye> #bjah1 by n lat] ?an ! date t is #fj days aft] ! date ( ! enactm5t ( ! ,,*ampion ,,kids ,act ( #bjag7 aft] be=e ! ,augu/ #ca prec$+ ! 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#i7-- 7i7 9 ! head+1 by /rik+ fiscal ye>s #bjae & #bjag & ins]t+ c]ta9 fiscal ye>s2 7ii7 by /rik+ or 7#d7 & ins]t+ 1 7#d71 or 7#aj72 & 7iii7 by /rik+ or fiscal ye> #bjag & ins]t+ 1 #bjag1 or #bjbb2 & 7,e7 by add+ at ! end ! foll[+ new p>agraph3 7#aj7 ,= fiscal ye> #bjbb 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#be7 ( subsection 7a7 = ! semi-annual p]iod describ$ 9 su* subp>agraph1 increas$ by ! am\nt ( ! appropriation = su* p]iod "u section #bja7;b77#c7 ( ! ,,*ampion ,,kids ,act ( #bjag1 ! ,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#be7 ( 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,a71 to 7ii7 ! total ( ! am\nt ( all ( ! allotm5ts made available "u su* subp>agraph4 7,c7 ,full ye> am\nt bas$ on gr[? factor updat$ am\nt ,! am\nt describ$ 9 ?is subp>agraph = a ,/ate is equal to ! sum (-- 7i7 ! am\nt ( ! ,/ate allotm5t = fiscal ye> #bjba det]m9$ "u p>agraph 7#b77;,b77i72 & 7ii7 ! am\nt ( any paym5ts made to ! ,/ate "u subsection 7n7 = fiscal ye> #bjba1 multipli$ by ! allotm5t increase factor "u p>agraph 7#f7 = fiscal ye> #bjbb4 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#be77;,a72 & 7,,ii7 ! am\nt ( ! appropriation = su* p]iod "u section #bja7;b77#c7 ( ! ,,*ampion ,,kids ,act ( #bjag1 to 7ii7 ! sum (-- 7,i7 ! am\nt describ$ 9 clause 7i72 & 7,,ii7 ! am\nt made available "u subsection 7a77#be77;,b74 4 7#b7 ,te*nical am5dm5t ,section #bajd7m77#b77;,a7 ( su* ,act 7#db ,u4,s4,c4 #acig;dd7m77#b77;,a77 is am5d$ by /rik+ ! allotm5t increase factor "u p>agraph 7#e7 ea* place x appe>s & ins]t+ ! allotm5t increase factor "u p>agraph 7#f74 7#c7 ,"o-"t appropriation = fiscal ye> #bjbb ,!re is appropriat$ to ! ,secret>y ( ,heal? & ,human ,s]vices1 out ( any money 9 ! ,treasury n o!rwise appropriat$1 #bj1bjj1jjj1jjj to accompany ! allotm5t made = ! p]iod beg9n+ on ,octob] #a1 #bjba1 & end+ on ,m>* #ca1 #bjbb1 "u p>agraph 7#be77;,a7 ( section #bajd7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7a77 7z add$ by subsection 7a77#c771 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 subsection 7b77#a77;,e77 = ! fir/ #f mon?s ( fiscal ye> #bjbb 9 ! same mann] z allotm5ts are provid$ "u subsection 7a77#be77;,a7 ( su* section #bajd & subject to ! same t]ms & conditions z apply to ! allotm5ts provid$ f su* subsection 7a77#be77;,a74 7c7 ,ext5sion ( ! ,*ild ,enrollm5t ,cont+5cy ,fund ,section #bajd7n7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7n77 is am5d$-- 7#a7 9 p>agraph 7#b7-- 7,a7 9 subp>agraph 7,a77ii7-- 7i7 by /rik+ #bjaj1 #bjaa1 #bjab1 #bjac1 #bjad1 & #bjaf & ins]t+ #bjaj ?r\gh #bjad1 #bjaf1 & #bjah ?r\gh #bjba2 & 7ii7 by /rik+ fiscal ye> #bjae & fiscal ye> #bjag & ins]t+ fiscal ye>s #bjae1 #bjag1 & #bjbb2 & 7,b7 9 subp>agraph 7,b7-- 7i7 by /rik+ #bjaj1 #bjaa1 #bjab1 #bjac1 #bjad1 & #bjaf & ins]t+ #bjaj ?r\gh #bjad1 #bjaf1 & #bjah ?r\gh #bjba2 & 7ii7 by /rik+ fiscal ye> #bjae & fiscal ye> #bjag & ins]t+ fiscal ye> #bjae1 #bjag1 & #bjbb2 & 7#b7 9 p>agraph 7#c77;,a71 9 ! matt] prec$+ 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 #bjba 7or a semi-annual allotm5t p]iod = fiscal ye> #bjae1 #bjag1 or #bjbb74 7d7 ,ext5sion ( qualify+ /ates option ,section #baje7;g77#d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;ee7g77#d77 is am5d$-- 7#a7 9 ! head+1 by /rik+ ?r\gh #bjag & ins]t+ ?r\gh #bjbb2 & 7#b7 9 subp>agraph 7,a71 by /rik+ #bjag & ins]t+ #bjbb4 7e7 ,ext5sion ( express lane eligibility option ,section #aijb7;e77#ac77;,i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7e77#ac77;,i77 is am5d$ by /rik+ #bjag & ins]t+ #bjbb4 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$-- 7,a7 9 ! p>agraph head+1 by /rik+ until ,octob] #a1 #bjai & ins]t+ ?r\gh ,septemb] #cj1 #bjbb2 & 7,b7 9 subp>agraph 7,a71 9 ! matt] prec$+ clause 7i7-- 7i7 by /rik+ #bjai & ins]t+ #bjbb2 & 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 #bjbb1 ! 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$-- 7,a7 9 ! p>agraph head+1 by /rik+ until ,octob] #a1 #bjai & ins]t+ ?r\gh ,septemb] #cj1 #bjbb2 & 7,b7 by /rik+ ,septemb] #cj1 #bjai1 & ins]t+ ,septemb] #cj1 #bjbb 7b dur+ ! p]iod t beg9s on ,octob] #a1 #bjai1 & ends on ,septemb] #cj1 #bjbb1 only ) respect to *ildr5 9 families ^: income does n exce$ #cjj p]c5t ( ! pov]ty l9e 7z def9$ 9 section #baaj7;c77#e77 applicable to a family ( ! size involv$74 #bjb4 ,ext5sion ( c]ta9 programs & demon/ration projects 7a7 ,*ildhood obesity demon/ration project ,section #aaci;,a7e77#h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#i;a7e77#h77 is am5d$-- 7#a7 by /rik+ & #aj1jjj1jjj & ins]t+ 1 #aj1jjj1jjj2 & 7#b7 by ins]t+ aft] #bjag ! foll[+3 1 & #be1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbb4 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$ & ins]t+ 2 &2 & 7#e7 by add+ at ! end ! foll[+3 7,c7 = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbb1 #ge1jjj1jjj = ! 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$4 4 #bjc4 ,ext5sion ( outrea* & enrollm5t program 7a7 ,ext5sion & reau?orization ,section #baac ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigmm7 is am5d$-- 7#a7 9 subsection 7a77#a71 by /rik+ #bjag & ins]t+ #bjbb2 & 7#b7 9 subsection 7g7-- 7,a7 by /rik+ & #dj1jjj1jjj & ins]t+ 1 #dj1jjj1jjj2 & 7,b7 by ins]t+ aft] #bjag ! foll[+3 1 & #ajj1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbb4 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]age & r5ewal2 7iii7 a liaison betwe5 families & repres5tatives ( ,/ate plans "u title ,,xix or ,/ate *ild heal? plans "u ?is title2 7iv7 guidance on id5tify+ m$ical & d5tal homes & community ph>macies = *ildr52 & 7v7 assi/ance & ref]rals to successfully address social det]m9ants ( *ildr5's heal?1 includ+ pov]ty1 food insuffici5cy1 h\s+1 & environm5tal haz>ds4 4 7c7 ,exclusion f modifi$ adju/$ gross income ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is am5d$-- 7#a7 9 subsection 7a77#ag71 by /rik+ 7e77#ad71 7e77#ad7 & ins]t+ 7e77#ad71 7e77#ae72 7#b7 9 subsection 7e71 9 ! fir/ p>agraph 7#ad71 relat+ to income det]m9$ 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$ical assi/ance "u ! ,/ate plan or any waiv] ( su* plan4 2 & 7#c7 9 subsection 7e71 by /rik+ 7#ad7 ,exclusion & ins]t+ 7#ae7 ,exclusion4 #bjd4 ,ext5sion ( additional ,f$]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 ,,iii ,(fset #cja4 ,implem5tation ( ,(fice ( ,inspector ,g5]al recomm5dation to delay c]ta9 ,m$ic>e plan prepaym5ts 7a7 ,m$ic>e ,advantage paym5ts ,section #ahec7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bc7;a77#a77 is am5d$-- 7#a7 9 subp>agraph 7,a71 9 ! matt] prec$+ clause 7i7-- 7,a7 by /rik+ subsections 7e71 7g71 7i71 & 7l7 & ins]t+ subp>agraph 7,j71 subsections 7e71 7g71 7i71 & 7l712 & 7,b7 by ins]t+ 7or1 = mon?s beg9n+ ) ,janu>y #bjai1 on ! date specifi$ 9 subp>agraph 7,j77 aft] 9 advance2 & 7#b7 by add+ at ! end ! foll[+ new subp>agraph3 7,j7 ,tim+ ( paym5ts 7i7 ,9 g5]al ,) respect to mon?ly paym5ts "u ?is section = mon?s 9 a ye> 7beg9n+ ) #bjai71 ! date specifi$ 9 ?is subp>agraph ) respect to a paym5t = a mon? is ! fir/ bus9ess day occurr+ on or aft] ! applicable date def9$ 9 clause 7ii74 7ii7 ,applicable date ,= purposes ( clause 7i71 ) respect to a ye> 7beg9n+ ) #bjai71 ! t]m applicable date means1 ) respect to a paym5t =-- 7,i7 ,janu>y ( su* ye>1 ,janu>y #bnd2 7,,ii7 ,febru>y ( su* ye>1 ,febru>y #e?2 7,,iii7 ,m>* ( su* ye>1 ,m>* #aj?2 7,,iv7 ,april ( su* ye>1 ,april #ae?2 7,v7 ,may ( su* ye>1 ,may #bj?2 7,,vi7 ,june ( su* ye>1 ,june #be?2 7,,vii7 ,july & ea* succe$+ mon? 7o!r ?an ,decemb]7 ( su* ye>1 ! fir/ day ( ! next mon?2 & 7,,viii7 ,decemb] ( su* ye>1 ,decemb] #bd?4 4 7b7 ,con=m+ am5dm5t to "p ,d ,section #ahfj;,d-#ae7;d77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aae7;d77#a77 is am5d$ by ins]t+ & %all be made consi/5t ) ! tim+ ( mon?ly paym5ts to ,,ma organizations "u section #ahec7;a77#a77;,j7 aft] z ! ,secret>y det]m9es4