,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #cjja  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #i1 #bjai,mr4 
,toomey 7= himself & ,mr4 ,crapo7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to provide = c]ta9 
ext5sions ) respect to ! ,m$ic>e &      
,m$icaid programs "u titles ,,xviii &   
,,xix ( ! ,social ,security ,act1 & =   
o!r purposes4  #a4 ,%ort title2 table ( 
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,p]man5t ,relief = ,s5iors &
 ,m$ic>e1 ,m$icaid1 ,human ,s]vices     
,ext5sion ,act ( #bjai4  7b7 ,table (   
cont5ts ,! table ( cont5ts = ?is ,act is
 z foll[s3 ,sec4 #a4 ,%ort title2 table 
( cont5ts4,,title                       
,i--,miscellaneous,sec4 #aja4 ,repeal ( 
m$ical device excise tax4,sec4 #ajb4    
,p]man5t ext5sion ( r$uction 9 m$ical   
exp5se d$uction floor4,sec4 #ajc4       
,moratorium on annual fee on heal?      
insurance provid]s4,,title ,,ii--,m$ic>e
 ,extenders,sec4 #bja4 ,ext5sion ( ! "w 

geographic index floor "u ! ,m$ic>e     
program4,sec4 #bjb4 ,au?orization (     
additional fund+ = quality measure      
endorsem5t1 input1 & selection4,sec4    
#bjc4 ,au?orization ( additional fund+ =
 outrea* & assi/ance = l[-income        
programs4,sec4 #bjd4 ,ext5sion &        
au?orization ( additional fund+ to !    
,pati5t-,c5t]$ ,outcomes ,rese>* ,tru/  
,fund4,,title ,,iii--,m$icaid           
,extenders,sec4 #cja4 ,delay ( ,,d%     
r$uctions4,sec4 #cjb4 ,ext5sion ( sp\sal
 impov]i%m5t protections4,sec4 #cjc4    
,ext5sion ( ,community ,m5tal ,heal?    
,s]vices demon/ration program4,,title   
,,iv--,human ,s]vices ,extenders,sec4   
#dja4 ,ext5sion ( sexual risk avoidance 
education program4,sec4 #djb4 ,jobs &   
,opportunity ) ,b5efits & ,s]vices =    
,success ,act4  ,i ,miscellane\s  #aja4 
,repeal ( m$ical device excise tax  7a7 
,9 g5]al ,*apt] #cb ( ! ,int]nal ,rev5ue
 ,code ( #aihf is am5d$ by /rik+        
sub*apt] ,e4  7b7 ,con=m+ am5dm5ts  7#a7
 ,subsection 7a7 ( section #dbba ( !    

,int]nal ,rev5ue ,code ( #aihf is am5d$ 
by /rik+ ! la/ s5t5ce4  7#b7 ,p>agraph  
7#b7 ( section #fdaf7;b7 ( su* ,code is 
am5d$ by /rik+ ! la/ s5t5ce4  7c7       
,cl]ical am5dm5t ,! table ( sub*apt]s = 
*apt] #cb ( ! ,int]nal ,rev5ue ,code (  
#aihf is am5d$ by /rik+ ! item relat+ to
 sub*apt] ,e4  7d7 ,effective date ,!   
am5dm5ts made by ?is section %all apply 
to sales aft] ,decemb] #ca1 #bjai4      
#ajb4 ,p]man5t ext5sion ( r$uction 9    
m$ical exp5se d$uction floor  7a7       
,r$uction  7#a7 ,9 g5]al ,section       
#bac7;a7 ( ! ,int]nal ,rev5ue ,code (   
#aihf is am5d$ by /rik+ #aj p]c5t &     
ins]t+ #g4e p]c5t4  7#b7 ,con=m+ am5dm5t
 ,section #bac ( su* ,code is am5d$ by  
/rik+ subsection 7f74  7b7 ,repeal (    
m9imum tax pref]5ce ,section #ef7;b77#a7
 ( ! ,int]nal ,rev5ue ,code ( #aihf is  
am5d$ by /rik+ subp>agraph 7,b74  7c7   
,effective date ,! am5dm5ts made by ?is 
section %all apply to taxable ye>s      
beg9n+ aft] ,decemb] #ca1 #bjah4  #ajc4 
,moratorium on annual fee on heal?      

insurance provid]s ,subsection 7j7 (    
section #ijaj ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7#bf ,u4,s4,c4 #djja
 note prec47 is am5d$--  7#a7 by /rik+ &
 at ! end ( p>agraph 7#b72  7#b7 by     
/rik+ ! p]iod at ! end ( p>agraph 7#c7 &
 ins]t+ 1 & end+ be=e ,janu>y #a1 #bjba1
 &2 &  7#c7 by add+ at ! end ! foll[+   
new p>agraph3  7#d7 beg9n+ aft] ,decemb]
 #ca1 #bjbb4  4  ,,ii ,m$ic>e ,ext5d]s  
#bja4 ,ext5sion ( ! "w geographic index 
floor "u ! ,m$ic>e program ,section     
#ahdh7;e77#a77;,e7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#aciew-#d7;e77#a77;,e77 is am5d$ by     
/rik+ ,janu>y #a1 #bjbj & ins]t+        
,decemb] #ba1 #bjbj4  #bjb4             
,au?orization ( additional fund+ =      
quality measure endorsem5t1 input1 &    
selection ,section #ahij7;d77#b7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acie;aaa7d77#b77 is am5d$-- 7#a7 by    
ins]t+ 7,a7 aft] 7#b72 &  7#b7 by add+  
at ! end ! foll[+ new subp>agraph3  7,b7
 7i7 ,= purposes ( c>ry+ out ?is section

 & section #ahij;,a 7o!r ?an subsections
 7e7 & 7f771 !re is h]eby au?oriz$ to be
 appropriat$ = ! p]iod beg9n+ on        
,decemb] #ba1 #bjai1 & end+ on ,decemb] 
#bj1 #bjbj1 #cj1jjj1jjj4  7ii7 ,am\nts  
appropriat$ pursuant to clause 7i7 %all 
rema9 available until exp5d$1 & %all be 
9 addition to any unobligat$ funds      
transf]r$ pursuant to subp>agraph 7,a7 =
 a prec$+ fiscal ye> t are available "u 
! ?ird s5t5ce ( su* subp>agraph4  4     
#bjc4 ,au?orization ( additional fund+ =
 outrea* & assi/ance = l[-income        
programs  7a7 ,additional fund+ = ,/ate 
heal? insurance programs ,subsection    
7a77#a77;,b7 ( section #aai ( ! ,m$ic>e 
,improvem5ts = ,pati5ts & ,provid]s ,act
 ( #bjjh 7#db ,u4,s4,c4 #acie;b-#c      
note71 z am5d$ by section #ccjf ( !     
,pati5t ,protection & ,af=dable ,c>e    
,act 7,public ,law #aaa-adh71 section   
#faj ( ! ,am]ican ,taxpay] ,relief ,act 
( #bjab 7,public ,law #aab-bdj71 section
 #aaaj ( ! ,pa?way = ,,sgr ,re=m ,act ( 
#bjac 7,public ,law #aac-fg71 section   

#aaj ( ! ,protect+ ,access to ,m$ic>e   
,act ( #bjad 7,public ,law #aac-ic71    
section #bjh ( ! ,m$ic>e ,access & ,,*ip
 ,reau?orization ,act ( #bjae 7,public  
,law #aad-aj71 section #ejbjg ( division
 ,e ( ! ,bip>tisan ,budget ,act ( #bjah 
7,public ,law #aae-abc71 section #adjb (
 ! ,cont9u+ ,appropriations ,act1 #bjbj1
 & ,heal? ,ext5d]s ,act ( #bjai 7,public
 ,law #aaf-ei71 & section #adjb ( !     
,fur!r ,cont9u+ ,appropriations ,act1   
#bjbj1 & ,fur!r ,heal? ,ext5d]s ,act (  
#bjai 7,public ,law #aaf-fi71 is am5d$--
  7#a7 by r$esignat+ clauses 7i7 ?r\gh  
7xi7 z subclauses 7,i7 ?r\gh 7,,xi7 &   
mov+ su* subclauses #b ems to ! "r2     
7#b7 by /rik+ ,= purposes ( mak+ grants 
"u ?is subsection1 ! ,secret>y & ins]t+ 
8,= purposes ( mak+ grants "u ?is       
subsection--  7i7 ! ,secret>y  2  7#c7 9
 subclause 7,,xi71 z r$esignat$ by      
p>agraph 7#a71 by /rik+ ! p]iod at ! end
 & ins]t+ 2 &2 &  7#d7 by ins]t+ aft]   
su* subclause 7,,xi71 ! foll[+ new      
clause3  7ii7 !re is h]eby au?oriz$ to  

be appropriat$ = ! p]iod beg9n+ on      
,decemb] #ba1 #bjai1 & end+ on ,decemb] 
#bj1 #bjbj1 #ac1jjj1jjj4  4  7b7        
,additional fund+ = area ag5cies on ag+ 
,subsection 7b77#a77;,b7 ( su* section  
#aai1 z s am5d$1 is am5d$-- 7#a7 by     
r$esignat+ clauses 7i7 ?r\gh 7xi7 z     
subclauses 7,i7 ?r\gh 7,,xi7 & mov+ su* 
subclauses #b ems to ! "r2  7#b7 by     
/rik+ ,= purposes ( mak+ grants "u ?is  
subsection1 ! ,secret>y & ins]t+ 8,=    
purposes ( mak+ grants "u ?is           
subsection--  7i7 ! ,secret>y  2  7#c7 9
 subclause 7,,xi71 z r$esignat$ by      
p>agraph 7#a71 by /rik+ ! p]iod at ! end
 & ins]t+ 2 &2 &  7#d7 by ins]t+ aft]   
su* subclause 7,,xi71 ! foll[+ new      
clause3  7ii7 !re is h]eby au?oriz$ to  
be appropriat$ = ! p]iod beg9n+ on      
,decemb] #ba1 #bjai1 & end+ on ,decemb] 
#bj1 #bjbj1 #g1ejj1jjj4  4  7c7         
,additional fund+ = ag+ & disability    
res\rce c5t]s ,subsection 7c77#a77;,b7 (
 su* section #aai1 z s am5d$1 is am5d$--
 7#a7 by r$esignat+ clauses 7i7 ?r\gh   

7xi7 z subclauses 7,i7 ?r\gh 7,,xi7 &   
mov+ su* subclauses #b ems to ! "r2     
7#b7 by /rik+ ,= purposes ( mak+ grants 
"u ?is subsection1 ! ,secret>y & ins]t+ 
8,= purposes ( mak+ grants "u ?is       
subsection--  7i7 ! ,secret>y  2  7#c7 9
 subclause 7,,xi71 z r$esignat$ by      
p>agraph 7#a71 by /rik+ ! p]iod at ! end
 & ins]t+ 2 &2 &  7#d7 by ins]t+ aft]   
su* subclause 7,,xi71 ! foll[+ new      
clause3  7ii7 !re is h]eby au?oriz$ to  
be appropriat$ = ! p]iod beg9n+ on      
,decemb] #ba1 #bjai1 & end+ on ,decemb] 
#bj1 #bjbj1 #e1jjj1jjj4  4  7d7         
,additional fund+ = contract ) !        
national c5t] = b5efits & outrea*       
enrollm5t ,subsection 7d77#b7 ( su*     
section #aai1 z s am5d$1 is am5d$-- 7#a7
 by r$esignat+ clauses 7i7 ?r\gh 7xi7 z 
subclauses 7,i7 ?r\gh 7,,xi7 & mov+ su* 
subclauses #b ems to ! "r2  7#b7 by     
/rik+ ,= purposes ( mak+ a grant or     
ent]+ into a contract "u p>agraph 7#a71 
! ,secret>y & ins]t+ 8,= purposes ( mak+
 a grant or ent]+ into a contract "u    

p>agraph 7#a7--  7i7 ! ,secret>y  2     
7#c7 9 subclause 7,,xi71 z r$esignat$ by
 p>agraph 7#a71 by /rik+ ! p]iod at !   
end & ins]t+ 2 &2 &  7#d7 by ins]t+ aft]
 su* subclause 7,,xi71 ! foll[+ new     
clause3  7ii7 !re is h]eby au?oriz$ to  
be appropriat$ = ! p]iod beg9n+ on      
,decemb] #ba1 #bjai1 & end+ on ,decemb] 
#bj1 #bjbj1 #ab1jjj1jjj4  4  #bjd4      
,ext5sion & au?orization ( additional   
fund+ to ! ,pati5t-,c5t]$ ,outcomes     
,rese>* ,tru/ ,fund ,section #ieaa ( !  
,int]nal ,rev5ue ,code ( #aihf is       
am5d$-- 7#a7 9 subsection 7b71 by add+  
at ! end ! foll[+ new p>agraph3  7#d7   
,au?orization  7,a7 ,9 g5]al ,!re is    
h]eby au?oriz$ to be appropriat$ to !   
,tru/ ,fund1 = ! p]iod beg9n+ on ,octob]
 #a1 #bjai1 & end+ on ,decemb] #bj1     
#bjbj1 an am\nt equal to ! sum (--  7i7 
an am\nt equal to #b multipli$ by !     
av]age numb] ( individuals entitl$ to   
b5efits "u "p ,a1 or enroll$ "u "p ,b1 (
 title ,,xviii ( ! ,social ,security    
,act dur+ su* p]iod2 &  7ii7            

#aej1jjj1jjj4  7,b7 ,availability       
,am\nts appropriat$ pursuant to         
subp>agraph 7,a7 %all rema9 available   
until exp5d$4  2  7#b7 9 subsection     
7d77#b77;,a71 by ins]t+ 1 & = ! p]iod   
beg9n+ on ,octob] #a1 #bjai1 & end+ on  
,decemb] #bj1 #bjbj1 aft] #bjai2 &  7#c7
 9 subsection 7f71 by /rik+ ,decemb]    
#bj1 #bjai & ins]t+ ,decemb] #bj1 #bjbj4
  ,,iii ,m$icaid ,ext5d]s  #cja4 ,delay 
( ,,d% r$uctions ,section               
#aibc7;f77#g77;,a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acifr-#d7;f77#g77;,a77 is am5d$-- 7#a7 
9 clause 7i71 9 ! matt] prec$+ subclause
 7,i71 by /rik+ ,= ! p]iod beg9n+ & all 
t foll[s ?r\gh #bjbe & ins]t+ ,= ! p]iod
 beg9n+ ,decemb] #ba1 #bjbj1 & end+     
,septemb] #cj1 #bjba1 & = ea* ( fiscal  
ye>s #bjbb ?r\gh #bjbh2 &  7#b7 9 clause
 7ii7-- 7,a7 by am5d+ subclause 7,i7 to 
read z foll[s3  7,i7 #h1jjj1jjj1jjj = ! 
p]iod beg9n+ ,decemb] #ba1 #bjbj1 & end+
 ,septemb] #cj1 #bjba2 &  2 &  7,b7 9   
subclause 7,,ii71 by /rik+ fiscal ye>s  

#bjba ?r\gh #bjbe & ins]t+ fiscal ye>s  
#bjbb ?r\gh #bjbh4  #cjb4 ,ext5sion (   
sp\sal impov]i%m5t protections  7a7 ,9  
g5]al ,section #bdjd ( ,public ,law     
#aaa-adh 7#db ,u4,s4,c4 #acifr-#e note7 
is am5d$ by /rik+ ,decemb] #ca1 #bjai & 
ins]t+ ,decemb] #bj1 #bjbj4  7b7 ,rule (
 con/ruction ,no?+ 9 section #bdjd (    
,public ,law #aaa-adh 7#db ,u4,s4,c4    
#acifr-#e note7 or section              
#aijb7;a77#ag7 or #aibd ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#ag71 #acifr-#e7 %all be     
con/ru$ z prohibit+ a ,/ate f apply+ an 
income or res\rce disreg>d "u a         
me?odology au?oriz$ "u section          
#aijb7r77#b7 ( su* ,act 7#db ,u4,s4,c4  
#acif;a7r77#b77--  7#a7 to ! income or  
res\rces ( an individual describ$ 9     
section #aijb7;a77#aj77;,a77ii77,,vi7 ( 
su* ,act 7#db ,u4,s4,c4                 
#acif;a7a77#aj77;,a77ii77,,vi77 7includ+
 a disreg>d ( ! income or res\rces ( su*
 individual's sp\se72 or  7#b7 on !     
basis ( an individual's ne$ = home &    

community-bas$ s]vices au?oriz$ "u      
subsection 7c71 7d71 7i71 or 7k7 (      
section #aiae ( su* ,act 7#db ,u4,s4,c4 
#acifn7 or "u section #aaae ( su* ,act  
7#db ,u4,s4,c4 #acae74  7c7 ,,gao report
 ,n lat] ?an ,septemb] #cj1 #bjbj1 !    
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all submit to ,congress a report       
evaluat+ ! effect ( apply+ section      
#aibd7;h7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acifr-#e7;h77 pursuant  
to section #bdjd ( ,public ,law #aaa-adh
 7#db ,u4,s4,c4 #acifr-#e note7 on !    
numb] ( individuals :o qualify z        
community sp\ses 7z su* t]m is def9$ 9  
su* section #aibd7;h774  #cjc4 ,ext5sion
 ( ,community ,m5tal ,heal? ,s]vices    
demon/ration program  7a7 ,9 g5]al      
,section #bbc7;d77#c7 ( ! ,protect+     
,access to ,m$ic>e ,act ( #bjad 7#db    
,u4,s4,c4 #acif;a note7 is am5d$ by     
/rik+ ,decemb] #bj1 #bjai & ins]t+ ,m>* 
#ca1 #bjba4  7b7 ,phas$[n ( enhanc$     
,,fmap ,subp>agraph 7,b7 ( section      
#bbc7;d77#e7 ( ! ,protect+ ,access to   

,m$ic>e ,act ( #bjad 7#db ,u4,s4,c4     
#acif;a note7 is am5d$ to read z foll[s3
  7,b7 ,f$]al mat*+ p]c5tage  7i7 ,9    
g5]al ,! ,f$]al mat*+ p]c5tage specifi$ 
9 ?is subp>agraph is ) respect to m$ical
 assi/ance describ$ 9 subp>agraph 7,a7 t
 is furni%$--  7,i7 to a newly eligible 
individual describ$ 9 p>agraph 7#b7 (   
section #aije7y7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #acif;d7y771 ! mat*+
 rate applicable "u p>agraph 7#a7 ( t   
section2 &  7,,ii7 to an individual :o  
is n a newly eligible individual 7z s   
describ$7 b :o is eligible = m$ical     
assi/ance "u ! ,/ate ,m$icaid program1 !
 enhanc$ ,,fmap applicable to ! ,/ate   
or1 = fiscal qu>t]s beg9n+ on or aft]   
,janu>y #a1 #bjbj1 ! mat*+ rate det]m9$ 
= ! ,/ate & qu>t] "u clause 7ii74  7ii7 
,phas$[n ( enhanc$ ,,fmap ,= purposes ( 
clause 7i77,,ii71 ! mat*+ rate det]m9$ =
 a ,/ate & fiscal qu>t] "u ?is clause   
%all be--  7,i7 = ! fiscal qu>t] beg9n+ 
on ,janu>y #a1 #bjbj1 a p]c5tage equal  
to ! enhanc$ ,,fmap applicable to !     

,/ate r$uc$ by a numb] ( p]c5tage po9ts 
equal to #a_/f ( ! p]c5tage po9ts       
diff]5ce betwe5 ! enhanc$ ,,fmap        
applicable to ! ,/ate & ! ,f$]al m$ical 
assi/ance p]c5tage applicable to ! ,/ate
 "u section #aije7;b7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#acif;d7b772  7,,ii7 = ! fiscal qu>t]   
beg9n+ on ,april #a1 #bjbj1 a p]c5tage  
equal to ! enhanc$ ,,fmap applicable to 
! ,/ate r$uc$ by a numb] ( p]c5tage     
po9ts equal to #a_/c ( ! p]c5tage po9ts 
diff]5ce betwe5 ! enhanc$ ,,fmap        
applicable to ! ,/ate & ! ,f$]al m$ical 
assi/ance p]c5tage applicable to ! ,/ate
 "u section #aije7;b7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#acif;d7b772  7,,iii7 = ! fiscal qu>t]  
beg9n+ on ,july #a1 #bjbj1 a p]c5tage   
equal to ! enhanc$ ,,fmap applicable to 
! ,/ate r$uc$ by a numb] ( p]c5tage     
po9ts equal to #a_/b ( ! p]c5tage po9ts 
diff]5ce betwe5 ! enhanc$ ,,fmap        
applicable to ! ,/ate & ! ,f$]al m$ical 
assi/ance p]c5tage applicable to ! ,/ate

 "u section #aije7;b7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#acif;d7b772  7,,iv7 = ! fiscal qu>t]   
beg9n+ on ,octob] #a1 #bjbj1 a p]c5tage 
equal to ! enhanc$ ,,fmap applicable to 
! ,/ate r$uc$ by a numb] ( p]c5tage     
po9ts equal to #b_/c ( ! p]c5tage po9ts 
diff]5ce betwe5 ! enhanc$ ,,fmap        
applicable to ! ,/ate & ! ,f$]al m$ical 
assi/ance p]c5tage applicable to ! ,/ate
 "u section #aije7;b7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#acif;d7b772  7,v7 = ! fiscal qu>t]     
beg9n+ on ,janu>y #a1 #bjba1 a p]c5tage 
equal to ! enhanc$ ,,fmap applicable to 
! ,/ate r$uc$ by a numb] ( p]c5tage     
po9ts equal to #e_/f ( ! p]c5tage po9ts 
diff]5ce betwe5 ! enhanc$ ,,fmap        
applicable to ! ,/ate & ! ,f$]al m$ical 
assi/ance p]c5tage applicable to ! ,/ate
 "u section #aije7;b7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#acif;d7b772 &  7,,vi7 = ! fiscal qu>t] 
beg9n+ on ,april #a1 #bjba1 & ea*       
subsequ5t fiscal qu>t]1 a p]c5tage equal

 to ! ,f$]al m$ical assi/ance p]c5tage  
applicable to ! ,/ate "u section        
#aije7;b7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;d7b774  4  7c7     
,cl>ify+ au?ority ,to recov] ov]paym5ts 
,section #bbc7;d77#e7 ( ! ,protect+     
,access to ,m$ic>e ,act ( #bjad 7#db    
,u4,s4,c4 #acif;a note7 is am5d$ by add+
 at ! end ! foll[+ new subp>agraph3     
7,d7 ,recov]y ( ov]paym5ts ,! am\nt (   
any ov]paym5t made to a ,/ate "u ?is    
p>agraph %all be deem$ an ov]paym5t to !
 ,/ate "u title ,,xix ( ! ,social       
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 to be disall[$ aga9/ ! ,/ate's    
regul> qu>t]ly draw = all ,m$icaid sp5d+
 "u section #aijc7;d77#b7 ( su* ,act    
7#db ,u4,s4,c4 #acif;b7d77#b774  4  7d7 
,report to ,congress on c]tifi$         
community behavioral heal? c5t] p]=mance
  7#a7 ,/udy ,! ,comptroll] ,g5]al ( !  
,unit$ ,/ates %all conduct #a or m      
/udies on c]tifi$ community behavioral  
heal? cl9ics p>ticipat+ 9 ! demon/ration
 program e/abli%$ "u section #bbc ( !   

,protect+ ,access to ,m$ic>e ,act (     
#bjad 7#db ,u4,s4,c4 #acif;a note7 t    
%all include ! foll[+3  7,a7 ,an        
evaluation ( enc\nt] data submissions & 
o!r report+ submitt$ by c]tifi$         
community behavioral heal? cl9ics       
p>ticipat+ 9 ! demon/ration program1    
includ+ id5tify+ *all5ges fac$ 9        
collect+1 submitt+1 & ensur+ ! quality (
 ! data submitt$1 z well z--  7i7 an    
evaluation ( ! ext5t to :i* ! ,c5t]s =  
,m$ic>e  ,m$icaid ,s]vices & ,/ates face
 *all5ges validat+ enc\nt] data =       
complet5ess & accuracy2  7ii7 an        
assessm5t ( requirem5ts impos$ on su*   
c]tifi$ community behavioral heal?      
cl9ics = collect+ & submitt+ enc\nt]    
data2  7iii7 an assessm5t ( any *all5ges
 su* c]tifi$ community behavioral heal? 
cl9ics face 9 collect+ & submitt+       
enc\nt] data2 &  7iv7 an assessm5t ( !  
efficacy ( automat$ *ecks conduct$ on   
enc\nt] data submitt$ by su* c]tifi$    
community behavioral heal? cl9ics =     
complet5ess & accuracy4  7,b7 ,an       

evaluation ( ! paym5t arrangem5t =      
c]tifi$ community behavioral heal?      
cl9ics p>ticipat+ 9 ! demon/ration      
program & ( paym5t arrangem5ts = all    
c]tifi$ community behavioral heal?      
cl9ics1 includ+ any *all5ges relat$ to !
 accuracy ( paym5ts1 su* z--  7i7 !     
ext5t to :i* ! ,secret>y ( ,heal? &     
,human ,s]vices & ,/ates p>ticipat+ 9 ! 
demon/ration program c monitor !        
accuracy ( paym5ts made "u ! program to 
c]tifi$ community behavioral heal?      
cl9ics p>ticipat+ 9 ! program2  7ii7 any
 *all5ges associat$ ) requir+ !         
,secret>y ( ,heal? & ,human ,s]vices to 
accurately assess ! comp>ative impact ( 
! c]tifi$ community behavioral heal?    
cl9ics p>ticipat+ 9 su* program1 z      
comp>$ to c]tifi$ community behavioral  
heal? cl9ics t are n p>ticipat+ 9 su*   
program1 on ! ,f$]al & ,/ate co/s =     
furni%+ a full range ( m5tal heal?      
s]vices 7includ+ inpati5t1 em]g5cy &    
ambulatory s]vices72 &  7iii7 any       
comp>isons ( paym5t arrangem5ts by      

c]tifi$ community behavioral heal?      
cl9ics & ! degree to :i* !re are paym5t 
disp>ities among su* cl9ics = furni%+ ! 
same or simil> s]vices4  7,c7 ,an       
evaluation ( ! quality ( data           
submissions by ,/ates & c]tifi$         
community behavioral heal? cl9ics       
p>ticipat+ 9 ! demon/ration program1    
includ+ ! ext5t to :i*--  7i7 !         
,secret>y ( ,heal? & ,human ,s]vices    
fac$ *all5ges validat+ ! quality ( data 
submitt$ by su* ,/ates & su* c]tifi$    
community behavioral heal? cl9ics2  7ii7
 ! quality measures us$ to evaluate     
c]tifi$ community behavioral heal?      
cl9ics p>ticipat+ 9 ! demon/ration      
program comp>e ) ! measures report$ by  
c]tifi$ community behavioral heal?      
cl9ics t are n p>ticipat+ 9 ! program2 &
  7iii7 ! quality measures be+ report$  
by c]tifi$ community behavioral heal?   
cl9ics p>ticipat+ 9 ! demon/ration      
program (f] insights on ! quality ( c>e 
provid$ at1 & ! heal? /atus (           
individuals treat$ by1 su* cl9ics4  7,d7

 ,an assessm5t ( ! ext5t to :i* !       
c]tifi$ community behavioral heal?      
cl9ics p>ticipat+ 9 ! demon/ration      
program exp&$ ! s]vices !y (f]1 z comp>$
 to c]tifi$ community behavioral heal?  
cl9ics t are n p>ticipat+ 9 ! program1 &
 if s1 :at factor$ into ! decision to   
exp&4  7,e7 ,su* recomm5dations z !     
,comptroll] ,g5]al det]m9es appropriate 
= improv+-- 7i7 ! report+1 accuracy1 &  
validation ( enc\nt] data2  7ii7        
accuracy 9 paym5ts to c]tifi$ community 
behavioral heal? cl9ics "u ,/ate        
programs "u title ,,xix ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 & quality monitor+ ( su* cl9ics2 &
  7iii7 quality measure report+ &       
replac+ process-driv5 quality measures )
 outcome-bas$ measures t reflect        
improvem5ts 9 pati5t functional /atus4  
7#b7 ,report ,n lat] ?an ,decemb] #ca1  
#bjbj1 ! ,comptroll] ,g5]al ( ! ,unit$  
,/ates %all submit to ,congress a report
 conta9+ ! f9d+s ( ! /udy conduct$ "u   
p>agraph 7#a74  ,,iv ,human ,s]vices    

,ext5d]s  #dja4 ,ext5sion ( sexual risk 
avoidance education program ,section    
#eaj ( ! ,social ,security ,act 7#db    
,u4,s4,c4 #gaj7 is am5d$-- 7#a7 9       
subsection 7a7--  7,a7 9 p>agraph 7#a71 
9 ! matt] prec$+ subp>agraph 7,a71 by   
/rik+ & #bjai & all t foll[s ?r\gh      
,decemb] #bj1 #bjai & ins]t+ ?r\gh #bjbj
 & = ! p]iod beg9n+ ,octob] #a1 #bjbj1 &
 end+ ,decemb] #bj1 #bjbj2 &  7,b7 9    
p>agraph 7#b77;,a71 by /rik+ & #bjai &  
all t foll[s ?r\gh ,decemb] #bj1 #bjai &
 ins]t+ ?r\gh #bjbj & = ! p]iod beg9n+  
,octob] #a1 #bjbj1 & end+ ,decemb] #bj1 
#bjbj2 &  7#b7 9 subsection 7f77#a71 by 
/rik+ & #bjai & all t foll[s ?r\gh      
,decemb] #bj1 #bjai & ins]t+ ?r\gh #bjbj
 & #af1fdc1hcf = ! p]iod beg9n+ ,octob] 
#a1 #bjbj1 & end+ ,decemb] #bj1 #bjbj4  
#djb4 ,jobs & ,opportunity ) ,b5efits & 
,s]vices = ,success ,act  7a7 ,ref]5ces 
,except z o!rwise expressly provid$1    
:]ev] 9 ?is section an am5dm5t or repeal
 is express$ 9 t]ms ( an am5dm5t to1 or 
repeal (1 a section or o!r provision1 ! 

ref]5ce %all be consid]$ to be made to a
 section or o!r provision ( ! ,social   
,security ,act4  7b7 ,re-,nam+ ( program
  7#a7 ,9 g5]al ,! head+ = "p ,a ( title
 ,,iv is am5d$ to read z foll[s3  ,a    
,jobs & ,opportunity ) ,b5efits &       
,s]vices ,program  4  7#b7 ,con=m+      
am5dm5ts  7,a7 ,! head+ = section       
#djc7;a77#b77;,b7 7#db ,u4,s4,c4        
#fjc7;a77#b77;,b77 is am5d$ by /rik+    
tanf & ins]t+ jobs4  7,b7 ,! head+ =    
section #dac 7#db ,u4,s4,c4 #fac7 is    
am5d$ by /rik+ ,tempor>y ,assi/ance =   
,ne$y ,families & ins]t+ ,jobs &        
,opportunity ) ,b5efits & ,s]vices4     
7,c7 ,! head+ = section #dac7;a7 7#db   
,u4,s4,c4 #fac7;a77 is am5d$ by /rik+   
,,tanf & ins]t+ ,,jobs4  7,d7 ,! head+ =
 section #dga7;e77#g77;,b77i7 7#db      
,u4,s4,c4 #fga7;e77#g77;,b77i771 z 9    
effect pursuant to ! am5dm5t made by    
section #ejgaa7;a77#b7 ( division ,e ( !
 ,bip>tisan ,budget ,act ( #bjah        
7,public ,law #aae-abc71 is am5d$ by    
/rik+ ,,tanf & ins]t+ ,,jobs4  7c7      

,help+ m ,am]icans ent] & rema9 9 !     
work=ce  7#a7 ,family assi/ance grants  
,section #djc7;a77#a7 7#db ,u4,s4,c4    
#fjc7;a77#a77 is am5d$ 9 ea* (          
subp>agraphs 7,a7 & 7,c7 by /rik+ #bjag 
& #bjah & ins]t+ #bjbj ?r\gh #bjbd4     
7#b7 ,heal?y m>riage promotion &        
responsible fa!rhood grants ,section    
#djc7;a77#b77;,d7 7#db ,u4,s4,c4        
#fjc7;a77#b77;,d77 is am5d$--  7,a7 by  
/rik+ #bjag & #bjah & ins]t+ #bjbj ?r\gh
 #bjbd2 &  7,b7 by /rik+ = fiscal ye>   
#bjag or #bjah4  7#c7 ,tribal grants    
,section #dab7;a7 7#db ,u4,s4,c4        
#fab7;a77 is am5d$ 9 ea* ( p>agraphs    
7#a77;,a7 & 7#b77;,a7 by /rik+ #bjag &  
#bjah & ins]t+ #bjbj ?r\gh #bjbd4  7#d7 
,improv+ access to *ild c>e ,to support 
"w ,section #dah7;a77#c7 7#db ,u4,s4,c4 
#fah7;a77#c77 is am5d$ to read z foll[s3
  7#c7 ,appropriation ,= grants "u ?is  
section1 !re are appropriat$-- 7,a7     
#b1iag1jjj1jjj = fiscal ye> #bjbj2 &    
7,b7 #c1ebe1jjj1jjj = ea* ( fiscal ye>s 
#bjba ?r\gh #bjbd4  4  7#e7 ,grants to !

 t]ritories ,section #aajh7;b77#b7 7#db 
,u4,s4,c4 #acjh7;b77#b77 is am5d$ by    
/rik+ #bjag & #bjah & ins]t+ #bjbj ?r\gh
 #bjbd4  7#f7 ,prorat+ ( appropriations 
= fiscal ye> #bjbj ,not)/&+ ! am5dm5ts  
made by ! p>agraphs 7#a7 ?r\gh 7#c7 &   
7#e7 ( ?is subsection1 ! am\nt          
appropriat$ 9 ea* provision ( law am5d$ 
by su* p>agraphs = fiscal ye> #bjbj %all
 be--  7,a7 ! am\nt t w\ld be s         
appropriat$ 9 ! abs5ce ( ?is subsection2
 multipli$ by  7,b7 ! numb] ( days 9 !  
p]iod f ! date ( ! enactm5t ( ?is ,act  
?r\gh ,septemb] #cj1 #bjbj1 divid$ by   
#cfe4  7#g7 ,effective date ,?is        
subsection & ! am5dm5ts made by ?is     
subsection %all take effect on ! date ( 
! enactm5t ( ?is ,act4  7d7 ,expect+    
univ]sal engagem5t & case managem5t     
,section #djh7;b7 7#db ,u4,s4,c4        
#fjh7;b77 is am5d$ to read z foll[s3    
7b7 ,individual opportunity plans  7#a7 
,assessm5t ,! ,/ate ag5cy responsible = 
adm9i/]+ ! ,/ate program fund$ "u ?is "p
 %all make an initial assessm5t ( !     

foll[+ = ea* "w-eligible individual 7z  
def9$ 9 ! regulations promulgat$        
pursuant to section                     
#djg7;i77#a77;,a77i773  7,a7 ,!         
education obta9$1 skills1 prior "w      
exp]i5ce1 "w read9ess1 & b>ri]s to "w ( 
! individual4  7,b7 ,! well-be+ ( !     
*ildr5 9 ! family ( ! individual &1 :]e 
appropriate1 activities or s]vices 7su* 
z s]vices (f]$ by a program fund$ "u    
section #eaa7 to improve ! well-be+ ( ! 
*ildr54  7#b7 ,cont5ts ( plans ,on !    
basis ( ! assessm5t requir$ by p>agraph 
7#a7 ( ?is subsection1 ! ,/ate ag5cy1 9 
consultation ) ! individual1 %all       
develop an individual opportunity plan  
t--  7,a7 includes a p]sonal            
responsibility agreem5t 9 :i* !         
individual ackn[l$ges receipt ( publicly
 fund$ b5efits & responsibility to      
comply ) program requirem5ts 9 ord] to  
receive ! b5efits2  7,b7 sets =? !      
obligations ( ! individual to p>ticipate
 9 "w activities 7z def9$ 9 section     
#djg7;d771 & ! numb] ( h\rs p] mon? =   

:i* ! individual w s p>ticipate pursuant
 to section #djg2  7,c7 sets =? an      
employm5t goal & plann$ %ort-1          
int]m$iate-1 & long-t]m actions to      
a*ieve ! goal1 &1 9 ! case ( an         
individual :o has n atta9$ #bd ye>s (   
age & is 9 second>y s*ool or !          
equival5t1 ! int]m$iate action may be   
completion ( second>y s*ool or !        
equival5t2  7,d7 describes ! job c\nsel+
 & o!r s]vices ! ,/ate w provide to !   
individual to enable ! individual to    
obta9 & keep unsubsidiz$ employm5t2     
7,e7 may include ref]ral to appropriate 
sub/ance abuse or m5tal heal? treatm5t2 
&  7,f7 is sign$ by ! individual4  7#c7 
,tim+ ,! ,/ate ag5cy %all comply )      
p>agraphs 7#a7 & 7#b7 ) respect to a    
"w-eligible individual--  7,a7 )9 #a ye>
 aft] ! effective date ( ?is subsection1
 9 ! case ( an individual :o1 z ( su*   
effective date1 is a recipi5t (         
assi/ance "u ! ,/ate program fund$ "u   
?is "p 7z 9 effect imm$iately be=e su*  
effective date72 or  7,b7 )9 #fj days   

aft] ! individual is det]m9$ to be      
eligible = ! assi/ance1 9 ! case ( any  
o!r individual4  7#d7 ,univ]sal         
engagem5t ,subject to ! exceptions 9    
p>agraph 7#c71 ea* ,/ate %all require   
all "w-eligible recipi5ts receiv+ funds 
"u ! ,/ate program fund$ "u ?is "p to   
engage 9 "w 9 accordance ) ! provisions 
( section #djg7;c71 #djg7;d71 &         
#djg7;e74  7#e7 ,p5alty = noncompliance 
by individual ,9 addition to any o!r    
p5alties requir$ "u ! ,/ate program     
fund$ "u ?is "p1 ! ,/ate %all r$uce1 by 
su* am\nt z ! ,/ate consid]s            
appropriate1 ! am\nt ( assi/ance o!rwise
 payable "u ! ,/ate program to a family 
t includes an individual :o fails )\t   
good cause to comply ) an individual    
opportunity plan develop$ pursuant to   
?is subsection1 t is sign$ by !         
individual4  7#f7 ,p]iodic review ,!    
,/ate %all meet ) ea* "w-eligible       
individual assess$ by ! ,/ate "u        
p>agraph 7#a71 n less frequ5tly ?an e   
#ij days1 to--  7,a7 review ! individual

 opportunity plan develop$ = !          
individual1 includ+ ! eligibility ( !   
individual = b5efits2  7,b7 discuss ) ! 
individual ! progress made by !         
individual 9 a*iev+ ! goals specifi$ 9 !
 plan2 &  7,c7 update ! plan1 z         
necess>y1 to reflect any *anges 9 !     
circum/ances ( ! individual s9ce ! plan 
0 la/ review$4  4  7e7 ,promot+         
acc\ntability by measur+ "w outcomes    
7#a7 ,9 g5]al ,section #djg7;a7 7#db    
,u4,s4,c4 #fjg7;a77 is am5d$ to read z  
foll[s3  7a7 ,p]=mance acc\ntability &  
"w outcomes  7#a7 ,"w outcomes  7,a7 ,9 
g5]al ,a ,/ate to :i* a grant is made "u
 section #djc %all a*ieve ! requisite   
m9imum level ( p]=mance = a fiscal ye>  
describ$ 9 ?is p>agraph ) respect to !  
p]c5tage ( employm5t exits = families   
receiv+ assi/ance "u ! ,/ate program    
fund$ "u ?is "p1 or be subject to p5alty
 z describ$ 9 section #dji7;a77#c74     
7,b7 ,calculation ( p]c5tage ( employm5t
 exits ,= purposes ( ?is p>agraph1 !    
p]c5tage ( employm5t exits ) respect to 

a ,/ate equals ! ratio ( ! numb] (      
"w-eligible individuals :o are 9        
unsubsidiz$ employm5t #f mon?s aft] _!  
exit to ! av]age mon?ly numb] ( families
 receiv+ assi/ance "u ! ,/ate program   
fund$ "u ?is "p4  7,c7 ,agreem5t on     
requisite level ( p]=mance ,! ,secret>y 
& ! ,/ate %all negotiate ! requisite    
level ( p]=mance = ! ,/ate ) respect to 
employm5t exits = ea* fiscal ye> beg9n+ 
) fiscal ye> #bjba4  7#b7 ,p]=mance     
acc\ntability  7,a7 ,purpose ,! purpose 
( ?is p>agraph is to provide = !        
e/abli%m5t ( p]=mance acc\ntability     
measures to assess ! effectiv5ess (     
,/ates 9 increas+ employm5t1 ret5tion1 &
 advancem5t among families receiv+      
assi/ance "u ! ,/ate program fund$ "u   
?is "p4  7,b7 ,9 g5]al ,a ,/ate to :i* a
 grant is made "u section #djc = a      
fiscal ye> %all a*ieve ! requisite level
 ( p]=mance on an indicator describ$ 9  
subp>agraph 7,d7 ( ?is p>agraph = !     
fiscal ye>4  7,c7 ,measur+ /ate p]=mance
 ,ea* ,/ate1 9 consultation ) !         

,secret>y1 %all collect & submit to !   
,secret>y ! in=mation necess>y to       
measure ! level ( p]=mance ( ! ,/ate =  
ea* indicator describ$ 9 subp>agraph    
7,d71 = fiscal ye> #bjba & ea* fiscal   
ye> !reaft]1 & ! ,secret>y %all use !   
in=mation collect$ = fiscal ye> #bjba to
 e/abli% ! basel9e level ( p]=mance =   
ea* ,/ate = ea* su* indicator4  7,d7    
,indicators ( p]=mance ,! indicators    
describ$ 9 ?is subp>agraph1 = a fiscal  
ye>1 are ! foll[+3 7i7 ,! p]c5tage (    
individuals :o 7 "w-eligible individuals
 z ( ! "t ( exit f ! program1 :o are 9  
unsubsidiz$ employm5t dur+ ! #bnd qu>t] 
aft] ! exit4  7ii7 ,! p]c5tage (        
individuals :o 7 "w-eligible individuals
 :o 7 9 unsubsidiz$ employm5t 9 ! #bnd  
qu>t] aft] ! exit1 :o are also 9        
unsubsidiz$ employm5t dur+ ! #d? qu>t]  
aft] ! exit4  7iii7 ,! m$ian e>n+s (    
individuals :o 7 "w-eligible individuals
 z ( ! "t ( exit f ! program1 :o are 9  
unsubsidiz$ employm5t dur+ ! #bnd qu>t] 
aft] ! exit4  7iv7 ,! p]c5tage (        

individuals :o h n atta9$ #bd ye>s (    
age1 are att5d+ high s*ool or enroll$ 9 
an equival5cy program1 & are "w-eligible
 individuals or 7 "w-eligible           
individuals z ( ! "t ( exit f ! program1
 :o obta9 a high s*ool degree or its    
recogniz$ equival5t :ile receiv+        
assi/ance "u ! ,/ate program fund$ "u   
?is "p or )9 #a ye> aft] ! exit4  7,e7  
,levels ( p]=mance  7i7 ,9 g5]al ,= ea* 
,/ate submitt+ a ,/ate plan pursuant to 
section #djb7;a71 !re %all be e/abli%$1 
9 accordance ) ?is subp>agraph1 levels (
 p]=mance = ea* ( ! indicators describ$ 
9 subp>agraph 7,d74  7ii7 ,weight ,!    
weight assign$ to su* an indicator %all 
be ! foll[+3 7,i7 ,=ty p]c5t1 9 ! case (
 ! indicator describ$ 9 subp>agraph     
7,d77i74  7,,ii7 ,tw5ty-five p]c5t1 9 ! 
case ( ! indicator describ$ 9           
subp>agraph 7,d77ii74  7,,iii7          
,tw5ty-five p]c5t1 9 ! case ( !         
indicator describ$ 9 subp>agraph        
7,d77iii74  7,,iv7 ,t5 p]c5t1 9 ! case (
 ! indicator describ$ 9 subp>agraph     

7,d77iv74  7iii7 ,agreem5t on requisite 
p]=mance level = ea* indicator  7,i7 ,9 
g5]al ,! ,secret>y & ! ,/ate %all       
negotiate ! requisite level ( p]=mance =
 ! ,/ate ) respect to ea* indicator     
describ$ 9 clause 7ii71 = ea* fiscal ye>
 beg9n+ ) fiscal ye> #bjba1 & %all d s  
be=e ! beg9n+ ( ! fiscal ye> involv$4   
7,,ii7 ,requirem5ts 9 e/abli%+ p]=mance 
levels ,9 e/abli%+ ! requisite levels ( 
p]=mance1 ! ,/ate & ! ,secret>y %all--  
7aa7 take into acc\nt h[ ! levels       
involv$ comp>e ) ! levels e/abli%$ = o!r
 ,/ates2 &  7bb7 ensure ! levels involv$
 are adju/$1 us+ ! objective /ati/ical  
model ref]r$ to 9 clause 7v71 bas$ on-- 
7,,aa7 ! diff]5ces among ,/ates 9       
economic conditions1 includ+ diff]5ces 9
 unemploym5t rates or employm5t losses  
or ga9s 9 p>ticul> indu/ries2 7,,bb7 !  
*>act]i/ics ( p>ticipants on entry into 
! program1 includ+ indicators ( prior "w
 hi/ory1 lack ( educational or          
occupational skills atta9m5t1 or o!r    
factors t may affect employm5t & e>n+s2 

& 7,,cc7 take into acc\nt ! ext5t to :i*
 ! levels involv$ promote cont9u\s      
improvem5t 9 p]=mance by ea* ,/ate4     
7iv7 ,revisions bas$ on economic        
conditions & individuals receiv+        
assi/ance dur+ ! fiscal ye> ,! ,secret>y
 %all1 9 accordance ) ! objective       
/ati/ical model ref]r$ to 9 clause 7v71 
revise ! requisite levels ( p]=mance = a
 ,/ate & a fiscal ye> to reflect !      
economic conditions & *>act]i/ics ( !   
relevant individuals 9 ! ,/ate dur+ !   
fiscal ye>4  7v7 ,/ati/ical adju/m5t    
model ,! ,secret>y %all use an objective
 /ati/ical model to make adju/m5ts to ! 
requisite levels ( p]=mance = ! economic
 conditions & *>act]i/ics ( ! relevant  
individuals1 & %all consult ) !         
,secret>y ( ,labor to develop a model t 
is ! same z or simil> to ! model        
describ$ 9 section                      
#aaf7;b77#c77;,a77viii7 ( ! ,work=ce    
,innovation & ,opportunity ,act 7#bi    
,u4,s4,c4 #cada7;b77#c77;,a77viii774    
7vi7 ,def9ition ( exit ,9 ?is p>agraph1 

! t]m exit means1 ) respect to a ,/ate  
program fund$ "u ?is "p1 ceases to a    
receive a ,,jobs b5efit "u ! program4   
7,f7 ,/ate option to e/abli% common exit
 measures ,not)/&+ subp>agraph 7,e77vi7 
( ?is p>agraph1 a ,/ate t has n provid$ 
! notification "u section               
#aba7;b77#a77;,c77ii7 ( ! ,work=ce      
,innovation & ,opportunity ,act to      
exclude ! ,/ate program fund$ "u ?is "p 
z a m&atory "o-/op p>tn] may adopt an   
alt]native def9ition ( exit = ! purpose 
( creat+ common exit measures to improve
 alignm5t ) work=ce programs op]at$ "u  
title ,i ( su* ,act4  7,g7 ,regulations 
,9 ord] to ensure nationwide            
comp>ability ( data1 ! ,secret>y1 aft]  
consultation ) ! ,secret>y ( ,labor & ) 
,/ates1 %all issue regulations gov]n+ ! 
e/abli%m5t ( ! p]=mance acc\ntability   
sy/em "u ?is p>agraph & a template =    
p]=mance reports to be us$ by all ,/ates
 consi/5t ) subsection 7b74  4  7#b7    
,reports on /ate p]=mance on ,,hhs onl9e
 da%bo>d ,section #djg7;b7 7#db         

,u4,s4,c4 #fjg7;b77 is am5d$ to read z  
foll[s3  7b7 ,publication ( ,/ate       
p]=mance ,! ,secret>y %all1 directly or 
?r\gh ! use ( grants or contracts1      
e/abli% & op]ate an ,int]net website t  
is accessible to ! public1 ) a da%bo>d t
 is regul>ly updat$ & provides          
easy-to-und]/& in=mation on ! p]=mance (
 ea* ,/ate program fund$ "u ?is "p1     
includ+ a pr(ile = ea* su* program1     
express$ by use ( a template1 :i* %all  
include--  7#a7 in=mation on !          
indicators & requisite p]=mance levels  
e/abli%$ = ! ,/ate "u subsection 7a71   
includ+1 ) respect to ea* su* level1    
:e!r ! ,/ate a*ieves1 exce$s1 or fails  
to a*ieve ! level on an ongo+ basis1    
includ+--  7,a7 in=mation on any        
adju/m5ts made to ! requisite levels us+
 ! /ati/ical adju/m5t model describ$ 9  
subsection 7a77#c77;,d77v72 &  7,b7 a   
grade bas$ on ! ov]all p]=mance ( !     
,/ate1 z det]m9$ by ! ,secret>y & 9     
consultation ) ! ,/ate1 & ! ov]all      
p]=mance %all be grad$ bas$ on !        

p]=mance indicators & weights = ea* su* 
indicator z describ$ 9 subsection 7a72  
7#b7 in=mation report$ "u section #daa  
on ! *>act]i/ics & demographics (       
individuals receiv+ assi/ance "u ! ,/ate
 program1 includ+--  7,a7 ! numb] &     
p]c5tage ( *ild-only cases & reason :y !
 cases are *ild-only2 &  7,b7 ! av]age  
weekly numb] ( h\rs t ea* "w-eligible   
individual 9 ! ,/ate program p>ticipates
 9 "w activities1 includ+ a sep>ate     
section %[+ ! numb] & p]c5tage ( !      
"w-eligible individuals ) z]o h\rs ( !  
p>ticipation & ! reason =               
non-p>ticipation2  7#c7 in=mation on !  
results ( improp] paym5ts reviews2  7#d7
 a l9k to ! ,/ate plan approv$ "u       
section #djb2 &  7#e7 in=mation reg>d+  
any p5alty impos$1 or o!r corrective    
action tak51 by ! ,secret>y aga9/ a     
,/ate = fail+ to a*ieve a requisite     
p]=mance level or any o!r requirem5t    
impos$ by or "u ?is "p4  4  7#c7        
,modification ( rules = det]m9+ :e!r an 
individual is engag$ 9 "w ,section      

#djg7;c7 7#db ,u4,s4,c4 #fjg7;c77 is    
am5d$-- 7,a7 9 p>agraph 7#a7--  7i7 9   
subp>agraph 7,a7-- 7,i7 by /rik+ ,=     
purposes ( subsection 7b77#a77;,b77i71 a
 & ins]t+ ,a2 &  7,,ii7 by /rik+ 1 n    
few] ?an & all t foll[s ?r\gh ?is       
subsection2 &  7ii7 9 subp>agraph 7,b7--
  7,i7 9 ! matt] prec$+ clause 7i71 by  
/rik+ ,= purposes ( subsection          
7b77#b77;,b71 an & ins]t+ ,an2  7,,ii7 9
 clause 7i71 by /rik+ 1 n few] ?an & all
 t foll[s ?r\gh ?is subsection2 &       
7,,iii7 9 clause 7ii71 by /rik+ 1 n few]
 ?an & all t foll[s ?r\gh subsection    
7d72 &  7,b7 9 p>agraph 7#b7--  7i7 by  
/rik+ subp>agraphs 7,a7 & 7,d72  7ii7 9 
ea* ( subp>agraphs 7,b7 & 7,c71 by /rik+
 ,= purposes ( det]m9+ mon?ly           
p>ticipation rates "u subsection        
7b77#a77;,b77i71 a & ins]t+ ,a2  7iii7  
by r$esignat+ subp>agraphs 7,b7 & 7,c7 z
 subp>agraphs 7,a7 & 7,b71 respectively2
 &  7iv7 by add+ at ! end ! foll[+3     
7,c7 ,/ate option = p>ticipation        
requirem5t exemptions ,= any fiscal ye>1

 a ,/ate may1 at its option1 n require  
an individual :o is a s+le cu/odial p>5t
 c>+ = a *ild :o has n atta9$ #ab mon?s 
( age to engage 9 "w1 = n m ?an #ab     
mon?s4  4  7#d7 ,modifications to       
all[able "w activities ,section #djg7;d7
 7#db ,u4,s4,c4 #fjg7;d77 is am5d$--    
7,a7 9 p>agraph 7#e71 by ins]t+ 1       
includ+ appr5tice%ip be=e ! semicolon2  
7,b7 9 p>agraph 7#f71 by ins]t+ sup]vis$
 be=e job se>*2  7,c7 9 p>agraph 7#h71  
by /rik+ 7n to exce$ #ab mon?s ) respect
 to any individual7 & ins]t+ 1 includ+  
c>e] te*nical education2  7,d7 9        
p>agraph 7#aa71 by /rik+ & at ! end2    
7,e7 9 p>agraph 7#ab71 by /rik+ ! p]iod 
& ins]t+ 2 &2 &  7,f7 by add+ at ! end !
 foll[+3  7#ac7 p>ticipation 9 an 9-home
 program tea*+ p>5t+ skills t complies )
 ! requirem5ts ( section #djg7;c74  4   
7#e7 ,p5alty aga9/ ,/ates  7,a7 ,9 g5]al
 ,section #dji7;a77#c7 7#db ,u4,s4,c4   
#fji7;a77#c77 is am5d$ by /rik+ all t   
prec$es subp>agraph 7,b7 & ins]t+ !     
foll[+3  7#c7 ,failure to satisfy "w    

outcomes & "w engagem5t  7,a7 ,9 g5]al  
,if ! ,secret>y det]m9es t a ,/ate to   
:i* a grant is made "u section #djc = a 
fiscal ye> has fail$ to comply ) any (  
section #djg7;a77#a71 section           
#djh7;b77#c71 or section #djh7;b77#d7 = 
! fiscal ye>1 ! ,secret>y %all r$uce !  
grant payable to ! ,/ate "u section     
#djc7;a77#a7 = ! imm$iately succe$+     
fiscal ye> by an am\nt equal to !       
applicable p]c5tage ( ! ,/ate family    
assi/ance grant4  4  7,b7 ,transition   
rule ,! ,secret>y ( ,heal? & ,human     
,s]vices may n impose a p5alty "u       
section #dji7;a77#c7 ( ! ,social        
,security ,act by reason ( ! failure ( a
 ,/ate to comply ) section #djg7;a7 (   
su* ,act = any fiscal ye> be=e fiscal   
ye> #bjba4  7#f7 ,pro rata r$uction (   
assi/ance = individual noncompliance    
,section #djg7;e7 7#db ,u4,s4,c4        
#fjg7;e77 is am5d$ by add+ at ! end !   
foll[+3  7#c7 ,pro rata r$uction ,=     
purposes ( p>agraph 7#a77;,a71 ! am\nt (
 a pro rata r$uction 9 assi/ance %all be

 det]m9$ by multiply+ ! total am\nt (   
mon?ly assi/ance t w\ld1 9 ! abs5ce ( ! 
application ( ?is p>agraph1 be paid to !
 entire family1 by ! ratio (--  7,a7 !  
numb] ( h\rs ( requir$ "w activities z  
designat$ 9 subsection 7d7 actually     
p]=m$ by ! individual dur+ ! mon?2 to   
7,b7 ! numb] ( h\rs ( "w activities t ! 
individual 0 requir$ to p]=m dur+ ! mon?
 9 accordance ) subsection 7c74  7#d7   
,p5alties & engagem5t  7,a7 ,9 g5]al    
,subject to ! limitation 9 7,b71 if 9 a 
giv5 mon? an individual :o receiv$      
assi/ance "u ?is "p 0 requir$ to engage 
9 "w "u section #djh7;b77#d71 fail$ to  
fulfill ^? obligations & 0 subsequ5tly  
sanction$ 9 accordance ) section        
#djg7;e77#b7 & 7#c71 t individual %all  
judg$ to be engag$ 9 "w = t mon? =      
purposes ( section #djh7;b77#d74  7,b7  
,limitation ,if an individual receives  
no b5efits = two consecutive mon?s due  
to sanction+ "u section #djg7;e77#b7 &  
7#c71 t individual %all n be c\nt$ z    
engag$ 9 "w 9 subsequ5t mon?s = purposes

 ( section #djh7;b77#d7 unless actual "w
 9 accordance ) section #djg7;d7 0      
resum$4  4  7#g7 ,con=m+ am5dm5t ,!     
head+ ( section #dab7;c7 7#db ,u4,s4,c4 
#fab7;c77 is am5d$ by /rik+ ,m9imum ,"w 
,p>ticipation ,requirem5ts & ins]t+     
,requirem5ts = "w outcome measures4  7f7
 ,t>get+ funds to truly ne$y families   
7#a7 ,prohibition on use ( funds =      
families ) income great] ?an twice !    
pov]ty l9e ,section #djd7k7 7#db        
,u4,s4,c4 #fjd7k77 is am5d$ to read z   
foll[s3  7k7 ,prohibitions  7#a7 ,use ( 
funds = p]sons ) income great] ?an twice
 ! pov]ty l9e ,a ,/ate to :i* a grant is
 made "u ?is "p %all n use ! grant to   
provide any assi/ance or s]vices to a   
family ^: mon?ly income exce$s twice !  
pov]ty l9e 7z def9$ by ! ,(fice (       
,managem5t & ,budget1 & revis$ annually 
9 accordance ) section #fgc7b7 ( !      
,omnibus ,budget ,reconciliation ,act ( 
#aiha 7#db ,u4,s4,c4 #iijb7b7774  4     
7#b7 ,elim9ation ( limitation on use (  
funds = case managem5t activities       

,section #djd7;b77#b7 7#db ,u4,s4,c4    
#fjd7;b77#b77 is am5d$ to read z foll[s3
  7#b7 ,exceptions ,p>agraph 7#a7 ( ?is 
subsection %all n apply to ! use ( a    
grant =--  7,a7 in=mation te*nology &   
comput]ization ne$$ = track+1 monitor+1 
or data collection requir$ by or "u ?is 
"p2 or  7,b7 case managem5t activities  
to c>ry out section #djh7;b74  4  7#c7  
,prohibition on use ( funds = direct    
sp5d+ on *ild c>e s]vices or activities 
,section #djd7k7 7#db ,u4,s4,c4         
#fjd7k771 z am5d$ by subsection 7a7 (   
?is section1 is am5d$ by add+ at ! end !
 foll[+3  7#b7 ,direct sp5d+ on *ild c>e
 s]vices or activities ,a ,/ate to :i* a
 grant is made "u ?is "p %all n use !   
grant = direct sp5d+ on *ild c>e & o!r  
e>ly *ildhood education programs1       
s]vices1 or activities4  4  7#d7        
,limitation on use ( funds = *ild welf>e
 s]vices or activities ,section #djd7k7 
7#db ,u4,s4,c4 #fjd7k771 z am5d$ by     
subsections 7a7 & 7c7 ( ?is section1 is 
am5d$--  7,a7 9 ! subsection head+1 by  

ins]t+ 2 limitation aft] ,prohibitions2 
&  7,b7 by add+ at ! end ! foll[+3  7#c7
 ,limitation on use ( funds = *ild      
welf>e s]vices or activities ,a ,/ate   
may use n m ?an #aj p]c5t ( a grant made
 to ! ,/ate "u section #djc7;a77#a7 =   
*ild welf>e s]vices or activities1 tak+ 
into acc\nt any am\nt transf]r$ "u      
subsection 7d77#b7 ( ?is section4  4    
7#e7 ,expansion ( au?ority ,to transf]  
funds ,section #djd7;d7 7#db ,u4,s4,c4  
#fjd7;d77 is am5d$ by /rik+ p>agraphs   
7#a7 ?r\gh 7#c7 & ins]t+ ! foll[+3  7#a7
 ,9 g5]al ,a ,/ate may transf] n m ?an  
#ej p]c5t ( ! grant made to ! ,/ate "u  
section #djc7;a77#a7 to a ,/ate program 
pursuant to any or all ( ! foll[+       
provisions ( law3  7,a7 ,! ,*ild ,c>e & 
,developm5t ,block ,grant ,act ( #aiij4 
7,b7 ,title ,i ( ! ,work=ce ,innovation 
& ,opportunity ,act4  7,c7 ,subp>t #a ( 
"p ,b ( ?is title4  7#b7 ,limitation on 
am\nt transf]able to subp>t #a ( "p b ,a
 ,/ate may transf] n m ?an #aj p]c5t ( a
 grant made to ! ,/ate "u section       

#djc7;a77#a7 to c>ry out ,/ate programs 
op]at$ pursuant to ! ,/ate plan develop$
 "u subp>t #a ( "p ,b1 tak+ into acc\nt 
any am\nt us$ z describ$ 9 subsection   
7k77#c7 ( ?is section4  7#c7 ,applicable
 rules  7,a7 ,9 g5]al ,except z provid$ 
9 subp>agraph 7,b7 ( ?is p>agraph1 any  
am\nt paid to a ,/ate "u ?is "p t is us$
 to c>ry out a ,/ate program pursuant to
 a provision ( law specifi$ 9 p>agraph  
7#a7 %all n be subject to ! requirem5ts 
( ?is "p1 b %all be subject to !        
requirem5ts t apply to ,f$]al funds     
provid$ directly "u ! provision ( law to
 c>ry out ! program1 & ! exp5diture (   
any am\nt s us$ %all n be consid]$ to be
 an exp5diture "u ?is "p4  7,b7 ,funds  
transf]r$ to ! ,,wioa ,9 ! case ( funds 
transf]r$ "u p>agraph 7#a77;,b7 ( ?is   
subsection-- 7i7 ! ,/ate %all provide an
 assurance t ! funds w be us$ to support
 individuals eligible = assi/ance or    
s]vices "u ?is "p pursuant to subsection
 7k77#a72 &  7ii7 n m ?an #ae p]c5t ( ! 
funds w be res]v$ = /atewide work=ce    

inve/m5t activities ref]r$ to 9 section 
#abh7;a77#a7 ( ! ,work=ce ,innovation & 
,opportunity ,act4  7#d7 ,,wioa transf] 
au?ority n available to ,/ates exclud+ !
 ,/ate ,,jobs program z a m&atory "o-/op
 p>tn] "u ! ,,wioa ,! au?ority provid$  
by p>agraph 7#a77;,b7 ( ?is subsection  
may n be ex]cis$ by a ,/ate t has       
provid$ ! notification ref]r$ to 9      
section #djg7;a77#b77;,f74  4  7g7      
,t>get+ funds to core purposes  7#a7    
,requirem5t t ,/ates res]ve #be p]c5t ( 
,,jobs grant = sp5d+ on core activities 
,section #djh7;a7 7#db ,u4,s4,c4        
#fjh7;a77 is am5d$ by add+ at ! end !   
foll[+3  7#ac7 ,requirem5t t ,/ates     
res]ve #be p]c5t ( ,,jobs grant = sp5d+ 
on core activities ,a ,/ate to :i* a    
grant is made "u section #djc7;a77#a7 = 
a fiscal ye> %all exp5d n less ?an #be  
p]c5t ( ! grant on assi/ance1 case      
managem5t1 "w supports & supportive     
s]vices1 "w1 wage subsidies1 "w         
activities 7z def9$ 9 section #djg7;d771
 & non-recurr+ %ort-t]m b5efits4  4     

7#b7 ,requirem5t t at lea/ #be p]c5t (  
qualifi$ ,/ate exp5ditures be = core    
activities ,section #djh7;a7 7#db       
,u4,s4,c4 #fjh7;a771 z am5d$ by         
subsection 7a7 ( ?is section1 is am5d$  
by add+ at ! end ! foll[+3  7#ad7       
,requirem5t t at lea/ #be p]c5t (       
qualifi$ ,/ate exp5ditures be = core    
activities ,n less ?an #be p]c5t ( !    
qualifi$ ,/ate exp5ditures 7z def9$ 9   
section #dji7;a77#g77;,b77ii77 ( a ,/ate
 dur+ ! fiscal ye> %all be = assi/ance1 
case managem5t1 "w supports & supportive
 s]vices1 "w1 wage subsidies1 "w        
activities 7z def9$ 9 section #djg7;d771
 & non-recurr+ %ort-t]m b5efits4  4     
7#c7 ,phase-,out ( c\nt+ ( ?ird-,p>ty   
contributions z qualifi$ ,/ate          
exp5ditures ,section #djh7;a7 7#db      
,u4,s4,c4 #fjh7;a771 z am5d$ by         
subsections 7a7 & 7b7 ( ?is section1 is 
am5d$ by add+ at ! end ! foll[+3  7#ae7 
,phase-out ( c\nt+ ( ?ird-p>ty          
contributions z qualifi$ ,/ate          
exp5ditures  7,a7 ,9 g5]al ,! qualifi$  

,/ate exp5ditures 7z def9$ 9 section    
#dji7;a77#g77;,b77i77 ( a ,/ate = a     
fiscal ye> t are attributable to ! value
 ( goods & s]vices provid$ by a s\rce   
o!r ?an a ,/ate or local gov]nm5t %all n
 exce$ ! applicable p]c5tage ( !        
exp5ditures = ! fiscal ye>4  7,b7       
,applicable p]c5tage ,9 subp>agraph     
7,a71 ! t]m applicable p]c5tage means1 )
 respect to a fiscal ye>-- 7i7 #ge      
p]c5t1 9 ! case ( fiscal ye> #bjbj2     
7ii7 #ej p]c5t1 9 ! case ( fiscal ye>   
#bjba2  7iii7 #be p]c5t1 9 ! case (     
fiscal ye> #bjbb2 &  7iv7 #j p]c5t1 9 ! 
case ( fiscal ye> #bjbc or any succe$+  
fiscal ye>4  4  7h7 ,/r5g!n+ program    
integrity by measur+ improp] paym5ts    
,section #djd 7#db ,u4,s4,c4 #fjd7 is   
am5d$ by add+ at ! end ! foll[+3  7l7   
,applicability ( improp] paym5ts laws   
7#a7 ,9 g5]al ,! ,improp] ,paym5ts      
,in=mation ,act ( #bjjb & ! ,improp]    
,paym5ts ,elim9ation & ,recov]y ,act (  
#bjaj %all apply to a ,/ate 9 respect ( 
! ,/ate program fund$ "u ?is "p 9 ! same

 mann] 9 :i* su* ,acts apply to a ,f$]al
 ag5cy4  7#b7 ,regulations ,)9 #b ye>s  
aft] ! date ( ! enactm5t ( ?is          
subsection1 ! ,secret>y %all prescribe  
regulations gov]n+ h[ a ,/ate reviews & 
reports improp] paym5ts "u ! ,/ate      
program fund$ "u ?is "p4  4  7i7        
,prohibition on ,/ate div]sion ( ,f$]al 
funds ,to replace ,/ate sp5d+  7#a7 ,9  
g5]al ,section #djh7;a7 7#db ,u4,s4,c4  
#fjh7;a771 z am5d$ by section #i ( ?is  
,act1 is am5d$ by add+ at ! end !       
foll[+3  7#af7 ,non-supplantation       
requirem5t ,funds made available to a   
,/ate "u ?is "p %all be us$ to          
supplem5t1 n supplant1 ,/ate g5]al      
rev5ue sp5d+ on activities describ$ 9   
section #djd4  4  7#b7 ,effective date  
,! am5dm5t made by p>agraph 7#a7 %all   
take effect on ,octob] #a1 #bjbj4  7j7  
,inclusion ( pov]ty r$uction z a program
 purpose ,section #dja7;a7 7#db         
,u4,s4,c4 #fja7;a77 is am5d$--  7#a7 by 
/rik+ & at ! end ( p>agraph 7#c72  7#b7 
by /rik+ ! p]iod at ! end ( p>agraph    

7#d7 & ins]t+ 2 &2 &  7#c7 by add+ at ! 
end ! foll[+3  7#e7 r$uce *ild pov]ty by
 increas+ employm5t entry1 ret5tion1 &  
advancem5t ( ne$y p>5ts4  4  7k7 ,welf>e
 = ne$s n we$  7#a7 ,prohibition        
,section #djh7;a77#ab77;,a7 7#db        
,u4,s4,c4 #fjh7;a77#ab77;,a77 is am5d$--
 7,a7 by /rik+ or at ! end ( clause     
7ii72  7,b7 by /rik+ ! p]iod at ! end ( 
clause 7iii7 & ins]t+ 2 or2 &  7,c7 by  
add+ at ! end ! foll[+3  7iv7 any       
e/abli%m5t t (f]s m>ihuana 7z def9$ 9   
section #ajb7af7 ( ! ,controll$         
,sub/ances ,act7 = sale4  4  7#b7       
,effective date ,! am5dm5ts made by     
p>agraph 7#a7 %all take effect on ! date
 t is #c ye>s aft] ! date ( ! enactm5t (
 ?is ,act4  7l7 ,/r5g!n+ acc\ntability  
?r\gh ,,hhs approval ( ,/ate plans  7#a7
 ,9 g5]al ,section #djb 7#db ,u4,s4,c4  
#fjb7 is am5d$-- 7,a7 9 subsection 7a7--
  7i7 9 ! matt] prec$+ p>agraph 7#a7--  
7,i7 by /rik+ #bg-mon? & ins]t+         
#bd-mon?2 &  7,,ii7 by /rik+ f\nd &     
ins]t+ approv$ t2 &  7ii7 9 p>agraph    

7#a7--  7,i7 9 subp>agraph 7,a7-- 7aa7  
by /rik+ clauses 7ii7 & 7iii7 & ins]t+ !
 foll[+3  7ii7 ,require "w-eligible     
individuals 7z def9$ 9 ! regulations    
promulgat$ pursuant to section          
#djg7;i77#a77;,a77i77 to engage 9 "w    
activities consi/5t ) section #djg7;c74 
,! docum5t %all describe any 9-home     
p>5t+ program p>ticipation 9 :i* w be   
consid]$ by ! ,/ate z a "w activity     
pursuant to section #djg7;d77#ac74  2   
7bb7 by r$esignat+ clauses 7iv7 ?r\gh   
7viii7 z clauses 7iii7 ?r\gh 7vii71     
respectively2 &  7cc7 by add+ at ! end !
 foll[+3  7viii7 ,describe ! case       
managem5t practices ( ! ,/ate ) respect 
to ! requirem5ts ( section #djh7;b71    
provide a copy ( ! =m or =ms t w be us$ 
to assess a "w-eligible individual 7z s 
def9$7 & prep>e an individual           
opportunity plan = ! individual1        
describe h[ ! ,/ate w ensure t su* a    
plan is review$ 9 accordance ) section  
#djh7;b77#f71 & describe h[ ! ,/ate w   
measure progress "u ! plan4  7ix7       

,propose ! requisite levels ( p]=mance =
 ! ,/ate = purposes ( section #djg7;a7 =
 ea* ye> 9 ! #b-ye> p]iod ref]r$ to 9   
subsection 7d7 ( ?is section1 & provide 
an explanation ) support+ data ( :y ea* 
su* level is appropriate4  7x7 ,describe
 h[ ! ,/ate w engage l[-income          
noncu/odial p>5ts :o owe *ild support & 
h[ su* a p>5t w be provid$ ) access to  
"w support & o!r s]vices "u ! program to
 :i* ! p>5t is ref]r$ to support _!     
employm5t & advancem5t4  7xi7 ,describe 
h[ ! ,/ate w comply ) improp] paym5ts   
provisions 9 section #djd7l74  7xii7    
,describe coord9ation ) o!r programs1   
includ+ :e!r ! ,/ate int5ds to ex]cise  
au?ority provid$ by section #djd7;d7 (  
?is ,act to transf] any funds paid to ! 
,/ate "u ?is "p1 provide assurance t1 9 
! case ( a transf] to c>ry out a program
 "u title ,i ( ! ,work=ce ,innovation & 
,opportunity ,act1 ! ,/ate w comply )   
section #djd7;d77#c77;,b7 ( ?is ,act &  
coord9ate ) ! "o-/op deliv]y sy/em "u ! 
,work=ce ,innovation & ,opportunity     

,act1 & describe h[ ! ,/ate w coord9ate 
) ! programs involv$ to provide s]vices 
to families receiv+ assi/ance "u !      
program ref]r$ to 9 p>agraph 7#a7 ( ?is 
subsection4  7xiii7 ,describe h[ ! ,/ate
 w promote m>riage1 su* z ?r\gh tempor>y
 disreg>d ( ! income ( a new sp\se :5 an
 individual receiv+ assi/ance "u ! ,/ate
 program m>ries s t ! c\ple doesn't     
automatically lose b5efits due to       
m>riage4  7xiv7 ,describe h[ ! ,/ate w  
all[ = a transitional p]iod ( b5efits1  
su* z ?r\gh tempor>y e>n$ income        
disreg>ds or a gradual r$uction 9 !     
mon?ly b5efit am\nt1 = an individual    
receiv+ assi/ance :o obta9s employm5t & 
becomes ineligible due to an increase 9 
income obta9$ ?r\gh employm5t or ?r\gh  
an increase 9 wages4  2 &  7,,ii7 9     
subp>agraph 7,b71 by /rik+ clauses 7iv7 
& 7v72  7,b7 by /rik+ subsection 7c7 &  
ins]t+ ! foll[+3  7c7 ,public           
availability ( ,/ate plans ,! ,secret>y 
%all make available to ! public a l9k to
 any plan or plan am5dm5t submitt$ by a 

,/ate "u ?is subsection4  2 &  7,c7 by  
add+ at ! end ! foll[+3  7d7 #b-,ye>    
plan ,a plan submitt$ pursuant to ?is   
section %all be design$ to be implem5t$ 
dur+ a #b-ye> p]iod4  7e7 ,comb9$ plan  
all[$ ,a ,/ate may submit to ! ,secret>y
 & ! ,secret>y ( ,labor a comb9$ ,/ate  
plan t meets ! requirem5ts ( subsections
 7a7 & 7d7 & t is = programs &          
activities "u ! ,work=ce ,innovation &  
,opportunity ,act4  7f7 ,approval (     
plans ,! ,secret>y %all approve any plan
 submitt$ pursuant to ?is section t     
meets ! requirem5ts ( subsections 7a7   
?r\gh 7d74  4  7#b7 ,duties ( !         
,secret>y  7,a7 ,coord9ation (          
activities2 dissem9ation ( in=mation    
,section #daf 7#db ,u4,s4,c4 #faf7 is   
am5d$-- 7i7 by ins]t+ 7a7 ,9 g5]al4--   
be=e ,! programs2 &  7ii7 by add+ at !  
end ! foll[+3  7b7 ,coord9ation (       
activities ,! ,secret>y %all coord9ate  
all activities ( ! ,dep>tm5t ( ,heal? & 
,human ,s]vices relat+ to "w activities 
7z def9$ 9 section #djg7;d77 &          

requirem5ts & measurem5t ( employm5t    
outcomes1 &1 to ! maximum ext5t         
practicable1 coord9ate ! activities ( ! 
,dep>tm5t 9 ?is reg>d ) simil>          
activities ( o!r ,f$]al entities4  7c7  
,dissem9ation ( in=mation ,! ,secret>y  
%all dissem9ate1 = volunt>y in=mational 
purposes1 in=mation on practices t      
sci5tifically valid rese>* indicates are
 mo/ successful 9 improv+ ! quality (   
,/ate & tribal programs fund$ "u ?is "p4
  4  7#c7 ,te*nical assi/ance  7,a7 ,9  
g5]al ,section #djf 7#db ,u4,s4,c4 #fjf7
 is am5d$ to read z foll[s3  #djf4      
,te*nical assi/ance  7a7 ,9 g5]al ,!    
,secret>y %all provide te*nical         
assi/ance to ,/ates & ,indian tribes    
7:i* may include provid+ te*nical       
assi/ance on a reimbursable basis71 :i* 
%all be provid$ by qualifi$ exp]ts on   
practices gr\nd$ 9 sci5tifically valid  
rese>*1 :]e appropriate1 to support     
activities relat$ to publication ( ,/ate
 p]=mance "u section #djg7;b7 & to c>ry 
out ,/ate & tribal programs fund$ "u ?is

 "p4  7b7 ,res]vation ( funds ,!        
,secret>y %all res]ve n m ?an #j4be     
p]c5t ( ! am\nt appropriat$ by section  
#djc7;a77#a77;,c7 = a fiscal ye> to c>ry
 out subsection 7a7 ( ?is section4  4   
7,b7 ,con=m+ am5dm5t ,section           
#djc7;a77#a77;,b7 7#db ,u4,s4,c4        
#fjc7;a77#a77;,b77 is am5d$ by /rik+    
p]c5tage specifi$ 9 section #dac7;h77#a7
 & ins]t+ ! sum ( ! p]c5tages specifi$ 9
 sections #djf7;b7 & #dac7;h74  7m7     
,align+ & improv+ data report+  7#a7    
,requirem5t t ,/ates report             
full-,population data ,section          
#daa7;a77#a7 7#db ,u4,s4,c4             
#faa7;a77#a77 is am5d$--  7,a7 by /rik+ 
subp>agraph 7,b72  7,b7 by /rik+ 7#a7   
,g5]al report+ requirem5t4--2 &  7,c7   
by-- 7i7 r$esignat+--  7,i7 subp>agraph 
7,a7 z p>agraph 7#a72  7,,ii7 clauses   
7i7 ?r\gh 7xvii7 ( subp>agraph 7,a7 z   
subp>agraphs 7,a7 ?r\gh 7,q71           
respectively2  7,,iii7 subclauses 7,i7  
?r\gh 7,v7 ( clause 7ii7 z clauses 7i7  
?r\gh 7v71 respectively2  7,,iv7        

subclauses 7,i7 ?r\gh 7,,vii7 ( clause  
7xi7 z clauses 7i7 ?r\gh 7vii71         
respectively2 &  7,v7 subclauses 7,i7   
?r\gh 7,v7 ( clause 7xvi7 z clauses 7i7 
?r\gh 7v71 respectively2 &  7ii7 mov+   
ea* su* r$esignat$ provision #b ems to !
 left4  7#b7 ,report on p>ticipation 9  
"w activities ,section #daa7;a77#a7 7#db
 ,u4,s4,c4 #faa7;a77#a771 z am5d$ by    
subsection 7a77#c7 ( ?is section1 is    
am5d$ by /rik+ subp>agraphs 7,k7 & 7,l7 
& ins]t+ ! foll[+3  7,k7 ,! "w          
eligibility /atus ( ea* individual 9 !  
family1 &-- 7i7 9 ! case ( ea*          
"w-eligible individual 7z def9$ 9 !     
regulations promulgat$ pursuant to      
section #djg7;i77#a77;,a77i77 9 !       
family--  7,i7 ! numb] ( h\rs 7includ+  
z]o h\rs7 p] mon? ( p>ticipation 9--    
7aa7 "w activities 7z def9$ 9 section   
#djg7;d772 &  7bb7 any o!r activity     
requir$ by ! ,/ate to remove a b>ri] to 
employm5t2 &  7ii7 9 ! case ( ea*       
individual 9 ! family :o is n a         
"w-eligible individual 7z s def9$71 !   

reason = t /atus4  7,l7 ,= ea*          
"w-eligible individual 7z s def9$7 & ea*
 adult 9 ! family :o did n p>ticipate 9 
"w activities 7z s def9$7 dur+ a mon?1 !
 reason = ! lack ( p>ticipation4  4     
7#c7 ,report+ ( in=mation on employm5t &
 e>n+s outcomes ,section #daa7;c7 7#db  
,u4,s4,c4 #faa7;c77 is am5d$ to read z  
foll[s3  7c7 ,report+ ( in=mation on    
employm5t & e>n+s outcomes ,! ,secret>y1
 9 consultation ) ! ,secret>y ( ,labor1 
%all det]m9e ! in=mation t is necess>y  
to compute ! employm5t & e>n+s outcomes 
& ! /ati/ical adju/m5t model = !        
employm5t & e>n+s outcomes requir$ "u   
section #djg1 & ea* eligible ,/ate %all 
collect & report t in=mation to !       
,secret>y4  4  7n7 ,te*nical corrections
 to data ex*ange /&>ds ,to improve      
program coord9ation  7#a7 ,9 g5]al      
,section #daa7;d7 7#db ,u4,s4,c4        
#faa7;d77 is am5d$ to read z foll[s3    
7d7 ,data ex*ange /&>ds = improv$       
int]op]ability  7#a7 ,designation ,!    
,secret>y %all1 9 consultation ) an     

int]ag5cy "w gr\p e/abli%$ by ! ,(fice (
 ,managem5t & ,budget & consid]+ ,/ate  
gov]nm5t p]spectives1 by rule1 designate
 data ex*ange /&>ds to gov]n1 "u ?is    
"p--  7,a7 necess>y categories (        
in=mation t ,/ate ag5cies op]at+        
programs "u ,/ate plans approv$ "u ?is  
"p are requir$ "u applicable ,f$]al law 
to electronically ex*ange ) ano!r ,/ate 
ag5cy2 &  7,b7 ,f$]al report+ & data    
ex*ange requir$ "u applicable ,f$]al    
law4  7#b7 ,requirem5ts ,! data ex*ange 
/&>ds requir$ by p>agraph 7#a7 %all1 to 
! ext5t practicable--  7,a7 incorporate 
a widely accept$1 non-propriet>y1       
se>*able1 comput]-readable =mat1 su* z !
 e,xtensible ,m>kup ,language2  7,b7    
conta9 int]op]able /&>ds develop$ &     
ma9ta9$ by int]gov]nm5tal p>tn]%ips1 su*
 z ! ,national ,in=mation ,ex*ange      
,model2  7,c7 incorporate int]op]able   
/&>ds develop$ & ma9ta9$ by ,f$]al      
entities ) au?ority ov] contract+ &     
f9ancial assi/ance2  7,d7 be consi/5t ) 
& implem5t applicable acc\nt+ pr9ciples2

  7,e7 be implem5t$ 9 a mann] t is      
co/-effective & improves program        
effici5cy & effectiv5ess2 &  7,f7 be    
capable ( be+ cont9ually upgrad$ z      
necess>y4  7#c7 ,rule ( con/ruction     
,no?+ 9 ?is subsection %all be con/ru$  
to require a *ange to exi/+ data ex*ange
 /&>ds f\nd to be effective & effici5t4 
4  7#b7 ,effective date ,n lat] ?an !   
date t is #bd mon?s aft] ! date ( !     
enactm5t ( ?is subsection1 ! ,secret>y (
 ,heal? & ,human ,s]vices %all issue a  
propos$ rule t--  7,a7 id5tifies f$]ally
 requir$ data ex*anges1 include         
specification & tim+ ( ex*anges to be   
/&>diz$1 & address ! factors us$ 9      
det]m9+ :e!r & :5 to /&>dize data       
ex*anges2 &  7,b7 specifies ,/ate       
implem5tation options & describes future
 mile/ones4  7o7 ,set-,aside = economic 
d[nturns ,section #djd7;e7 7#db         
,u4,s4,c4 #fjd7;e77 is am5d$ to read z  
foll[s3  7e7 ,deadl9es = obligation &   
exp5ditures ( funds by ,/ates  7#a7 ,9  
g5]al ,except z provid$ 9 p>agraph 7#b71

 a ,/ate to :i* a grant is made "u      
section #djc7;a77#a7 %all obligate !    
funds )9 #b ye>s aft] ! date ! funds are
 made available1 & %all exp5d ! funds )9
 #c ye>s aft] su* date4  7#b7 ,exception
 = limit$ am\nt ( funds set aside =     
future use  7,a7 ,9 g5]al ,a ,/ate to   
:i* funds are paid "u section           
#djc7;a77#a7 may res]ve n m ?an #ae     
p]c5t ( ! funds = use 9 ! ,/ate program 
fund$ "u ?is "p )\t fiscal ye>          
limitation4  7,b7 ,notice ( int5t to    
res]ve funds ,a ,/ate t int5ds to res]ve
 funds paid to ! ,/ate "u section       
#djb7;a77#a7 %all notify ! ,secret>y ( !
 int5tion n lat] ?an ! end ( ! p]iod 9  
:i* ! funds are available = obligation  
)\t reg>d to subp>agraph 7,a7 ( ?is     
p>agraph4  4  7p7 ,def9itions relat$ to 
use ( funds ,section #dai 7#db ,u4,s4,c4
 #fai7 is am5d$ by add+ at ! end !      
foll[+3  7#f7 ,assi/ance ,! t]m         
assi/ance means ca%1 paym5ts1 v\*]s1 &  
o!r =ms ( b5efits design$ to meet a     
family's ongo+ basic ne$s 7su* z = food1

 clo?+1 %elt]1 utilities1 h\sehold      
goods1 p]sonal c>e items1 & g5]al       
incid5tal exp5ses74  7#g7 ,"w supports  
,! t]m "w supports means assi/ance &    
non-assi/ance transportation b5efits    
7su* z ! value ( all[ances1 bus tok5s1  
c> paym5ts1 auto repair1 auto insurance 
reimbursem5t1 & van s]vices7 provid$ 9  
ord] to help families obta91 reta91 or  
advance 9 employm5t1 p>ticipate 9 "w    
activities 7z def9$ 9 section #djg7;d771
 or z a non-recurr5t1 %ort-t]m b5efit1  
includ+ goods provid$ to individuals 9  
ord] to help !m obta9 or ma9ta9         
employm5t 7su* z tools1 uni=ms1 fees to 
obta9 special lic5ses1 bonuses1         
inc5tives1 & "w support all[ances &     
exp5ditures = job access74  7#h7        
,supportive s]vices ,! t]m supportive   
s]vices means s]vices su* z dome/ic     
viol5ce s]vices1 & m5tal heal?1 sub/ance
 abuse & disability s]vices1 h\s+       
c\nsel+ s]vices1 & o!r family supports1 
except to ! ext5t t ! provision ( !     
s]vice w\ld violate section             

#djh7;a77#f74  7#i7 ,,jobs b5efit ,! t]m
 ,,jobs b5efit means-- 7,a7 assi/ance2  
or  7,b7 wage subsidies t are paid1 )   
funds provid$ "u section #djc7;a7 or )  
qualifi$ ,/ate exp5ditures1 ) respect to
 a p]son :o--  7i7 0 a "w-eligible      
individual 7z def9$ 9 ! regulations     
promulgat$ pursuant to section          
#djg7;i77#a77;,a77i77 at ! "t ( entry   
into subsidiz$ employm5t1 su* z on-!-job
 tra9+ or appr5tice%ip2 &  7ii7 is n    
receiv+ assi/ance4  4  7q7 ,elim9ation (
 obsolete provisions  7#a7 ,elim9ation (
 supplem5tal grants to ,/ates ,section  
#djc7;a7 7#db ,u4,s4,c4 #fjc7;a77 is    
am5d$ by /rik+ p>agraph 7#c74  7#b7     
,elim9ation ( bonus ,to rew>d high      
p]=mance ,/ates  7,a7 ,9 g5]al ,section 
#djc7;a7 7#db ,u4,s4,c4 #fjc7;a77 is    
am5d$ by /rik+ p>agraph 7#d74  7,b7     
,con=m+ am5dm5t ,section #aajh7;a77#b7  
7#db ,u4,s4,c4 #acjh7;a77#b77 is am5d$  
by /rik+ #djc7;a77#d714  7#c7           
,elim9ation ( welf>e-to-,"w grants  7,a7
 ,9 g5]al ,section #djc7;a7 7#db        

,u4,s4,c4 #fjc7;a77 is am5d$ by /rik+   
p>agraph 7#e74  7,b7 ,con=m+ am5dm5ts   
7i7 ,elim9ation ( exclusion f "t limit  
,section #djh7;a77#g7 7#db ,u4,s4,c4    
#fjh7;a77#g77 is am5d$ by /rik+         
subp>agraph 7,g74  7ii7 ,elim9ation (   
p5alty = misuse ( competitive           
welf>e-to-"w funds ,section #dji7;a77#a7
 7#db ,u4,s4,c4 #fji7;a77#a77 is am5d$  
by /rik+ subp>agraph 7,c74  7iii7       
,elim9ation ( exclusion f qualifi$ ,/ate
 exp5ditures ( ,/ate funds us$ to mat*  
welf>e-to-"w grant funds ,section       
#dji7;a77#g77;,b77iv7 7#db ,u4,s4,c4    
#fji7;a77#g77;,b77iv77 is am5d$ 9 ! #a/ 
s5t5ce--  7,i7 by add+ or at ! end (    
subclause 7,,ii72 &  7,,ii7 by /rik+    
subclause 7,,iii7 & r$esignat+ subclause
 7,,iv7 z subclause 7,,iii74  7iv7      
,elim9ation ( p5alty = failure ( /ate to
 ma9ta9 hi/oric ef=t dur+ ye> 9 :i*     
welf>e-to-"w grant is receiv$ ,section  
#dji7;a7 7#db ,u4,s4,c4 #fji7;a77 is    
am5d$ by /rik+ p>agraph 7#ac74  7v7     
,elim9ation ( requirem5ts relat+ to     

welf>e-to-"w grants 9 qu>t]ly /ate      
reports ,section #daa7;a7 7#db ,u4,s4,c4
 #faa7;a771 z am5d$ by section #ae7;a7 (
 ?is ,act1 is am5d$--  7,i7 9 p>agraph  
7#a71 by /rik+ 7except = in=mation      
relat+ to activities c>ri$ out "u       
section #djc7;a77#e772 &  7,,ii7 9 ea* (
 p>agraphs 7#b7 ?r\gh 7#d71 by /rik+ !  
comma & all t foll[s & ins]t+ a p]iod4  
7vi7 ,indian tribal programs ,section   
#dab7;a7 7#db ,u4,s4,c4 #fab7;a77 is    
am5d$ by /rik+ p>agraph 7#c74  7vii7    
,elim9ation ( requirem5t to disclose    
c]ta9 in=mation to private indu/ry      
c\ncil receiv+ welf>e-to-"w funds       
,section #ded;,a7f7 7#db ,u4,s4,c4      
#fed;a7f77 is am5d$ by /rik+ p>agraph   
7#e74  7viii7 ,grants to t]ritories     
,section #aajh7;a77#b7 7#db ,u4,s4,c4   
#acjh7;a77#b77 is am5d$ by /rik+        
#djc7;a77#e714  7#d7 ,elim9ation (      
,cont+5cy ,fund  7,a7 ,9 g5]al ,section 
#djc 7#db ,u4,s4,c4 #fjc7 is am5d$ by   
/rik+ all ( subsection 7b7 except       
p>agraph 7#e74  7,b7 ,con=m+ am5dm5ts   

7i7 ,transf] ( ne$y ,/ate def9ition     
7,i7 ,9 g5]al ,p>agraph 7#e7 ( section  
#djc7;b7 7#db ,u4,s4,c4 #fjc7;b77#e77   
is-- 7aa7 am5d$-- 7,,aa7 9 ! matt]      
prec$+ subp>agraph 7,a71 by /rik+       
p>agraph 7#d7 & ins]t+ subp>agraph 7,c72
 7,,bb7 9 ea* ( subp>agraphs 7,a7 &     
7,b71 by r$esignat+ clauses 7i7 & 7ii7 z
 subclauses 7,i7 & 7,,ii71 respectively2
 7,,cc7 by r$esignat+ subp>agraphs 7,a7 
& 7,b7 z clauses 7i7 & 7ii71            
respectively2 7,,dd7 by r$esignat+ su*  
p>agraph z subp>agraph 7,d72 & 7,,ee7 by
 mov+ ea* provision #b ems to ! "r2 &   
7bb7 z s am5d$1 h]eby transf]r$ into    
section #dji7;a77#c7 7#db ,u4,s4,c4     
#fji7;a77#c77 & add$ to ! end ( su*     
section4  7,,ii7 ,con=m+ am5dm5t        
,section #dji7;a77#c77;,c7 7#db         
,u4,s4,c4 #fji7;a77#c77;,c77 is am5d$ by
 /rik+ 7z def9$ 9 section #djc7;b77#e774
  7ii7 ,elim9ation ( p5alty = failure ( 
/ate receiv+ am\nts f cont+5cy fund to  
ma9ta9 #ajj p]c5t ( hi/oric ef=t        
,section #dji7;a7 7#db ,u4,s4,c4        

#fji7;a77 is am5d$ by /rik+ p>agraph    
7#aj74  7#e7 ,con=m+ am5dm5ts relat$ to 
elim9ation ( ,f$]al loans = /ate welf>e 
programs  7,a7 ,elim9ation ( associat$  
p5alty provision  7i7 ,9 g5]al ,section 
#dji7;a7 7#db ,u4,s4,c4 #fji7;a77 is    
am5d$ by /rik+ p>agraph 7#f74  7ii7     
,con=m+ am5dm5ts ,section #dab7;g77#a7  
7#db ,u4,s4,c4 #fab7;g77#a77 is am5d$ by
 /rik+ 7a77#f714  7,b7 ,elim9ation (    
provision provid+ = tribal eligibility  
,section #dab 7#db ,u4,s4,c4 #fab7 is   
am5d$ by /rik+ subsection 7f74  7,c7    
,elim9ation ( disreg>d ( loan 9 apply+  
limit on paym5ts to ! t]ritories        
,section #aajh7;a77#b7 7#db ,u4,s4,c4   
#acjh7;a77#b77 is am5d$ by /rik+ #djf14 
7#f7 ,elim9ation ( limitations on o!r   
,/ate programs fund$ ) qualifi$ ,/ate   
exp5ditures  7,a7 ,! foll[+ provisions  
are ea* am5d$ by /rik+ or any o!r ,/ate 
program fund$ ) qualifi$ ,/ate          
exp5ditures 7z def9$ 9 section          
#dji7;a77#g77;,b77i773  7i7 ,p>agraphs  
7#a7 & 7#b7 ( section #djg7;e7 7#db     

,u4,s4,c4 #fjg7;e77#a7 & 7#b774  7ii7   
,section #daa7;a77#a7 7#db ,u4,s4,c4    
#faa7;a77#a771 z am5d$ by section       
#ae7;a77#c77;,a77i7 ( ?is ,act4  7iii7  
,subsections 7d7 & 7e77#a7 ( section    
#dac 7#db ,u4,s4,c4 #fac7;d7 & 7e77#a774
  7,b7 ,section #dac7;a7 7#db ,u4,s4,c4 
#fac7;a77 is am5d$ by /rik+ & any o!r   
,/ate program fund$ ) qualifi$ ,/ate    
exp5ditures 7z def9$ 9 section          
#dji7;a77#g77;,b77i774  7#g7 ,con=m+    
am5dm5ts relat$ to elim9ation ( report  
7,a7 ,9 g5]al ,section #dji7;a77#b7 7#db
 ,u4,s4,c4 #fji7;a77#b77 is am5d$-- 7i7 
9 ! p>agraph head+1 by ins]t+ qu>t]ly   
be=e report2  7ii7 9 subp>agraph        
7,a77ii71 by /rik+ clause 7i7 & ins]t+  
subp>agraph 7,a72  7iii7 by /rik+ 7,a7  
,qu>t]ly reports4--2  7iv7 by /rik+     
subp>agraph 7,b72 &  7v7 by r$esignat+  
clauses 7i7 & 7ii7 ( subp>agraph 7,a7 z 
subp>agraphs 7,a7 & 7,b71 respectively  
7& adju/+ ! m>g9s accord+ly74  7,b7     
,con=m+ am5dm5ts  7i7 ,section          
#dji7;b77#b7 7#db ,u4,s4,c4             

#fji7;b77#b77 is am5d$ by /rik+ &1 & all
 t foll[s & ins]t+ a p]iod4  7ii7       
,section #dji7;c77#d7 7#db ,u4,s4,c4    
#fji7;c77#d77 is am5d$ by /rik+         
7#b77;,b714  7#h7 ,annual reports to    
,congress ,section #daa7;b77#a77;,a7    
7#db ,u4,s4,c4 #faa7;b77#a77;,a77 is    
am5d$ by /rik+ p>ticipation rates &     
ins]t+ outcome measures4  7#i7 ,r$uction
 9 =ce provisions ,section #daf7;a7 7#db
 ,u4,s4,c4 #faf7;a771 z s designat$ by  
section #ad7;b77#a77;,a7 ( ?is ,act1 is 
am5d$ by /rik+ 1 & ! ,secret>y & all t  
foll[s & ins]t+ a p]iod4  7#aj7 ,con=m+ 
cross-,ref]5ces  7,a7 ,section #dji 7#db
 ,u4,s4,c4 #fji7 is am5d$-- 7i7 9       
subsection 7a77#g77;,b77i77,,iii71 by   
/rik+ 7#ab7 & ins]t+ 7#aj72  7ii7 9     
subsection 7a7 7z am5d$ by subsections  
7c77#b77;,d71 7d77#b77;,b71 &           
7e77#a77;,a7 ( ?is section71 by         
r$esignat+ p>agraphs 7#g71 7#h71 7#i71  
7#aa71 7#ab71 7#ad71 7#ae71 & 7#af7 z   
p>agraphs 7#f7 ?r\gh 7#ac71             
respectively2  7iii7 9 subsection       

7b77#b71 by /rik+ 7#h71 7#aj71 7#ab71 or
 7#ac7 & ins]t+ or 7#aj72 &  7iv7 9     
subsection 7c77#d71 by /rik+ 7#h71      
7#aj71 7#ab71 7#ac71 or 7#af7 & ins]t+  
7#aj71 or 7#ac74  7,b7 ,section #deb    
7#db ,u4,s4,c4 #feb7 is am5d$ 9 ea* (   
subsections 7d77#c77;,a77i7 & 7g77#a7 by
 /rik+ #dji7;a77#h7 & ins]t+            
#dji7;a77#g74  7#aa7 ,modifications to  
ma9t5ance-(-,ef=t requirem5t ,section   
#dji7;a77#f77;,b77i7 7#db ,u4,s4,c4     
#fji7;a77#f77;,b77i771 z r$esignat$ by  
subsection 7j77#a77;,b7 ( ?is section1  
is am5d$--  7,a7 9 subclause 7,i7-- 7i7 
9 ! matt] prec$+ item 7aa71 by /rik+ all
 ,/ate programs & ins]t+ ! ,/ate program
 fund$ "u ?is "p2  7ii7 by r$esignat+   
items 7dd7 & 7ee7 z items 7ee7 & 7ff71  
respectively1 & ins]t+ aft] item 7cc7 ! 
foll[+3  7dd7 ,exp5ditures = a purpose  
describ$ 9 p>agraph 7#c71 7#d71 or 7#e7 
( section #dja7;a74  2 &  7iii7 9 item  
7ee7 7z s r$esignat$71 by /rik+ & 7ee7 &
 ins]t+ 7dd71 & 7ff72  7,b7 by /rik+    
subclause 7,v72 &  7,c7 9 subclause     

7,,iv71 by ins]t+ 1 except any ( su*    
families ^: mon?ly income exce$s twice !
 pov]ty l9e 7z def9$ by ! ,(fice (      
,managem5t & ,budget1 & revis$ annually 
9 accordance ) section #fgc7b7 ( !      
,omnibus ,budget ,reconciliation ,act ( 
#aiha 7#db ,u4,s4,c4 #iijb7b777 be=e !  
p]iod4  7r7 ,effective date ,except z   
provid$ 9 subsections 7c77#g71 7i77#b71 
& 7k77#b71 ! am5dm5ts made by ?is       
section %all take effect on ,octob] #a1 
#bjbj4