,,ii  #aai? ,,congress  #b;d ,session   
,s4 #deef  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ah1 #bjbf,mr4    
,grassley 7= himself & ,mr4 ,lujn7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d "p ,e (    
title ,,iv ( ! ,social ,security ,act to
 modify case plan requirem5ts = *ildr5 9
 fo/] c>e1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,in=m$  
,fo/] ,y\? ,act ( #bjbf4  #b4 ,case plan
 requirem5ts  7a7 ,9 g5]al ,section #dge
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #fge7 is am5d$-- 7#a7 9       
p>agraph 7#a77;,d71 by /rik+ ! p]iod at 
! end & ins]t+ 1 includ+ any s]vices t  
meet ! *ild's ne$s & are available to ! 
*ild "u ! ,/ate program c>ri$ out       
pursuant to section #dgg42 &  7#b7 9    
p>agraph 7#e7-- 7,a7 by /rik+           
subp>agraph 7,d7 & ins]t+ ! foll[+3     
7,d7 a *ild's heal? & education record  
7z describ$ 9 p>agraph 7#a77;,c77 is    
review$ & updat$1 & a copy ( ! record is

 suppli$ to ! fo/] p>5t or fo/] c>e     
provid] ) :om ! *ild is plac$1 at ! "t (
 ea* placem5t ( ! *ild 9 fo/] c>e1 & is 
suppli$1 free ( co/1 to-- 7i7 ! fo/]    
p>5t or fo/] c>e provid] ) :om ! *ild is
 plac$1 at ! "t ( ea* placem5t ( ! *ild 
9 fo/] c>e2  7ii7 ! *ild1 if ! *ild has 
atta9$ #ad ye>s ( age1 at ! "t ( ea*    
placem5t ( ! *ild 9 fo/] c>e or n less  
(t5 ?an once e #ab mon?s2 &  7iii7 !    
*ild at ! "t ! *ild leaves fo/] c>e if !
 *ild is leav+ fo/] c>e by reason ( hav+
 atta9$ ! age ( majority "u ,/ate law2  
2  7,b7 9 subp>agraph 7,h7-- 7i7 by     
/rik+ t is p]sonaliz$ & all t foll[s    
?r\gh 2 &2 & ins]t+ #8t--  7i7 is       
p]sonaliz$ at ! direction ( ! *ild1     
includes specific options on h\s+1 heal?
 insurance1 education1 local            
opportunities = m5tors & cont9u+ support
 s]vices1 & "w =ce supports & employm5t 
s]vices2  7ii7 includes in=mation ab\t--
 7,i7 ! eligibility ( =m] fo/] *ildr5 = 
m$ical assi/ance "u title ,,xix & on h[ 
to enroll 9 a ,/ate plan or waiv] "u su*

 title = su* assi/ance & on h[ to obta9 
assi/ance ) enroll+ 9 su* plan or waiv]2
 &  7,,ii7 ! importance ( designat+     
ano!r individual to make heal? c>e      
treatm5t decisions on behalf ( ! *ild if
 ! *ild becomes unable to p>ticipate 9  
su* decisions & ! *ild does n h1 or does
 n want1 a relative :o w\ld o!rwise be  
au?oriz$ "u ,/ate law to make su*       
decisions2 &  7iii7 provides ! *ild ) ! 
option to execute a heal? c>e p[] (     
attorney1 heal? c>e proxy1 or o!r simil>
 docum5t recogniz$ "u ,/ate law1 & is z 
detail$ z ! *ild may elect2 &  2 &  7,c7
 by /rik+ subp>agraph 7,i7 & ins]t+ !   
foll[+3  7,i7 ea* *ild 9 fo/] c>e "u !  
responsibility ( ! ,/ate :o-- 7i7 has   
atta9$ #ad ye>s ( age-- 7,i7 is in=m$ 9 
an age-appropriate way ( s]vices        
available to ! *ild "u ! ,/ate program  
c>ri$ out pursuant to section #dgg1     
includ+ 9 e meet+ betwe5 a casework] & !
 *ild & at e c\rt or adm9i/rative he>+  
held ) respect to ! *ild t requires !   
att5dance ( ! *ild2 &  7,,ii7 receives  

)\t co/-- 7aa7 a copy ( any consum]     
report 7z def9$ 9 section #fjc7;d7 ( !  
,fair ,cr$it ,report+ ,act7 p]ta9+ to ! 
*ild1 ea* ye> until ! *ild is dis*>g$ f 
c>e1 & assi/ance 7includ+1 :5 feasible1 
f any c\rt-appo9t$ advocate = ! *ild7 9 
int]pret+ & resolv+ any inaccuracies 9 !
 consum] report2  7bb7 if ! *ild is     
eligible to receive su* docum5t1 an     
(ficial or c]tifi$ copy ( ! ,unit$      
,/ates bir? c]tificate ( ! *ild & a     
,social ,security c>d issu$ by !        
,commission] ( ,social ,security1 except
 t ! *ild may reque/ t #a or bo? ( su*  
docum5ts be safely reta9$ by ! ,/ate =  
any l5g? ( "t :ile ! *ild rema9s 9 fo/] 
c>e "u ! responsibility ( ! ,/ate2  7cc7
 if ! *ild is eligible to receive su* a 
docum5t1 a driv]'s lic5se or            
id5tification c>d issu$ by a ,/ate 9    
accordance ) ! requirem5ts ( section    
#bjb ( ! ,,real ,,id ,act ( #bjje1 or   
assi/ance ) obta9+ su* lic5se or c>d2 & 
7dd7 (ficial docum5tation necess>y to   
prove ! *ild is 9 fo/] c>e2 &  7ii7 is  

leav+ fo/] c>e by reason ( hav+ atta9$  
#ah ye>s ( age or su* great] age z !    
,/ate has elect$ "u p>agraph 7#h7 is n  
dis*>g$ f c>e )\t be+ provid$ )1 at no  
co/ to ! *ild-- 7,i7 a copy ( any       
consum] report 7z def9$ 9 section       
#fjc7;d7 ( ! ,fair ,cr$it ,report+ ,act7
 p]ta9+ to ! *ild & assi/ance 7includ+1 
:5 feasible1 f any c\rt-appo9t$ advocate
 = ! *ild7 9 int]pret+ & resolv+ any    
inaccuracies 9 ! consum] report2  7,,ii7
 if ! *ild is eligible to receive su*   
docum5t1 an (ficial or c]tifi$ copy ( ! 
,unit$ ,/ates bir? c]tificate ( ! *ild2 
7,,iii7 if ! *ild is eligible to receive
 su* docum5t1 a social security c>d     
issu$ by ! ,commission] ( ,social       
,security2  7,,iv7 if ! *ild is eligible
 to receive su* docum5t1 a driv]'s      
lic5se or id5tification c>d issu$ by a  
,/ate 9 accordance ) ! requirem5ts (    
section #bjb ( ! ,,real ,,id ,act (     
#bjje2  7,v7 in=mation on heal?         
insurance available to ! *ild 7z        
describ$ 9 subp>agraph 7,h77ii772       

7,,vi7 copies ( ! *ild's heal? &        
education records 7z describ$ 9 p>agraph
 7#a77;,c772 &  7,,vii7 (ficial         
docum5tation necess>y to prove t ! *ild 
0 previ\sly 9 fo/] c>e4  4  7b7 ,li/ (  
rights ,section #dge;,a ( su* ,act 7#db 
,u4,s4,c4 #fge;a7 is am5d$ by /rik+     
subsection 7b7 & ins]t+ ! foll[+3  7b7  
,li/ ( rights ,! case plan = any *ild 9 
fo/] c>e "u ! responsibility ( ! ,/ate  
:o has atta9$ #ad ye>s ( age %all       
include-- 7#a7 a docum5t t describes !  
rights ( ! *ild-- 7,a7 ) respect to     
education1 heal? c>e1 visitation1 c\rt  
p>ticipation1 & consultation on case    
plann+1 developm5t ( a p]man5cy plan1 & 
det]m9+ transition s]vices2  7,b7 to be 
in=m$1 9 accordance ) section           
#dge7e77;,i77i77,i71 ( s]vices available
 to ! *ild "u ! ,/ate program c>ri$ out 
pursuant to section #dgg2  7,c7 to be   
provid$ ) ! docum5ts specifi$ 9 clauses 
7i77,,ii7 & 7ii7 ( section #dge7e77;,i7 
9 accordance ) t section2  7,d7 to /ay  
safe & avoid exploitation2  7,e7 to seek

 r$ress = a violation ( a "r ( ! *ild "u
 ?is section2 &  7#b7 = ea* ye> t ! *ild
 rema9s 9 fo/] c>e "u ! responsibility (
 ! ,/ate1 a sign$ & dat$ ackn[l$gm5t by 
! *ild t-- 7,a7 ! *ild has be5 provid$ )
 a copy ( ! docum5t describ$ 9 p>agraph 
7#a72  7,b7 ! rights conta9$ 9 su*      
docum5t h be5 expla9$ to ! *ild 9 an    
age-appropriate way2 &  7,c7 ! *ild has 
be5 provid$ ) a sep>ate writt5          
description ( any requirem5ts necess>y  
to receive ! docum5ts specifi$ 9 clauses
 7i77,,ii7 & 7ii7 ( section             
#dge7e77;,i71 along ) notice ( any      
assi/ance available to ! *ild to meet   
su* requirem5ts4  4  7c7 ,effective date
  7#a7 ,9 g5]al ,except z provid$ 9     
p>agraph 7#b71 ! am5dm5ts made by ?is   
section %all take effect on ! #a/ day ( 
! #a/ fiscal ye> beg9n+ on or aft] !    
date ( enactm5t ( ?is ,act & %all apply 
to paym5ts "u "p ,e ( title ,,iv ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#fgj et seq47 = cal5d> qu>t]s beg9n+ on 
or aft] su* date4  7#b7 ,delay p]mitt$  

if ,/ate legislation requir$ ,if !      
,secret>y ( ,heal? & ,human ,s]vices    
det]m9es t ,/ate legislation 7o!r ?an   
legislation appropriat+ funds7 is       
requir$ 9 ord] = any ,/ate plan approv$ 
"u "p ,e ( title ,,iv ( ! ,social       
,security ,act to meet ! additional     
requirem5ts impos$ by ! am5dm5ts made by
 ?is section1 ! plan %all n be reg>d$ z 
fail+ to meet any ( ! additional        
requirem5ts be=e ! #a/ day ( ! #a/      
cal5d> qu>t] beg9n+ aft] ! #a/ regul>   
session ( ! ,/ate legislature t beg9s   
aft] ! date ( ! enactm5t ( ?is ,act4 ,= 
purposes ( ! prec$+ s5t5ce1 if ! ,/ate  
has a #b-ye> legislative session1 ea*   
ye> ( ! session is deem$ to be a sep>ate
 regul> session ( ! ,/ate legislature4