Sec. 213. Outreach to targeted populations

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Section 2113 ( 42 U.S.C. 1397mm ) is amended— in subsection (a)(1), by striking during the period of fiscal years 2009 through 2015 ; and in subsection (g), by inserting and $40,000,000 for each fiscal year thereafter, after 2015, . Such section 2113 is amended— in subsection (h), by striking Such campaign and inserting In addition to the requirements described in subsection (i), such campaign ; and by adding at the end the following subsection: Beginning with fiscal year 2015, each of the following initiatives shall be part of the national enrollment campaign:

An initiative to increase enrollment in the State child health plan under this title or the State plan under title XIX of children from families that speak a primary language other than English that shall include— language services, including oral interpreting and written translation services, for individuals with limited proficiency in English; and other culturally appropriate efforts to increase enrollment of such children. An initiative to identify and increase enrollment in the State child health plan under this title or the State plan under title XIX of children from families who have multiple coverage sources or other coverage complexities, including children in foster care and children subject to a medical child support order. .

Section 1903(a)(2)(E) ( 42 U.S.C. 1396b(a)(2)(E) ) is amended by striking 75 percent and inserting the higher of 90 percent or the sum of the enhanced FMAP (as defined in section 2105(b)) plus 5 percentage points (not to exceed 100 percent) . Section 2105(a)(1) ( 42 U.S.C. 1397ee(a)(1) ) is amended in the matter preceding paragraph (1), by striking the higher of 75 percent or the sum of the enhanced FMAP plus 5 percentage points and inserting the higher of 90 percent or the sum of the enhanced FMAP plus 5 percentage points (not to exceed 100 percent) .

Section 1932(b) ( 42 U.S.C. 1396u–2(b) ) is amended by adding at the end the following new paragraph: Each contract with a medicaid managed care organization under section 1903(m) shall require the organization to provide (at no cost to the individual) language services, including oral interpreting and written translation services, to any individual who is eligible for medical assistance under the State plan under this title and is enrolled with the organization and to a parent or guardian of such individual if such individual, parent, or guardian is in need of such services when interacting with the organization or with any provider receiving payment from the organization. .

Section 1902(a) ( 42 U.S.C. 1396a(a) ) is amended— by striking and at the end of paragraph (80); by striking the period at the end of paragraph

(81)and inserting ; and ; and by inserting after paragraph

(81)the following new paragraph: provide for the translation of all documents and materials necessary to make application for medical assistance under the plan, and such other documents and materials as the Secretary may specify, including any such documents and materials that are available via a website, into the primary language spoken by any limited English proficiency group in the State with a population of at least 1000 individuals or that constitutes 5 percent of the State population. . Section 2107(e)(1), as amended by section 221, is amended— by redesignating subparagraphs

(E)through

(P)as subparagraphs

(F)through (Q), respectively; and by inserting after subparagraph

(D)the following subparagraph: Section 1902(a)(82) (relating to the translation of documents and materials). . Section 2113(c)(4)(B) ( 42 U.S.C. 1397mm(c)(4)(B) ) is amended by inserting under this title and title XIX, individual data on the primary language of enrollees under this title and title XIX (and for such enrollees who are minors or incapacitated, data on the primary language of their parents or guardians) after enrollment data . Section 2108 ( 42 U.S.C. 1397hh ) is amended— by redesignating the subsection

(e)added by section 501(e)(2) of Public Law 111–3 as subsection (f); and in paragraph

(1)of the subsection

(e)added by section 402 of Public Law 111–3 , by inserting and primary language after duration of benefits . Section 1946(c) ( 42 U.S.C. 1396w–5(c) ) is amended by inserting demographic before data on health care disparities . The amendments made by this section shall take effect on the date of enactment of this Act.

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