article: SECTION 1. SHORT TITLE. This Act may be cited as ``Health Care for Young Adults Act of 2005''. SEC. 2. PROVIDING STATE OPTION FOR SCHIP AND MEDICAID COVERAGE OF YOUNG ADULTS UP TO AGE 23. (a) In General.-- (1) Medicaid.--(A) Section 1902(l)(1)(D) of the Social Security Act (42 U.S.C. 1396a(l)(1)(D)) is amended by inserting ``(or, at the option of the State, who have not attained 20, 21, or 22 years of age, as the State may elect)'' after ``have not attained 19 years of age''. (B) Clause (i) of section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is amended by striking ``under the age of 21, or, at the option of the State, under the age of 20, 19, or 18 as the State may choose'' and inserting ``under the age of 23, or, at the option of the State, under the age of 22, 21, 20, 19, or 18 as the State may elect''. (2) SCHIP.--Section 2110(c)(1) of such Act (42 U.S.C. 1397jj(c)(1)) is amended by inserting after ``19 years of age'' the following: ``(or, at the option of the State and subject to the availability of additional allotments under section 2104(d), 20, 21, 22, or 23 years of age)''. (b) Additional SCHIP Allotments for Providing Coverage of Optional Young Adults.-- (1) In general.--Section 2104 of such Act (42 U.S.C. 1397dd) is amended by inserting after subsection (c) the following: ``(d) Additional Allotments for the Provision of Coverage to Optional Young Adults.-- ``(1) Appropriation; total allotment.--For the purpose of providing additional allotments to States under this title, there is appropriated, out of any money in the Treasury not otherwise appropriated, for each of fiscal years 2006 through 2009, $500,000,000. ``(2) State and territorial allotments.--In addition to the allotments provided under subsections (b) and (c), subject to paragraph (3), of the amount available for the additional allotments under paragraph (1) for a fiscal year, the Secretary shall allot to each State with a State child health plan approved under this title-- ``(A) in the case of such a State other than a commonwealth or territory described in subparagraph (B), the same proportion as the proportion of the State's allotment under subsection (b) (determined without regard to subsection (f)) to the total amount of the allotments under subsection (b) for such States eligible for an allotment under this paragraph for such fiscal year; and ``(B) in the case of a commonwealth or territory described in subsection (c)(3), the same proportion as the proportion of the commonwealth's or territory's allotment under subsection (c) (determined without regard to subsection (f)) to the total amount of the allotments under subsection (c) for commonwealths and territories eligible for an allotment under this paragraph for such fiscal year. ``(3) Use of additional allotment.--Additional allotments provided under this subsection are not available for amounts expended before October 1, 2005. Such amounts are available for amounts expended on or after such date only for-- ``(A) expenditures described in section 1905(u)(4)(A); and ``(B) child health assistance for individuals who are targeted low-income children and over 18 years of age and who are low-income children only because of an election by the State under section 2110(c)(1).''. (2) Conforming amendments.--Section 2104 of such Act (42 U.S.C. 1397dd) is amended-- (A) in subsection (a), in the matter preceding paragraph (1), by inserting ``subject to subsection (d),'' after ``under this section,''; (B) in subsection (b)(1), by inserting ``and subsection (d)'' after ``Subject to paragraph (4)''; and (C) in subsection (c)(1), by inserting ``subject to subsection (d),'' after ``for a fiscal year,''. (c) Modification of Medicaid Caps for Territories.--Section 1108 of such Act (42 U.S.C. 1308) is amended-- (1) in subsection (f), by striking ``subsection (g)'' and inserting ``subsections (g) and (h)''; and (2) by adding at the end the following new subsection: ``(h) The Secretary shall provide for such increase in the limitations under subsections (f) and (g) with respect to each of the territories as may be necessary for each such territory to provide for an expansion of medicaid coverage to young adults described in section 1902(l)(1)(D).''. (d) Effective Date.--The amendments made by this section apply to items and services furnished on or after October 1, 2005, without regard to whether regulations implementing such amendments have been promulgated. SEC. 3. GRANTS TO IMPLEMENT MEDICAID AND SCHIP EXPANSIONS. (a) In General.--The Secretary of Health and Human Services shall provide for grants to States (as defined for purposes of titles XIX and XXI of the Social Security Act) in order to enable such States to implement expansions of eligibility for children and young adults their State medicaid plans under title XIX of the Social Security Act and State child health plans under title XXI of such Act. Such grants shall be available for planning, implementation, and outreach with respect to such expanded eligibility populations. (b) Terms and Conditions.--Grants under this section shall be made available under such terms and conditions, including the approval of a grant application, as the Secretary shall specify. (c) Authorization of Appropriations.--There are authorized to be appropriated such sums as may be necessary to provide for grants under this section.
summary: Health Care for Young Adults Act of 2005 - Amends titles XIX (Medicaid) and XXI (State Children's Health Insurance Program) to permit states to provide Medicaid and SCHIP coverage of low-income youth up to age 23. Provides for additional SCHIP allotments for the provision of coverage to optional young adults. Amends SSA title XI to modify Medicaid caps for territories. Directs the Secretary of Health and Human Services to provide for grants to states in order to enable them to implement expansions of eligibility for children and young adults in their state Medicaid and state SCHIP plans.