To amend the Consolidated Omnibus Budget Reconciliation Act of 1985 to expand the county organized health insuring organizations authorized to enroll Medicaid beneficiaries.

Amends the Consolidated Omnibus Budget Reconciliation Act of 1985, as added by the Omnibus Budget Reconciliation Act of 1990 and as amended by the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000, to add health insuring organizations operated by public entities established by Ventura and Merced Counties, California, to the number of county-organized health insuring organizations in California authorized to enroll Medicaid beneficiaries under title XIX of the Social Security Act.

Increases from 14% to 16% the maximum percentage of California Medicaid beneficiaries which may be enrolled with such organizations.