A bill to amend title XIX of the Social Security Act to permit one or more county governments in a State to provide for additional medical assistance under the State's medicaid plan.

Amends title XIX (Medicaid) of the Social Security Act to permit county governments to provide to their residents through the State's Medicaid plan a level of medical assistance which is greater in amount, duration, or scope than that available under the plan to other State residents. Requires county governments to show that their plans for providing additional benefits do not result in excessive administrative costs or otherwise conflict with the result in excessive administrative costs or otherwise conflict with the administration of the State Medicaid plan.