FamilyCare Act of 2004

FamilyCare Act of 2004 - Amends title XXI of the Social Security Act (SSA) to rename the State Children's Health Insurance Program (SCHIP) the FamilyCare Program. Provides for: (1) automatic enrollment in the FamilyCare Program of children born to title XXI parents; and (2) optional family care coverage of parents of targeted low-income children and low-income pregnant women under Medicaid (SSA title XIX).

Provides for optional coverage of legal immigrants under Medicaid and SSA title XXI, and of children through age 20 under Medicaid and SSA title XXI.

Allows States to elect to provide for a period of presumptive eligibility for medical assistance for a parent of a child with respect to whom such a period is provided under Medicaid.

Revises the transitional medical assistance (TMA) program, including making reporting requirements optional, giving States the option to extend eligibility for low-income individuals for up to 12 additional months, and eliminating the sunset for TMA.

Establishes limitations with respect to marketing activities to comply with new conflict of interest requirements. Prohibits affiliation with debarred persons.

Increases the SCHIP allotment for each of FY 2002 through 2004.

Directs the Secretry to award demonstration grants to up to seven States (or other qualified entities) to conduct innovative programs designed to improve outreach to homeless individuals and families under specified programs, including Medicaid.

Limits cost-sharing under the FamilyCare program to 2.5 percent for families with income below 150 percent of poverty.

Increases Federal reimbursement for language services under the Medicaid program and SSA title XXI.