; (ii) has unpaid, past-due child support obligations; and (iii) has been unemployed or underemployed for any period of time during the 6-month period prior to the individual's participation in a program funded in whole or in part with funds provided to a State under this section. (B) Other eligibility requirements An individual shall not be considered to be an eligible non-custodial parent if the individual is not a citizen of the United States or would not be eligible for the program as a result of the application of title IV of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 ( 8 U.S.C. 1611 et seq. ). (2) Secretary The term Secretary means the Secretary of Health and Human Services. (3) State The term State means the 50 States of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the United States Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands. 9. Requiring biological fathers to pay child support for medical expenses incurred during pregnancy and delivery (a) In general Section 454 of the Social Security Act ( 42 U.S.C. 654 ) is amended— (1) in paragraph (33), by striking and after the semicolon; (2) in paragraph (34), by striking the period and inserting ; and