SOS Act of 2003

Strengthening Our States Act of 2003, or the SOS Act of 2003 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to: (1) provide for full Medicaid coverage of all premium and other cost-sharing expenses incurred with respect to qualified Medicare beneficiaries under the Medicaid program (Medicare cost-sharing); (2) increase the scope of Medicare cost-sharing assistance and the number of low-income Medicare beneficiaries eligible for Medicare cost- sharing assistance for individuals who would be qualified Medicare beneficiaries but for the fact that their income exceeds applicable levels; and (3) provide for a temporary increase in the Medicaid Federal medical assistance percentage (FMAP).

Amends SSA title XX (Block Grants to States for Social Services) (SSBG) to make appropriations for additional temporary grants for fiscal relief allotments to States.

Amends: (1) SSA title XIX to continue Medicaid disproportionate share hospital (DSH) allotment adjustments under the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 and increase the floor for treatment as an extremely low DSH State; and (2) SSA title XXI (State Children's Health Insurance Program) (SCHIP) to increase State access to unspent SCHIP funds.

Amends SSA title XIX to: (1) make the Federal government fully responsible for the sums expended for emergency care and services furnished to illegal aliens; (2) increase Federal responsibility for translation services for Medicaid and SCHIP applicants and recipients; (3) increase Federal matching rates for certain services; (4) extend Medicaid coverage under the Ticket to Work and Self-Sufficiency Program to spouses of participating disabled beneficiaries; and (5) provide for optional coverage of community-based attendant services and supports.

Family Opportunity Act of 2003, or the Dylan Lee James Act - Amends SSA title XIX to give States the option of: (1) allowing families of disabled children to purchase Medicaid coverage for such children; and (2) imposing income-related premiums. Authorizes the Secretary of Health and Human Services to allow a State plan to pay for the cost of home or community-based services equivalent to inpatient psychiatric hospital services for individuals under age 21.

Amends: (1) SSA title V (Maternal and Child Health Services) to provide for the development and support of family-to-family health information centers; and (2) SSA title XIX to provide for the restoration of Medicaid eligibility for certain SSI beneficiaries under SSA title XVI (Supplemental Security Income).

Revises requirements to allow uniform coverage of all low-income Americans, facilitate coverage of legal immigrants, and permit specified flexibility in eligibility determinations.