Pathways to Independence Act of 2003 - Amends part A (Temporary Assistance for Needy Families) of title IV of the Social Security Act to give States the option to: (1) treat an individual with a disability, including a substance abuse problem, who is participating in rehabilitation services as being engaged in work; and (2) count as a work activity certain care provided to a child with a physical or mental impairment or to an adult dependent with a physical or mental impairment. Limits to three months in any 24-month period the length of time an individual may be deemed as being engaged in work under this Act. Permits an additional three-month extension only if the individual engages in specified work activity for a State-determined appropriate number of hours per month.
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