tester's protecting and retaining our children's health insurance program act

8/9/2019 Tester's Protecting and Retaining Our Children's Health Insurance Program Act

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LYN15093 S.L.C.

114TH CONGRESS1ST SESSION S.

llTo amend title XXI of the Social Security Act to extend the Children’s

Health Insurance Program, and for other purposes.

IN THE SENATE OF THE UNITED STATES

llllllllll

Mr. BROWN (for himself, Ms. STABENOW , Mr. W YDEN, Mr. C ASEY , and Mr.REID) introduced the following bill; which was read twice and referred

to the Committee on llllllllll

A BILL

To amend title XXI of the Social Security Act to extend

the Children’s Health Insurance Program, and for otherpurposes.

Be it enacted by the Senate and House of Representa-1

tives of the United States of America in Congress assembled,2

SECTION 1. SHORT TITLE.3

This Act may be cited as the ‘‘Protecting And Retain-4

ing Our Children’s Health Insurance Program Act of5

2015’’.6

SEC. 2. 4-YEAR EXTENSION OF CHIP FUNDING.7

(a) FUNDING.—8


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LYN15093 S.L.C.

(1) IN GENERAL.—Section 2104(a) of the So-1

cial Security Act (42 U.S.C. 1397dd(a)) is amend-2

ed—3

(A) in paragraph (17), by striking ‘‘and’’4

at the end; and5

(B) by striking paragraph (18) and insert-6

ing the following new paragraphs:7

‘‘(18) for fiscal year 2015, $21,061,000,000;8

‘‘(19) for fiscal year 2016, $19,300,000,000;9

‘‘(20) for fiscal year 2017, $20,300,000,000;10

‘‘(21) for fiscal year 2018, $21,300,000,000;11

and12

‘‘(22) for fiscal year 2019, for purposes of mak-13

ing 2 semi-annual allotments—14

‘‘(A) $2,850,000,000 for the period begin-15

ning on October 1, 2018, and ending on March16

31, 2019; and17

‘‘(B) $2,850,000,000 for the period begin-18

ning on April 1, 2019, and ending on Sep-19

tember 30, 2019.’’.20

(2) PREVENTION OF DUPLICATE APPROPRIA -21

TIONS FOR FISCAL YEAR 2015.—Notwithstanding22

any other provision of law, insofar as funds have23

been appropriated under subsection (a)(18) or (m)24

of section 2104 of the Social Security Act (4225


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LYN15093 S.L.C.

U.S.C. 1397dd), or under section 108 of the Chil-1

dren’s Health Insurance Program Reauthorization2

Act of 2009 (Public Law 111–3), as such sub-3

sections and section are in effect on the day before4

the date of the enactment of this Act, to provide al-5

lotments to States under the State Children’s Health6

Insurance Program established under title XXI of7

the Social Security Act (42 U.S.C. 1397aa et seq.)8

(whether implemented under title XIX, XXI, or9

both, of the Social Security Act) for fiscal year10

2015—11

(A) any amounts that are so appropriated12

that are not so allotted and obligated before the13

date of the enactment of this Act, are re-14

scinded; and15

(B) any amount provided for CHIP allot-16

ments to a State under this section (and the17

amendments made by this section) for such fis-18

cal year shall be reduced by the amount of such19

appropriations so allotted and obligated before20

such date.21

(b) A LLOTMENTS.—22

(1) IN GENERAL.—Section 2104(m) of the So-23

cial Security Act (42 U.S.C. 1397dd(m)) is amend-24

ed—25


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(A) in the subsection heading, by striking1

‘‘THROUGH 2015’’ and inserting ‘‘ AND THERE-2

AFTER’’;3

(B) in paragraph (2)—4

(i) in the paragraph heading, by strik-5

ing ‘‘2014’’ and inserting ‘‘2018’’; and6

(ii) by striking subparagraph (B) and7

inserting the following new subparagraph:8

‘‘(B) FISCAL YEAR 2013 THROUGH 2018.—9

Subject to paragraphs (4) and (6), from the10

amount made available under paragraphs (16)11

through (21) of subsection (a) for each of fiscal12

years 2013 through 2018, respectively, the Sec-13

retary shall compute a State allotment for each14

State (including the District of Columbia and15

each commonwealth and territory) for each16

such fiscal year as follows:17

‘‘(i) REBASING IN FISCAL YEAR 2013 18

AND EACH SUCCEEDING ODD-NUMBERED 19

FISCAL YEAR.—For fiscal year 2013 and20

each succeeding odd-numbered fiscal year,21

the allotment of the State is equal to the22

Federal payments to the State that are at-23

tributable to (and countable toward) the24

total amount of allotments available under25


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LYN15093 S.L.C.

‘‘(iii) SPECIAL RULE FOR FISCAL 1

YEAR 2016.—For fiscal year 2016, the al-2

lotment of the State is equal to the Fed-3

eral payments to the State that are attrib-4

utable to (and countable toward) the total5

amount of allotments available under this6

section to the State in the preceding fiscal7

year (including payments made to the8

State under subsection (n) for such pre-9

ceding fiscal year as well as amounts redis-10

tributed to the State in such preceding fis-11

cal year), but determined as if the last two12

sentences of section 2105(b) were in effect13

in such preceding fiscal year and then mul-14

tiplying the result by the allotment in-15

crease factor under paragraph (5) for fis-16

cal year 2016.’’;17

(C) in paragraph (3)—18

(i) in the heading, by striking19

‘‘2015’’and inserting ‘‘2019’’;20

(ii) in subparagraph (A)—21

(I) by striking ‘‘paragraph (18)’’22

and inserting ‘‘paragraph (22)’’; and23

(II) by striking ‘‘section 108 of24

the Children’s Health Insurance Pro-25


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LYN15093 S.L.C.

gram Reauthorization Act of 2009’’1

and inserting ‘‘section 2(b)(2) of the2

Protecting And Retaining Our Chil-3

dren’s Health Insurance Program Act4

of 2015’’;5

(iii) in subparagraph (B), by striking6

‘‘paragraph (18)’’ and inserting ‘‘para-7

graph (22)’’;8

(iv) in subparagraph (C)—9

(I) by striking ‘‘2014’’ each place10

it appears and inserting ‘‘2018’’; and11

(II) by striking ‘‘2015’’ and in-12

serting ‘‘2019’’; and13

(v) in subparagraph (D)—14

(I) in clause (i)—15

(aa) in subclause (I), by16

striking ‘‘subsection (a)(18)(A)’’17

and inserting ‘‘subsection18

(a)(22)(A)’’; and19

(bb) in subclause (II), by20

striking ‘‘section 108 of the Chil-21

dren’s Health Insurance Program22

Reauthorization Act of 2009’’23

and inserting ‘‘section 2(b)(2) of24

the Protecting And Retaining25


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LYN15093 S.L.C.

for the period beginning on October 1, 2018, and1

ending on March 31, 2019, under section2

2104(a)(22)(A) of the Social Security Act (423

U.S.C. 1397dd(a)(22)(A)) (as added by subsection4

(a)(1)), to remain available until expended. Such5

amount shall be used to provide allotments to States6

under paragraph (3) of section 2104(m) of such Act7

(42 U.S.C. 1397dd(m)) (as amended by paragraph8

(1)(C)) for the first 6 months of fiscal year 2019 in9

the same manner as allotments are provided under10

subsection (a)(22)(A) of such section 2104 and sub-11

ject to the same terms and conditions as apply to12

the allotments provided from such subsection13

(a)(22)(A).14

(c) CHILD ENROLLMENT CONTINGENCY FUND.—15

(1) IN GENERAL.—Section 2104(n) of the So-16

cial Security Act (42 U.S.C. 1397dd(n)) is amend-17

ed—18

(A) in paragraph (2)—19

(i) in subparagraph (A)—20

(I) in the matter preceding clause21

(i), by striking ‘‘and (D)’’ and insert-22

ing ‘‘, (D), and (E)’’; and23

(II) by striking clause (ii) and in-24

serting the following:25


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‘‘(ii) for each of—1

‘‘(I) fiscal years 2010 through2

2014 , such sums as are necessary for3

making payments to eligible States for4

such fiscal year, but not in excess of5

the aggregate cap described in sub-6

paragraph (B); and7

‘‘(II) fiscal years 2015 through8

2018 (and for each of the semi-annual9

allotment periods for fiscal year10

2019), such sums as are necessary for11

making payments to eligible States for12

such fiscal year or period.’’; and13

(ii) by striking subparagraph (B) and14

inserting the following:15

‘‘(B) A GGREGATE CAP.—The total amount16

available for payment from the Fund for each17

of fiscal years 2010 through 2014, taking into18

account deposits made under subparagraph (C),19

shall not exceed 20 percent of the amount made20

available under subsection (a) for the fiscal21

year. In the case of fiscal years 2015 through22

2018 (and for each of the semi-annual allot-23

ment periods for fiscal year 2019), there shall24


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LYN15093 S.L.C.

be no limit on the amount available for pay-1

ment from the Fund.’’;2

(iii) in subparagraph (D)—3

(I) by inserting ‘‘before fiscal4

year 2015’’ after ‘‘fiscal year or pe-5

riod’’; and6

(II) by striking ‘‘for any suc-7

ceeding fiscal year’’; and8

(iv) by adding at the end the following9

subparagraph:10

‘‘(E) TRANSFERS.—Notwithstanding any11

other provision of this title, the following12

amounts shall also be available, without fiscal13

year limitation, for making payments from the14

Fund:15

‘‘(i) UNOBLIGATED NATIONAL ALLOT-16

MENT FOR FISCAL YEARS BEGINNING WITH 17

FISCAL YEAR 2014.—18

‘‘(I) FISCAL YEAR 2014 ALLOT-19

MENT.—As of December 31 of fiscal20

year 2015, the portion, if any, of the21

amount appropriated under subsection22

(a) for fiscal year 2014 that is unobli-23

gated for allotment to a State under24

subsection (m) for such fiscal year.25


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‘‘(II) SUCCEEDING FISCAL YEAR 1

ALLOTMENTS.—As of December 31 of2

fiscal year 2016 and each succeeding3

fiscal year, the portion, if any, of the4

amount appropriated under subsection5

(a) for the preceding fiscal year that6

is unobligated for allotment to a State7

under subsection (m) for such pre-8

ceding fiscal year.9

‘‘(ii) UNEXPENDED ALLOTMENTS NOT 10

USED FOR REDISTRIBUTION.—As of De-11

cember 31 of fiscal year 2015, and as of12

November 15 of each succeeding fiscal13

year, the total amount of allotments made14

to States under subsection (a) for the sec-15

ond preceding fiscal year that is not ex-16

pended or redistributed under subsection17

(f) during the period in which such allot-18

ments are available for obligation.19

‘‘(iii) UNEXPENDED PERFORMANCE 20

INCENTIVE FUNDS.—As of January 1,21

2016, and as of January 1 of each suc-22

ceeding calendar year, the portion, if any,23

of the amount appropriated under section24

2105(a)(3)(E)(iii) for the preceding fiscal25


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year that is not expended or obligated1

under such section.’’; and2


(i) in subparagraph (A)—4

(I) by redesignating clauses (i)5

and (ii) as subclauses (I) and (II), re-6

spectively, and realigning the left mar-7

gins accordingly;8

(II) by striking ‘‘If a State’s’’9

and all that follows through ‘‘2015,’’10

and inserting the following:11

‘‘(i) FOR FISCAL YEARS 2009 12

THROUGH 2014.—If a State’s expenditures13

under this title in fiscal year 2009, fiscal14

year 2010, fiscal year 2011, fiscal year15

2012, fiscal year 2013, or fiscal year16

2014’’;17

(III) by striking ‘‘or period’’ each18

place it appears;19

(IV) in subclause (II) (as so re-20

designated), by striking ‘‘(or in which21

the period occurs)’’; and22

(V) by adding at the end the fol-23

lowing clause:24


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‘‘(ii) FOR FISCAL YEARS AFTER 1

2014.—2

‘‘(I) IN GENERAL.—For each of3

fiscal years 2015 through 2018 (and4

for each of the semi-annual allotment5

periods for fiscal year 2019), if the6

Secretary determines that a State is a7

shortfall State described in subclause8

(II) for that fiscal year or period, the9

Secretary shall pay to the State from10

the Fund, in addition to any other11

payments made to the State under12

this title for the fiscal year or period,13

an amount equal to the amount de-14

scribed in subclause (III).15

‘‘(II) SHORTFALL STATES DE-16

SCRIBED.—For purposes of this17

clause, with respect to a fiscal year or18

semi-annual allotment period, a short-19

fall State is a State for which the Sec-20

retary estimates, on the basis of the21

most recent data available to the Sec-22

retary, that the projected expenditures23

for the State and fiscal year or period24

under this title (including in the form25


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LYN15093 S.L.C.

of coverage described in paragraph (1)1

or (2) of section 2101, or both) will2

exceed the sum of—3

‘‘(aa) the amount of the4

State’s allotments for any pre-5

ceding fiscal year that remains6

available for expenditure and7

that will not be expended by the8

end of the immediately preceding9

fiscal year;10

‘‘(bb) the amount (if any)11

that will be redistributed to the12

State under subsection (f) for the13

fiscal year or period;14

‘‘(cc) the amount (if any) to15

be paid to the State in the first16

quarter of the fiscal year under17

section 2105(a)(3); and18

‘‘(dd) the amount of the19

State’s allotment for the fiscal20

year or period.21

‘‘(III) A MOUNT DESCRIBED.—22

With respect to a State and fiscal23

year or period, the amount described24

in this subclause is equal to the25


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amount by which the projected ex-1

penditures for the State under this2

title for the fiscal year or period (esti-3

mated by the Secretary on the basis4

of the most recent data available to5

the Secretary) exceed the sum deter-6

mined under subclause (II) for the7

State and fiscal year or period.8

‘‘(IV) RETROSPECTIVE ADJUST-9

MENT.—The Secretary may adjust the10

determinations made under this clause11

with respect to a State and fiscal year12

or period as necessary on the basis of13

the amounts reported by States not14

later than November 30 of the suc-15

ceeding fiscal year, as approved by the16

Secretary.’’;17

(ii) in subparagraph (B)(ii), by strik-18

ing ‘‘(or semi-annual period occurring in a19

fiscal year)’’;20

(iii) in subparagraph (C)—21

(I) in the matter preceding clause22

(i), by striking ‘‘subparagraph (A)(ii)’’23

and inserting ‘‘subparagraph24

(A)(i)(II)’’; and25


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(II) in clause (ii), by striking1

‘‘(or semi-annual period occurring in a2

fiscal year)’’; and3

(iv) in subparagraph (G), by inserting4

‘‘the expenditures under the State child5

health plan and’’ after ‘‘regarding’’.6

(2) CONFORMING AMENDMENT.—Section7

2104(f)(2)(A)(ii) of the Social Security Act (428

U.S.C. 13957dd(f)(2)(A)(ii)) is amended by insert-9

ing ‘‘only in the case of a fiscal year before fiscal10

year 2015,’’ before ‘‘the amount’’.11

(d) E XTENSION AND UPDATE OF PERFORMANCE IN-12

CENTIVE P AYMENTS.—13

(1) E XTENSION THROUGH FISCAL YEAR 14

2019.—Section 2105(a)(3) of the Social Security15

Act (42 U.S.C. 1397ee(a)(3)) is amended—16

(A) in subparagraph (A)—17

(i) by striking ‘‘2013’’ and inserting18

‘‘2019’’; and19

(ii) in the second sentence, by insert-20

ing ‘‘, except that payment under this21

paragraph may be made to a State for fis-22

cal year 2014 as a single payment not23

later than December 31, 2015’’ before the24

period;25


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(B) in subparagraph (E)—1

(i) in clause (ii)—2

(I) by striking subclause (I) and3

inserting the following:4

‘‘(I) UNOBLIGATED NATIONAL 5

ALLOTMENT FOR FISCAL YEARS 2009 6

THROUGH 2013.—As of December 317

of fiscal year 2009, and as of Decem-8

ber 31 of each succeeding fiscal year9

through fiscal year 2013, the portion,10

if any, of the amount appropriated11

under section 2104(a) for such fiscal12

year that is unobligated for allotment13

to a State under section 2104(m) for14

such fiscal year or set aside under15

subsection (a)(3) or (b)(2) of section16

2111 for such fiscal year.’’;17

(II) in subclause (III), by strik-18

ing ‘‘2013’’ and inserting ‘‘2014’’;19

(ii) by redesignating clause (iii) as20

clause (iv); and21

(iii) by inserting after clause (ii) the22

following new clause:23

‘‘(iii) A PPROPRIATION FOR FISCAL 24

YEARS 2015 THROUGH 2019.—Out of any25


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LYN15093 S.L.C.

money in the Treasury not otherwise ap-1

propriated, there are appropriated2

$500,000,000 for each of fiscal years 20153

through 2019 for making payments under4

this paragraph. Amounts appropriated for5

a fiscal year under this clause shall remain6

available for making payments under this7

paragraph until January 1 of the following8

fiscal year. Any amounts of such appro-9

priations that remain unexpended or unob-10

ligated as of such date shall be transferred11

and made available for making payments12

under section 2104(n).’’; and13

(C) in subparagraph (F)(iii), by striking14

‘‘2013’’ and inserting ‘‘2019’’.15

(2) UPDATED PERFORMANCE INCENTIVE CRI-16

TERIA FOR FISCAL YEARS 2015 THROUGH 2019.—Sec-17

tion 2105(a) of the Social Security Act (42 U.S.C.18

1397ee(a)) is amended—19

(A) in paragraph (3)(A), by inserting ‘‘or20

(5)’’ after ‘‘paragraph (4)’’;21


(i) in the heading, by inserting ‘‘FIS-23

CAL YEARS 2009 THROUGH 2014’’ after24

‘‘FOR CHILDREN’’; and25


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LYN15093 S.L.C.

(ii) in the matter preceding subpara-1

graph (A), by striking ‘‘for a fiscal year if’’2

and inserting ‘‘for fiscal years 20093

through 2014 if’’; and4

(C) by adding at the end the following new5

paragraph:6

‘‘(5) ENROLLMENT AND RETENTION PROVI-7

SIONS FOR CHILDREN FOR FISCAL YEAR 2015 AND 8

SUCCEEDING FISCAL YEARS.—9

‘‘(A) IN GENERAL.—For purposes of para-10

graph (3)(A), a State meets the condition of11

this paragraph for fiscal year 2015 and any12

succeeding fiscal year if it is implementing at13

least 4 of the enrollment and retention provi-14

sions specified in subparagraph (B) (treating15

each clause as a separate enrollment and reten-16

tion provision) throughout the entire fiscal year.17

‘‘(B) ENROLLMENT AND RETENTION PRO-18

VISIONS.—The enrollment and retention provi-19

sions specified in this subparagraph are the fol-20

lowing:21

‘‘(i) CONTINUOUS ELIGIBILITY .—The22

State has elected the option of continuous23

eligibility for a full 12 months for all chil-24

dren described in section 1902(e)(12)25


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LYN15093 S.L.C.

under title XIX under 19 years of age, as1

well as applying such policy under its State2

child health plan under this title.3

‘‘(ii) E XPRESS LANE ELIGIBILITY .—4

The State is implementing the option de-5

scribed in section 1902(e)(13) under title6

XIX as well as, pursuant to section7

2107(e)(1), under this title.8

‘‘(iii) PRESUMPTIVE ELIGIBILITY .—9

The State provides medical assistance to10

children during a presumptive eligibility11

period by implementing section 1920A12

under title XIX as well as, pursuant to13

section 2107(e)(1), under this title, and14

ensures that such period begins with the15

determination by any qualified entity that16

the family income of the child does not ex-17

ceed the applicable level of income eligi-18

bility under the State plan. A State shall19

not satisfy this provision if the only type of20

entity recognized by the State as a quali-21

fied entity is a hospital that has elected to22

be a qualified entity under section23

1902(a)(47)(B).24


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‘‘(iv) PREMIUM ASSISTANCE FOR EM-1

PLOYER-SPONSORED PLANS.—The State2

has opted to offer a premium assistance3

subsidy for qualified employer-sponsored4

coverage by implementing section 1906A5

under title XIX or the option described in6

section 2105(c)(10) under this title.7

‘‘(v) ELIMINATION OF WAITING PERI-8

ODS.—The State does not impose a wait-9

ing period for coverage of any individual10

under the State child health plan and en-11

sures that no waiting period applies in the12

case of coverage provided to any individual13

eligible for coverage under the State child14

health plan through coverage purchased by15

the State under section 2105(c)(3) or em-16

ployer-sponsored coverage subsidized by17

the State under section 1906A of title XIX18

or section 2105(c)(10) of this title.19

‘‘(vi) A UTOMATED TRACKING OF COST 20

SHARING OR LOWER CAP ON COST SHAR-21

ING.—In the case of a State child health22

plan that imposes premiums, deductibles,23

cost sharing, or similar charges that could24

(as determined by the Secretary) cause25


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LYN15093 S.L.C.

families that include an individual receiv-1

ing assistance under the plan to have out-2

of-pocket expenses that exceed the limit3

imposed under section 2103(e)(3)(B), the4

State has either—5

‘‘(I) established, or, in the case6

of a State child health plan that pro-7

vides child health assistance through8

managed care entities or organiza-9

tions, required such entities or organi-10

zations to coordinate with the State11

agency responsible for implementing12

the State child health plan under this13

title in establishing—14

‘‘(aa) an electronic process15

for tracking such expenses that16

does not rely on documentation17

provided by the individual or the18

family; and19

‘‘(bb) a system for notifying20

each such family of the aggregate21

monthly or quarterly limits on22

out-of-pocket expenses applicable23

to the family under section24

2103(e)(3)(B) and explaining to25


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LYN15093 S.L.C.

each such family that no such ex-1

penses shall be imposed on any2

individual in the family for the3

remainder of any month or quar-4

ter with respect to which the5

family has reached the applicable6

aggregate monthly or quarterly7

family limit imposed under such8

section; or9

‘‘(II) elected to eliminate10

deductibles, copayments, coinsurance,11

or other forms of cost-sharing (other12

than premiums) imposed under this13

title with respect to any individual re-14

ceiving coverage under the State child15

health plan.16

‘‘(vii) REAL-TIME ELIGIBILITY DETER-17

MINATIONS THROUGH THE USE OF EN-18

HANCED DATA SOURCES.—With respect to19

applications and renewals for medical as-20

sistance under title XIX or child health as-21

sistance under this title for a fiscal year,22

the State meets the following criteria for23

all income determinations made using24


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LYN15093 S.L.C.

modified adjusted gross income under sec-1

tion 1902(e)(14)(A):2

‘‘(I) The State relies on enhanced3

data sources (which may include, but4

shall not be limited to, the data5

sources available under section 11376

or the federal Data Services Hub) to7

make the determinations.8

‘‘(II) In the case of initial appli-9

cations, the State makes at least 5010

percent of the determinations within11

24 hours of receiving the application.12

If a State successfully makes the re-13

quired minimum percentage of timely14

determinations for a fiscal year, such15

State shall not receive credit for meet-16

ing this provision in any subsequent17

fiscal year unless the State makes a18

percentage of timely income deter-19

minations that is at least 5 percentage20

points higher (or, if at least 75 per-21

cent of the State’s determinations in a22

previous fiscal year were timely, 123

percentage point higher) than the per-24

centage that the State achieved in the25


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LYN15093 S.L.C.

last fiscal year in which the State re-1

ceived credit for meeting this provi-2

sion.3

‘‘(III) In the case of renewals,4

the State makes at least 50 percent of5

the determinations within 24 hours of6

receiving the renewal. If a State suc-7

cessfully makes the required minimum8

percentage of timely determinations9

for a fiscal year, such State shall not10

receive credit for meeting this provi-11

sion in any subsequent fiscal year un-12

less the State makes a percentage of13

timely income determinations that is14

at least 5 percentage points higher15

(or, if at least 75 percent of the16

State’s determinations in a previous17

fiscal year were timely, 1 percentage18

point higher) than the percentage that19

the State achieved in the last fiscal20

year in which the State received credit21

for meeting this provision.22

‘‘(viii) ELIMINATION OF PREMIUMS OR 23

RETROACTIVE REINSTATEMENT UPON PRE-24


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LYN15093 S.L.C.

MIUM PAYMENT.—The State has elected to1

either—2

‘‘(I) impose no premiums for cov-3

erage under the State child health4

plan; or5

‘‘(II) in the case of an individual6

whose coverage under the State child7

health plan has been terminated for8

failure to make premium payments,9

provide assistance to such individual10

for purposes of immediate reenroll-11

ment of the individual upon payment12

of outstanding premiums, with cov-13

erage retroactive to the beginning of14

the most recent month for which an15

outstanding premium has been paid,16

and shall not impose any waiting pe-17

riod or fee as a condition of such re-18

enrollment.’’.19

(e) E XTENSION OF QUALIFYING STATES OPTION.—20

Section 2105(g)(4) of the Social Security Act (42 U.S.C.21

1397ee(g)(4)) is amended—22

(1) in the paragraph heading, by striking23

‘‘2015’’ and inserting ‘‘2019’’; and24


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(2) in subparagraph (A), by striking ‘‘2015’’1

and inserting ‘‘2019’’.2

(f) E XTENSION OF CERTAIN PROGRAMS AND DEM-3

ONSTRATION PROJECTS.—4

(1) QUALITY CARE FOR CHILDREN DEM-5

ONSTRATION PROJECT.—Section 1139A(d)(1) of the6

Social Security Act (42 U.S.C. 1320b–9a(d)(1)) is7

amended in the matter before subparagraph (A) by8

inserting ‘‘, and during the period of fiscal years9

2016 through 2019, the Secretary shall award not10

more than 10 grants,’’ before ‘‘to States’’.11

(2) CHILDHOOD OBESITY DEMONSTRATION 12

PROJECT.—Section 1139A(e)(8) of the Social Secu-13

rity Act (42 U.S.C. 1320b–9a(e)(8)) is amended by14

inserting ‘‘, and $25,000,000 for the period of fiscal15

years 2015 though 2019’’ after ‘‘2014’’.16

(3) PEDIATRIC QUALITY MEASURES PRO-17

GRAM.—Section 1139A(i) of the Social Security Act18

(42 U.S.C. 1320b–9a(i)) is amended in the first sen-19

tence by inserting before the period at the end the20

following: ‘‘, and there is appropriated for each of21

fiscal years 2016 through 2019, $45,000,000 for the22

purpose of carrying out this section (other than sub-23

sections (e), (f), and (g)).’’.24


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(4) OUTREACH AND ENROLLMENT GRANTS; NA -1

TIONAL CAMPAIGN.—Section 2113 of the Social Se-2

curity Act (42 U.S.C. 1397mm) is amended—3

(A) in subsection (a)(1), by striking4

‘‘2015’’ and inserting ‘‘2019’’; and5

(B) in subsection (g), by inserting ‘‘, and6

$80,000,000 for the period of fiscal years 20167

through 2019, to remain available until ex-8

pended,’’ after ‘‘2015’’.9

(g) E XPRESS L ANE ELIGIBILITY .—Section10

1902(e)(13)(I) of the Social Security Act (42 U.S.C.11

1396a(e)(13)(I)) is amended by striking ‘‘September 30,12

2015’’ and inserting ‘‘September 30, 2019’’.13

(h) A UTHORITY TO USE INCOME DETERMINATION 14

M ADE UNDER CERTAIN PROGRAMS.—Section15

1902(e)(14) of the Social Security Act (42 U.S.C.16

1396a(e)(14)) is amended—17

(1) in subparagraph (A), in the first sentence,18

by striking ‘‘subparagraph (D)’’ and inserting ‘‘sub-19

paragraphs (D) and (J)’’; and20

(2) by adding at the end the following new sub-21

paragraph:22

‘‘(J) USE OF INCOME DETERMINATION 23

MADE UNDER CERTAIN OTHER PROGRAMS.—24


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‘‘(i) IN GENERAL.—For purposes of1

determining income eligibility for medical2

assistance under the State plan or under3

any waiver of such plan, a State may use4

a determination of income made by—5

‘‘(I) the State program funded6

under part A of title IV; or7

‘‘(II) the supplemental nutrition8

assistance program established under9

the Food and Nutrition Act of 2008.10

‘‘(ii) SUNSET.—Clause (i) shall not11

apply after September 30, 2019.’’.12

tester's protecting and retaining our children's health insurance program act

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