CHIPP Act

I 117TH CONGRESS 1ST SESSION H. R. 1791 To amend title XXI of the Social Security Act to permanently extend the Children’s Health Insurance Program, and for other purposes. IN THE HOUSE OF REPRESENTATIVES MARCH 11, 2021 Ms. BARRAGA´N (for herself, Mr. CA´RDENAS, Mr. RUSH, Mr. BISHOP of Geor- gia, Mr. HASTINGS, Ms. NORTON, and Mr. COHEN) introduced the fol- lowing bill; which was referred to the Committee on Energy and Com- merce A BILL To amend title XXI of the Social Security Act to perma- nently extend the Children’s Health Insurance Program, and for other purposes. 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 ‘‘Children’s Health In- 4 surance Program Permanency Act’’ or the ‘‘CHIPP Act’’. 5 VerDate Sep 11 2014 19:50 May 03, 2021 Jkt 019200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H1791.IH H1791 pamtmann on DSKBC07HB2PROD with BILLS 2 •HR 1791 IH SEC. 2. PERMANENT EXTENSION OF CHILDREN’S HEALTH 1 INSURANCE PROGRAM. 2 (a) IN GENERAL.—Section 2104(a)(28) of the Social 3 Security Act (42 U.S.C. 1397dd(a)(28)) is amended to 4 read as follows: 5 ‘‘(28) for fiscal year 2027 and each subsequent 6 year, such sums as are necessary to fund allotments 7 to States under subsections (c) and (m).’’. 8 (b) ALLOTMENTS.— 9 (1) IN GENERAL.—Section 2104(m) of the So- 10 cial Security Act (42 U.S.C. 1397dd(m)) is amend- 11 ed— 12 (A) in paragraph (2)(B)(i), by striking ‘‘,, 13 2023, and 2027’’ and inserting ‘‘and 2023’’; 14 (B) in paragraph (5)— 15 (i) by striking ‘‘for a fiscal year’’ and 16 inserting ‘‘for a fiscal year before 2027’’; 17 and 18 (ii) by striking ‘‘2023, or 2027’’ and 19 inserting ‘‘or 2023’’; 20 (C) in paragraph (7)— 21 (i) in subparagraph (A), by striking 22 ‘‘and ending with fiscal year 2027,’’; and 23 (ii) in the flush left matter at the end, 24 by striking ‘‘or fiscal year 2026’’ and in- 25 VerDate Sep 11 2014 19:50 May 03, 2021 Jkt 019200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1791.IH H1791 pamtmann on DSKBC07HB2PROD with BILLS 3 •HR 1791 IH serting ‘‘fiscal year 2026, or a subsequent 1 even-numbered fiscal year’’; 2 (D) in paragraph (9)— 3 (i) by striking ‘‘(10), or (11)’’ and in- 4 serting ‘‘or (10)’’; and 5 (ii) by striking ‘‘2023, or 2027,’’ and 6 inserting ‘‘or 2023’’; and 7 (E) by striking paragraph (11). 8 (2) CONFORMING AMENDMENT.—Section 9 50101(b)(2) of the Bipartisan Budget Act of 2018 10 (Public Law 115–123) is repealed. 11 SEC. 3. PERMANENT EXTENSIONS OF OTHER PROGRAMS 12 AND DEMONSTRATION PROJECTS. 13 (a) PEDIATRIC QUALITY MEASURES PROGRAM.— 14 Section 1139A(i)(1) of the Social Security Act (42 U.S.C. 15 1320b–9a(i)(1)) is amended— 16 (1) in subparagraph (C), by striking at the end 17 ‘‘and’’; 18 (2) in subparagraph (D), by striking the period 19 at the end and insert a semicolon; and 20 (3) by adding at the end the following new sub- 21 paragraphs: 22 ‘‘(E) for fiscal year 2028, $15,000,000 for 23 the purpose of carrying out this section (other 24 than subsections (e), (f), and (g)); and 25 VerDate Sep 11 2014 19:50 May 03, 2021 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1791.IH H1791 pamtmann on DSKBC07HB2PROD with BILLS 4 •HR 1791 IH ‘‘(F) for a subsequent fiscal year, the 1 amount appropriated under this paragraph for 2 the previous fiscal year, increased by the per- 3 centage increase in the consumer price index for 4 all urban consumers (all items; United States 5 city average) over such previous fiscal year, for 6 the purpose of carrying out this section (other 7 than subsections (e), (f), and (g)).’’. 8 (b) EXPRESS LANE ELIGIBILITY OPTION.—Section 9 1902(e)(13) of the Social Security Act (42 U.S.C. 10 1396a(e)(13)) is amended by striking subparagraph (I). 11 (c) ASSURANCE OF AFFORDABILITY STANDARD FOR 12 CHILDREN AND FAMILIES.— 13 (1) IN GENERAL.—Section 2105(d)(3) of the 14 Social Security Act (42 U.S.C. 1397ee(d)(3)) is 15 amended— 16 (A) in the paragraph heading, by striking 17 ‘‘THROUGH SEPTEMBER 30, 2027’’; and 18 (B) in subparagraph (A), in the matter 19 preceding clause (i)— 20 (i) by striking ‘‘During the period 21 that begins on the date of enactment of 22 the Patient Protection and Affordable Care 23 Act and ends on September 30, 2027’’ and 24 inserting ‘‘Beginning on the date of the en- 25 VerDate Sep 11 2014 19:50 May 03, 2021 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H1791.IH H1791 pamtmann on DSKBC07HB2PROD with BILLS 5 •HR 1791 IH actment of the Patient Protection and Af- 1 fordable Care Act’’; 2 (ii) by striking ‘‘During the period 3 that begins on October 1, 2019, and ends 4 on September 30, 2027’’ and inserting 5 ‘‘Beginning on October 1, 2019’’; and 6 (iii) by striking ‘‘The preceding sen- 7 tences shall not be construed as preventing 8 a State during any such periods from’’ and 9 inserting ‘‘The preceding sentences shall 10 not be construed as preventing a State 11 from’’. 12 (2) CONFORMING AMENDMENTS.—Section 13 1902(gg)(2) of the Social Security Act (42 U.S.C. 14 1396a(gg)(2)) is amended— 15 (A) in the paragraph heading, by striking 16 ‘‘THROUGH SEPTEMBER 30, 2027’’; and 17 (B) by striking ‘‘through September 30’’ 18 and all that follows through ‘‘ends on Sep- 19 tember 30, 2027’’ and inserting ‘‘(but begin- 20 ning on October 1, 2019,’’. 21 (d) QUALIFYING STATES OPTION.—Section 22 2105(g)(4) of the Social Security Act (42 U.S.C. 23 1397ee(g)(4)) is amended— 24 VerDate Sep 11 2014 19:50 May 03, 2021 Jkt 019200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H1791.IH H1791 pamtmann on DSKBC07HB2PROD with BILLS 6 •HR 1791 IH (1) in the paragraph heading, by striking ‘‘FOR 1 FISCAL YEARS 2009 THROUGH 2027’’ and inserting 2 ‘‘AFTER FISCAL YEAR 2008’’; and 3 (2) in subparagraph (A), by striking ‘‘for any 4 of fiscal years 2009 through 2027’’ and inserting 5 ‘‘for any fiscal year after fiscal year 2008’’. 6 (e) OUTREACH AND ENROLLMENT PROGRAM.—Sec- 7 tion 2113 of the Social Security Act (42 U.S.C. 1397mm) 8 is amended— 9 (1) in subsection (a)— 10 (A) in paragraph (1), by striking ‘‘during 11 the period of fiscal years 2009 through 2027’’ 12 and inserting ‘‘, beginning with fiscal year 13 2009,’’; 14 (B) in paragraph (2)— 15 (i) by striking ‘‘10 percent of such 16 amounts’’ and inserting ‘‘10 percent of 17 such amounts for the period or the fiscal 18 year for which such amounts are appro- 19 priated’’; and 20 (ii) by striking ‘‘during such period’’ 21 and inserting ‘‘, during such period or such 22 fiscal year,’’; and 23 (C) in paragraph (3), by striking ‘‘For the 24 period of fiscal years 2024 through 2027, an 25 VerDate Sep 11 2014 19:50 May 03, 2021 Jkt 019200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H1791.IH H1791 pamtmann on DSKBC07HB2PROD with BILLS 7 •HR 1791 IH amount equal to 10 percent of such amounts’’ 1 and inserting ‘‘Beginning with fiscal year 2024, 2 an amount equal to 10 percent of such amounts 3 for the period or the fiscal year for which such 4 amounts are appropriated’’; and 5 (2) in subsection (g)— 6 (A) by striking ‘‘2017,,’’ and inserting 7 ‘‘2017,’’; 8 (B) by striking ‘‘and $48,000,000’’ and in- 9 serting ‘‘$48,000,000’’; and 10 (C) by inserting after ‘‘through 2027’’ the 11 following: ‘‘, $12,000,000 for fiscal year 2028, 12 and, for each fiscal year after fiscal year 2028, 13 the amount appropriated under this subsection 14 for the previous fiscal year, increased by the 15 percentage increase in the consumer price index 16 for all urban consumers (all items; United 17 States city average) over such previous fiscal 18 year’’. 19 (f) CHILD ENROLLMENT CONTINGENCY FUND.— 20 Section 2104(n) of the Social Security Act (42 U.S.C. 21 1397dd(n)) is amended— 22 (1) in paragraph (2)— 23 (A) in subparagraph (A)(ii)— 24 VerDate Sep 11 2014 19:50 May 03, 2021 Jkt 019200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H1791.IH H1791 pamtmann on DSKBC07HB2PROD with BILLS 8 •HR 1791 IH (i) by striking ‘‘and 2024 through 1 2026’’ and inserting ‘‘beginning with fiscal 2 year 2024’’; and 3 (ii) by striking ‘‘2023, and 2027’’ and 4 inserting ‘‘, and 2023’’; and 5 (B) in subparagraph (B)— 6 (i) by striking ‘‘2024 through 2026’’ 7 and inserting ‘‘beginning with fiscal year 8 2024’’; and 9 (ii) by striking ‘‘2023, and 2027’’ and 10 inserting ‘‘, and 2023’’; and 11 (2) in paragraph (3)(A)— 12 (A) by striking ‘‘fiscal years 2024 through 13 2026’’ and inserting ‘‘fiscal year 2024 or any 14 subsequent fiscal year’’; and 15 (B) by striking ‘‘2023, or 2027’’ and in- 16 serting ‘‘, or 2023’’. 17 SEC. 4. STATE OPTION TO INCREASE CHILDREN’S ELIGI- 18 BILITY FOR MEDICAID AND CHIP. 19 Section 2110(b)(1)(B)(ii) of the Social Security Act 20 (42 U.S.C. 1397jj(b)(1)(B)(ii)) is amended— 21 (1) in subclause (II), by striking ‘‘or’’ at the 22 end; 23 (2) in subclause (III), by striking ‘‘and’’ at the 24 end and inserting ‘‘or’’; and 25 VerDate Sep 11 2014 19:50 May 03, 2021 Jkt 019200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H1791.IH H1791 pamtmann on DSKBC07HB2PROD with BILLS 9 •HR 1791 IH (3) by inserting after subclause (III) the fol- 1 lowing new subclause: 2 ‘‘(IV) at the option of the State, 3 whose family income exceeds the maximum 4 income level otherwise established for chil- 5 dren under the State child health plan as 6 of the date of the enactment of this sub- 7 clause; and’’. 8 Æ VerDate Sep 11 2014 19:50 May 03, 2021 Jkt 019200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6301 E:\BILLS\H1791.IH H1791 pamtmann on DSKBC07HB2PROD with BILLS