I
119THCONGRESS
1
STSESSION H. R. 1901
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
MARCH6, 2025
Ms. B
ARRAGA´N(for herself, Mr. JOHNSONof Georgia, Ms. BONAMICI, Mr.
C
OHEN, Ms. CASTORof Florida, Ms. SCHAKOWSKY, Mr. VARGAS, Ms.
N
ORTON, Ms. SCHOLTEN, Mrs. WATSONCOLEMAN, Ms. TITUS, Mr.
M
ULLIN, Mr. TONKO, Mrs. TRAHAN, Ms. STRICKLAND, Ms. WATERS, Mr.
S
OTO, Ms. MCCLELLAN, Mr. MORELLE, Mr. MFUME, Ms. ANSARI, Mrs.
C
HERFILUS-MCCORMICK, Mrs. HAYES, Mr. ESPAILLAT, Mr. POCAN, and
Mr. V
ASQUEZ) introduced the following bill; which was referred to the
Committee on Energy and Commerce
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
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SEC. 2. PERMANENT EXTENSION OF CHILDREN’S HEALTH 1
INSURANCE PROGRAM. 2
(a) I
NGENERAL.—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 2029 and each subsequent 6
year, such sums as are necessary to fund allotments 7
to States under subsections (c) and (m).’’. 8
(b) A
LLOTMENTS.— 9
(1) I
N 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 2029’’ 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 2029’’; 17
and 18
(ii) by striking ‘‘2023, or 2029’’ and 19
inserting ‘‘or 2023’’; 20
(C) in paragraph (7)— 21
(i) in subparagraph (A), by striking 22
‘‘and ending with fiscal year 2029,’’; and 23
(ii) in the flush left matter at the end, 24
by striking ‘‘or fiscal year 2028’’ and in-25
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serting ‘‘fiscal year 2028, 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 2029,’’ and 6
inserting ‘‘or 2023’’; and 7
(E) by striking paragraph (11). 8
(2) C
ONFORMING 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) P
EDIATRICQUALITYMEASURESPROGRAM.— 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 (D), by striking at the end 17
‘‘and’’; 18
(2) in subparagraph (E), 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 2030, $15,000,000 for 23
the purpose of carrying out this section (other 24
than subsections (e), (f), and (g)); and 25
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‘‘(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) E
XPRESSLANEELIGIBILITYOPTION.—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) A
SSURANCE OFAFFORDABILITYSTANDARD FOR 12
C
HILDREN ANDFAMILIES.— 13
(1) I
N 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 , 2029’’; 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, 2029’’ and 24
inserting ‘‘Beginning on the date of the en-25
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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, 2029’’ 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) C
ONFORMING 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 , 2029’’; and 17
(B) by striking ‘‘through September 30’’ 18
and all that follows through ‘‘ends on Sep-19
tember 30, 2029’’ and inserting ‘‘(but begin-20
ning on October 1, 2019,)’’. 21
(d) Q
UALIFYING STATES OPTION.—Section 22
2105(g)(4) of the Social Security Act (42 U.S.C. 23
1397ee(g)(4)) is amended— 24
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(1) in the paragraph heading, by striking ‘‘FOR 1
FISCAL YEARS 2009 THROUGH 2029 ’’ and inserting 2
‘‘
AFTER FISCAL YEAR 2008’’; and 3
(2) in subparagraph (A), by striking ‘‘for any 4
of fiscal years 2009 through 2029’’ and inserting 5
‘‘for any fiscal year after fiscal year 2008’’. 6
(e) O
UTREACH AND ENROLLMENTPROGRAM.—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 2029’’ 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 2029, an 25
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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 ‘‘and $40,000,000’’ and in-7
serting ‘‘$40,000,000’’; and 8
(B) by inserting after ‘‘and 2029’’ the fol-9
lowing: ‘‘, $12,000,000 for fiscal year 2030, 10
and, for each fiscal year after fiscal year 2030, 11
the amount appropriated under this subsection 12
for the previous fiscal year, increased by the 13
percentage increase in the consumer price index 14
for all urban consumers (all items; United 15
States city average) over such previous fiscal 16
year’’. 17
(f) C
HILDENROLLMENT CONTINGENCY FUND.— 18
Section 2104(n) of the Social Security Act (42 U.S.C. 19
1397dd(n)) is amended— 20
(1) in paragraph (2)— 21
(A) in subparagraph (A)(ii)— 22
(i) by striking ‘‘and 2024 through 23
2028’’ and inserting ‘‘beginning with fiscal 24
year 2024’’; and 25
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(ii) by striking ‘‘2023, and 2029’’ and 1
inserting ‘‘, and 2023’’; and 2
(B) in subparagraph (B)— 3
(i) by striking ‘‘2024 through 2028’’ 4
and inserting ‘‘beginning with fiscal year 5
2024’’; and 6
(ii) by striking ‘‘2023, and 2029’’ and 7
inserting ‘‘, and 2023’’; and 8
(2) in paragraph (3)(A)— 9
(A) by striking ‘‘fiscal years 2024 through 10
2028’’ and inserting ‘‘fiscal year 2024 or any 11
subsequent fiscal year’’; and 12
(B) by striking ‘‘2023, or 2029’’ and in-13
serting ‘‘, or 2023’’. 14
SEC. 4. STATE OPTION TO INCREASE CHILDREN’S ELIGI-15
BILITY FOR MEDICAID AND CHIP. 16
Section 2110(b)(1)(B)(ii) of the Social Security Act 17
(42 U.S.C. 1397jj(b)(1)(B)(ii)) is amended— 18
(1) in subclause (II), by striking ‘‘or’’ at the 19
end; 20
(2) in subclause (III), by striking ‘‘and’’ at the 21
end and inserting ‘‘or’’; and 22
(3) by inserting after subclause (III) the fol-23
lowing new subclause: 24
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‘‘(IV) at the option of the State, 1
whose family income exceeds the maximum 2
income level otherwise established for chil-3
dren under the State child health plan as 4
of the date of the enactment of this sub-5
clause; and’’. 6
Æ
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