1 | 1 | | I |
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2 | 2 | | 119THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION H. R. 1901 |
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5 | 5 | | To amend title XXI of the Social Security Act to permanently extend the |
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6 | 6 | | Children’s Health Insurance Program, and for other purposes. |
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7 | 7 | | IN THE HOUSE OF REPRESENTATIVES |
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8 | 8 | | MARCH6, 2025 |
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9 | 9 | | Ms. B |
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10 | 10 | | ARRAGA´N(for herself, Mr. JOHNSONof Georgia, Ms. BONAMICI, Mr. |
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11 | 11 | | C |
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12 | 12 | | OHEN, Ms. CASTORof Florida, Ms. SCHAKOWSKY, Mr. VARGAS, Ms. |
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13 | 13 | | N |
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14 | 14 | | ORTON, Ms. SCHOLTEN, Mrs. WATSONCOLEMAN, Ms. TITUS, Mr. |
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15 | 15 | | M |
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16 | 16 | | ULLIN, Mr. TONKO, Mrs. TRAHAN, Ms. STRICKLAND, Ms. WATERS, Mr. |
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17 | 17 | | S |
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18 | 18 | | OTO, Ms. MCCLELLAN, Mr. MORELLE, Mr. MFUME, Ms. ANSARI, Mrs. |
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19 | 19 | | C |
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20 | 20 | | HERFILUS-MCCORMICK, Mrs. HAYES, Mr. ESPAILLAT, Mr. POCAN, and |
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21 | 21 | | Mr. V |
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22 | 22 | | ASQUEZ) introduced the following bill; which was referred to the |
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23 | 23 | | Committee on Energy and Commerce |
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24 | 24 | | A BILL |
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25 | 25 | | To amend title XXI of the Social Security Act to perma- |
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26 | 26 | | nently extend the Children’s Health Insurance Program, |
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27 | 27 | | and for other purposes. |
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28 | 28 | | Be it enacted by the Senate and House of Representa-1 |
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29 | 29 | | tives of the United States of America in Congress assembled, 2 |
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30 | 30 | | SECTION 1. SHORT TITLE. 3 |
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31 | 31 | | This Act may be cited as the ‘‘Children’s Health In-4 |
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32 | 32 | | surance Program Permanency Act’’ or the ‘‘CHIPP Act’’. 5 |
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34 | 34 | | ssavage on LAPJG3WLY3PROD with BILLS 2 |
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35 | 35 | | •HR 1901 IH |
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36 | 36 | | SEC. 2. PERMANENT EXTENSION OF CHILDREN’S HEALTH 1 |
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37 | 37 | | INSURANCE PROGRAM. 2 |
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38 | 38 | | (a) I |
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39 | 39 | | NGENERAL.—Section 2104(a)(28) of the Social 3 |
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40 | 40 | | Security Act (42 U.S.C. 1397dd(a)(28)) is amended to 4 |
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41 | 41 | | read as follows: 5 |
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42 | 42 | | ‘‘(28) for fiscal year 2029 and each subsequent 6 |
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43 | 43 | | year, such sums as are necessary to fund allotments 7 |
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44 | 44 | | to States under subsections (c) and (m).’’. 8 |
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45 | 45 | | (b) A |
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46 | 46 | | LLOTMENTS.— 9 |
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47 | 47 | | (1) I |
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48 | 48 | | N GENERAL.—Section 2104(m) of the So-10 |
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49 | 49 | | cial Security Act (42 U.S.C. 1397dd(m)) is amend-11 |
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50 | 50 | | ed— 12 |
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51 | 51 | | (A) in paragraph (2)(B)(i), by striking ‘‘, 13 |
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52 | 52 | | 2023, and 2029’’ and inserting ‘‘and 2023’’; 14 |
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53 | 53 | | (B) in paragraph (5)— 15 |
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54 | 54 | | (i) by striking ‘‘for a fiscal year’’ and 16 |
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55 | 55 | | inserting ‘‘for a fiscal year before 2029’’; 17 |
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56 | 56 | | and 18 |
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57 | 57 | | (ii) by striking ‘‘2023, or 2029’’ and 19 |
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58 | 58 | | inserting ‘‘or 2023’’; 20 |
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59 | 59 | | (C) in paragraph (7)— 21 |
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60 | 60 | | (i) in subparagraph (A), by striking 22 |
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61 | 61 | | ‘‘and ending with fiscal year 2029,’’; and 23 |
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62 | 62 | | (ii) in the flush left matter at the end, 24 |
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63 | 63 | | by striking ‘‘or fiscal year 2028’’ and in-25 |
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64 | 64 | | VerDate Sep 11 2014 22:03 Mar 19, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1901.IH H1901 |
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65 | 65 | | ssavage on LAPJG3WLY3PROD with BILLS 3 |
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66 | 66 | | •HR 1901 IH |
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67 | 67 | | serting ‘‘fiscal year 2028, or a subsequent 1 |
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68 | 68 | | even-numbered fiscal year’’; 2 |
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69 | 69 | | (D) in paragraph (9)— 3 |
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70 | 70 | | (i) by striking ‘‘(10), or (11)’’ and in-4 |
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71 | 71 | | serting ‘‘or (10)’’; and 5 |
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72 | 72 | | (ii) by striking ‘‘2023, or 2029,’’ and 6 |
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73 | 73 | | inserting ‘‘or 2023’’; and 7 |
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74 | 74 | | (E) by striking paragraph (11). 8 |
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75 | 75 | | (2) C |
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76 | 76 | | ONFORMING AMENDMENT .—Section 9 |
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77 | 77 | | 50101(b)(2) of the Bipartisan Budget Act of 2018 10 |
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78 | 78 | | (Public Law 115–123) is repealed. 11 |
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79 | 79 | | SEC. 3. PERMANENT EXTENSIONS OF OTHER PROGRAMS 12 |
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80 | 80 | | AND DEMONSTRATION PROJECTS. 13 |
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81 | 81 | | (a) P |
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82 | 82 | | EDIATRICQUALITYMEASURESPROGRAM.— 14 |
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83 | 83 | | Section 1139A(i)(1) of the Social Security Act (42 U.S.C. 15 |
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84 | 84 | | 1320b–9a(i)(1)) is amended— 16 |
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85 | 85 | | (1) in subparagraph (D), by striking at the end 17 |
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86 | 86 | | ‘‘and’’; 18 |
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87 | 87 | | (2) in subparagraph (E), by striking the period 19 |
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88 | 88 | | at the end and insert a semicolon; and 20 |
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89 | 89 | | (3) by adding at the end the following new sub-21 |
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90 | 90 | | paragraphs: 22 |
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91 | 91 | | ‘‘(E) for fiscal year 2030, $15,000,000 for 23 |
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92 | 92 | | the purpose of carrying out this section (other 24 |
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93 | 93 | | than subsections (e), (f), and (g)); and 25 |
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96 | 96 | | •HR 1901 IH |
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97 | 97 | | ‘‘(F) for a subsequent fiscal year, the 1 |
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98 | 98 | | amount appropriated under this paragraph for 2 |
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99 | 99 | | the previous fiscal year, increased by the per-3 |
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100 | 100 | | centage increase in the consumer price index for 4 |
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101 | 101 | | all urban consumers (all items; United States 5 |
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102 | 102 | | city average) over such previous fiscal year, for 6 |
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103 | 103 | | the purpose of carrying out this section (other 7 |
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104 | 104 | | than subsections (e), (f), and (g)).’’. 8 |
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105 | 105 | | (b) E |
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106 | 106 | | XPRESSLANEELIGIBILITYOPTION.—Section 9 |
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107 | 107 | | 1902(e)(13) of the Social Security Act (42 U.S.C. 10 |
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108 | 108 | | 1396a(e)(13)) is amended by striking subparagraph (I). 11 |
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109 | 109 | | (c) A |
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110 | 110 | | SSURANCE OFAFFORDABILITYSTANDARD FOR 12 |
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111 | 111 | | C |
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112 | 112 | | HILDREN ANDFAMILIES.— 13 |
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113 | 113 | | (1) I |
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114 | 114 | | N GENERAL.—Section 2105(d)(3) of the 14 |
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115 | 115 | | Social Security Act (42 U.S.C. 1397ee(d)(3)) is 15 |
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116 | 116 | | amended— 16 |
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117 | 117 | | (A) in the paragraph heading, by striking 17 |
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118 | 118 | | ‘‘ |
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119 | 119 | | THROUGH SEPTEMBER 30 , 2029’’; and 18 |
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120 | 120 | | (B) in subparagraph (A), in the matter 19 |
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121 | 121 | | preceding clause (i)— 20 |
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122 | 122 | | (i) by striking ‘‘During the period 21 |
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123 | 123 | | that begins on the date of enactment of 22 |
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124 | 124 | | the Patient Protection and Affordable Care 23 |
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125 | 125 | | Act and ends on September 30, 2029’’ and 24 |
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126 | 126 | | inserting ‘‘Beginning on the date of the en-25 |
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129 | 129 | | •HR 1901 IH |
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130 | 130 | | actment of the Patient Protection and Af-1 |
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131 | 131 | | fordable Care Act’’; 2 |
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132 | 132 | | (ii) by striking ‘‘During the period 3 |
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133 | 133 | | that begins on October 1, 2019, and ends 4 |
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134 | 134 | | on September 30, 2029’’ and inserting 5 |
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135 | 135 | | ‘‘Beginning on October 1, 2019’’; and 6 |
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136 | 136 | | (iii) by striking ‘‘The preceding sen-7 |
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137 | 137 | | tences shall not be construed as preventing 8 |
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138 | 138 | | a State during any such periods from’’ and 9 |
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139 | 139 | | inserting ‘‘The preceding sentences shall 10 |
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140 | 140 | | not be construed as preventing a State 11 |
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141 | 141 | | from’’. 12 |
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142 | 142 | | (2) C |
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143 | 143 | | ONFORMING AMENDMENTS .—Section 13 |
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144 | 144 | | 1902(gg)(2) of the Social Security Act (42 U.S.C. 14 |
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145 | 145 | | 1396a(gg)(2)) is amended— 15 |
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146 | 146 | | (A) in the paragraph heading, by striking 16 |
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147 | 147 | | ‘‘ |
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148 | 148 | | THROUGH SEPTEMBER 30 , 2029’’; and 17 |
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149 | 149 | | (B) by striking ‘‘through September 30’’ 18 |
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150 | 150 | | and all that follows through ‘‘ends on Sep-19 |
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151 | 151 | | tember 30, 2029’’ and inserting ‘‘(but begin-20 |
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152 | 152 | | ning on October 1, 2019,)’’. 21 |
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153 | 153 | | (d) Q |
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154 | 154 | | UALIFYING STATES OPTION.—Section 22 |
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155 | 155 | | 2105(g)(4) of the Social Security Act (42 U.S.C. 23 |
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156 | 156 | | 1397ee(g)(4)) is amended— 24 |
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159 | 159 | | •HR 1901 IH |
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160 | 160 | | (1) in the paragraph heading, by striking ‘‘FOR 1 |
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161 | 161 | | FISCAL YEARS 2009 THROUGH 2029 ’’ and inserting 2 |
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162 | 162 | | ‘‘ |
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163 | 163 | | AFTER FISCAL YEAR 2008’’; and 3 |
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164 | 164 | | (2) in subparagraph (A), by striking ‘‘for any 4 |
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165 | 165 | | of fiscal years 2009 through 2029’’ and inserting 5 |
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166 | 166 | | ‘‘for any fiscal year after fiscal year 2008’’. 6 |
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167 | 167 | | (e) O |
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168 | 168 | | UTREACH AND ENROLLMENTPROGRAM.—Sec-7 |
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169 | 169 | | tion 2113 of the Social Security Act (42 U.S.C. 1397mm) 8 |
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170 | 170 | | is amended— 9 |
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171 | 171 | | (1) in subsection (a)— 10 |
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172 | 172 | | (A) in paragraph (1), by striking ‘‘during 11 |
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173 | 173 | | the period of fiscal years 2009 through 2029’’ 12 |
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174 | 174 | | and inserting ‘‘, beginning with fiscal year 13 |
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175 | 175 | | 2009,’’; 14 |
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176 | 176 | | (B) in paragraph (2)— 15 |
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177 | 177 | | (i) by striking ‘‘10 percent of such 16 |
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178 | 178 | | amounts’’ and inserting ‘‘10 percent of 17 |
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179 | 179 | | such amounts for the period or the fiscal 18 |
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180 | 180 | | year for which such amounts are appro-19 |
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181 | 181 | | priated’’; and 20 |
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182 | 182 | | (ii) by striking ‘‘during such period’’ 21 |
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183 | 183 | | and inserting ‘‘, during such period or such 22 |
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184 | 184 | | fiscal year,’’; and 23 |
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185 | 185 | | (C) in paragraph (3), by striking ‘‘For the 24 |
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186 | 186 | | period of fiscal years 2024 through 2029, an 25 |
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189 | 189 | | •HR 1901 IH |
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190 | 190 | | amount equal to 10 percent of such amounts’’ 1 |
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191 | 191 | | and inserting ‘‘Beginning with fiscal year 2024, 2 |
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192 | 192 | | an amount equal to 10 percent of such amounts 3 |
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193 | 193 | | for the period or the fiscal year for which such 4 |
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194 | 194 | | amounts are appropriated’’; and 5 |
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195 | 195 | | (2) in subsection (g)— 6 |
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196 | 196 | | (A) by striking ‘‘and $40,000,000’’ and in-7 |
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197 | 197 | | serting ‘‘$40,000,000’’; and 8 |
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198 | 198 | | (B) by inserting after ‘‘and 2029’’ the fol-9 |
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199 | 199 | | lowing: ‘‘, $12,000,000 for fiscal year 2030, 10 |
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200 | 200 | | and, for each fiscal year after fiscal year 2030, 11 |
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201 | 201 | | the amount appropriated under this subsection 12 |
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202 | 202 | | for the previous fiscal year, increased by the 13 |
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203 | 203 | | percentage increase in the consumer price index 14 |
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204 | 204 | | for all urban consumers (all items; United 15 |
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205 | 205 | | States city average) over such previous fiscal 16 |
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206 | 206 | | year’’. 17 |
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207 | 207 | | (f) C |
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208 | 208 | | HILDENROLLMENT CONTINGENCY FUND.— 18 |
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209 | 209 | | Section 2104(n) of the Social Security Act (42 U.S.C. 19 |
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210 | 210 | | 1397dd(n)) is amended— 20 |
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211 | 211 | | (1) in paragraph (2)— 21 |
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212 | 212 | | (A) in subparagraph (A)(ii)— 22 |
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213 | 213 | | (i) by striking ‘‘and 2024 through 23 |
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214 | 214 | | 2028’’ and inserting ‘‘beginning with fiscal 24 |
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215 | 215 | | year 2024’’; and 25 |
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218 | 218 | | •HR 1901 IH |
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219 | 219 | | (ii) by striking ‘‘2023, and 2029’’ and 1 |
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220 | 220 | | inserting ‘‘, and 2023’’; and 2 |
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221 | 221 | | (B) in subparagraph (B)— 3 |
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222 | 222 | | (i) by striking ‘‘2024 through 2028’’ 4 |
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223 | 223 | | and inserting ‘‘beginning with fiscal year 5 |
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224 | 224 | | 2024’’; and 6 |
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225 | 225 | | (ii) by striking ‘‘2023, and 2029’’ and 7 |
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226 | 226 | | inserting ‘‘, and 2023’’; and 8 |
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227 | 227 | | (2) in paragraph (3)(A)— 9 |
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228 | 228 | | (A) by striking ‘‘fiscal years 2024 through 10 |
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229 | 229 | | 2028’’ and inserting ‘‘fiscal year 2024 or any 11 |
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230 | 230 | | subsequent fiscal year’’; and 12 |
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231 | 231 | | (B) by striking ‘‘2023, or 2029’’ and in-13 |
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232 | 232 | | serting ‘‘, or 2023’’. 14 |
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233 | 233 | | SEC. 4. STATE OPTION TO INCREASE CHILDREN’S ELIGI-15 |
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234 | 234 | | BILITY FOR MEDICAID AND CHIP. 16 |
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235 | 235 | | Section 2110(b)(1)(B)(ii) of the Social Security Act 17 |
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236 | 236 | | (42 U.S.C. 1397jj(b)(1)(B)(ii)) is amended— 18 |
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237 | 237 | | (1) in subclause (II), by striking ‘‘or’’ at the 19 |
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238 | 238 | | end; 20 |
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239 | 239 | | (2) in subclause (III), by striking ‘‘and’’ at the 21 |
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240 | 240 | | end and inserting ‘‘or’’; and 22 |
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241 | 241 | | (3) by inserting after subclause (III) the fol-23 |
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242 | 242 | | lowing new subclause: 24 |
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245 | 245 | | •HR 1901 IH |
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246 | 246 | | ‘‘(IV) at the option of the State, 1 |
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247 | 247 | | whose family income exceeds the maximum 2 |
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248 | 248 | | income level otherwise established for chil-3 |
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249 | 249 | | dren under the State child health plan as 4 |
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250 | 250 | | of the date of the enactment of this sub-5 |
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251 | 251 | | clause; and’’. 6 |
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252 | 252 | | Æ |
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