II 

117TH CONGRESS 

1ST SESSION S. 453 

To increase support for State Children’s Health Insurance programs during 

the COVID–19 emergency, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

FEBRUARY 25, 2021 

Mr. CASEY (for himself and Mr. VAN HOLLEN) introduced the following bill; 

which was read twice and referred to the Committee on Finance 

A BILL 

To increase support for State Children’s Health Insurance 

programs during the COVID–19 emergency, and for 

other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Children’s Health In5 surance Program Pandemic Enhancement and Relief Act’’ 

6 or the ‘‘CHIPPER Act’’. 


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1 SEC. 2. INCREASING THE CHIP ENHANCED FMAP TO HELP 

2 STATES RESPOND TO THE COVID–19 PAN3 DEMIC. 

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

5 1397ee(b)) is amended— 

6 (1) by striking ‘‘For purposes of subsection 

7 (a),’’ and inserting the following: 

8 ‘‘(1) IN GENERAL.—For purposes of subsection 

9 (a),’’; 

10 (2) in the second sentence— 

11 (A) by inserting ‘‘, subject to paragraph 

12 (2),’’ after ‘‘23 percentage points, and’’; and 

13 (B) by striking ‘‘September 30, 2020’’ and 

14 inserting ‘‘September 30, 2022’’; and 

15 (3) by adding at the end the following new 

16 paragraph: 

17 ‘‘(2) REQUIREMENTS.—During the period that 

18 begins on October 1, 2020, and ends on September 

19 30, 2022, a State shall not receive the increase de20 scribed in the second sentence of paragraph (1) to 

21 the enhanced FMAP for such State, with respect to 

22 a quarter that occurs during such period, if— 

23 ‘‘(A) the amount of any premium imposed 

24 by the State under the State child health plan 

25 (or a waiver of such plan) during such quarter, 

26 with respect to an individual enrolled under 


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1 such plan (or waiver), exceeds the amount of 

2 such premium as of January 1, 2020; 

3 ‘‘(B) the State fails to provide that an in4 dividual who is enrolled for benefits under such 

5 plan (or waiver) as of the date of enactment of 

6 this paragraph or enrolls for benefits under 

7 such plan (or waiver) during the period begin8 ning on such date of enactment and ending on 

9 the last day of the month in which the emer10 gency period defined in paragraph (1)(B) of 

11 section 1135(g) ends shall be treated as eligible 

12 for such benefits through the end of the month 

13 in which such emergency period ends unless the 

14 individual requests a voluntary termination of 

15 eligibility or the individual ceases to be a resi16 dent of the State; 

17 ‘‘(C) the State does not provide coverage 

18 under such plan (or waiver), without the impo19 sition of cost sharing, during such quarter for 

20 any testing services and treatments for 

21 COVID–19, including vaccines, specialized 

22 equipment, and therapies; 

23 ‘‘(D) the State imposes a waiting period 

24 under the State child health plan prior to the 


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1 provision of child health assistance to a tar2 geted low-income child; or 

3 ‘‘(E) the State fails to take active meas4 ures (as determined by the Secretary) to iden5 tify and re-enroll children who are eligible for 

6 child health assistance under the State plan and 

7 who were previously enrolled in such plan.’’. 

Æ 


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