I 

118TH CONGRESS 

1ST SESSION H. R. 1316 

To amend titles XIX and XXI of the Social Security Act to allow States 

to provide for extended periods of continuous coverage under the Medicaid and CHIP programs for children, to provide a period of continuous 

eligibility under the Medicaid program for certain adults, and for other 

purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 1, 2023 

Mr. NEGUSE introduced the following bill; which was referred to the 

Committee on Energy and Commerce 

A BILL 

To amend titles XIX and XXI of the Social Security Act 

to allow States to provide for extended periods of continuous coverage under the Medicaid and CHIP programs 

for children, to provide a period of continuous eligibility 

under the Medicaid program for certain adults, 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 ‘‘Save Children’s Cov5 erage Act’’. 


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1 SEC. 2. OPTIONAL EXTENSION OF CONTINUOUS ELIGI2 BILITY FOR CHILDREN UNDER MEDICAID 

3 AND CHIP. 

4 (a) UNDER THE MEDICAID PROGRAM.—Section 

5 1902(e) of the Social Security Act (42 U.S.C. 1396a(e)) 

6 is amended by adding at the end the following new para7 graph: 

8 ‘‘(17) OPTIONAL EXTENSION OF CONTINUOUS

9 ELIGIBILITY FOR CHILDREN.— 

10 ‘‘(A) CHILDREN UNDER AGE 6.—At the 

11 option of the State, the State plan (or waiver 

12 of such State plan) may provide that an indi13 vidual who is under the age of 6 and who is de14 termined to be eligible for benefits under a 

15 State plan (or waiver of such plan) approved 

16 under this title may remain eligible for such 

17 benefits until the earlier of— 

18 ‘‘(i) the time that such individual at19 tains the age of 6; or 

20 ‘‘(ii) the date that such individual 

21 ceases to be a resident of such State. 

22 ‘‘(B) CHILDREN AGE 6 THROUGH 18.—At 

23 the option of the State, the State plan (or waiv24 er of such State plan) may provide that an indi25 vidual who is over the age of 5 and under the 

26 age of 19, and who is determined to be eligible 


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1 for benefits under a State plan (or waiver of 

2 such plan) approved under this title, may re3 main eligible for such benefits until the earlier 

4 of— 

5 ‘‘(i) the end of the 24-month period 

6 beginning on the date of such determina7 tion; 

8 ‘‘(ii) the time that such individual at9 tains the age of 19; or 

10 ‘‘(iii) the date that such individual 

11 ceases to be a resident of such State.’’. 

12 (b) UNDER THE CHILDREN’S HEALTH INSURANCE

13 PROGRAM.—Section 2107(e)(1) of the Social Security Act 

14 (42 U.S.C. 1397gg(e)(1)) is amended— 

15 (1) by redesignating subparagraphs (L) through 

16 (U) as subparagraphs (M) through (V), respectively; 

17 and 

18 (2) by inserting after subparagraph (K) the fol19 lowing new subparagraph: 

20 ‘‘(L) Section 1902(e)(17) (relating to the 

21 State option to extend continuous eligibility for 

22 children under the age of 19).’’. 

23 (c) EFFECTIVE DATE.—The amendments made by 

24 this section shall take effect on the first day following the 

25 end of the emergency period described in section 


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1 1135(g)(1)(B) of the Social Security Act (42 U.S.C. 

2 1320b–5(g)(1)(B)). 

3 SEC. 3. OPTION TO PROVIDE CONTINUOUS ELIGIBILITY 

4 FOR CERTAIN INDIVIDUALS UNDER MED5 ICAID. 

6 (a) IN GENERAL.—Section 1902(e) of the Social Se7 curity Act (42 U.S.C. 1396a(e)), as amended by section 

8 2, is further amended by adding at the end the following 

9 new paragraph: 

10 ‘‘(18) OPTION FOR CONTINUOUS ELIGIBILITY

11 FOR CERTAIN INDIVIDUALS.— 

12 ‘‘(A) IN GENERAL.—At the option of the 

13 State, the State plan (or waiver of such State 

14 plan) may provide that an eligible individual (as 

15 defined in subparagraph (B)) who is determined 

16 to be eligible for benefits under a State plan (or 

17 waiver of such plan) approved under this title, 

18 may remain eligible for such benefits until the 

19 earlier of— 

20 ‘‘(i) the end of the 12-month period 

21 beginning on the date of such determina22 tion; or 

23 ‘‘(ii) the date that such individual 

24 ceases to be a resident of such State. 


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1 ‘‘(B) ELIGIBLE INDIVIDUAL DEFINED.— 

2 For purposes of this paragraph, the term ‘eligi3 ble individual’ means an individual over the age 

4 of 18— 

5 ‘‘(i) whose income does not exceed 28 

6 percent of the poverty line (as defined by 

7 the Office of Management and Budget, 

8 and revised annually in accordance with 

9 section 673(2) of the Omnibus Budget 

10 Reconciliation Act of 1981); 

11 ‘‘(ii) who, in the 2 years prior to such 

12 individual’s application for medical assist13 ance under a plan under this title, experi14 enced homelessness (as defined in section 

15 103 of the McKinney-Vento Homeless As16 sistance Act); or 

17 ‘‘(iii) who, in the 2 years prior to such 

18 individual’s application for medical assist19 ance under a plan under this title, was in20 carcerated in a prison or psychiatric hos21 pital.’’. 

22 (b) EFFECTIVE DATE.—The amendment made by 

23 this section shall take effect on the first day following the 

24 end of the emergency period described in section 


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1 1135(g)(1)(B) of the Social Security Act (42 U.S.C. 

2 1320b–5(g)(1)(B)). 

3 SEC. 4. DATA VERIFICATION REQUIREMENT FOR NEW 

4 WAIVERS. 

5 (a) PROGRAM WAIVERS.—Section 1915 of the Social 

6 Security Act (42 U.S.C. 1396n) is amended— 

7 (1) in subsection (b), by striking ‘‘The Sec8 retary’’ and inserting ‘‘Subject to subsection (m), 

9 the Secretary’’; 

10 (2) in subsection (c)(1), by striking ‘‘The Sec11 retary may by waiver’’ and inserting ‘‘Subject to 

12 subsection (m), the Secretary may by waiver’’; and 

13 (3) by adding at the end the following new sub14 section: 

15 ‘‘(m) DATA VERIFICATION REQUIREMENT FOR NEW

16 WAIVERS.—In the case of a waiver granted under this sec17 tion on or after the first day following the end of the emer18 gency period described in section 1135(g)(1)(B) of the So19 cial Security Act, as a condition of receiving such waiver, 

20 a State shall agree to conduct an annual review of the 

21 demographic information of individuals enrolled under a 

22 State plan under this title, including the names, dates of 

23 birth, and contact information for such individuals.’’. 


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1 (b) RESEARCH AND DEMONSTRATION WAIVERS.— 

2 Section 1115 of the Social Security Act (42 U.S.C. 1315) 

3 is amended— 

4 (1) in subsection (a)(1), by inserting ‘‘subject 

5 to subsection (g),’’ before ‘‘the Secretary’’; and 

6 (2) by adding at the end the following new sub7 section: 

8 ‘‘(g) In the case of a waiver granted under this sec9 tion on or after the first day following the end of the emer10 gency period described in section 1135(g)(1)(B) of the So11 cial Security Act, as a condition of receiving such waiver, 

12 a State shall agree to conduct an annual review of the 

13 demographic information of individuals enrolled under a 

14 State plan under this title, including the names, dates of 

15 birth, and contact information for such individuals.’’. 

Æ 


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