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 Georgia, Mr. HASTINGS, Ms. NORTON, and Mr. COHEN) 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 permanently extend the Children’s Health Insurance Program, 

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 Permanency Act’’ or the ‘‘CHIPP Act’’. 


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1 SEC. 2. PERMANENT EXTENSION OF CHILDREN’S HEALTH 

2 INSURANCE PROGRAM. 

3 (a) IN GENERAL.—Section 2104(a)(28) of the Social 

4 Security Act (42 U.S.C. 1397dd(a)(28)) is amended to 

5 read as follows: 

6 ‘‘(28) for fiscal year 2027 and each subsequent 

7 year, such sums as are necessary to fund allotments 

8 to States under subsections (c) and (m).’’. 

9 (b) ALLOTMENTS.— 

10 (1) IN GENERAL.—Section 2104(m) of the So11 cial Security Act (42 U.S.C. 1397dd(m)) is amend12 ed— 

13 (A) in paragraph (2)(B)(i), by striking ‘‘,, 

14 2023, and 2027’’ and inserting ‘‘and 2023’’; 

15 (B) in paragraph (5)— 

16 (i) by striking ‘‘for a fiscal year’’ and 

17 inserting ‘‘for a fiscal year before 2027’’; 

18 and 

19 (ii) by striking ‘‘2023, or 2027’’ and 

20 inserting ‘‘or 2023’’; 

21 (C) in paragraph (7)— 

22 (i) in subparagraph (A), by striking 

23 ‘‘and ending with fiscal year 2027,’’; and 

24 (ii) in the flush left matter at the end, 

25 by striking ‘‘or fiscal year 2026’’ and inVerDate Sep 11 2014 19:50 May 03, 2021 Jkt 019200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1791.IH H1791

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1 serting ‘‘fiscal year 2026, or a subsequent 

2 even-numbered fiscal year’’; 

3 (D) in paragraph (9)— 

4 (i) by striking ‘‘(10), or (11)’’ and in5 serting ‘‘or (10)’’; and 

6 (ii) by striking ‘‘2023, or 2027,’’ and 

7 inserting ‘‘or 2023’’; and 

8 (E) by striking paragraph (11). 

9 (2) CONFORMING AMENDMENT.—Section 

10 50101(b)(2) of the Bipartisan Budget Act of 2018 

11 (Public Law 115–123) is repealed. 

12 SEC. 3. PERMANENT EXTENSIONS OF OTHER PROGRAMS 

13 AND DEMONSTRATION PROJECTS. 

14 (a) PEDIATRIC QUALITY MEASURES PROGRAM.— 

15 Section 1139A(i)(1) of the Social Security Act (42 U.S.C. 

16 1320b–9a(i)(1)) is amended— 

17 (1) in subparagraph (C), by striking at the end 

18 ‘‘and’’; 

19 (2) in subparagraph (D), by striking the period 

20 at the end and insert a semicolon; and 

21 (3) by adding at the end the following new sub22 paragraphs: 

23 ‘‘(E) for fiscal year 2028, $15,000,000 for 

24 the purpose of carrying out this section (other 

25 than subsections (e), (f), and (g)); and 


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1 ‘‘(F) for a subsequent fiscal year, the 

2 amount appropriated under this paragraph for 

3 the previous fiscal year, increased by the per4 centage increase in the consumer price index for 

5 all urban consumers (all items; United States 

6 city average) over such previous fiscal year, for 

7 the purpose of carrying out this section (other 

8 than subsections (e), (f), and (g)).’’. 

9 (b) EXPRESS LANE ELIGIBILITY OPTION.—Section 

10 1902(e)(13) of the Social Security Act (42 U.S.C. 

11 1396a(e)(13)) is amended by striking subparagraph (I). 

12 (c) ASSURANCE OF AFFORDABILITY STANDARD FOR

13 CHILDREN AND FAMILIES.— 

14 (1) IN GENERAL.—Section 2105(d)(3) of the 

15 Social Security Act (42 U.S.C. 1397ee(d)(3)) is 

16 amended— 

17 (A) in the paragraph heading, by striking 

18 ‘‘THROUGH SEPTEMBER 30, 2027’’; and 

19 (B) in subparagraph (A), in the matter 

20 preceding clause (i)— 

21 (i) by striking ‘‘During the period 

22 that begins on the date of enactment of 

23 the Patient Protection and Affordable Care 

24 Act and ends on September 30, 2027’’ and 

25 inserting ‘‘Beginning on the date of the enVerDate Sep 11 2014 19:50 May 03, 2021 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H1791.IH H1791

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1 actment of the Patient Protection and Af2 fordable Care Act’’; 

3 (ii) by striking ‘‘During the period 

4 that begins on October 1, 2019, and ends 

5 on September 30, 2027’’ and inserting 

6 ‘‘Beginning on October 1, 2019’’; and 

7 (iii) by striking ‘‘The preceding sen8 tences shall not be construed as preventing 

9 a State during any such periods from’’ and 

10 inserting ‘‘The preceding sentences shall 

11 not be construed as preventing a State 

12 from’’. 

13 (2) CONFORMING AMENDMENTS.—Section 

14 1902(gg)(2) of the Social Security Act (42 U.S.C. 

15 1396a(gg)(2)) is amended— 

16 (A) in the paragraph heading, by striking 

17 ‘‘THROUGH SEPTEMBER 30, 2027’’; and 

18 (B) by striking ‘‘through September 30’’ 

19 and all that follows through ‘‘ends on Sep20 tember 30, 2027’’ and inserting ‘‘(but begin21 ning on October 1, 2019,’’. 

22 (d) QUALIFYING STATES OPTION.—Section 

23 2105(g)(4) of the Social Security Act (42 U.S.C. 

24 1397ee(g)(4)) is amended— 


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1 (1) in the paragraph heading, by striking ‘‘FOR

2 FISCAL YEARS 2009 THROUGH 2027’’ and inserting 

3 ‘‘AFTER FISCAL YEAR 2008’’; and 

4 (2) in subparagraph (A), by striking ‘‘for any 

5 of fiscal years 2009 through 2027’’ and inserting 

6 ‘‘for any fiscal year after fiscal year 2008’’. 

7 (e) OUTREACH AND ENROLLMENT PROGRAM.—Sec8 tion 2113 of the Social Security Act (42 U.S.C. 1397mm) 

9 is amended— 

10 (1) in subsection (a)— 

11 (A) in paragraph (1), by striking ‘‘during 

12 the period of fiscal years 2009 through 2027’’ 

13 and inserting ‘‘, beginning with fiscal year 

14 2009,’’; 

15 (B) in paragraph (2)— 

16 (i) by striking ‘‘10 percent of such 

17 amounts’’ and inserting ‘‘10 percent of 

18 such amounts for the period or the fiscal 

19 year for which such amounts are appro20 priated’’; and 

21 (ii) by striking ‘‘during such period’’ 

22 and inserting ‘‘, during such period or such 

23 fiscal year,’’; and 

24 (C) in paragraph (3), by striking ‘‘For the 

25 period of fiscal years 2024 through 2027, an 


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1 amount equal to 10 percent of such amounts’’ 

2 and inserting ‘‘Beginning with fiscal year 2024, 

3 an amount equal to 10 percent of such amounts 

4 for the period or the fiscal year for which such 

5 amounts are appropriated’’; and 

6 (2) in subsection (g)— 

7 (A) by striking ‘‘2017,,’’ and inserting 

8 ‘‘2017,’’; 

9 (B) by striking ‘‘and $48,000,000’’ and in10 serting ‘‘$48,000,000’’; and 

11 (C) by inserting after ‘‘through 2027’’ the 

12 following: ‘‘, $12,000,000 for fiscal year 2028, 

13 and, for each fiscal year after fiscal year 2028, 

14 the amount appropriated under this subsection 

15 for the previous fiscal year, increased by the 

16 percentage increase in the consumer price index 

17 for all urban consumers (all items; United 

18 States city average) over such previous fiscal 

19 year’’. 

20 (f) CHILD ENROLLMENT CONTINGENCY FUND.— 

21 Section 2104(n) of the Social Security Act (42 U.S.C. 

22 1397dd(n)) is amended— 

23 (1) in paragraph (2)— 

24 (A) in subparagraph (A)(ii)— 


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1 (i) by striking ‘‘and 2024 through 

2 2026’’ and inserting ‘‘beginning with fiscal 

3 year 2024’’; and 

4 (ii) by striking ‘‘2023, and 2027’’ and 

5 inserting ‘‘, and 2023’’; and 

6 (B) in subparagraph (B)— 

7 (i) by striking ‘‘2024 through 2026’’ 

8 and inserting ‘‘beginning with fiscal year 

9 2024’’; and 

10 (ii) by striking ‘‘2023, and 2027’’ and 

11 inserting ‘‘, and 2023’’; and 

12 (2) in paragraph (3)(A)— 

13 (A) by striking ‘‘fiscal years 2024 through 

14 2026’’ and inserting ‘‘fiscal year 2024 or any 

15 subsequent fiscal year’’; and 

16 (B) by striking ‘‘2023, or 2027’’ and in17 serting ‘‘, or 2023’’. 

18 SEC. 4. STATE OPTION TO INCREASE CHILDREN’S ELIGI19 BILITY FOR MEDICAID AND CHIP. 

20 Section 2110(b)(1)(B)(ii) of the Social Security Act 

21 (42 U.S.C. 1397jj(b)(1)(B)(ii)) is amended— 

22 (1) in subclause (II), by striking ‘‘or’’ at the 

23 end; 

24 (2) in subclause (III), by striking ‘‘and’’ at the 

25 end and inserting ‘‘or’’; and 


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1 (3) by inserting after subclause (III) the fol2 lowing new subclause: 

3 ‘‘(IV) at the option of the State, 

4 whose family income exceeds the maximum 

5 income level otherwise established for chil6 dren under the State child health plan as 

7 of the date of the enactment of this sub8 clause; and’’. 

Æ 


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