II 

Calendar No. 288 

115TH CONGRESS 

1ST SESSION S. 1827 

[Report No. 115–197] 

To extend funding for the Children’s Health Insurance Program, and for 

other purposes. 

IN THE SENATE OF THE UNITED STATES 

SEPTEMBER 18, 2017 

Mr. HATCH (for himself, Mr. WYDEN, Mr. BROWN, Ms. STABENOW, Mr. 

CASEY, Mr. MENENDEZ, Ms. DUCKWORTH, Mr. ISAKSON, Mr. TESTER, 

Mr. HELLER, Mr. PETERS, Mr. NELSON, Mr. BENNET, Mr. GARDNER, 

Mr. GRASSLEY, Ms. CORTEZ MASTO, Ms. MURKOWSKI, Mr. COONS, Mr. 

DONNELLY, Mrs. MCCASKILL, Ms. HIRONO, Mr. BOOKER, Mr. CARPER, 

and Mrs. FISCHER) introduced the following bill; which was read twice 

and referred to the Committee on Finance 

DECEMBER 20, 2017 

Reported by Mr. HATCH, with an amendment 

[Strike out all after the enacting clause and insert the part printed in italic] 

A BILL 

To extend funding for 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, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Keep Kids’ Insurance 

3 Dependable and Secure Act of 2017’’ or the ‘‘KIDS Act 

4 of 2017’’. 

5 SEC. 2. FIVE-YEAR FUNDING EXTENSION OF THE CHIL6 DREN’S HEALTH INSURANCE PROGRAM. 

7 (a) APPROPRIATION; TOTAL ALLOTMENT.—Section 

8 2104(a) of the Social Security Act (42 U.S.C. 1397dd(a)) 

9 is amended— 

10 (1) in paragraph (19), by striking ‘‘and’’; 

11 (2) in paragraph (20), by striking the period at 

12 the end and inserting a semicolon; and 

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

14 paragraphs: 

15 ‘‘(21) for fiscal year 2018, $21,500,000,000; 

16 ‘‘(22) for fiscal year 2019, $22,600,000,000; 

17 ‘‘(23) for fiscal year 2020, $23,700,000,000; 

18 ‘‘(24) for fiscal year 2021, $24,800,000,000; 

19 and 

20 ‘‘(25) for fiscal year 2022, for purposes of mak21 ing 2 semi-annual allotments— 

22 ‘‘(A) $2,850,000,000 for the period begin23 ning on October 1, 2021, and ending on March 

24 31, 2022; and 


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1 ‘‘(B) $2,850,000,000 for the period begin2 ning on April 1, 2022, and ending on Sep3 tember 30, 2022.’’. 

4 (b) ALLOTMENTS.— 

5 (1) IN GENERAL.—Section 2104(m) of the So6 cial Security Act (42 U.S.C. 1397dd(m)) is amend7 ed— 

8 (A) in paragraph (2)— 

9 (i) in the heading, by striking 

10 ‘‘THROUGH 2016’’ and inserting 

11 ‘‘THROUGH 2022’’; and 

12 (ii) in subparagraph (B)— 

13 (I) in the matter preceding clause 

14 (i), by striking ‘‘(19)’’ and inserting 

15 ‘‘(24)’’; 

16 (II) in clause (ii), in the matter 

17 preceding subclause (I), by inserting 

18 ‘‘(other than fiscal year 2022)’’ after 

19 ‘‘even-numbered fiscal year’’; and 

20 (III) in clause (ii)(I), by inserting 

21 ‘‘(or, in the case of fiscal year 2018, 

22 under paragraph (4))’’ after ‘‘clause 

23 (i)’’; 

24 (B) in paragraph (5)— 


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1 (i) by striking ‘‘or (4)’’ and inserting 

2 ‘‘(4), or (10)’’; and 

3 (ii) by striking ‘‘or 2017’’ and insert4 ing ‘‘, 2017, or 2022’’; 

5 (C) in paragraph (7)— 

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

7 ‘‘2017’’ and inserting ‘‘2022’’; and 

8 (ii) in the matter following subpara9 graph (B)(ii), by striking ‘‘or fiscal year 

10 2016’’ and inserting ‘‘fiscal year 2016, fis11 cal year 2018, fiscal year 2020, or fiscal 

12 year 2022’’; 

13 (D) in paragraph (9)— 

14 (i) in the heading, by striking ‘‘FISCAL

15 YEARS 2015 AND 2017’’ and inserting 

16 ‘‘CERTAIN FISCAL YEARS’’; 

17 (ii) by striking ‘‘or (4)’’ and inserting 

18 ‘‘, (4), or (10)’’; and 

19 (iii) by striking ‘‘or fiscal year 2017’’ 

20 and inserting ‘‘, 2017, or 2022’’; and 

21 (E) by adding at the end the following new 

22 paragraph: 

23 ‘‘(10) FOR FISCAL YEAR 2022.— 

24 ‘‘(A) FIRST HALF.—Subject to paragraphs 

25 (5) and (7), from the amount made available 


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1 under subparagraph (A) of paragraph (25) of 

2 subsection (a) for the semi-annual period de3 scribed in such subparagraph, increased by the 

4 amount of the appropriation for such period 

5 under section 2(b)(3) of the KIDS Act of 2017, 

6 the Secretary shall compute a State allotment 

7 for each State (including the District of Colum8 bia and each commonwealth and territory) for 

9 such semi-annual period in an amount equal to 

10 the first half ratio (described in subparagraph 

11 (D)) of the amount described in subparagraph 

12 (C). 

13 ‘‘(B) SECOND HALF.—Subject to para14 graphs (5) and (7), from the amount made 

15 available under subparagraph (B) of paragraph 

16 (25) of subsection (a) for the semi-annual pe17 riod described in such subparagraph, the Sec18 retary shall compute a State allotment for each 

19 State (including the District of Columbia and 

20 each commonwealth and territory) for such 

21 semi-annual period in an amount equal to the 

22 amount made available under such subpara23 graph, multiplied by the ratio of— 

24 ‘‘(i) the amount of the allotment to 

25 such State under subparagraph (A); to 


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1 ‘‘(ii) the total of the amount of all of 

2 the allotments made available under such 

3 subparagraph. 

4 ‘‘(C) FULL YEAR AMOUNT BASED ON

5 GROWTH FACTOR UPDATED AMOUNT.—The 

6 amount described in this subparagraph for a 

7 State is equal to the sum of— 

8 ‘‘(i) the amount of the State allotment 

9 for fiscal year 2021 determined under 

10 paragraph (2)(B)(i); and 

11 ‘‘(ii) the amount of any payments 

12 made to the State under subsection (n) for 

13 fiscal year 2021, 

14 multiplied by the allotment increase factor 

15 under paragraph (6) for fiscal year 2022. 

16 ‘‘(D) FIRST HALF RATIO.—The first half 

17 ratio described in this subparagraph is the ratio 

18 of— 

19 ‘‘(i) the sum of— 

20 ‘‘(I) the amount made available 

21 under subsection (a)(25)(A); and 

22 ‘‘(II) the amount of the appro23 priation for such period under section 

24 2(b)(3) of the KIDS Act of 2017; to 

25 ‘‘(ii) the sum of— 


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1 ‘‘(I) the amount described in 

2 clause (i); and 

3 ‘‘(II) the amount made available 

4 under subsection (a)(25)(B).’’. 

5 (2) TECHNICAL AMENDMENT.—Section 

6 2104(m)(2)(A) of such Act (42 U.S.C. 

7 1397dd(m)(2)(A)) is amended by striking ‘‘the allot8 ment increase factor under paragraph (5)’’ each 

9 place it appears and inserting ‘‘the allotment in10 crease factor under paragraph (6)’’. 

11 (3) ONE-TIME APPROPRIATION FOR FISCAL

12 YEAR 2022.—There is appropriated to the Secretary 

13 of Health and Human Services, out of any money in 

14 the Treasury not otherwise appropriated, 

15 $20,200,000,000 to accompany the allotment made 

16 for the period beginning on October 1, 2021, and 

17 ending on March 31, 2022, under paragraph 

18 (25)(A) of section 2104(a) of the Social Security Act 

19 (42 U.S.C. 1397dd(a)) (as added by subsection 

20 (a)(3)), to remain available until expended. Such 

21 amount shall be used to provide allotments to States 

22 under paragraph (10) of section 2104(m) of such 

23 Act (as added by subsection (b)(1)(E)) for the first 

24 6 months of fiscal year 2022 in the same manner as 

25 allotments are provided under subsection (a)(25)(A) 


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1 of such section 2104 and subject to the same terms 

2 and conditions as apply to the allotments provided 

3 from such subsection (a)(25)(A). 

4 (c) EXTENSION OF THE CHILD ENROLLMENT CON5 TINGENCY FUND.—Section 2104(n) of the Social Security 

6 Act (42 U.S.C. 1397dd(n)) is amended— 

7 (1) in paragraph (2)— 

8 (A) in subparagraph (A)(ii)— 

9 (i) by striking ‘‘2010, 2011, 2012, 

10 2013, 2014, and 2016’’ and inserting 

11 ‘‘2010 through 2014, 2016, and 2018 

12 through 2021’’; and 

13 (ii) by striking ‘‘fiscal year 2015 and 

14 fiscal year 2017’’ and inserting ‘‘fiscal 

15 years 2015, 2017, and 2022’’; and 

16 (B) in subparagraph (B)— 

17 (i) by striking ‘‘2010, 2011, 2012, 

18 2013, 2014, and 2016’’ and inserting 

19 ‘‘2010 through 2014, 2016, and 2018 

20 through 2021’’; and 

21 (ii) by striking ‘‘fiscal year 2015 and 

22 fiscal year 2017’’ and inserting ‘‘fiscal year 

23 2015, 2017, and 2022’’; and 

24 (2) in paragraph (3)(A), in the matter pre25 ceding clause (i), by striking ‘‘or a semi-annual allotVerDate Sep 11 2014 21:39 Dec 20, 2017 Jkt 079200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6401 E:\BILLS\S1827.RS S1827

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1 ment period for fiscal year 2015 or 2017’’ and in2 serting ‘‘or in any of fiscal years 2018 through 2021 

3 (or a semi-annual allotment period for fiscal year 

4 2015, 2017, or 2022)’’. 

5 (d) EXTENSION OF QUALIFYING STATES OPTION.— 

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

7 1397ee(g)(4)) is amended— 

8 (1) in the heading, by striking ‘‘THROUGH

9 2017’’ and inserting ‘‘THROUGH 2022’’; and 

10 (2) in subparagraph (A), by striking ‘‘2017’’ 

11 and inserting ‘‘2022’’. 

12 (e) EXTENSION OF EXPRESS LANE ELIGIBILITY OP13 TION.—Section 1902(e)(13)(I) of the Social Security Act 

14 (42 U.S.C. 1396a(e)(13)(I)) is amended by striking 

15 ‘‘2017’’ and inserting ‘‘2022’’. 

16 (f) ASSURANCE OF AFFORDABILITY STANDARD FOR

17 CHILDREN AND FAMILIES.— 

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

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

20 amended— 

21 (A) in the paragraph heading, by striking 

22 ‘‘UNTIL OCTOBER 1, 2019’’ and inserting 

23 ‘‘THROUGH SEPTEMBER 30, 2022’’; and 

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

25 preceding clause (i)— 


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1 (i) by striking ‘‘2019’’ and inserting 

2 ‘‘2022’’; and 

3 (ii) by striking ‘‘The preceding sen4 tence shall not be construed as preventing 

5 a State during such period’’ and inserting 

6 ‘‘During the period that begins on October 

7 1, 2019, and ends on September 30, 2022, 

8 the preceding sentence shall only apply 

9 with respect to children in families whose 

10 income does not exceed 300 percent of the 

11 poverty line (as defined in section 

12 2110(c)(5)) applicable to a family of the 

13 size involved. The preceding sentences shall 

14 not be construed as preventing a State 

15 during any such periods’’. 

16 (2) CONFORMING AMENDMENTS.—Section 

17 1902(gg)(2) of the Social Security Act (42 U.S.C. 

18 1396a(gg)(2)) is amended— 

19 (A) in the paragraph heading, by striking 

20 ‘‘UNTIL OCTOBER 1, 2019’’ and inserting 

21 ‘‘THROUGH SEPTEMBER 30, 2022’’; and 

22 (B) by striking ‘‘September 30, 2019,’’ 

23 and inserting ‘‘September 30, 2022 (but during 

24 the period that begins on October 1, 2019, and 

25 ends on September 30, 2022, only with respect 


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1 to children in families whose income does not 

2 exceed 300 percent of the poverty line (as de3 fined in section 2110(c)(5)) applicable to a fam4 ily of the size involved)’’. 

5 SEC. 3. EXTENSION OF CERTAIN PROGRAMS AND DEM6 ONSTRATION PROJECTS. 

7 (a) CHILDHOOD OBESITY DEMONSTRATION

8 PROJECT.—Section 1139A(e)(8) of the Social Security 

9 Act (42 U.S.C. 1320b–9a(e)(8)) is amended— 

10 (1) by striking ‘‘and $10,000,000’’ and insert11 ing ‘‘, $10,000,000’’; and 

12 (2) by inserting after ‘‘2017’’ the following: ‘‘, 

13 and $25,000,000 for the period of fiscal years 2018 

14 through 2022’’. 

15 (b) PEDIATRIC QUALITY MEASURES PROGRAM.— 

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

17 1320b–9a(i)) is amended— 

18 (1) by striking ‘‘Out of any’’ and inserting the 

19 following: 

20 ‘‘(1) IN GENERAL.—Out of any’’; 

21 (2) by striking ‘‘there is appropriated for each’’ 

22 and inserting ‘‘there is appropriated— 

23 ‘‘(A) for each’’; 

24 (3) by striking ‘‘, and there is appropriated for 

25 the period’’ and inserting ‘‘; 


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1 ‘‘(B) for the period’’; 

2 (4) by striking ‘‘. Funds appropriated under 

3 this subsection shall remain available until ex4 pended’’ and inserting ‘‘; and’’; and 

5 (5) by adding at the end the following: 

6 ‘‘(C) for the period of fiscal years 2018 

7 through 2022, $75,000,000 for the purpose of 

8 carrying out this section (other than sub9 sections (e), (f), and (g)). 

10 ‘‘(2) AVAILABILITY.—Funds appropriated 

11 under this subsection shall remain available until ex12 pended.’’. 

13 SEC. 4. EXTENSION OF OUTREACH AND ENROLLMENT PRO14 GRAM. 

15 Section 2113 of the Social Security Act (42 U.S.C. 

16 1397mm) is amended— 

17 (1) in subsection (a)(1), by striking ‘‘2017’’ and 

18 inserting ‘‘2022’’; and 

19 (2) in subsection (g)— 

20 (A) by striking ‘‘and $40,000,000’’ and in21 serting ‘‘, $40,000,000’’; and 

22 (B) by inserting after ‘‘2017’’ the fol23 lowing: ‘‘, and $100,000,000 for the period of 

24 fiscal years 2018 through 2022’’. 


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1 SEC. 5. EXTENSION AND REDUCTION OF ADDITIONAL FED2 ERAL FINANCIAL PARTICIPATION FOR CHIP. 

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

4 1397ee(b)) is amended in the second sentence by inserting 

5 ‘‘and during the period that begins on October 1, 2019, 

6 and ends on September 30, 2020, the enhanced FMAP 

7 determined for a State for a fiscal year (or for any portion 

8 of a fiscal year occurring during such period) shall be in9 creased by 11.5 percentage points’’ after ‘‘23 percentage 

10 points,’’. 

11 SECTION 1. SHORT TITLE. 

12 This Act may be cited as the ‘‘Keep Kids’ Insurance 

13 Dependable and Secure Act of 2017’’ or the ‘‘KIDS Act of 

14 2017’’. 

15 SEC. 2. FIVE-YEAR FUNDING EXTENSION OF THE CHIL16 DREN’S HEALTH INSURANCE PROGRAM. 

17 (a) APPROPRIATION; TOTAL ALLOTMENT.—Section 

18 2104(a) of the Social Security Act (42 U.S.C. 1397dd(a)) 

19 is amended— 

20 (1) in paragraph (19), by striking ‘‘and’’; 

21 (2) in paragraph (20), by striking the period at 

22 the end and inserting a semicolon; and 

23 (3) by adding at the end the following new para24 graphs: 

25 ‘‘(21) for fiscal year 2018, $21,500,000,000; 

26 ‘‘(22) for fiscal year 2019, $22,600,000,000; 


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1 ‘‘(23) for fiscal year 2020, $23,700,000,000; 

2 ‘‘(24) for fiscal year 2021, $24,800,000,000; and 

3 ‘‘(25) for fiscal year 2022, for purposes of mak4 ing 2 semi-annual allotments— 

5 ‘‘(A) $2,850,000,000 for the period begin6 ning on October 1, 2021, and ending on March 

7 31, 2022; and 

8 ‘‘(B) $2,850,000,000 for the period begin9 ning on April 1, 2022, and ending on September 

10 30, 2022.’’. 

11 (b) ALLOTMENTS.— 

12 (1) IN GENERAL.—Section 2104(m) of the Social 

13 Security Act (42 U.S.C. 1397dd(m)) is amended— 

14 (A) in paragraph (2)— 

15 (i) in the heading, by striking 

16 ‘‘THROUGH 2016’’ and inserting ‘‘THROUGH

17 2022’’; and 

18 (ii) in subparagraph (B)— 

19 (I) in the matter preceding clause 

20 (i), by striking ‘‘(19)’’ and inserting 

21 ‘‘(24)’’; 

22 (II) in clause (ii), in the matter 

23 preceding subclause (I), by inserting 

24 ‘‘(other than fiscal year 2022)’’ after 

25 ‘‘even-numbered fiscal year’’; and 


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1 (III) in clause (ii)(I), by inserting 

2 ‘‘(or, in the case of fiscal year 2018, 

3 under paragraph (4))’’ after ‘‘clause 

4 (i)’’; 

5 (B) in paragraph (5)— 

6 (i) by striking ‘‘or (4)’’ and inserting 

7 ‘‘(4), or (10)’’; and 

8 (ii) by striking ‘‘or 2017’’ and insert9 ing ‘‘, 2017, or 2022’’; 

10 (C) in paragraph (7)— 

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

12 ‘‘2017’’ and inserting ‘‘2022’’; 

13 (ii) in subparagraph (B), in the mat14 ter preceding clause (i), by inserting ‘‘(or, 

15 in the case of fiscal year 2018, by not later 

16 than the date that is 60 days after the date 

17 of the enactment of the KIDS Act of 2017)’’ 

18 after ‘‘before the August 31 preceding the be19 ginning of the fiscal year’’; and 

20 (iii) in the matter following subpara21 graph (B), by striking ‘‘or fiscal year 2016’’ 

22 and inserting ‘‘fiscal year 2016, fiscal year 

23 2018, fiscal year 2020, or fiscal year 2022’’; 

24 (D) in paragraph (9)— 


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1 (i) in the heading, by striking ‘‘FISCAL

2 YEARS 2015 AND 2017’’ and inserting ‘‘CER3 TAIN FISCAL YEARS’’; 

4 (ii) by striking ‘‘or (4)’’ and inserting 

5 ‘‘, (4), or (10)’’; and 

6 (iii) by striking ‘‘or fiscal year 2017’’ 

7 and inserting ‘‘, 2017, or 2022’’; and 

8 (E) by adding at the end the following new 

9 paragraph: 

10 ‘‘(10) FOR FISCAL YEAR 2022.— 

11 ‘‘(A) FIRST HALF.—Subject to paragraphs 

12 (5) and (7), from the amount made available 

13 under subparagraph (A) of paragraph (25) of 

14 subsection (a) for the semi-annual period de15 scribed in such subparagraph, increased by the 

16 amount of the appropriation for such period 

17 under section 2(b)(3) of the KIDS Act of 2017, 

18 the Secretary shall compute a State allotment for 

19 each State (including the District of Columbia 

20 and each commonwealth and territory) for such 

21 semi-annual period in an amount equal to the 

22 first half ratio (described in subparagraph (D)) 

23 of the amount described in subparagraph (C). 

24 ‘‘(B) SECOND HALF.—Subject to para25 graphs (5) and (7), from the amount made 


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1 available under subparagraph (B) of paragraph 

2 (25) of subsection (a) for the semi-annual period 

3 described in such subparagraph, the Secretary 

4 shall compute a State allotment for each State 

5 (including the District of Columbia and each 

6 commonwealth and territory) for such semi-an7 nual period in an amount equal to the amount 

8 made available under such subparagraph, multi9 plied by the ratio of— 

10 ‘‘(i) the amount of the allotment to 

11 such State under subparagraph (A); to 

12 ‘‘(ii) the total of the amount of all of 

13 the allotments made available under such 

14 subparagraph. 

15 ‘‘(C) FULL YEAR AMOUNT BASED ON

16 GROWTH FACTOR UPDATED AMOUNT.—The 

17 amount described in this subparagraph for a 

18 State is equal to the sum of— 

19 ‘‘(i) the amount of the State allotment 

20 for fiscal year 2021 determined under para21 graph (2)(B)(i); and 

22 ‘‘(ii) the amount of any payments 

23 made to the State under subsection (n) for 

24 fiscal year 2021, 


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1 multiplied by the allotment increase factor under 

2 paragraph (6) for fiscal year 2022. 

3 ‘‘(D) FIRST HALF RATIO.—The first half 

4 ratio described in this subparagraph is the ratio 

5 of— 

6 ‘‘(i) the sum of— 

7 ‘‘(I) the amount made available 

8 under subsection (a)(25)(A); and 

9 ‘‘(II) the amount of the appro10 priation for such period under section 

11 2(b)(3) of the KIDS Act of 2017; to 

12 ‘‘(ii) the sum of— 

13 ‘‘(I) the amount described in 

14 clause (i); and 

15 ‘‘(II) the amount made available 

16 under subsection (a)(25)(B).’’. 

17 (2) TECHNICAL AMENDMENT.—Section 

18 2104(m)(2)(A) of such Act (42 U.S.C. 

19 1397dd(m)(2)(A)) is amended by striking ‘‘the allot20 ment increase factor under paragraph (5)’’ each place 

21 it appears and inserting ‘‘the allotment increase fac22 tor under paragraph (6)’’. 

23 (3) ONE-TIME APPROPRIATION FOR FISCAL YEAR

24 2022.—There is appropriated to the Secretary of 

25 Health and Human Services, out of any money in the 


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1 Treasury not otherwise appropriated, $20,200,000,000 

2 to accompany the allotment made for the period be3 ginning on October 1, 2021, and ending on March 31, 

4 2022, under paragraph (25)(A) of section 2104(a) of 

5 the Social Security Act (42 U.S.C. 1397dd(a)) (as 

6 added by subsection (a)(3)), to remain available until 

7 expended. Such amount shall be used to provide allot8 ments to States under paragraph (10) of section 

9 2104(m) of such Act (as added by subsection 

10 (b)(1)(E)) for the first 6 months of fiscal year 2022 

11 in the same manner as allotments are provided under 

12 subsection (a)(25)(A) of such section 2104 and subject 

13 to the same terms and conditions as apply to the al14 lotments provided from such subsection (a)(25)(A). 

15 (c) EXTENSION OF THE CHILD ENROLLMENT CONTIN16 GENCY FUND.—Section 2104(n) of the Social Security Act 

17 (42 U.S.C. 1397dd(n)) is amended— 

18 (1) in paragraph (2)— 

19 (A) in subparagraph (A)(ii)— 

20 (i) by striking ‘‘2010, 2011, 2012, 

21 2013, 2014, and 2016’’ and inserting ‘‘2010 

22 through 2014, 2016, and 2018 through 

23 2021’’; and 


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1 (ii) by striking ‘‘fiscal year 2015 and 

2 fiscal year 2017’’ and inserting ‘‘fiscal 

3 years 2015, 2017, and 2022’’; and 

4 (B) in subparagraph (B)— 

5 (i) by striking ‘‘2010, 2011, 2012, 

6 2013, 2014, and 2016’’ and inserting ‘‘2010 

7 through 2014, 2016, and 2018 through 

8 2021’’; and 

9 (ii) by striking ‘‘fiscal year 2015 and 

10 fiscal year 2017’’ and inserting ‘‘fiscal year 

11 2015, 2017, and 2022’’; and 

12 (2) in paragraph (3)(A), in the matter preceding 

13 clause (i), by striking ‘‘or a semi-annual allotment 

14 period for fiscal year 2015 or 2017’’ and inserting 

15 ‘‘or in any of fiscal years 2018 through 2021 (or a 

16 semi-annual allotment period for fiscal year 2015, 

17 2017, or 2022)’’. 

18 (d) EXTENSION OF QUALIFYING STATES OPTION.— 

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

20 1397ee(g)(4)) is amended— 

21 (1) in the heading, by striking ‘‘THROUGH 2017’’ 

22 and inserting ‘‘THROUGH 2022’’; and 

23 (2) in subparagraph (A), by striking ‘‘2017’’ and 

24 inserting ‘‘2022’’. 


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1 (e) EXTENSION OF EXPRESS LANE ELIGIBILITY OP2 TION.—Section 1902(e)(13)(I) of the Social Security Act 

3 (42 U.S.C. 1396a(e)(13)(I)) is amended by striking ‘‘2017’’ 

4 and inserting ‘‘2022’’. 

5 (f) ASSURANCE OF AFFORDABILITY STANDARD FOR

6 CHILDREN AND FAMILIES.— 

7 (1) IN GENERAL.—Section 2105(d)(3) of the So8 cial Security Act (42 U.S.C. 1397ee(d)(3)) is amend9 ed— 

10 (A) in the paragraph heading, by striking 

11 ‘‘UNTIL OCTOBER 1, 2019’’ and inserting 

12 ‘‘THROUGH SEPTEMBER 30, 2022’’; and 

13 (B) in subparagraph (A), in the matter pre14 ceding clause (i)— 

15 (i) by striking ‘‘2019’’ and inserting 

16 ‘‘2022’’; and 

17 (ii) by striking ‘‘The preceding sen18 tence shall not be construed as preventing a 

19 State during such period’’ and inserting 

20 ‘‘During the period that begins on October 

21 1, 2019, and ends on September 30, 2022, 

22 the preceding sentence shall only apply with 

23 respect to children in families whose income 

24 does not exceed 300 percent of the poverty 

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1 plicable to a family of the size involved. The 

2 preceding sentences shall not be construed as 

3 preventing a State during any such peri4 ods’’. 

5 (2) CONFORMING AMENDMENTS.—Section 

6 1902(gg)(2) of the Social Security Act (42 U.S.C. 

7 1396a(gg)(2)) is amended— 

8 (A) in the paragraph heading, by striking 

9 ‘‘UNTIL OCTOBER 1, 2019’’ and inserting 

10 ‘‘THROUGH SEPTEMBER 30, 2022’’; and 

11 (B) by striking ‘‘September 30, 2019,’’ and 

12 inserting ‘‘September 30, 2022 (but during the 

13 period that begins on October 1, 2019, and ends 

14 on September 30, 2022, only with respect to chil15 dren in families whose income does not exceed 

16 300 percent of the poverty line (as defined in sec17 tion 2110(c)(5)) applicable to a family of the 

18 size involved)’’. 

19 SEC. 3. EXTENSION OF CERTAIN PROGRAMS AND DEM20 ONSTRATION PROJECTS. 

21 (a) CHILDHOOD OBESITY DEMONSTRATION

22 PROJECT.—Section 1139A(e)(8) of the Social Security Act 

23 (42 U.S.C. 1320b–9a(e)(8)) is amended— 

24 (1) by striking ‘‘and $10,000,000’’ and inserting 

25 ‘‘, $10,000,000’’; and 


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23 

•S 1827 RS

1 (2) by inserting after ‘‘2017’’ the following: ‘‘, 

2 and $25,000,000 for the period of fiscal years 2018 

3 through 2022’’. 

4 (b) PEDIATRIC QUALITY MEASURES PROGRAM.—Sec5 tion 1139A(i) of the Social Security Act (42 U.S.C. 1320b– 

6 9a(i)) is amended— 

7 (1) by striking ‘‘Out of any’’ and inserting the 

8 following: 

9 ‘‘(1) IN GENERAL.—Out of any’’; 

10 (2) by striking ‘‘there is appropriated for each’’ 

11 and inserting ‘‘there is appropriated— 

12 ‘‘(A) for each’’; 

13 (3) by striking ‘‘, and there is appropriated for 

14 the period’’ and inserting ‘‘; 

15 ‘‘(B) for the period’’; 

16 (4) by striking ‘‘. Funds appropriated under this 

17 subsection shall remain available until expended’’ and 

18 inserting ‘‘; and’’; and 

19 (5) by adding at the end the following: 

20 ‘‘(C) for the period of fiscal years 2018 

21 through 2022, $75,000,000 for the purpose of 

22 carrying out this section (other than subsections 

23 (e), (f), and (g)). 


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24 

•S 1827 RS

1 ‘‘(2) AVAILABILITY.—Funds appropriated under 

2 this subsection shall remain available until ex3 pended.’’. 

4 SEC. 4. EXTENSION OF OUTREACH AND ENROLLMENT PRO5 GRAM. 

6 Section 2113 of the Social Security Act (42 U.S.C. 

7 1397mm) is amended— 

8 (1) in subsection (a)(1), by striking ‘‘2017’’ and 

9 inserting ‘‘2022’’; and 

10 (2) in subsection (g)— 

11 (A) by striking ‘‘and $40,000,000’’ and in12 serting ‘‘, $40,000,000’’; and 

13 (B) by inserting after ‘‘2017’’ the following: 

14 ‘‘, and $100,000,000 for the period of fiscal years 

15 2018 through 2022’’. 

16 SEC. 5. EXTENSION AND REDUCTION OF ADDITIONAL FED17 ERAL FINANCIAL PARTICIPATION FOR CHIP. 

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

19 1397ee(b)) is amended in the second sentence by inserting 

20 ‘‘and during the period that begins on October 1, 2019, and 

21 ends on September 30, 2020, the enhanced FMAP deter22 mined for a State for a fiscal year (or for any portion of 

23 a fiscal year occurring during such period) shall be in24 creased by 11.5 percentage points’’ after ‘‘23 percentage 

25 points,’’. 


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sradovich on DSK3GMQ082PROD with BILLS
Calendar No. 288 

115TH CONGRESS 

1ST SESSION S. 1827 

[Report No. 115–197] 

A BILL 

Insurance Program, and for other purposes. 

To extend funding for the Children’s Health 

DECEMBER 20, 2017 

Reported with an amendment 


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