```

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 1827 Reported in Senate (RS)]

<DOC>

                                                       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.

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

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Keep Kids' Insurance 
Dependable and Secure Act of 2017'' or the ``KIDS Act of 
2017''.</DELETED>

<DELETED>SEC. 2. FIVE-YEAR FUNDING EXTENSION OF THE CHILDREN'S HEALTH 
              INSURANCE PROGRAM.</DELETED>

<DELETED>    (a) Appropriation; Total Allotment.--Section 2104(a) of 
the Social Security Act (42 U.S.C. 1397dd(a)) is amended--</DELETED>
        <DELETED>    (1) in paragraph (19), by striking 
        ``and'';</DELETED>
        <DELETED>    (2) in paragraph (20), by striking the period at 
        the end and inserting a semicolon; and</DELETED>
        <DELETED>    (3) by adding at the end the following new 
        paragraphs:</DELETED>
        <DELETED>    ``(21) for fiscal year 2018, 
        $21,500,000,000;</DELETED>
        <DELETED>    ``(22) for fiscal year 2019, 
        $22,600,000,000;</DELETED>
        <DELETED>    ``(23) for fiscal year 2020, 
        $23,700,000,000;</DELETED>
        <DELETED>    ``(24) for fiscal year 2021, $24,800,000,000; 
        and</DELETED>
        <DELETED>    ``(25) for fiscal year 2022, for purposes of 
        making 2 semi-annual allotments--</DELETED>
                <DELETED>    ``(A) $2,850,000,000 for the period 
                beginning on October 1, 2021, and ending on March 31, 
                2022; and</DELETED>
                <DELETED>    ``(B) $2,850,000,000 for the period 
                beginning on April 1, 2022, and ending on September 30, 
                2022.''.</DELETED>
<DELETED>    (b) Allotments.--</DELETED>
        <DELETED>    (1) In general.--Section 2104(m) of the Social 
        Security Act (42 U.S.C. 1397dd(m)) is amended--</DELETED>
                <DELETED>    (A) in paragraph (2)--</DELETED>
                        <DELETED>    (i) in the heading, by striking 
                        ``through 2016'' and inserting ``through 
                        2022''; and</DELETED>
                        <DELETED>    (ii) in subparagraph (B)--
                        </DELETED>
                                <DELETED>    (I) in the matter 
                                preceding clause (i), by striking 
                                ``(19)'' and inserting 
                                ``(24)'';</DELETED>
                                <DELETED>    (II) in clause (ii), in 
                                the matter preceding subclause (I), by 
                                inserting ``(other than fiscal year 
                                2022)'' after ``even-numbered fiscal 
                                year''; and</DELETED>
                                <DELETED>    (III) in clause (ii)(I), 
                                by inserting ``(or, in the case of 
                                fiscal year 2018, under paragraph 
                                (4))'' after ``clause (i)'';</DELETED>
                <DELETED>    (B) in paragraph (5)--</DELETED>
                        <DELETED>    (i) by striking ``or (4)'' and 
                        inserting ``(4), or (10)''; and</DELETED>
                        <DELETED>    (ii) by striking ``or 2017'' and 
                        inserting ``, 2017, or 2022'';</DELETED>
                <DELETED>    (C) in paragraph (7)--</DELETED>
                        <DELETED>    (i) in subparagraph (A), by 
                        striking ``2017'' and inserting ``2022''; 
                        and</DELETED>
                        <DELETED>    (ii) in the matter following 
                        subparagraph (B)(ii), by striking ``or fiscal 
                        year 2016'' and inserting ``fiscal year 2016, 
                        fiscal year 2018, fiscal year 2020, or fiscal 
                        year 2022'';</DELETED>
                <DELETED>    (D) in paragraph (9)--</DELETED>
                        <DELETED>    (i) in the heading, by striking 
                        ``fiscal years 2015 and 2017'' and inserting 
                        ``certain fiscal years'';</DELETED>
                        <DELETED>    (ii) by striking ``or (4)'' and 
                        inserting ``, (4), or (10)''; and</DELETED>
                        <DELETED>    (iii) by striking ``or fiscal year 
                        2017'' and inserting ``, 2017, or 2022''; 
                        and</DELETED>
                <DELETED>    (E) by adding at the end the following new 
                paragraph:</DELETED>
        <DELETED>    ``(10) For fiscal year 2022.--</DELETED>
                <DELETED>    ``(A) First half.--Subject to paragraphs 
                (5) and (7), from the amount made available under 
                subparagraph (A) of paragraph (25) of subsection (a) 
                for the semi-annual period described in such 
                subparagraph, increased by the amount of the 
                appropriation for such period under section 2(b)(3) of 
                the KIDS Act of 2017, the Secretary shall compute a 
                State allotment for each State (including the District 
                of Columbia and each commonwealth and territory) for 
                such semi-annual period in an amount equal to the first 
                half ratio (described in subparagraph (D)) of the 
                amount described in subparagraph (C).</DELETED>
                <DELETED>    ``(B) Second half.--Subject to paragraphs 
                (5) and (7), from the amount made available under 
                subparagraph (B) of paragraph (25) of subsection (a) 
                for the semi-annual period described in such 
                subparagraph, the Secretary shall compute a State 
                allotment for each State (including the District of 
                Columbia and each commonwealth and territory) for such 
                semi-annual period in an amount equal to the amount 
                made available under such subparagraph, multiplied by 
                the ratio of--</DELETED>
                        <DELETED>    ``(i) the amount of the allotment 
                        to such State under subparagraph (A); 
                        to</DELETED>
                        <DELETED>    ``(ii) the total of the amount of 
                        all of the allotments made available under such 
                        subparagraph.</DELETED>
                <DELETED>    ``(C) Full year amount based on growth 
                factor updated amount.--The amount described in this 
                subparagraph for a State is equal to the sum of--
                </DELETED>
                        <DELETED>    ``(i) the amount of the State 
                        allotment for fiscal year 2021 determined under 
                        paragraph (2)(B)(i); and</DELETED>
                        <DELETED>    ``(ii) the amount of any payments 
                        made to the State under subsection (n) for 
                        fiscal year 2021,</DELETED>
                <DELETED>multiplied by the allotment increase factor 
                under paragraph (6) for fiscal year 2022.</DELETED>
                <DELETED>    ``(D) First half ratio.--The first half 
                ratio described in this subparagraph is the ratio of--
                </DELETED>
                        <DELETED>    ``(i) the sum of--</DELETED>
                                <DELETED>    ``(I) the amount made 
                                available under subsection (a)(25)(A); 
                                and</DELETED>
                                <DELETED>    ``(II) the amount of the 
                                appropriation for such period under 
                                section 2(b)(3) of the KIDS Act of 
                                2017; to</DELETED>
                        <DELETED>    ``(ii) the sum of--</DELETED>
                                <DELETED>    ``(I) the amount described 
                                in clause (i); and</DELETED>
                                <DELETED>    ``(II) the amount made 
                                available under subsection 
                                (a)(25)(B).''.</DELETED>
        <DELETED>    (2) Technical amendment.--Section 2104(m)(2)(A) of 
        such Act (42 U.S.C. 1397dd(m)(2)(A)) is amended by striking 
        ``the allotment increase factor under paragraph (5)'' each 
        place it appears and inserting ``the allotment increase factor 
        under paragraph (6)''.</DELETED>
        <DELETED>    (3) One-time appropriation for fiscal year 2022.--
        There is appropriated to the Secretary of Health and Human 
        Services, out of any money in the Treasury not otherwise 
        appropriated, $20,200,000,000 to accompany the allotment made 
        for the period beginning on October 1, 2021, and ending on 
        March 31, 2022, under paragraph (25)(A) of section 2104(a) of 
        the Social Security Act (42 U.S.C. 1397dd(a)) (as added by 
        subsection (a)(3)), to remain available until expended. Such 
        amount shall be used to provide allotments to States under 
        paragraph (10) of section 2104(m) of such Act (as added by 
        subsection (b)(1)(E)) for the first 6 months of fiscal year 
        2022 in the same manner as allotments are provided under 
        subsection (a)(25)(A) of such section 2104 and subject to the 
        same terms and conditions as apply to the allotments provided 
        from such subsection (a)(25)(A).</DELETED>
<DELETED>    (c) Extension of the Child Enrollment Contingency Fund.--
Section 2104(n) of the Social Security Act (42 U.S.C. 1397dd(n)) is 
amended--</DELETED>
        <DELETED>    (1) in paragraph (2)--</DELETED>
                <DELETED>    (A) in subparagraph (A)(ii)--</DELETED>
                        <DELETED>    (i) by striking ``2010, 2011, 
                        2012, 2013, 2014, and 2016'' and inserting 
                        ``2010 through 2014, 2016, and 2018 through 
                        2021''; and</DELETED>
                        <DELETED>    (ii) by striking ``fiscal year 
                        2015 and fiscal year 2017'' and inserting 
                        ``fiscal years 2015, 2017, and 2022''; 
                        and</DELETED>
                <DELETED>    (B) in subparagraph (B)--</DELETED>
                        <DELETED>    (i) by striking ``2010, 2011, 
                        2012, 2013, 2014, and 2016'' and inserting 
                        ``2010 through 2014, 2016, and 2018 through 
                        2021''; and</DELETED>
                        <DELETED>    (ii) by striking ``fiscal year 
                        2015 and fiscal year 2017'' and inserting 
                        ``fiscal year 2015, 2017, and 2022''; 
                        and</DELETED>
        <DELETED>    (2) in paragraph (3)(A), in the matter preceding 
        clause (i), by striking ``or a semi-annual allotment period for 
        fiscal year 2015 or 2017'' and inserting ``or in any of fiscal 
        years 2018 through 2021 (or a semi-annual allotment period for 
        fiscal year 2015, 2017, or 2022)''.</DELETED>
<DELETED>    (d) Extension of Qualifying States Option.--Section 
2105(g)(4) of the Social Security Act (42 U.S.C. 1397ee(g)(4)) is 
amended--</DELETED>
        <DELETED>    (1) in the heading, by striking ``through 2017'' 
        and inserting ``through 2022''; and</DELETED>
        <DELETED>    (2) in subparagraph (A), by striking ``2017'' and 
        inserting ``2022''.</DELETED>
<DELETED>    (e) Extension of Express Lane Eligibility Option.--Section 
1902(e)(13)(I) of the Social Security Act (42 U.S.C. 1396a(e)(13)(I)) 
is amended by striking ``2017'' and inserting ``2022''.</DELETED>
<DELETED>    (f) Assurance of Affordability Standard for Children and 
Families.--</DELETED>
        <DELETED>    (1) In general.--Section 2105(d)(3) of the Social 
        Security Act (42 U.S.C. 1397ee(d)(3)) is amended--</DELETED>
                <DELETED>    (A) in the paragraph heading, by striking 
                ``until october 1, 2019'' and inserting ``through 
                september 30, 2022''; and</DELETED>
                <DELETED>    (B) in subparagraph (A), in the matter 
                preceding clause (i)--</DELETED>
                        <DELETED>    (i) by striking ``2019'' and 
                        inserting ``2022''; and</DELETED>
                        <DELETED>    (ii) by striking ``The preceding 
                        sentence shall not be construed as preventing a 
                        State during such period'' and inserting 
                        ``During the period that begins on October 1, 
                        2019, and ends on September 30, 2022, the 
                        preceding sentence shall only apply with 
                        respect to children in families whose income 
                        does not exceed 300 percent of the poverty line 
                        (as defined in section 2110(c)(5)) applicable 
                        to a family of the size involved. The preceding 
                        sentences shall not be construed as preventing 
                        a State during any such periods''.</DELETED>
        <DELETED>    (2) Conforming amendments.--Section 1902(gg)(2) of 
        the Social Security Act (42 U.S.C. 1396a(gg)(2)) is amended--
        </DELETED>
                <DELETED>    (A) in the paragraph heading, by striking 
                ``until october 1, 2019'' and inserting ``through 
                september 30, 2022''; and</DELETED>
                <DELETED>    (B) by striking ``September 30, 2019,'' 
                and inserting ``September 30, 2022 (but during the 
                period that begins on October 1, 2019, and ends on 
                September 30, 2022, only with respect to children in 
                families whose income does not exceed 300 percent of 
                the poverty line (as defined in section 2110(c)(5)) 
                applicable to a family of the size 
                involved)''.</DELETED>

<DELETED>SEC. 3. EXTENSION OF CERTAIN PROGRAMS AND DEMONSTRATION 
              PROJECTS.</DELETED>

<DELETED>    (a) Childhood Obesity Demonstration Project.--Section 
1139A(e)(8) of the Social Security Act (42 U.S.C. 1320b-9a(e)(8)) is 
amended--</DELETED>
        <DELETED>    (1) by striking ``and $10,000,000'' and inserting 
        ``, $10,000,000''; and</DELETED>
        <DELETED>    (2) by inserting after ``2017'' the following: ``, 
        and $25,000,000 for the period of fiscal years 2018 through 
        2022''.</DELETED>
<DELETED>    (b) Pediatric Quality Measures Program.--Section 1139A(i) 
of the Social Security Act (42 U.S.C. 1320b-9a(i)) is amended--
</DELETED>
        <DELETED>    (1) by striking ``Out of any'' and inserting the 
        following:</DELETED>
        <DELETED>    ``(1) In general.--Out of any'';</DELETED>
        <DELETED>    (2) by striking ``there is appropriated for each'' 
        and inserting ``there is appropriated--</DELETED>
                <DELETED>    ``(A) for each'';</DELETED>
        <DELETED>    (3) by striking ``, and there is appropriated for 
        the period'' and inserting ``;</DELETED>
                <DELETED>    ``(B) for the period'';</DELETED>
        <DELETED>    (4) by striking ``. Funds appropriated under this 
        subsection shall remain available until expended'' and 
        inserting ``; and''; and</DELETED>
        <DELETED>    (5) by adding at the end the following:</DELETED>
                <DELETED>    ``(C) for the period of fiscal years 2018 
                through 2022, $75,000,000 for the purpose of carrying 
                out this section (other than subsections (e), (f), and 
                (g)).</DELETED>
        <DELETED>    ``(2) Availability.--Funds appropriated under this 
        subsection shall remain available until expended.''.</DELETED>

<DELETED>SEC. 4. EXTENSION OF OUTREACH AND ENROLLMENT 
              PROGRAM.</DELETED>

<DELETED>    Section 2113 of the Social Security Act (42 U.S.C. 1397mm) 
is amended--</DELETED>
        <DELETED>    (1) in subsection (a)(1), by striking ``2017'' and 
        inserting ``2022''; and</DELETED>
        <DELETED>    (2) in subsection (g)--</DELETED>
                <DELETED>    (A) by striking ``and $40,000,000'' and 
                inserting ``, $40,000,000''; and</DELETED>
                <DELETED>    (B) by inserting after ``2017'' the 
                following: ``, and $100,000,000 for the period of 
                fiscal years 2018 through 2022''.</DELETED>

<DELETED>SEC. 5. EXTENSION AND REDUCTION OF ADDITIONAL FEDERAL 
              FINANCIAL PARTICIPATION FOR CHIP.</DELETED>

<DELETED>    Section 2105(b) of the Social Security Act (42 U.S.C. 
1397ee(b)) is amended in the second sentence by inserting ``and during 
the period that begins on October 1, 2019, and ends on September 30, 
2020, the enhanced FMAP determined for a State for a fiscal year (or 
for any portion of a fiscal year occurring during such period) shall be 
increased by 11.5 percentage points'' after ``23 percentage 
points,''.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Keep Kids' Insurance Dependable and 
Secure Act of 2017'' or the ``KIDS Act of 2017''.

SEC. 2. FIVE-YEAR FUNDING EXTENSION OF THE CHILDREN'S HEALTH INSURANCE 
              PROGRAM.

    (a) Appropriation; Total Allotment.--Section 2104(a) of the Social 
Security Act (42 U.S.C. 1397dd(a)) is amended--
            (1) in paragraph (19), by striking ``and'';
            (2) in paragraph (20), by striking the period at the end 
        and inserting a semicolon; and
            (3) by adding at the end the following new paragraphs:
            ``(21) for fiscal year 2018, $21,500,000,000;
            ``(22) for fiscal year 2019, $22,600,000,000;
            ``(23) for fiscal year 2020, $23,700,000,000;
            ``(24) for fiscal year 2021, $24,800,000,000; and
            ``(25) for fiscal year 2022, for purposes of making 2 semi-
        annual allotments--
                    ``(A) $2,850,000,000 for the period beginning on 
                October 1, 2021, and ending on March 31, 2022; and
                    ``(B) $2,850,000,000 for the period beginning on 
                April 1, 2022, and ending on September 30, 2022.''.
    (b) Allotments.--
            (1) In general.--Section 2104(m) of the Social Security Act 
        (42 U.S.C. 1397dd(m)) is amended--
                    (A) in paragraph (2)--
                            (i) in the heading, by striking ``through 
                        2016'' and inserting ``through 2022''; and
                            (ii) in subparagraph (B)--
                                    (I) in the matter preceding clause 
                                (i), by striking ``(19)'' and inserting 
                                ``(24)'';
                                    (II) in clause (ii), in the matter 
                                preceding subclause (I), by inserting 
                                ``(other than fiscal year 2022)'' after 
                                ``even-numbered fiscal year''; and
                                    (III) in clause (ii)(I), by 
                                inserting ``(or, in the case of fiscal 
                                year 2018, under paragraph (4))'' after 
                                ``clause (i)'';
                    (B) in paragraph (5)--
                            (i) by striking ``or (4)'' and inserting 
                        ``(4), or (10)''; and
                            (ii) by striking ``or 2017'' and inserting 
                        ``, 2017, or 2022'';
                    (C) in paragraph (7)--
                            (i) in subparagraph (A), by striking 
                        ``2017'' and inserting ``2022'';
                            (ii) in subparagraph (B), in the matter 
                        preceding clause (i), by inserting ``(or, in 
                        the case of fiscal year 2018, by not later than 
                        the date that is 60 days after the date of the 
                        enactment of the KIDS Act of 2017)'' after 
                        ``before the August 31 preceding the beginning 
                        of the fiscal year''; and
                            (iii) in the matter following subparagraph 
                        (B), by striking ``or fiscal year 2016'' and 
                        inserting ``fiscal year 2016, fiscal year 2018, 
                        fiscal year 2020, or fiscal year 2022'';
                    (D) in paragraph (9)--
                            (i) in the heading, by striking ``fiscal 
                        years 2015 and 2017'' and inserting ``certain 
                        fiscal years'';
                            (ii) by striking ``or (4)'' and inserting 
                        ``, (4), or (10)''; and
                            (iii) by striking ``or fiscal year 2017'' 
                        and inserting ``, 2017, or 2022''; and
                    (E) by adding at the end the following new 
                paragraph:
            ``(10) For fiscal year 2022.--
                    ``(A) First half.--Subject to paragraphs (5) and 
                (7), from the amount made available under subparagraph 
                (A) of paragraph (25) of subsection (a) for the semi-
                annual period described in such subparagraph, increased 
                by the amount of the appropriation for such period 
                under section 2(b)(3) of the KIDS Act of 2017, the 
                Secretary shall compute a State allotment for each 
                State (including the District of Columbia and each 
                commonwealth and territory) for such semi-annual period 
                in an amount equal to the first half ratio (described 
                in subparagraph (D)) of the amount described in 
                subparagraph (C).
                    ``(B) Second half.--Subject to paragraphs (5) and 
                (7), from the amount made available under subparagraph 
                (B) of paragraph (25) of subsection (a) for the semi-
                annual period described in such subparagraph, the 
                Secretary shall compute a State allotment for each 
                State (including the District of Columbia and each 
                commonwealth and territory) for such semi-annual period 
                in an amount equal to the amount made available under 
                such subparagraph, multiplied by the ratio of--
                            ``(i) the amount of the allotment to such 
                        State under subparagraph (A); to
                            ``(ii) the total of the amount of all of 
                        the allotments made available under such 
                        subparagraph.
                    ``(C) Full year amount based on growth factor 
                updated amount.--The amount described in this 
                subparagraph for a State is equal to the sum of--
                            ``(i) the amount of the State allotment for 
                        fiscal year 2021 determined under paragraph 
                        (2)(B)(i); and
                            ``(ii) the amount of any payments made to 
                        the State under subsection (n) for fiscal year 
                        2021,
                multiplied by the allotment increase factor under 
                paragraph (6) for fiscal year 2022.
                    ``(D) First half ratio.--The first half ratio 
                described in this subparagraph is the ratio of--
                            ``(i) the sum of--
                                    ``(I) the amount made available 
                                under subsection (a)(25)(A); and
                                    ``(II) the amount of the 
                                appropriation for such period under 
                                section 2(b)(3) of the KIDS Act of 
                                2017; to
                            ``(ii) the sum of--
                                    ``(I) the amount described in 
                                clause (i); and
                                    ``(II) the amount made available 
                                under subsection (a)(25)(B).''.
            (2) Technical amendment.--Section 2104(m)(2)(A) of such Act 
        (42 U.S.C. 1397dd(m)(2)(A)) is amended by striking ``the 
        allotment increase factor under paragraph (5)'' each place it 
        appears and inserting ``the allotment increase factor under 
        paragraph (6)''.
            (3) One-time appropriation for fiscal year 2022.--There is 
        appropriated to the Secretary of Health and Human Services, out 
        of any money in the Treasury not otherwise appropriated, 
        $20,200,000,000 to accompany the allotment made for the period 
        beginning on October 1, 2021, and ending on March 31, 2022, 
        under paragraph (25)(A) of section 2104(a) of the Social 
        Security Act (42 U.S.C. 1397dd(a)) (as added by subsection 
        (a)(3)), to remain available until expended. Such amount shall 
        be used to provide allotments to States under paragraph (10) of 
        section 2104(m) of such Act (as added by subsection (b)(1)(E)) 
        for the first 6 months of fiscal year 2022 in the same manner 
        as allotments are provided under subsection (a)(25)(A) of such 
        section 2104 and subject to the same terms and conditions as 
        apply to the allotments provided from such subsection 
        (a)(25)(A).
    (c) Extension of the Child Enrollment Contingency Fund.--Section 
2104(n) of the Social Security Act (42 U.S.C. 1397dd(n)) is amended--
            (1) in paragraph (2)--
                    (A) in subparagraph (A)(ii)--
                            (i) by striking ``2010, 2011, 2012, 2013, 
                        2014, and 2016'' and inserting ``2010 through 
                        2014, 2016, and 2018 through 2021''; and
                            (ii) by striking ``fiscal year 2015 and 
                        fiscal year 2017'' and inserting ``fiscal years 
                        2015, 2017, and 2022''; and
                    (B) in subparagraph (B)--
                            (i) by striking ``2010, 2011, 2012, 2013, 
                        2014, and 2016'' and inserting ``2010 through 
                        2014, 2016, and 2018 through 2021''; and
                            (ii) by striking ``fiscal year 2015 and 
                        fiscal year 2017'' and inserting ``fiscal year 
                        2015, 2017, and 2022''; and
            (2) in paragraph (3)(A), in the matter preceding clause 
        (i), by striking ``or a semi-annual allotment period for fiscal 
        year 2015 or 2017'' and inserting ``or in any of fiscal years 
        2018 through 2021 (or a semi-annual allotment period for fiscal 
        year 2015, 2017, or 2022)''.
    (d) Extension of Qualifying States Option.--Section 2105(g)(4) of 
the Social Security Act (42 U.S.C. 1397ee(g)(4)) is amended--
            (1) in the heading, by striking ``through 2017'' and 
        inserting ``through 2022''; and
            (2) in subparagraph (A), by striking ``2017'' and inserting 
        ``2022''.
    (e) Extension of Express Lane Eligibility Option.--Section 
1902(e)(13)(I) of the Social Security Act (42 U.S.C. 1396a(e)(13)(I)) 
is amended by striking ``2017'' and inserting ``2022''.
    (f) Assurance of Affordability Standard for Children and 
Families.--
            (1) In general.--Section 2105(d)(3) of the Social Security 
        Act (42 U.S.C. 1397ee(d)(3)) is amended--
                    (A) in the paragraph heading, by striking ``until 
                october 1, 2019'' and inserting ``through september 30, 
                2022''; and
                    (B) in subparagraph (A), in the matter preceding 
                clause (i)--
                            (i) by striking ``2019'' and inserting 
                        ``2022''; and
                            (ii) by striking ``The preceding sentence 
                        shall not be construed as preventing a State 
                        during such period'' and inserting ``During the 
                        period that begins on October 1, 2019, and ends 
                        on September 30, 2022, the preceding sentence 
                        shall only apply with respect to children in 
                        families whose income does not exceed 300 
                        percent of the poverty line (as defined in 
                        section 2110(c)(5)) applicable to a family of 
                        the size involved. The preceding sentences 
                        shall not be construed as preventing a State 
                        during any such periods''.
            (2) Conforming amendments.--Section 1902(gg)(2) of the 
        Social Security Act (42 U.S.C. 1396a(gg)(2)) is amended--
                    (A) in the paragraph heading, by striking ``until 
                october 1, 2019'' and inserting ``through september 30, 
                2022''; and
                    (B) by striking ``September 30, 2019,'' and 
                inserting ``September 30, 2022 (but during the period 
                that begins on October 1, 2019, and ends on September 
                30, 2022, only with respect to children in families 
                whose income does not exceed 300 percent of the poverty 
                line (as defined in section 2110(c)(5)) applicable to a 
                family of the size involved)''.

SEC. 3. EXTENSION OF CERTAIN PROGRAMS AND DEMONSTRATION PROJECTS.

    (a) Childhood Obesity Demonstration Project.--Section 1139A(e)(8) 
of the Social Security Act (42 U.S.C. 1320b-9a(e)(8)) is amended--
            (1) by striking ``and $10,000,000'' and inserting ``, 
        $10,000,000''; and
            (2) by inserting after ``2017'' the following: ``, and 
        $25,000,000 for the period of fiscal years 2018 through 2022''.
    (b) Pediatric Quality Measures Program.--Section 1139A(i) of the 
Social Security Act (42 U.S.C. 1320b-9a(i)) is amended--
            (1) by striking ``Out of any'' and inserting the following:
            ``(1) In general.--Out of any'';
            (2) by striking ``there is appropriated for each'' and 
        inserting ``there is appropriated--
                    ``(A) for each'';
            (3) by striking ``, and there is appropriated for the 
        period'' and inserting ``;
                    ``(B) for the period'';
            (4) by striking ``. Funds appropriated under this 
        subsection shall remain available until expended'' and 
        inserting ``; and''; and
            (5) by adding at the end the following:
                    ``(C) for the period of fiscal years 2018 through 
                2022, $75,000,000 for the purpose of carrying out this 
                section (other than subsections (e), (f), and (g)).
            ``(2) Availability.--Funds appropriated under this 
        subsection shall remain available until expended.''.

SEC. 4. EXTENSION OF OUTREACH AND ENROLLMENT PROGRAM.

    Section 2113 of the Social Security Act (42 U.S.C. 1397mm) is 
amended--
            (1) in subsection (a)(1), by striking ``2017'' and 
        inserting ``2022''; and
            (2) in subsection (g)--
                    (A) by striking ``and $40,000,000'' and inserting 
                ``, $40,000,000''; and
                    (B) by inserting after ``2017'' the following: ``, 
                and $100,000,000 for the period of fiscal years 2018 
                through 2022''.

SEC. 5. EXTENSION AND REDUCTION OF ADDITIONAL FEDERAL FINANCIAL 
              PARTICIPATION FOR CHIP.

    Section 2105(b) of the Social Security Act (42 U.S.C. 1397ee(b)) is 
amended in the second sentence by inserting ``and during the period 
that begins on October 1, 2019, and ends on September 30, 2020, the 
enhanced FMAP determined for a State for a fiscal year (or for any 
portion of a fiscal year occurring during such period) shall be 
increased by 11.5 percentage points'' after ``23 percentage points,''.
                                                       Calendar No. 288

115th CONGRESS

  1st Session

                                S. 1827

                          [Report No. 115-197]

_______________________________________________________________________

                                 A BILL

To extend funding for the Children's Health Insurance Program, and for 
                            other purposes.

_______________________________________________________________________

                           December 20, 2017

                       Reported with an amendment
```