II 

115TH CONGRESS 

1ST SESSION S. 1827 

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, and Mr. MENENDEZ) introduced the following bill; which was 

read twice and referred to the Committee on Finance 

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, 

3 SECTION 1. SHORT TITLE. 

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

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

6 of 2017’’. 


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1 SEC. 2. FIVE-YEAR FUNDING EXTENSION OF THE CHIL2 DREN’S HEALTH INSURANCE PROGRAM. 

3 (a) APPROPRIATION; TOTAL ALLOTMENT.—Section 

4 2104(a) of the Social Security Act (42 U.S.C. 1397dd(a)) 

5 is amended— 

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

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

8 the end and inserting a semicolon; and 

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

10 paragraphs: 

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

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

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

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

15 and 

16 ‘‘(25) for fiscal year 2022, for purposes of mak17 ing 2 semi-annual allotments— 

18 ‘‘(A) $2,850,000,000 for the period begin19 ning on October 1, 2021, and ending on March 

20 31, 2022; and 

21 ‘‘(B) $2,850,000,000 for the period begin22 ning on April 1, 2022, and ending on Sep23 tember 30, 2022.’’. 

24 (b) ALLOTMENTS.— 


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1 (1) IN GENERAL.—Section 2104(m) of the So2 cial Security Act (42 U.S.C. 1397dd(m)) is amend3 ed— 

4 (A) in paragraph (2)— 

5 (i) in the heading, by striking 

6 ‘‘THROUGH 2016’’ and inserting 

7 ‘‘THROUGH 2022’’; and 

8 (ii) in subparagraph (B)— 

9 (I) in the matter preceding clause 

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

11 ‘‘(24)’’; 

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

13 preceding subclause (I), by inserting 

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

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

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

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

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

19 (i)’’; 

20 (B) in paragraph (5)— 

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

22 ‘‘(4), or (10)’’; and 

23 (ii) by striking ‘‘or 2017’’ and insert24 ing ‘‘, 2017, or 2022’’; 

25 (C) in paragraph (7)— 


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

2 ‘‘2017’’ and inserting ‘‘2022’’; and 

3 (ii) in the matter following subpara4 graph (B)(ii), by striking ‘‘or fiscal year 

5 2016’’ and inserting ‘‘fiscal year 2016, fis6 cal year 2018, fiscal year 2020, or fiscal 

7 year 2022’’; 

8 (D) in paragraph (9)— 

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

10 YEARS 2015 AND 2017’’ and inserting 

11 ‘‘CERTAIN FISCAL YEARS’’; 

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

13 ‘‘, (4), or (10)’’; and 

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

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

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

17 paragraph: 

18 ‘‘(10) FOR FISCAL YEAR 2022.— 

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

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

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

22 subsection (a) for the semi-annual period de23 scribed in such subparagraph, increased by the 

24 amount of the appropriation for such period 

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


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1 the Secretary shall compute a State allotment 

2 for each State (including the District of Colum3 bia and each commonwealth and territory) for 

4 such semi-annual period in an amount equal to 

5 the first half ratio (described in subparagraph 

6 (D)) of the amount described in subparagraph 

7 (C). 

8 ‘‘(B) SECOND HALF.—Subject to para9 graphs (5) and (7), from the amount made 

10 available under subparagraph (B) of paragraph 

11 (25) of subsection (a) for the semi-annual pe12 riod described in such subparagraph, the Sec13 retary shall compute a State allotment for each 

14 State (including the District of Columbia and 

15 each commonwealth and territory) for such 

16 semi-annual period in an amount equal to the 

17 amount made available under such subpara18 graph, multiplied by the ratio of— 

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

20 such State under subparagraph (A); to 

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

22 the allotments made available under such 

23 subparagraph. 

24 ‘‘(C) FULL YEAR AMOUNT BASED ON

25 GROWTH FACTOR UPDATED AMOUNT.—The 


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1 amount described in this subparagraph for a 

2 State is equal to the sum of— 

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

4 for fiscal year 2021 determined under 

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

6 ‘‘(ii) the amount of any payments 

7 made to the State under subsection (n) for 

8 fiscal year 2021, 

9 multiplied by the allotment increase factor 

10 under paragraph (6) for fiscal year 2022. 

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

12 ratio described in this subparagraph is the ratio 

13 of— 

14 ‘‘(i) the sum of— 

15 ‘‘(I) the amount made available 

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

17 ‘‘(II) the amount of the appro18 priation for such period under section 

19 2(b)(3) of the KIDS Act of 2017; to 

20 ‘‘(ii) the sum of— 

21 ‘‘(I) the amount described in 

22 clause (i); and 

23 ‘‘(II) the amount made available 

24 under subsection (a)(25)(B).’’. 


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1 (2) TECHNICAL AMENDMENT.—Section 

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

3 1397dd(m)(2)(A)) is amended by striking ‘‘the allot4 ment increase factor under paragraph (5)’’ each 

5 place it appears and inserting ‘‘the allotment in6 crease factor under paragraph (6)’’. 

7 (3) ONE-TIME APPROPRIATION FOR FISCAL

8 YEAR 2022.—There is appropriated to the Secretary 

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

10 the Treasury not otherwise appropriated, 

11 $20,200,000,000 to accompany the allotment made 

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

13 ending on March 31, 2022, under paragraph 

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

15 (42 U.S.C. 1397dd(a)) (as added by subsection 

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

17 amount shall be used to provide allotments to States 

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

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

20 6 months of fiscal year 2022 in the same manner as 

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

22 of such section 2104 and subject to the same terms 

23 and conditions as apply to the allotments provided 

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


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1 (c) EXTENSION OF THE CHILD ENROLLMENT CON2 TINGENCY FUND.—Section 2104(n) of the Social Security 

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

4 (1) in paragraph (2)— 

5 (A) in subparagraph (A)(ii)— 

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

7 2013, 2014, and 2016’’ and inserting 

8 ‘‘2010 through 2014, 2016, and 2018 

9 through 2021’’; and 

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

11 fiscal year 2017’’ and inserting ‘‘fiscal 

12 years 2015, 2017, and 2022’’; and 

13 (B) in subparagraph (B)— 

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

15 2013, 2014, and 2016’’ and inserting 

16 ‘‘2010 through 2014, 2016, and 2018 

17 through 2021’’; and 

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

19 fiscal year 2017’’ and inserting ‘‘fiscal year 

20 2015, 2017, and 2022’’; and 

21 (2) in paragraph (3)(A), in the matter pre22 ceding clause (i), by striking ‘‘or a semi-annual allot23 ment period for fiscal year 2015 or 2017’’ and in24 serting ‘‘or in any of fiscal years 2018 through 2021 


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

2 2015, 2017, or 2022)’’. 

3 (d) EXTENSION OF QUALIFYING STATES OPTION.— 

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

5 1397ee(g)(4)) is amended— 

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

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

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

9 and inserting ‘‘2022’’. 

10 (e) EXTENSION OF EXPRESS LANE ELIGIBILITY OP11 TION.—Section 1902(e)(13)(I) of the Social Security Act 

12 (42 U.S.C. 1396a(e)(13)(I)) is amended by striking 

13 ‘‘2017’’ and inserting ‘‘2022’’. 

14 (f) ASSURANCE OF AFFORDABILITY STANDARD FOR

15 CHILDREN AND FAMILIES.— 

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

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

18 amended— 

19 (A) in the paragraph heading, by striking 

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

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

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

23 preceding clause (i)— 

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

25 ‘‘2022’’; and 


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1 (ii) by striking ‘‘The preceding sen2 tence shall not be construed as preventing 

3 a State during such period’’ and inserting 

4 ‘‘During the period that begins on October 

5 1, 2019, and ends on September 30, 2022, 

6 the preceding sentence shall only apply 

7 with respect to children in families whose 

8 income does not exceed 300 percent of the 

9 poverty line (as defined in section 

10 2110(c)(5)) applicable to a family of the 

11 size involved. The preceding sentences shall 

12 not be construed as preventing a State 

13 during any such periods’’. 

14 (2) CONFORMING AMENDMENTS.—Section 

15 1902(gg)(2) of the Social Security Act (42 U.S.C. 

16 1396a(gg)(2)) is amended— 

17 (A) in the paragraph heading, by striking 

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

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

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

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

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

23 ends on September 30, 2022, only with respect 

24 to children in families whose income does not 

25 exceed 300 percent of the poverty line (as deVerDate Sep 11 2014 23:31 Sep 22, 2017 Jkt 069200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\S1827.IS S1827

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1 fined in section 2110(c)(5)) applicable to a fam2 ily of the size involved)’’. 

3 SEC. 3. EXTENSION OF CERTAIN PROGRAMS AND DEM4 ONSTRATION PROJECTS. 

5 (a) CHILDHOOD OBESITY DEMONSTRATION

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

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

8 (1) by striking ‘‘and $10,000,000’’ and insert9 ing ‘‘, $10,000,000’’; and 

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

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

12 through 2022’’. 

13 (b) PEDIATRIC QUALITY MEASURES PROGRAM.— 

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

15 1320b–9a(i)) is amended— 

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

17 following: 

18 ‘‘(1) IN GENERAL.—Out of any’’; 

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

20 and inserting ‘‘there is appropriated— 

21 ‘‘(A) for each’’; 

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

23 the period’’ and inserting ‘‘; 

24 ‘‘(B) for the period’’; 


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

2 this subsection shall remain available until ex3 pended’’ and inserting ‘‘; and’’; and 

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

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

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

7 carrying out this section (other than sub8 sections (e), (f), and (g)). 

9 ‘‘(2) AVAILABILITY.—Funds appropriated 

10 under this subsection shall remain available until ex11 pended.’’. 

12 SEC. 4. EXTENSION OF OUTREACH AND ENROLLMENT PRO13 GRAM. 

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

15 1397mm) is amended— 

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

17 inserting ‘‘2022’’; and 

18 (2) in subsection (g)— 

19 (A) by striking ‘‘and $40,000,000’’ and in20 serting ‘‘, $40,000,000’’; and 

21 (B) by inserting after ‘‘2017’’ the fol22 lowing: ‘‘, and $100,000,000 for the period of 

23 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,’’. 

Æ 


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