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[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 195 Enrolled Bill (ENR)]

        H.R.195

                     One Hundred Fifteenth Congress

                                 of the

                        United States of America

                          AT THE SECOND SESSION

         Begun and held at the City of Washington on Wednesday,
           the third day of January, two thousand and eighteen

                                 An Act

 
  Making further continuing appropriations for the fiscal year ending 
               September 30, 2018, and for other purposes.

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

       DIVISION A--FEDERAL REGISTER PRINTING SAVINGS ACT OF 2017

SECTION 1. SHORT TITLE.
    This division may be cited as the ``Federal Register Printing 
Savings Act of 2017''.
SEC. 2. RESTRICTIONS ON DISTRIBUTION OF FREE PRINTED COPIES OF FEDERAL 
REGISTER TO MEMBERS OF CONGRESS AND FEDERAL EMPLOYEES.
    (a) Restrictions.--Section 1506 of title 44, United States Code, is 
amended--
        (1) by striking ``The Administrative Committee'' and inserting 
    ``(a) Composition; Duties.--The Administrative Committee'';
        (2) in subsection (a)(4), by striking ``the number of copies'' 
    and inserting ``subject to subsection (b), the number of copies''; 
    and
        (3) by adding at the end the following new subsection:
    ``(b) Restrictions on Distribution of Free Printed Copies to 
Members of Congress and Officers and Employees of the United States.--
        ``(1) Prohibiting subscription to printed copies without 
    request.--Under the regulations prescribed to carry out subsection 
    (a)(4), the Director of the Government Publishing Office may not 
    provide a printed copy of the Federal Register without charge to 
    any Member of Congress or any other office of the United States 
    during a year unless--
            ``(A) the Member or office requests a printed copy of a 
        specific issue of the Federal Register; or
            ``(B) during that year or during the previous year, the 
        Member or office requested a subscription to printed copies of 
        the Federal Register for that year, as described in paragraph 
        (2).
        ``(2) Administration of subscriptions.--The regulations 
    prescribed to carry out subsection (a)(4) shall include--
            ``(A) provisions regarding notifications to offices of 
        Members of Congress and other offices of the United States of 
        the restrictions of paragraph (1);
            ``(B) provisions describing the process by which Members 
        and other offices may request a specific issue of the Federal 
        Register for purposes of paragraph (1)(A); and
            ``(C) provisions describing the process by which Members 
        and other offices may request a subscription to the Federal 
        Register for purposes of paragraph (1)(B), except that such 
        regulations shall limit the period for such a subscription to 
        not longer than 1 year.''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
take effect January 1, 2018.

      DIVISION B--EXTENSION OF CONTINUING APPROPRIATIONS ACT, 2018

    Sec. 2001.  The Continuing Appropriations Act, 2018 (division D of 
Public Law 115-56) is amended--
        (1) by striking the date specified in section 106(3) and 
    inserting ``February 8, 2018''; and
        (2) by adding after section 147 the following:
    ``Sec. 148.  Funds appropriated by the Department of Defense 
Missile Defeat and Defense Enhancements Appropriations Act, 2018 
(division B of Public Law 115-96) may be obligated and expended 
notwithstanding section 504(a)(1) of the National Security Act of 1947 
(50 U.S.C. 3094(a)(1)).
    ``Sec. 149.  Amounts made available by section 101 for `Department 
of Agriculture--Food and Nutrition Service--Child Nutrition Programs' 
to carry out section 749(g) of the Agriculture Appropriations Act of 
2010 (Public Law 111-80) may be apportioned up to the rate for 
operations necessary to ensure that the program can be fully 
operational by May 2018.
    ``Sec. 150.  Amounts made available by section 101 for `National 
Aeronautics and Space Administration--Exploration' may be apportioned 
up to the rate for operations necessary to maintain the planned launch 
capability schedules for the Space Launch System launch vehicle, 
Exploration Ground Systems, and Orion Multi-Purpose Crew Vehicle 
programs.
    ``Sec. 151.  Amounts made available by section 101 for `Department 
of Energy--Energy Programs--Office of the Inspector General' may be 
apportioned up to the rate for operations necessary to sustain staffing 
levels achieved on June 30, 2017.
    ``Sec. 152.  Amounts made available by section 101 for `Small 
Business Administration--Business Loans Program Account' may be 
apportioned up to the rate for operations necessary to accommodate 
increased demand for commitments for general business loans authorized 
under section 7(a) of the Small Business Act (15 U.S.C. 636(a)).
    ``Sec. 153.  For 2018, the Secretary of Housing and Urban 
Development may make temporary adjustments to the Section 8 housing 
choice voucher annual renewal funding allocations and administrative 
fee eligibility determinations for public housing agencies in an area 
for which the President declared a disaster in 2017 or 2018 under title 
IV of the Robert T. Stafford Disaster Relief and Emergency Assistance 
Act (42 U.S.C. 5170 et seq.), to avoid significant adverse funding 
impacts that would otherwise result from the disaster and that would 
otherwise prevent a public housing agency from leasing up to its 
authorized level of units under contract (but not to exceed such 
level), upon request by and in consultation with a public housing 
agency and supported by documentation as required by the Secretary that 
demonstrates the need for the adjustment.
    ``Sec. 154. (a) Employees furloughed as a result of any lapse in 
appropriations which begins on or about January 20, 2018, shall be 
compensated at their standard rate of compensation, for the period of 
such lapse in appropriations, as soon as practicable after such lapse 
in appropriations ends.
    ``(b) For purposes of this section, `employee' means:
        ``(1) a federal employee;
        ``(2) an employee of the District of Columbia Courts;
        ``(3) an employee of the Public Defender Service for the 
    District of Columbia; or
        ``(4) a District of Columbia Government employee.
    ``(c) All obligations incurred in anticipation of the 
appropriations made and authority granted by this division for the 
purposes of maintaining the essential level of activity to protect life 
and property and bringing about orderly termination of Government 
functions, and for purposes as otherwise authorized by law, are hereby 
ratified and approved if otherwise in accord with the provisions of 
this division.
    ``Sec. 155. (a) If a State (or another Federal grantee) used State 
funds (or the grantee's non-Federal funds) to continue carrying out a 
Federal program or furloughed State employees (or the grantee's 
employees) whose compensation is advanced or reimbursed in whole or in 
part by the Federal Government--
        ``(1) such furloughed employees shall be compensated at their 
    standard rate of compensation for such period;
        ``(2) the State (or such other grantee) shall be reimbursed for 
    expenses that would have been paid by the Federal Government during 
    such period had appropriations been available, including the cost 
    of compensating such furloughed employees, together with interest 
    thereon calculated under section 6503(d) of title 31, United States 
    Code; and
        ``(3) the State (or such other grantee) may use funds available 
    to the State (or the grantee) under such Federal program to 
    reimburse such State (or the grantee), together with interest 
    thereon calculated under section 6503(d) of title 31, United States 
    Code.
    ``(b) For purposes of this section, the term `State' and the term 
`grantee' shall have the meaning as such term is defined under the 
applicable Federal program under subsection (a). In addition, `to 
continue carrying out a Federal program' means the continued 
performance by a State or other Federal grantee, during the period of a 
lapse in appropriations, of a Federal program that the State or such 
other grantee had been carrying out prior to the period of the lapse in 
appropriations.
    ``(c) The authority under this section applies with respect to any 
period in fiscal year 2018 (not limited to periods beginning or ending 
after the date of the enactment of this division) during which there 
occurs a lapse in appropriations with respect to any department or 
agency of the Federal Government which, but for such lapse in 
appropriations, would have paid, or made reimbursement relating to, any 
of the expenses referred to in this section with respect to the program 
involved. Payments and reimbursements under this authority shall be 
made only to the extent and in amounts provided in advance in 
appropriations Acts.''.
    Sec. 2002.  The Further Additional Continuing Appropriations Act, 
2018 (division A of Public Law 115-96) is amended by striking section 
1002.
    Sec. 2003.  For the purposes of division D of Public Law 115-56, 
the time covered by such division shall be considered to include the 
period which began on or about January 20, 2018, during which there 
occurred a lapse in appropriations.
     This division may be cited as the ``Extension of Continuing 
Appropriations Act, 2018''.

                      DIVISION C--HEALTHY KIDS ACT

SEC. 3001. SHORT TITLE.
    This division may be cited as the ``Helping Ensure Access for 
Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery 
Stable Act'' or the ``HEALTHY KIDS Act''.
SEC. 3002. SIX-YEAR FUNDING EXTENSION OF THE CHILDREN'S HEALTH 
INSURANCE PROGRAM.
    (a) Funding.--
        (1) In general.--Section 2104(a) of the Social Security Act (42 
    U.S.C. 1397dd(a)), as amended by section 3201(a) of the CHIP and 
    Public Health Funding Extension Act (division C of Public Law 115-
    96), is amended--
            (A) in paragraph (20)(B), by striking ``; and'' and 
        inserting a semicolon;
            (B) by striking paragraph (21) and inserting 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;
        ``(25) for fiscal year 2022, $25,900,000,000; and
        ``(26) for fiscal year 2023, for purposes of making two semi-
    annual allotments--
            ``(A) $2,850,000,000 for the period beginning on October 1, 
        2022, and ending on March 31, 2023; and
            ``(B) $2,850,000,000 for the period beginning on April 1, 
        2023, and ending on September 30, 2023.''.
        (2) Prevention of duplicate appropriations for fiscal year 
    2018.--Notwithstanding any other provision of law, insofar as funds 
    have been appropriated under subsection (a)(21) of section 2104 of 
    the Social Security Act (42 U.S.C. 1397dd), as such subsection is 
    in effect on the day before the date of the enactment of this Act, 
    to provide allotments to States under the State Children's Health 
    Insurance Program established under title XXI of the Social 
    Security Act (42 U.S.C. 1397aa et seq.) (whether implemented under 
    title XIX, XXI, or both, of the Social Security Act) for fiscal 
    year 2018--
            (A) any amounts that are so appropriated that are not so 
        allotted and obligated before the date of the enactment of this 
        Act, are rescinded; and
            (B) any amount provided for CHIP allotments to a State 
        under this section (and the amendments made by this section) 
        for such fiscal year shall be reduced by the amount of such 
        appropriations so allotted and obligated before such date.
    (b) Allotments.--
        (1) In general.--Section 2104(m) of the Social Security Act (42 
    U.S.C. 1397dd(m)), as amended by section 3201(b) of the CHIP and 
    Public Health Funding Extension Act (division C of Public Law 115-
    96), is amended--
            (A) in paragraph (2)(B)--
                (i) in the matter preceding clause (i), by striking 
            ``(19)'' and inserting ``(25)'';
                (ii) in clause (i), by striking ``and 2017'' and 
            inserting ``, 2017, and 2023''; and
                (iii) in clause (ii)--

                    (I) in the matter preceding subclause (I), by 
                striking ``and paragraph (10)''; and
                    (II) in subclause (I), by inserting ``(or, in the 
                case of fiscal year 2018, under paragraph (4))'' after 
                ``clause (i)'';

            (B) in paragraph (5), by striking ``2018'' and inserting 
        ``2023'';
            (C) in paragraph (7)--
                (i) in subparagraph (A), by striking ``2017'' and 
            inserting ``2023'';
                (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 HEALTHY KIDS Act)'' 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), by striking ``2018'' and inserting 
        ``2023''; and
            (E) by amending paragraph (10) to read as follows:
        ``(10) For fiscal year 2023.--
            ``(A) First half.--Subject to paragraphs (5) and (7), from 
        the amount made available under subparagraph (A) of paragraph 
        (26) of subsection (a) for the semi-annual period described in 
        such subparagraph, increased by the amount of the appropriation 
        for such period under section 3002(b)(2) of the HEALTHY KIDS 
        Act, 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 
        (26) 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 rebased amount.--The amount 
        described in this subparagraph for a State is equal to the 
        Federal payments to the State that are attributable to (and 
        countable towards) the total amount of allotments available 
        under this section to the State in fiscal year 2022 (including 
        payments made to the State under subsection (n) for fiscal year 
        2022 as well as amounts redistributed to the State in fiscal 
        year 2022), multiplied by the allotment increase factor under 
        paragraph (6) for fiscal year 2023.
            ``(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)(26)(A); and
                    ``(II) the amount of the appropriation for such 
                period under section 3002(b)(2) of the HEALTHY KIDS 
                Act; to

                ``(ii) the sum of--

                    ``(I) the amount described in clause (i); and
                    ``(II) the amount made available under subsection 
                (a)(26)(B).''.

        (2) One-time appropriation for fiscal year 2023.--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, 2022, and ending on March 31, 2023, under 
    paragraph (26)(A) of section 2104(a) of the Social Security Act (42 
    U.S.C. 1397dd(a)) (as added by subsection (a)), 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 paragraph (1)) for the first 6 months of fiscal year 2023 
    in the same manner as allotments are provided under subsection 
    (a)(26)(A) of such section 2104 and subject to the same terms and 
    conditions as apply to the allotments provided from such subsection 
    (a)(26)(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 2022''; and
                (ii) by striking ``fiscal year 2015 and fiscal year 
            2017'' and inserting ``fiscal years 2015, 2017, and 2023''; 
            and
            (B) in subparagraph (B)--
                (i) by striking ``2010, 2011, 2012, 2013, 2014, and 
            2016'' and inserting ``2010 through 2014, 2016, and 2018 
            through 2022''; and
                (ii) by striking ``fiscal year 2015 and fiscal year 
            2017'' and inserting ``fiscal years 2015, 2017, and 2023''; 
            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 
    2022 (or a semi-annual allotment period for fiscal year 2015, 2017, 
    or 2023)''.
    (d) Extension of Qualifying States Option.--
        (1) In general.--Section 2105(g)(4) of the Social Security Act 
    (42 U.S.C. 1397ee(g)(4)) is amended--
            (A) in the heading, by striking ``through 2017'' and 
        inserting ``through 2023''; and
            (B) in subparagraph (A), by striking ``2017'' and inserting 
        ``2023''.
        (2) Technical amendments.--Section 2104(f)(2)(B)(ii) of the 
    Social Security Act (42 U.S.C. 1397dd(f)(2)(B)(ii)), as amended by 
    section 3201(c) of the CHIP and Public Health Funding Extension Act 
    (division C of Public Law 115-96), is amended--
            (A) in subclause (I), by striking ``for the month (as 
        defined in subclause (II))'' and inserting ``(as defined in 
        subclause (II)) for the month'';
            (B) in subclause (II), by inserting ``, as in effect on the 
        day before the date of the enactment of the HEALTHY KIDS Act,'' 
        after ``section 2105(g)(4)(A)''; and
            (C) in subclause (VI)--
                (i) by inserting ``, as in effect on the day before the 
            date of the enactment of the HEALTHY KIDS Act'' after ``, 
            section 2105(g)(4)''; and
                (ii) by inserting ``, as so in effect'' after ``under 
            section 2105(g)(4)''.
    (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 ``2023''.
    (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, 2023''; and
            (B) in subparagraph (A), in the matter preceding clause 
        (i)--
                (i) by striking ``2019'' and inserting ``2023''; 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, 2023, 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, 2023''; and
            (B) by striking ``September 30, 2019,'' and inserting 
        ``September 30, 2023 (but during the period that begins on 
        October 1, 2019, and ends on September 30, 2023, 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)''.
    (g) CHIP Look-Alike Plans.--
        (1) Blending risk pools.--Section 2107 of the Social Security 
    Act (42 U.S.C. 1397gg) is amended by adding at the end the 
    following:
    ``(g) Use of Blended Risk Pools.--
        ``(1) In general.--Nothing in this title (or any other 
    provision of Federal law) shall be construed as preventing a State 
    from considering children enrolled in a qualified CHIP look-alike 
    program and children enrolled in a State child health plan under 
    this title (or a waiver of such plan) as members of a single risk 
    pool.
        ``(2) Qualified chip look-alike program.--In this subsection, 
    the term `qualified CHIP look-alike program' means a State 
    program--
            ``(A) under which children who are under the age of 19 and 
        are not eligible to receive medical assistance under title XIX 
        or child health assistance under this title may purchase 
        coverage through the State that provides benefits that are at 
        least identical to the benefits provided under the State child 
        health plan under this title (or a waiver of such plan); and
            ``(B) that is funded exclusively through non-Federal funds, 
        including funds received by the State in the form of premiums 
        for the purchase of such coverage.''.
        (2) Coverage rule.--
            (A) In general.--Section 5000A(f)(1) of the Internal 
        Revenue Code of 1986 is amended in subparagraph (A)(iii), by 
        inserting ``or under a qualified CHIP look-alike program (as 
        defined in section 2107(g) of the Social Security Act)'' before 
        the comma at the end.
            (B) Effective date.--The amendment made by subparagraph (A) 
        shall apply with respect to taxable years beginning after 
        December 31, 2017.
    (h) Availability of Unused Fiscal Year 2018 Redistribution 
Amounts.--Any amounts that have been redistributed to States under 
subsection (f) of section 2104 of the Social Security Act (42 U.S.C. 
1397dd) for fiscal year 2018 that are not, or will not be, expended by 
the end of that fiscal year shall be--
        (1) adjusted by the Secretary before the end of fiscal year 
    2018 to reflect an updated estimate of shortfalls under subsection 
    (f)(2)(A) of such section; and
        (2) available for redistribution under subsection (f) of such 
    section for subsequent fiscal years.
SEC. 3003. 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 
    $30,000,000 for the period of fiscal years 2018 through 2023''.
    (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 2023, 
        $90,000,000 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. 3004. EXTENSION OF OUTREACH AND ENROLLMENT PROGRAM.
    (a) In General.--Section 2113 of the Social Security Act (42 U.S.C. 
1397mm) is amended--
        (1) in subsection (a)(1), by striking ``2017'' and inserting 
    ``2023''; 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 
        $120,000,000 for the period of fiscal years 2018 through 
        2023''.
    (b) Making Organizations That Use Parent Mentors Eligible To 
Receive Grants.--Section 2113(f) of the Social Security Act (42 U.S.C. 
1397mm(f)) is amended--
        (1) in paragraph (1)(E), by striking ``or community-based doula 
    programs'' and inserting ``, community-based doula programs, or 
    parent mentors''; and
        (2) by adding at the end the following new paragraph:
        ``(5) Parent mentor.--The term `parent mentor' means an 
    individual who--
            ``(A) is a parent or guardian of at least one child who is 
        an eligible child under this title or title XIX; and
            ``(B) is trained to assist families with children who have 
        no health insurance coverage with respect to improving the 
        social determinants of the health of such children, including 
        by providing--
                ``(i) education about health insurance coverage, 
            including, with respect to obtaining such coverage, 
            eligibility criteria and application and renewal processes;
                ``(ii) assistance with completing and submitting 
            applications for health insurance coverage;
                ``(iii) a liaison between families and representatives 
            of State plans under title XIX or State child health plans 
            under this title;
                ``(iv) guidance on identifying medical and dental homes 
            and community pharmacies for children; and
                ``(v) assistance and referrals to successfully address 
            social determinants of children's health, including 
            poverty, food insufficiency, and housing.''.
    (c) Exclusion From Modified Adjusted Gross Income.--Section 1902(e) 
of the Social Security Act (42 U.S.C. 1396a(e)) is amended--
        (1) in the first paragraph (14), relating to income determined 
    using modified adjusted gross income, by adding at the end the 
    following new subparagraph:
            ``(J) Exclusion of parent mentor compensation from income 
        determination.--Any nominal amount received by an individual as 
        compensation, including a stipend, for participation as a 
        parent mentor (as defined in paragraph (5) of section 2113(f)) 
        in an activity or program funded through a grant under such 
        section shall be disregarded for purposes of determining the 
        income eligibility of such individual for medical assistance 
        under the State plan or any waiver of such plan.''; and
        (2) by striking ``(14) Exclusion'' and inserting ``(15) 
    Exclusion''.
SEC. 3005. 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,''.
SEC. 3006. MEDICAID IMPROVEMENT FUND.
    Section 1941 of the Social Security Act (42 U.S.C. 1396w-1) is 
amended--
        (1) in subsection (a), in the first sentence, by inserting 
    before the period at the end the following: ``, and, in accordance 
    with subsection (b)(3), for the purposes of subparagraph (B) of 
    such subsection''; and
        (2) in subsection (b)--
            (A) in paragraph (2)--
                (i) in the first sentence, by inserting ``pursuant to 
            paragraph (1)'' after ``in the Fund'';
                (ii) by inserting after the first sentence the 
            following sentence: ``Amounts in the Fund pursuant to 
            paragraph (3) shall be available in advance of 
            appropriations but only if the total amount obligated from 
            the Fund does not exceed the amount available to the Fund 
            under such paragraph (3).''; and
                (iii) in the last sentence, by striking ``sentence'' 
            and inserting ``sentences''; and
            (B) by adding at the end the following new paragraph:
        ``(3) Additional funding for state activities relating to 
    mechanized claims systems.--
            ``(A) In general.--In addition to the amount made available 
        under paragraph (1), there shall be available to the Fund, for 
        expenditures from the Fund in accordance with subparagraph (B), 
        for fiscal year 2023 and thereafter, $980,000,000, to remain 
        available until expended.
            ``(B) Purposes.--The Secretary shall use amounts made 
        available to the Fund under subparagraph (A) to pay to each 
        State which has a plan approved under this title, for each 
        quarter beginning during or after fiscal year 2023 an amount 
        equal to--
                ``(i) 100 percent minus the percent specified in clause 
            (i) of section 1903(a)(3)(A) of so much of the sums 
            expended by the State during such quarter as are 
            attributable to the activities described in such clause;
                ``(ii) 100 percent minus the Federal medical assistance 
            percentage applied under clause (iii) of such section of so 
            much of the sums expended during such quarter (as found 
            necessary by the Secretary under such clause) by the State 
            as are attributable to the activities described in such 
            clause; and
                ``(iii) 100 percent minus the percent specified in 
            section 1903(a)(3)(B) of so much of the sums expended by 
            the State during such quarter as are attributable to the 
            activities described in such section.''.

         DIVISION D--SUSPENSION OF CERTAIN HEALTH-RELATED TAXES

SEC. 4001. EXTENSION OF MORATORIUM ON MEDICAL DEVICE EXCISE TAX.
    (a) In General.--Section 4191(c) of the Internal Revenue Code of 
1986 is amended by striking ``December 31, 2017'' and inserting 
``December 31, 2019''.
    (b) Effective Date.--The amendment made by this section shall apply 
to sales after December 31, 2017.
SEC. 4002. DELAY IN IMPLEMENTATION OF EXCISE TAX ON HIGH COST EMPLOYER-
SPONSORED HEALTH COVERAGE.
    Section 9001(c) of the Patient Protection and Affordable Care Act 
is amended by striking ``December 31, 2019'' and inserting ``December 
31, 2021''.
SEC. 4003. SUSPENSION OF ANNUAL FEE ON HEALTH INSURANCE PROVIDERS.
    (b) In General.--Section 9010(j) of the Patient Protection and 
Affordable Care Act is amended--
        (1) by striking ``and'' at the end of paragraph (1),
        (2) by striking the period at the end of paragraph (2) and 
    inserting ``, and ending before January 1, 2019, and'', and
        (3) by adding at the end the following new paragraph:
        ``(3) beginning after December 31, 2019.''.
    (c) Effective Date.--The amendments made by this section shall 
apply to calendar years beginning after December 31, 2018.

                     DIVISION E--BUDGETARY EFFECTS

SEC. 5001. BUDGETARY EFFECTS.
    (a) In General.--The budgetary effects of division C and each 
succeeding division shall not be entered on either PAYGO scorecard 
maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act 
of 2010.
    (b) Senate Paygo Scorecards.--The budgetary effects of division C 
and each succeeding division shall not be entered on any PAYGO 
scorecard maintained for purposes of section 4106 of H. Con. Res. 71 
(115th Congress).
    (c) Classification of Budgetary Effects.--Notwithstanding Rule 3 of 
the Budget Scorekeeping Guidelines set forth in the joint explanatory 
statement of the committee of conference accompanying Conference Report 
105-217 and section 250(c)(8) of the Balanced Budget and Emergency 
Deficit Control Act of 1985, the budgetary effects of division C and 
each succeeding division shall not be estimated--
        (1) for purposes of section 251 of such Act; and
        (2) for purposes of paragraph (4)(C) of section 3 of the 
    Statutory Pay-As-You-Go Act of 2010 as being included in an 
    appropriation Act.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.
```