I 

116TH CONGRESS 

1ST SESSION H. R. 3634 

To provide for greater transparency and information with respect to Federal 

expenditures under the Medicaid and CHIP programs in the territories 

of the United States, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 9, 2019 

Mr. SABLAN (for himself, Mr. BILIRAKIS, Mr. SAN NICOLAS, Ms. PLASKETT, 

Mrs. RADEWAGEN, and Miss GONZA ́LEZ-COLO ́N of Puerto Rico) introduced the following bill; which was referred to the Committee on Energy 

and Commerce 

A BILL 

To provide for greater transparency and information with 

respect to Federal expenditures under the Medicaid and 

CHIP programs in the territories of the United States, 

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 ‘‘Medicaid and CHIP 

5 Territory Transparency and Information Act’’. 


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1 SEC. 2. PUBLICATION OF INFORMATION ON FEDERAL EX2 PENDITURES UNDER MEDICAID AND CHIP IN 

3 THE TERRITORIES. 

4 Not later than 180 days after the date of the enact5 ment of this Act, the Secretary of Health and Human 

6 Services shall publish, and periodically update, on the 

7 Internet site of the Centers for Medicare & Medicaid Serv8 ices information on Medicaid and CHIP carried out in the 

9 territories of the United States. Such information shall in10 clude, with respect to each such territory— 

11 (1) the income levels established by the terri12 tory for purposes of eligibility of an individual to re13 ceive medical assistance under Medicaid or child 

14 health assistance under CHIP; 

15 (2) the number of individuals enrolled in Med16 icaid and CHIP in such territory; 

17 (3) any State plan amendments in effect to 

18 carry out Medicaid or CHIP in such territory; 

19 (4) any waiver of the requirements of title XIX 

20 or title XXI issued by the Secretary to carry out 

21 Medicaid or CHIP in the territory, including a waiv22 er under section 1115 of the Social Security Act (42 

23 U.S.C. 1315), any application for such a waiver, and 

24 any documentation related to such application (in25 cluding correspondence); 


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1 (5) the amount of the Federal and non-Federal 

2 share of expenditures under Medicaid and CHIP in 

3 such territory; 

4 (6) the systems in place for the furnishing of 

5 health care items and services under Medicaid and 

6 CHIP in such territory; 

7 (7) the design of CHIP in such territory; and 

8 (8) other information regarding the carrying 

9 out of Medicaid and CHIP in the territory that is 

10 published on such Internet site with respect to car11 rying out Medicaid and CHIP in each State and the 

12 District of Columbia. 

13 SEC. 3. DEFINITIONS. 

14 In this Act: 

15 (1) CHIP.—The term ‘‘CHIP’’ means the 

16 State Children’s Health Insurance Program under 

17 title XXI of the Social Security Act. 

18 (2) MEDICAID.—The term ‘‘Medicaid’’ means 

19 the Medicaid program under title XIX of the Social 

20 Security Act. 

21 (3) TERRITORY.—The term ‘‘territory of the 

22 United States’’ includes Puerto Rico, the Virgin Is23 lands of the United States, Guam, the Northern 

24 Mariana Islands, and American Samoa. 

Æ 


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