II 

116TH CONGRESS 

1ST SESSION S. 1698 

To amend title XIX of the Social Security Act and the SUPPORT for 

Patients and Communities Act to ensure health insurance coverage continuity for former foster youth. 

IN THE SENATE OF THE UNITED STATES 

JUNE 3, 2019 

Mr. CASEY introduced the following bill; which was read twice and referred 

to the Committee on Finance 

A BILL 

To amend title XIX of the Social Security Act and the 

SUPPORT for Patients and Communities Act to ensure 

health insurance coverage continuity for former foster 

youth. 

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 ‘‘Expanded Coverage 

5 for Former Foster Youth Act’’. 


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•S 1698 IS

1 SEC. 2. COVERAGE CONTINUITY FOR FORMER FOSTER 

2 CARE CHILDREN UP TO AGE 26. 

3 (a) IN GENERAL.—Section 1002(a)(1)(B) of the 

4 SUPPORT for Patients and Communities Act (Public 

5 Law 115–271) is amended by striking all that follows 

6 after ‘‘item (cc),’’ and inserting the following: ‘‘by striking 

7 ‘responsibility of the State’ and all that follows through 

8 ‘475(8)(B)(iii); and’ and inserting ‘responsibility of a 

9 State on the date of attaining 18 years of age (or such 

10 higher age as such State has elected under section 

11 475(8)(B)(iii)), or who were in such care at any age but 

12 subsequently left such care to enter into a legal guardian13 ship with a kinship caregiver (without regard to whether 

14 kinship guardianship payments are being made on behalf 

15 of the child under this part) or were emancipated from 

16 such care prior to attaining age 18;’ ’’. 

17 (b) AMENDMENTS TO SOCIAL SECURITY ACT.— 

18 (1) IN GENERAL.—Section 

19 1902(a)(10)(A)(i)(IX) of the Social Security Act (42 

20 U.S.C. 1396a(a)(10)(A)(i)(IX)), as amended by sec21 tion 1002(a) of the SUPPORT for Patients and 

22 Communities Act (Public Law 115–271), is amend23 ed— 

24 (A) in item (bb), by striking the semicolon 

25 at the end and inserting ‘‘; and’’; and 

26 (B) by striking item (dd). 


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•S 1698 IS

1 (2) EFFECTIVE DATE.—The amendments made 

2 by this subsection shall take effect on January 1, 

3 2023. 

4 SEC. 3. OUTREACH EFFORTS FOR ENROLLMENT OF 

5 FORMER FOSTER CHILDREN. 

6 Section 1902(a) of the Social Security Act (42 U.S.C. 

7 1396a(a)) is amended— 

8 (1) in paragraph (85), by striking ‘‘; and’’ and 

9 inserting a semicolon; 

10 (2) in paragraph (86), by striking the period at 

11 the end and inserting ‘‘; and’’; and 

12 (3) by inserting after paragraph (86) the fol13 lowing new paragraph: 

14 ‘‘(87) not later than January 1, 2020, establish 

15 an outreach and enrollment program, in coordination 

16 with the State agency responsible for administering 

17 the State plan under part E of title IV and any 

18 other appropriate or interested agencies, designed to 

19 increase the enrollment of individuals who are eligi20 ble for medical assistance under the State plan 

21 under paragraph (10)(A)(i)(IX) in accordance with 

22 best practices established by the Secretary.’’. 

Æ 


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