I 

117TH CONGRESS 

1ST SESSION H. R. 66 

To amend title XXI of the Social Security Act to permanently extend the 

Children’s Health Insurance Program, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JANUARY 4, 2021 

Mr. BUCHANAN (for himself and Mrs. MCBATH) introduced the following bill; 

which was referred to the Committee on Energy and Commerce 

A BILL 

To amend title XXI of the Social Security Act to permanently extend 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 ‘‘Comprehensive Access 

5 to Robust Insurance Now Guaranteed for Kids Act’’ or 

6 ‘‘CARING for Kids Act’’. 


pamtmann on DSKBC07HB2PROD with BILLS
2 

•HR 66 IH

1 SEC. 2. PERMANENT EXTENSION OF CHILDREN’S HEALTH 

2 INSURANCE PROGRAM. 

3 (a) IN GENERAL.—Section 2104(a)(28) of the Social 

4 Security Act (42 U.S.C. 1397dd(a)(28)) is amended to 

5 read as follows: 

6 ‘‘(28) for fiscal year 2027 and each subsequent 

7 year, such sums as are necessary to fund allotments 

8 to States under subsections (c) and (m).’’. 

9 (b) ALLOTMENTS.— 

10 (1) IN GENERAL.—Section 2104(m) of the So11 cial Security Act (42 U.S.C. 1397dd(m)) is amend12 ed— 

13 (A) in paragraph (2)(B)(i), by striking ‘‘,, 

14 2023, and 2027’’ and inserting ‘‘and 2023’’; 

15 (B) in paragraph (7)— 

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

17 ‘‘and ending with fiscal year 2027,’’; and 

18 (ii) in the flush left matter at the end, 

19 by striking ‘‘or fiscal year 2026’’ and in20 serting ‘‘fiscal year 2026, or a subsequent 

21 even-numbered fiscal year’’; 

22 (C) in paragraph (9)— 

23 (i) by striking ‘‘(10), or (11)’’ and in24 serting ‘‘or (10)’’; and 

25 (ii) by striking ‘‘2023, or 2027,’’ and 

26 inserting ‘‘or 2023’’; and 


pamtmann on DSKBC07HB2PROD with BILLS
3 

•HR 66 IH

1 (D) by striking paragraph (11). 

2 (2) CONFORMING AMENDMENT.—Section 

3 50101(b)(2) of the Bipartisan Budget Act of 2018 

4 (Public Law 115–123) is repealed. 

5 SEC. 3. PERMANENT EXTENSIONS OF OTHER PROGRAMS 

6 AND DEMONSTRATION PROJECTS. 

7 (a) PEDIATRIC QUALITY MEASURES PROGRAM.— 

8 Section 1139A(i)(1) of the Social Security Act (42 U.S.C. 

9 1320b–9a(i)(1)) is amended— 

10 (1) in subparagraph (C), by striking at the end 

11 ‘‘and’’; 

12 (2) in subparagraph (D), by striking the period 

13 at the end and insert a semicolon; and 

14 (3) by adding at the end the following new sub15 paragraphs: 

16 ‘‘(E) for fiscal year 2028, $15,000,000 for 

17 the purpose of carrying out this section (other 

18 than subsections (e), (f), and (g)); and 

19 ‘‘(F) for a subsequent fiscal year, the 

20 amount appropriated under this paragraph for 

21 the previous fiscal year, increased by the per22 centage increase in the consumer price index for 

23 all urban consumers (all items; United States 

24 city average) over such previous fiscal year, for 


pamtmann on DSKBC07HB2PROD with BILLS
4 

•HR 66 IH

1 the purpose of carrying out this section (other 

2 than subsections (e), (f), and (g)).’’. 

3 (b) EXPRESS LANE ELIGIBILITY OPTION.—Section 

4 1902(e)(13) of the Social Security Act (42 U.S.C. 

5 1396a(e)(13)) is amended by striking subparagraph (I). 

6 (c) ASSURANCE OF AFFORDABILITY STANDARD FOR

7 CHILDREN AND FAMILIES.— 

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

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

10 amended— 

11 (A) in the paragraph heading, by striking 

12 ‘‘THROUGH SEPTEMBER 30, 2027’’; and 

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

14 preceding clause (i)— 

15 (i) by striking ‘‘During the period 

16 that begins on the date of enactment of 

17 the Patient Protection and Affordable Care 

18 Act and ends on September 30, 2027’’ and 

19 inserting ‘‘Beginning on the date of the en20 actment of the Patient Protection and Af21 fordable Care Act’’; 

22 (ii) by striking ‘‘During the period 

23 that begins on October 1, 2019, and ends 

24 on September 30, 2027’’ and inserting 

25 ‘‘Beginning on October 1, 2019’’; and 


pamtmann on DSKBC07HB2PROD with BILLS
5 

•HR 66 IH

1 (iii) by striking ‘‘The preceding sen2 tences shall not be construed as preventing 

3 a State during any such periods from’’ and 

4 inserting ‘‘The preceding sentences shall 

5 not be construed as preventing a State 

6 from’’. 

7 (2) CONFORMING AMENDMENTS.—Section 

8 1902(gg)(2) of the Social Security Act (42 U.S.C. 

9 1396a(gg)(2)) is amended— 

10 (A) in the paragraph heading, by striking 

11 ‘‘THROUGH SEPTEMBER 30, 2027’’; and 

12 (B) by striking ‘‘through September 30’’ 

13 and all that follows through ‘‘ends on Sep14 tember 30, 2027’’ and inserting ‘‘(but begin15 ning on October 1, 2019,’’. 

16 (d) QUALIFYING STATES OPTION.—Section 

17 2105(g)(4) of the Social Security Act (42 U.S.C. 

18 1397ee(g)(4)) is amended— 

19 (1) in the paragraph heading, by striking ‘‘FOR

20 FISCAL YEARS 2009 THROUGH 2027’’ and inserting 

21 ‘‘AFTER FISCAL YEAR 2008’’; and 

22 (2) in subparagraph (A), by striking ‘‘for any 

23 of fiscal years 2009 through 2027’’ and inserting 

24 ‘‘for any fiscal year after fiscal year 2008’’. 


pamtmann on DSKBC07HB2PROD with BILLS
6 

•HR 66 IH

1 (e) OUTREACH AND ENROLLMENT PROGRAM.—Sec2 tion 2113 of the Social Security Act (42 U.S.C. 1397mm) 

3 is amended— 

4 (1) in subsection (a)— 

5 (A) in paragraph (1), by striking ‘‘during 

6 the period of fiscal years 2009 through 2027’’ 

7 and inserting ‘‘, beginning with fiscal year 

8 2009,’’; 

9 (B) in paragraph (2)— 

10 (i) by striking ‘‘10 percent of such 

11 amounts’’ and inserting ‘‘10 percent of 

12 such amounts for the period or the fiscal 

13 year for which such amounts are appro14 priated’’; and 

15 (ii) by striking ‘‘during such period’’ 

16 and inserting ‘‘, during such period or such 

17 fiscal year,’’; and 

18 (C) in paragraph (3), by striking ‘‘For the 

19 period of fiscal years 2024 through 2027, an 

20 amount equal to 10 percent of such amounts’’ 

21 and inserting ‘‘Beginning with fiscal year 2024, 

22 an amount equal to 10 percent of such amounts 

23 for the period or the fiscal year for which such 

24 amounts are appropriated’’; and 

25 (2) in subsection (g)— 


pamtmann on DSKBC07HB2PROD with BILLS
7 

•HR 66 IH

1 (A) by striking ‘‘2017,,’’ and inserting 

2 ‘‘2017,’’; 

3 (B) by striking ‘‘and $48,000,000’’ and in4 serting ‘‘$48,000,000’’; and 

5 (C) by inserting after ‘‘through 2027’’ the 

6 following: ‘‘, $12,000,000 for fiscal year 2028, 

7 and, for each fiscal year after fiscal year 2028, 

8 the amount appropriated under this subsection 

9 for the previous fiscal year, increased by the 

10 percentage increase in the consumer price index 

11 for all urban consumers (all items; United 

12 States city average) over such previous fiscal 

13 year’’. 

14 (f) CHILD ENROLLMENT CONTINGENCY FUND.— 

15 Section 2104(n) of the Social Security Act (42 U.S.C. 

16 1397dd(n)) is amended— 

17 (1) in paragraph (2)— 

18 (A) in subparagraph (A)(ii)— 

19 (i) by striking ‘‘and 2024 through 

20 2026’’ and inserting ‘‘beginning with fiscal 

21 year 2024’’; and 

22 (ii) by striking ‘‘2023, and 2027’’ and 

23 inserting ‘‘, and 2023’’; and 

24 (B) in subparagraph (B)— 


pamtmann on DSKBC07HB2PROD with BILLS
8 

•HR 66 IH

1 (i) by striking ‘‘2024 through 2026’’ 

2 and inserting ‘‘beginning with fiscal year 

3 2024’’; and 

4 (ii) by striking ‘‘2023, and 2027’’ and 

5 inserting ‘‘, and 2023’’; and 

6 (2) in paragraph (3)(A)— 

7 (A) by striking ‘‘fiscal years 2024 through 

8 2026’’ and inserting ‘‘beginning with fiscal year 

9 2024’’; and 

10 (B) by striking ‘‘2023, or 2027’’ and in11 serting ‘‘, or 2023’’. 

Æ 


pamtmann on DSKBC07HB2PROD with BILLS