Expanded Coverage for Former Foster Youth Act

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. Short title This Act may be cited as the Expanded Coverage for Former Foster Youth Act 2. Coverage continuity for former foster care children up to age 26 (a) In general Section 1002(a)(1)(B) of the SUPPORT for Patients and Communities Act ( Public Law 115–271 item (cc), by striking responsibility of the State 475(8)(B)(iii); and responsibility of a State on the date of attaining 18 years of age (or such higher age as such State has elected under section 475(8)(B)(iii)), or who were in such care at any age but subsequently left such care to enter into a legal guardianship with a kinship caregiver (without regard to whether kinship guardianship payments are being made on behalf of the child under this part) or were emancipated from such care prior to attaining age 18; (b) Amendments to Social Security Act (1) In general Section 1902(a)(10)(A)(i)(IX) of the Social Security Act ( 42 U.S.C. 1396a(a)(10)(A)(i)(IX) Public Law 115–271 (A) in item (bb), by striking the semicolon at the end and inserting ; and (B) by striking item (dd). (2) Effective date The amendments made by this subsection shall take effect on January 1, 2023. 3. Outreach efforts for enrollment of former foster children Section 1902(a) of the Social Security Act ( 42 U.S.C. 1396a(a) (1) in paragraph (85), by striking ; and (2) in paragraph (86), by striking the period at the end and inserting ; and (3) by inserting after paragraph (86) the following new paragraph: (87) not later than January 1, 2020, establish an outreach and enrollment program, in coordination with the State agency responsible for administering the State plan under part E of title IV and any other appropriate or interested agencies, designed to increase the enrollment of individuals who are eligible for medical assistance under the State plan under paragraph (10)(A)(i)(IX) in accordance with best practices established by the Secretary. .

Summary: Expanded Coverage for Former Foster Youth Act This bill modifies certain changes that are scheduled to take effect under the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act relating to the coverage of former foster youth under Medicaid. Under current law, a state Medicaid program must cover former foster youth until the age of 26 if the youth were in the state's foster care system at the age of 18 and were enrolled in the state's Medicaid program while in foster care; a state may choose to also cover former foster youth from other states. The SUPPORT for Patients and Communities Act altered these provisions to require a state Medicaid program to cover former foster youth from other states until the age of 26; such changes apply to former foster youth who reach the age of 18 on or after January 1, 2023. The bill requires state Medicaid programs to also cover former foster youth who were placed in a legal guardianship with a kinship caregiver or were emancipated from foster care before the age of 18. The bill also repeals the provision that requires former foster youth to have been enrolled in a state Medicaid program while in foster care in order to qualify for Medicaid coverage until the age of 26. States must also establish Medicaid outreach and enrollment programs for former foster youth.