I 
116TH CONGRESS 
1ST SESSION H. R. 3059 
To amend title XIX of the Social Security Act and the SUPPORT for 
Patients and Communities Act to ensure health insurance coverage con-
tinuity for former foster youth. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 3, 2019 
Ms. BASS introduced the following bill; which was referred to the Committee 
on Energy and Commerce 
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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Expanded Coverage 
for Former Foster Youth Act’’. 
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SEC. 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) is amended by striking all that follows 
after ‘‘item (cc),’’ and inserting the following: ‘‘by striking 
‘responsibility of the State’ and all that follows through 
‘475(8)(B)(iii); and’ and inserting ‘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 guardian-
ship 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)), as amended by sec-
tion 1002(a) of the SUPPORT for Patients and 
Communities Act (Public Law 115–271), is amend-
ed— 
(A) in item (bb), by striking the semicolon 
at the end and inserting ‘‘; and’’; and 
(B) by striking item (dd). 
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(2) EFFECTIVE DATE.—The amendments made 
by this subsection shall take effect on January 1, 
2023. 
SEC. 
3. 
OUTREACH 
EFFORTS 
FOR 
ENROLLMENT 
OF 
FORMER FOSTER CHILDREN. 
Section 1902(a) of the Social Security Act (42 U.S.C. 
1396a(a)) is amended— 
(1) in paragraph (85), by striking ‘‘; and’’ and 
inserting a semicolon; 
(2) in paragraph (86), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (86) the fol-
lowing 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 eligi-
ble for medical assistance under the State plan 
under paragraph (10)(A)(i)(IX) in accordance with 
best practices established by the Secretary.’’. 
Æ 
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