‘‘(iv) PREMIUM ASSISTANCE FOR EM-
PLOYER-SPONSORED PLANS.—The State is 
implementing section 1906A under title 
XIX or the option described in section 
2105(c)(10) under this title. 
‘‘(v) 
SEAMLESS
COVERAGE
OP-
TIONS.—In the case of a State that pro-
vides medical assistance under the State 
plan under title XIX through managed 
care 
entities 
(as 
defined 
in 
section 
1932(a)(1)(B)) or health benefits coverage 
under the State child health plan through 
such entities, the State shall ensure that at 
least one such entity offers a qualified 
health plan through the Exchange estab-
lished under title I of the Patient Protec-
tion and Affordable Care Act in the State. 
‘‘(vi) RETROACTIVE COVERAGE REIN-
STATEMENT UPON PREMIUM PAYMENT.— 
The State child health plan, in the case of 
an individual whose coverage under the 
plan has been terminated for failure to 
make premium payments, provides assist-
ance to such individual for purposes of the 
immediate reenrollment of the individual 
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upon payment of outstanding premiums, 
with coverage retroactive to the beginning 
of the most recent month for which an out-
standing premium has been paid, and shall 
not impose any waiting period or fee as a 
condition of such reenrollment. 
‘‘(vii) EFFECTIVE
TRANSITION
TO 
THE
COMMUNITY
FOR
VULNERABLE 
YOUTH.— 
‘‘(I) IN
GENERAL.—Subject to 
the subdivision (A) following para-
graph (29) of section 1905(a), the 
State, before the date of the release of 
an eligible juvenile from any public in-
stitution, and notwithstanding that 
the juvenile is an inmate of a public 
institution— 
‘‘(aa) screens for eligibility 
for and processes any application 
for medical assistance submitted 
by, or on behalf of, such an eligi-
ble juvenile; and 
‘‘(bb) refers such juvenile to 
health care providers for pur-
poses of receiving the services de-
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scribed in section 1905(a)(4)(B) 
(relating to early and periodic 
screening, diagnostic, and treat-
ment services defined in section 
1905(r)). 
‘‘(II) ELIGIBLE JUVENILE.—For 
purposes of subclause (I), the term 
‘eligible juvenile’ means an individual 
who— 
‘‘(aa) is under 19 years of 
age (or such higher age as the 
State has elected under section 
475(8)(B)(iii)); and 
‘‘(bb) is an inmate of a pub-
lic institution. 
‘‘(III) INMATE OF A PUBLIC IN-
STITUTION.—For purposes of this 
clause, the term ‘inmate of a public 
institution’ has the meaning given 
such term for purposes of applying 
the subdivision (A) following para-
graph (29) of section 1905(a), taking 
into account the exception in such 
subdivision for a patient of a medical 
institution.’’. 
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SEC. 103. CHILD ENROLLMENT CONTINGENCY FUND AD-
JUSTMENT. 
(a) IN GENERAL.—Section 2104(n) of the Social Se-
curity Act (42 U.S.C. 1397dd(n)) is amended— 
(1) in paragraph (2)— 
(A) by striking ‘‘2014’’ and inserting 
‘‘2018’’ each place it appears in subparagraphs 
(A)(ii) and (B); and 
(B) by striking ‘‘2015’’ and inserting 
‘‘2019’’ each place it appears in subparagraphs 
(A)(ii) and (B); 
(2) in paragraph (3)— 
(A) in subparagraph (A)— 
(i) in the heading, by striking ‘‘IN 
GENERAL’’ and inserting ‘‘FISCAL YEARS 
2009 THROUGH 2015’’; 
(ii) in the matter preceding clause 
(i)— 
(I) by striking ‘‘a semi-annual al-
lotment period for’’; and 
(II) by striking ‘‘(determined 
without regard to any redistribution it 
receives under subsection (f) that is 
available for expenditure during such 
fiscal year or period, but including 
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smartinez on DSK4TPTVN1PROD with BILLS
any carryover from a previous fiscal 
year)’’; 
(iii) by striking ‘‘or period’’ each place 
it appears; and 
(iv) in clause (ii), by striking ‘‘(or in 
which the period occurs)’’; 
(B) in subparagraph (B)(ii), by striking 
‘‘(or semi-annual period occurring in a fiscal 
year)’’; 
(C) in subparagraph (C)(ii), by striking 
‘‘(or semi-annual period occurring in a fiscal 
year)’’; 
(D) by redesignating subparagraphs (D), 
(E), (F), and (G) as subparagraphs (E), (F), 
(G), and (H), respectively; 
(E) by inserting after subparagraph (C) 
the following new subparagraph: 
‘‘(D) FISCAL YEARS 2016 THROUGH 2019.— 
‘‘(i) IN GENERAL.—For each of fiscal 
years 2016 through 2018 and each semi- 
annual allotment period for fiscal year 
2019, if the Secretary determines that a 
State is a shortfall State described in sub-
paragraph (I) for that fiscal year or pe-
riod, the Secretary shall pay the State 
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from the Fund, in addition to any other 
payments made to a State under this title 
for the fiscal year or period an amount 
equal to the amount of projected expendi-
tures for the State under this title for the 
fiscal year or period that exceeds the sum 
determined under subparagraph (I) for the 
State and fiscal year or period. 
‘‘(ii) 
TRANSFERS.—Notwithstanding 
any other provision of this title, the fol-
lowing amounts shall also be available, 
without fiscal year limitation, for making 
payments from the Fund: 
‘‘(I) 
UNOBLIGATED
NATIONAL 
ALLOTMENT FOR FISCAL YEARS BE-
GINNING WITH FISCAL YEAR 2016.— 
As of December 31 of fiscal year 
2016, and as of December 31 of each 
succeeding fiscal year, the portion, if 
any, of the amount appropriated 
under subsection (a) for such fiscal 
year that is unobligated for allotment 
to a State under subsection (m) for 
such fiscal year. 
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