I 
110TH CONGRESS 
1ST SESSION H. R. 2512 
To amend titles XIX and XXI of the Social Security Act to prohibit States 
from requiring eligibility determinations for children for benefits under 
the Medicaid Program and the State Children’s Health Insurance Pro-
gram (SCHIP) more frequently than once every year. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 24, 2007 
Mr. AL GREEN of Texas (for himself, Mr. ELLISON, Mr. WYNN, Mr. 
BUTTERFIELD, Mr. DAVIS of Alabama, Mr. TOWNS, Mr. MEEKS of New 
York, Mr. BISHOP of Georgia, Mr. SCOTT of Georgia, Mr. GENE GREEN 
of Texas, Mr. THOMPSON of Mississippi, Mr. CLEAVER, Ms. CORRINE 
BROWN of Florida, Mr. JOHNSON of Georgia, Mr. PERLMUTTER, Ms. 
HIRONO, Ms. EDDIE BERNICE JOHNSON of Texas, Mr. HONDA, Mr. 
FALEOMAVAEGA, Ms. WATSON, Mr. SCOTT of Virginia, Mr. PAYNE, Mr. 
CLAY, Ms. JACKSON-LEE of Texas, and Mr. FATTAH) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce 
A BILL 
To amend titles XIX and XXI of the Social Security Act 
to prohibit States from requiring eligibility determina-
tions for children for benefits under the Medicaid Pro-
gram and the State Children’s Health Insurance Pro-
gram (SCHIP) more frequently than once every year. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Reducing Coverage 
Gaps for Kids Act of 2007’’. 
SEC. 2. PROHIBITING STATES FROM REQUIRING MEDICAID 
OR SCHIP ELIGIBILITY DETERMINATIONS OF 
CHILDREN MORE FREQUENTLY THAN ANNU-
ALLY. 
(a) MEDICAID.—Section 1902(a) of the Social Secu-
rity Act (42 U.S.C. 1396a(a)) is amended— 
(1) in paragraph (69), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (70), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (70) the fol-
lowing new paragraph: 
‘‘(71) provide that eligibility of an individual 
under 19 years of age under this title (including 
under a waiver approved under section 1115) shall 
be effective for a 12-month period (or, if earlier, 
until the date the individual would no longer be eligi-
ble for medical assistance under this title based on 
age) without requirement to determine eligibility be-
fore the end of such period, except that a State may 
require such an individual to notify the State of 
changes in income or other circumstances during 
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such a 12-month period and may redetermine such 
individual’s eligibility based on such changes.’’. 
(b) SCHIP.—Section 2102(b)(2) of such Act (42 
U.S.C. 1397bb(b)(2)) is amended by adding at the end 
the following: ‘‘Such methods shall provide that eligibility 
of a targeted low-income child shall be effective for a 12- 
month period (or, if earlier, until the date the child would 
no longer be eligible based on age) without requirement 
to determine eligibility before the end of such period. The 
previous sentence shall not be construed as preventing a 
State from requiring a targeted low-income child to notify 
the State of changes in income or other circumstances 
during such a 12-month period and as preventing a State 
from redetermining such child’s eligibility based on such 
changes.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to States with respect to eligibility 
determinations for periods beginning on or after January 
1, 2008. 
Æ 
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