I 
118TH CONGRESS 
1ST SESSION H. R. 1316 
To amend titles XIX and XXI of the Social Security Act to allow States 
to provide for extended periods of continuous coverage under the Med-
icaid and CHIP programs for children, to provide a period of continuous 
eligibility under the Medicaid program for certain adults, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 1, 2023 
Mr. NEGUSE introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend titles XIX and XXI of the Social Security Act 
to allow States to provide for extended periods of contin-
uous coverage under the Medicaid and CHIP programs 
for children, to provide a period of continuous eligibility 
under the Medicaid program for certain adults, and for 
other purposes. 
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 ‘‘Save Children’s Cov-
erage Act’’. 
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SEC. 2. OPTIONAL EXTENSION OF CONTINUOUS ELIGI-
BILITY FOR CHILDREN UNDER MEDICAID 
AND CHIP. 
(a) UNDER
THE
MEDICAID
PROGRAM.—Section 
1902(e) of the Social Security Act (42 U.S.C. 1396a(e)) 
is amended by adding at the end the following new para-
graph: 
‘‘(17) OPTIONAL EXTENSION OF CONTINUOUS 
ELIGIBILITY FOR CHILDREN.— 
‘‘(A) CHILDREN
UNDER
AGE
6.—At the 
option of the State, the State plan (or waiver 
of such State plan) may provide that an indi-
vidual who is under the age of 6 and who is de-
termined to be eligible for benefits under a 
State plan (or waiver of such plan) approved 
under this title may remain eligible for such 
benefits until the earlier of— 
‘‘(i) the time that such individual at-
tains the age of 6; or 
‘‘(ii) the date that such individual 
ceases to be a resident of such State. 
‘‘(B) CHILDREN AGE 6 THROUGH 18.—At 
the option of the State, the State plan (or waiv-
er of such State plan) may provide that an indi-
vidual who is over the age of 5 and under the 
age of 19, and who is determined to be eligible 
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for benefits under a State plan (or waiver of 
such plan) approved under this title, may re-
main eligible for such benefits until the earlier 
of— 
‘‘(i) the end of the 24-month period 
beginning on the date of such determina-
tion; 
‘‘(ii) the time that such individual at-
tains the age of 19; or 
‘‘(iii) the date that such individual 
ceases to be a resident of such State.’’. 
(b) UNDER THE CHILDREN’S HEALTH INSURANCE 
PROGRAM.—Section 2107(e)(1) of the Social Security Act 
(42 U.S.C. 1397gg(e)(1)) is amended— 
(1) by redesignating subparagraphs (L) through 
(U) as subparagraphs (M) through (V), respectively; 
and 
(2) by inserting after subparagraph (K) the fol-
lowing new subparagraph: 
‘‘(L) Section 1902(e)(17) (relating to the 
State option to extend continuous eligibility for 
children under the age of 19).’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the first day following the 
end of the emergency period described in section 
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1135(g)(1)(B) of the Social Security Act (42 U.S.C. 
1320b–5(g)(1)(B)). 
SEC. 3. OPTION TO PROVIDE CONTINUOUS ELIGIBILITY 
FOR CERTAIN INDIVIDUALS UNDER MED-
ICAID. 
(a) IN GENERAL.—Section 1902(e) of the Social Se-
curity Act (42 U.S.C. 1396a(e)), as amended by section 
2, is further amended by adding at the end the following 
new paragraph: 
‘‘(18) OPTION
FOR
CONTINUOUS
ELIGIBILITY 
FOR CERTAIN INDIVIDUALS.— 
‘‘(A) IN GENERAL.—At the option of the 
State, the State plan (or waiver of such State 
plan) may provide that an eligible individual (as 
defined in subparagraph (B)) who is determined 
to be eligible for benefits under a State plan (or 
waiver of such plan) approved under this title, 
may remain eligible for such benefits until the 
earlier of— 
‘‘(i) the end of the 12-month period 
beginning on the date of such determina-
tion; or 
‘‘(ii) the date that such individual 
ceases to be a resident of such State. 
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‘‘(B) ELIGIBLE
INDIVIDUAL
DEFINED.— 
For purposes of this paragraph, the term ‘eligi-
ble individual’ means an individual over the age 
of 18— 
‘‘(i) whose income does not exceed 28 
percent of the poverty line (as defined by 
the Office of Management and Budget, 
and revised annually in accordance with 
section 673(2) of the Omnibus Budget 
Reconciliation Act of 1981); 
‘‘(ii) who, in the 2 years prior to such 
individual’s application for medical assist-
ance under a plan under this title, experi-
enced homelessness (as defined in section 
103 of the McKinney-Vento Homeless As-
sistance Act); or 
‘‘(iii) who, in the 2 years prior to such 
individual’s application for medical assist-
ance under a plan under this title, was in-
carcerated in a prison or psychiatric hos-
pital.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
this section shall take effect on the first day following the 
end of the emergency period described in section 
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1135(g)(1)(B) of the Social Security Act (42 U.S.C. 
1320b–5(g)(1)(B)). 
SEC. 4. DATA VERIFICATION REQUIREMENT FOR NEW 
WAIVERS. 
(a) PROGRAM WAIVERS.—Section 1915 of the Social 
Security Act (42 U.S.C. 1396n) is amended— 
(1) in subsection (b), by striking ‘‘The Sec-
retary’’ and inserting ‘‘Subject to subsection (m), 
the Secretary’’; 
(2) in subsection (c)(1), by striking ‘‘The Sec-
retary may by waiver’’ and inserting ‘‘Subject to 
subsection (m), the Secretary may by waiver’’; and 
(3) by adding at the end the following new sub-
section: 
‘‘(m) DATA VERIFICATION REQUIREMENT FOR NEW 
WAIVERS.—In the case of a waiver granted under this sec-
tion on or after the first day following the end of the emer-
gency period described in section 1135(g)(1)(B) of the So-
cial Security Act, as a condition of receiving such waiver, 
a State shall agree to conduct an annual review of the 
demographic information of individuals enrolled under a 
State plan under this title, including the names, dates of 
birth, and contact information for such individuals.’’. 
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(b) RESEARCH AND DEMONSTRATION WAIVERS.— 
Section 1115 of the Social Security Act (42 U.S.C. 1315) 
is amended— 
(1) in subsection (a)(1), by inserting ‘‘subject 
to subsection (g),’’ before ‘‘the Secretary’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(g) In the case of a waiver granted under this sec-
tion on or after the first day following the end of the emer-
gency period described in section 1135(g)(1)(B) of the So-
cial Security Act, as a condition of receiving such waiver, 
a State shall agree to conduct an annual review of the 
demographic information of individuals enrolled under a 
State plan under this title, including the names, dates of 
birth, and contact information for such individuals.’’. 
Æ 
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