IB 
Union Calendar No. 567 
115TH CONGRESS 
2D SESSION 
H. R. 4998 
[Report No. 115–732] 
To amend title XIX of the Social Security Act to ensure health insurance 
coverage continuity for former foster youth. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 13, 2018 
Ms. BASS (for herself, Mr. BUTTERFIELD, Mr. CA´RDENAS, Ms. CLARKE of 
New York, Ms. CASTOR of Florida, and Mr. KENNEDY) introduced the 
following bill; which was referred to the Committee on Energy and Com-
merce 
JUNE 12, 2018 
Additional sponsors: Mr. WALDEN and Mr. MITCHELL 
JUNE 12, 2018 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on February 13, 2018] 
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A BILL 
To amend title XIX of the Social Security Act to ensure 
health insurance coverage continuity for former foster youth. 
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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 ‘‘Health Insurance for 
Former Foster Youth Act’’. 
SEC. 2. COVERAGE CONTINUITY FOR FORMER FOSTER 
CARE CHILDREN UP TO AGE 26. 
(a) IN GENERAL.—Section 1902(a)(10)(A)(i)(IX) of 
the Social Security Act (42 U.S.C. 1396a(a)(10)(A)(i)(IX)) 
is amended— 
(1) in item (bb), by striking ‘‘are not described 
in or enrolled under’’ and inserting ‘‘are not de-
scribed in and are not enrolled under’’; 
(2) in item (cc), by striking ‘‘responsibility of 
the State’’ and inserting ‘‘responsibility of a State’’; 
and 
(3) in item (dd), by striking ‘‘the State plan 
under this title or under a waiver of the’’ and insert-
ing ‘‘a State plan under this title or under a waiver 
of such a’’. 
(b) EFFECTIVE DATE.—The amendments made by this 
section shall take effect with respect to foster youth who at-
tain 18 years of age on or after January 1, 2023. 
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SEC. 3. GUIDANCE. 
Not later than one year after the date of the enactment 
of this Act, the Secretary of Health and Human Services 
shall issue guidance to States, with respect to the State Med-
icaid programs of such States— 
(1) on best practices for— 
(A) removing barriers and ensuring stream-
lined, timely access to Medicaid coverage for 
former foster youth up to age 26; 
(B) tracking the Medicaid coverage status 
and verifying Medicaid eligibility for such 
youth; and 
(C) conducting outreach and raising aware-
ness among such youth regarding Medicaid cov-
erage options for such youth; and 
(2) which shall include examples of States that 
have successfully extended Medicaid coverage to 
former foster youth up to age 26. 
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Union Calendar No. 567 
115TH CONGRESS 
2D SESSION 
H. R. 4998 
[Report No. 115–732] 
A BILL 
To amend title XIX of the Social Security Act to 
ensure health insurance coverage continuity for 
former foster youth. 
JUNE 12, 2018 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
VerDate Sep 11 2014 
23:52 Jun 12, 2018
Jkt 079200
PO 00000
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E:\BILLS\H4998.RH
H4998
lotter on DSKBCFDHB2PROD with BILLS