I 
112TH CONGRESS 
2D SESSION 
H. R. 4147 
To amend title XIX of the Social Security Act to provide States an option 
to cover a children’s program of all-inclusive coordinated care (ChiPACC) 
under the Medicaid Program. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 6, 2012 
Mr. MORAN 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 to provide 
States an option to cover a children’s program of all- 
inclusive coordinated care (ChiPACC) under the Med-
icaid Program. 
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 ‘‘ChiPACC Act of 
2011’’. 
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SEC. 2. OPTIONAL MEDICAID COVERAGE OF CHILDREN’S 
PROGRAM OF ALL-INCLUSIVE COORDINATED 
CARE (CHIPACC). 
(a) IN GENERAL.—Section 1905(a) of the Social Se-
curity Act (42 U.S.C. 1396d(a)) is amended— 
(1) by striking ‘‘and’’ at the end of paragraph 
(28); 
(2) by redesignating paragraph (29) as para-
graph (30); and 
(3) by inserting after paragraph (28) the fol-
lowing new paragraph: 
‘‘(29) services furnished under a children’s pro-
gram of all-inclusive coordinated care (ChiPACC) 
under section 1944; and’’. 
(b) CHILDREN’S PROGRAM OF ALL-INCLUSIVE CO-
ORDINATED CARE.—Title XIX of such Act is further 
amended by inserting after section 1943 the following new 
section: 
‘‘SEC. 1944. CHILDREN’S PROGRAM OF ALL-INCLUSIVE CO-
ORDINATED CARE. 
‘‘(a) STATE OPTION.— 
‘‘(1) IN GENERAL.—A State may elect to pro-
vide medical assistance under this section to 
ChiPACC eligible individuals who are eligible for 
medical assistance under the State plan under this 
title and who choose to enroll in a children’s pro-
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gram of all-inclusive coordinated care. In the case of 
an individual who chooses to enroll in such a pro-
gram pursuant to such an election— 
‘‘(A) the individual shall receive benefits 
under the State plan solely through such pro-
gram; and 
‘‘(B) the health care providers furnishing 
services under such program shall receive pay-
ment for providing such services in accordance 
with the terms of such program. 
‘‘(2) NUMERICAL AND GEOGRAPHICAL LIMITA-
TIONS PERMITTED.—A State may establish— 
‘‘(A) a numerical limit on the number of 
individuals who may be enrolled in the State’s 
ChiPACC; and 
‘‘(B) geographic limitations on the service 
areas for a ChiPACC. 
‘‘(b) CHIPACC AND OTHER TERMS DEFINED.—In 
this section: 
‘‘(1) CHILDREN’S PROGRAM OF ALL-INCLUSIVE 
COORDINATED
CARE; CHIPACC.—The terms ‘chil-
dren’s program of all-inclusive coordinated care’ and 
‘ChiPACC’ mean a program of coordinated care for 
ChiPACC eligible children that is established by a 
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