I 
118TH CONGRESS 
1ST SESSION H. R. 4771 
To amend title XXI of the Social Security Act to permanently extend the 
Children’s Health Insurance Program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 20, 2023 
Ms. BARRAGA´N introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend title XXI of the Social Security Act to perma-
nently extend the Children’s Health Insurance Program, 
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 ‘‘Children’s Health In-
surance Program Permanency Act’’ or the ‘‘CHIPP Act’’. 
SEC. 2. PERMANENT EXTENSION OF CHILDREN’S HEALTH 
INSURANCE PROGRAM. 
(a) IN GENERAL.—Section 2104(a)(28) of the Social 
Security Act (42 U.S.C. 1397dd(a)(28)) is amended to 
read as follows: 
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(ii) by striking ‘‘2023, or 2029,’’ and 
inserting ‘‘or 2023’’; and 
(E) by striking paragraph (11). 
(2) 
CONFORMING
AMENDMENT.—Section 
50101(b)(2) of the Bipartisan Budget Act of 2018 
(Public Law 115–123) is repealed. 
SEC. 3. PERMANENT EXTENSIONS OF OTHER PROGRAMS 
AND DEMONSTRATION PROJECTS. 
(a) PEDIATRIC QUALITY MEASURES PROGRAM.— 
Section 1139A(i)(1) of the Social Security Act (42 U.S.C. 
1320b–9a(i)(1)) is amended— 
(1) in subparagraph (D), by striking at the end 
‘‘and’’; 
(2) in subparagraph (E), by striking the period 
at the end and insert a semicolon; and 
(3) by adding at the end the following new sub-
paragraphs: 
‘‘(E) for fiscal year 2030, $15,000,000 for 
the purpose of carrying out this section (other 
than subsections (e), (f), and (g)); and 
‘‘(F) for a subsequent fiscal year, the 
amount appropriated under this paragraph for 
the previous fiscal year, increased by the per-
centage increase in the consumer price index for 
all urban consumers (all items; United States 
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city average) over such previous fiscal year, for 
the purpose of carrying out this section (other 
than subsections (e), (f), and (g)).’’. 
(b) EXPRESS LANE ELIGIBILITY OPTION.—Section 
1902(e)(13) of the Social Security Act (42 U.S.C. 
1396a(e)(13)) is amended by striking subparagraph (I). 
(c) ASSURANCE OF AFFORDABILITY STANDARD FOR 
CHILDREN AND FAMILIES.— 
(1) IN GENERAL.—Section 2105(d)(3) of the 
Social Security Act (42 U.S.C. 1397ee(d)(3)) is 
amended— 
(A) in the paragraph heading, by striking 
‘‘THROUGH SEPTEMBER 30, 2029’’; and 
(B) in subparagraph (A), in the matter 
preceding clause (i)— 
(i) by striking ‘‘During the period 
that begins on the date of enactment of 
the Patient Protection and Affordable Care 
Act and ends on September 30, 2029’’ and 
inserting ‘‘Beginning on the date of the en-
actment of the Patient Protection and Af-
fordable Care Act’’; 
(ii) by striking ‘‘During the period 
that begins on October 1, 2019, and ends 
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on September 30, 2029’’ and inserting 
‘‘Beginning on October 1, 2019’’; and 
(iii) by striking ‘‘The preceding sen-
tences shall not be construed as preventing 
a State during any such periods from’’ and 
inserting ‘‘The preceding sentences shall 
not be construed as preventing a State 
from’’. 
(2) 
CONFORMING
AMENDMENTS.—Section 
1902(gg)(2) of the Social Security Act (42 U.S.C. 
1396a(gg)(2)) is amended— 
(A) in the paragraph heading, by striking 
‘‘THROUGH SEPTEMBER 30, 2029’’; and 
(B) by striking ‘‘through September 30’’ 
and all that follows through ‘‘ends on Sep-
tember 30, 2029’’ and inserting ‘‘(but begin-
ning on October 1, 2019,)’’. 
(d) 
QUALIFYING
STATES
OPTION.—Section 
2105(g)(4) of the Social Security Act (42 U.S.C. 
1397ee(g)(4)) is amended— 
(1) in the paragraph heading, by striking ‘‘FOR 
FISCAL YEARS 2009 THROUGH 2029’’ and inserting 
‘‘AFTER FISCAL YEAR 2008’’; and 
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(2) in subparagraph (A), by striking ‘‘for any 
of fiscal years 2009 through 2029’’ and inserting 
‘‘for any fiscal year after fiscal year 2008’’. 
(e) OUTREACH AND ENROLLMENT PROGRAM.—Sec-
tion 2113 of the Social Security Act (42 U.S.C. 1397mm) 
is amended— 
(1) in subsection (a)— 
(A) in paragraph (1), by striking ‘‘during 
the period of fiscal years 2009 through 2029’’ 
and inserting ‘‘, beginning with fiscal year 
2009,’’; 
(B) in paragraph (2)— 
(i) by striking ‘‘10 percent of such 
amounts’’ and inserting ‘‘10 percent of 
such amounts for the period or the fiscal 
year for which such amounts are appro-
priated’’; and 
(ii) by striking ‘‘during such period’’ 
and inserting ‘‘, during such period or such 
fiscal year,’’; and 
(C) in paragraph (3), by striking ‘‘For the 
period of fiscal years 2024 through 2029, an 
amount equal to 10 percent of such amounts’’ 
and inserting ‘‘Beginning with fiscal year 2024, 
an amount equal to 10 percent of such amounts 
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for the period or the fiscal year for which such 
amounts are appropriated’’; and 
(2) in subsection (g)— 
(A) by striking ‘‘and $40,000,000’’ and in-
serting ‘‘$40,000,000’’; and 
(B) by inserting after ‘‘and 2029’’ the fol-
lowing: ‘‘, $12,000,000 for fiscal year 2030, 
and, for each fiscal year after fiscal year 2030, 
the amount appropriated under this subsection 
for the previous fiscal year, increased by the 
percentage increase in the consumer price index 
for all urban consumers (all items; United 
States city average) over such previous fiscal 
year’’. 
(f) CHILD ENROLLMENT CONTINGENCY FUND.— 
Section 2104(n) of the Social Security Act (42 U.S.C. 
1397dd(n)) is amended— 
(1) in paragraph (2)— 
(A) in subparagraph (A)(ii)— 
(i) by striking ‘‘and 2024 through 
2028’’ and inserting ‘‘beginning with fiscal 
year 2024’’; and 
(ii) by striking ‘‘2023, and 2029’’ and 
inserting ‘‘, and 2023’’; and 
(B) in subparagraph (B)— 
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(i) by striking ‘‘2024 through 2028’’ 
and inserting ‘‘beginning with fiscal year 
2024’’; and 
(ii) by striking ‘‘2023, and 2029’’ and 
inserting ‘‘, and 2023’’; and 
(2) in paragraph (3)(A)— 
(A) by striking ‘‘fiscal years 2024 through 
2028’’ and inserting ‘‘fiscal year 2024 or any 
subsequent fiscal year’’; and 
(B) by striking ‘‘2023, or 2029’’ and in-
serting ‘‘, or 2023’’. 
SEC. 4. STATE OPTION TO INCREASE CHILDREN’S ELIGI-
BILITY FOR MEDICAID AND CHIP. 
Section 2110(b)(1)(B)(ii) of the Social Security Act 
(42 U.S.C. 1397jj(b)(1)(B)(ii)) is amended— 
(1) in subclause (II), by striking ‘‘or’’ at the 
end; 
(2) in subclause (III), by striking ‘‘and’’ at the 
end and inserting ‘‘or’’; and 
(3) by inserting after subclause (III) the fol-
lowing new subclause: 
‘‘(IV) at the option of the State, 
whose family income exceeds the maximum 
income level otherwise established for chil-
dren under the State child health plan as 
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