I 
117TH CONGRESS 
2D SESSION 
H. R. 9037 
To amend title XIX of the Social Security Act to establish a demonstration 
project testing Whole Child Health Models, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 29, 2022 
Ms. BLUNT ROCHESTER (for herself and Mr. BURGESS) 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 establish 
a demonstration project testing Whole Child Health Mod-
els, 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 ‘‘Kickstarting Innova-
tive Demonstrations Supporting Kids Health Act of 2022’’ 
or the ‘‘KIDS Health Act of 2022’’. 
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SEC. 2. ESTABLISHMENT OF WHOLE CHILD HEALTH MOD-
ELS. 
Section 1903 of the Social Security Act (42 U.S.C. 
1396b) is amended by adding at the end the following new 
subsection: 
‘‘(cc) WHOLE
CHILD
HEALTH
DEMONSTRATION 
PROJECT.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Deputy Administrator and Director of 
the Center for Medicaid and CHIP Services, shall 
conduct a demonstration project (referred to in this 
subsection as the ‘demonstration project’) under 
which participating States shall design and imple-
ment whole child health models in 1 or more target 
communities in accordance with the requirements of 
this 
subsection. 
The 
requirements 
of 
section 
1902(a)(1) (relating to statewideness) shall not 
apply to the demonstration project. 
‘‘(2) DESIGN PHASE.— 
‘‘(A) GRANTS.—Not later than 12 months 
after the date of the enactment of this sub-
section, the Secretary shall award up to 15 
grants to States that submit complete applica-
tions for such grants which meet the require-
ments of subparagraph (C). 
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‘‘(B) 
SELECTION
OF
GRANTEES.—In 
awarding grants under this paragraph, the Sec-
retary shall, to the extent possible, prioritize 
awarding grants to a geographically diverse se-
lection of States and target communities of dif-
ferent sizes and with varying experience with 
value-based payment, including rural and urban 
communities. 
‘‘(C) GRANT APPLICATION.—A State shall 
include in an application for a grant awarded 
under this paragraph the following: 
‘‘(i) A description of each proposed 
target community in which the State pro-
poses to implement a whole child health 
model. 
‘‘(ii) For each target community de-
scribed in clause (i), a statement of the 
proposed objectives of the State in imple-
menting a whole child health model in that 
community. 
‘‘(iii) Such other information as the 
Secretary may require. 
‘‘(D) USE OF GRANT FUNDS.— 
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‘‘(i) IN GENERAL.—A State awarded a 
grant under this paragraph shall use the 
grant funds to— 
‘‘(I) conduct or use an existing 
needs assessment that is not more 
than two years old and meets the re-
quirements of clause (ii) for each pro-
posed target community; 
‘‘(II) not later than 12 months 
after being awarded the grant, design 
and submit for approval by the Sec-
retary a proposed whole child health 
model that meets the requirements of 
subparagraph (E) for each target 
community based on the results of the 
needs assessment and other assess-
ments or surveys conducted for that 
community; and 
‘‘(III) implement the whole child 
health model during the implementa-
tion phase described in paragraph (3). 
‘‘(ii) NEEDS
ASSESSMENT
REQUIRE-
MENTS.—A needs assessment conducted 
for a proposed target community with 
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grant funds awarded to a State shall in-
clude the following: 
‘‘(I) An evaluation of the physical 
health, mental, emotional and behav-
ioral health, developmental, social, re-
lational and substance use disorder 
service needs of eligible individuals in 
the target community, including needs 
that could be addressed through popu-
lation-based 
or 
community-based 
interventions. 
‘‘(II) A review of the resources 
available to meet the physical health, 
mental health, and substance use dis-
order service needs of eligible individ-
uals in the target community. 
‘‘(III) A description of the bar-
riers identified in the target commu-
nity to eligible individuals accessing 
resources and services to address their 
physical health, mental health, and 
substance use disorder service needs. 
‘‘(IV) A description of health dis-
parities identified in the target com-
munity, including input from commu-
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nity residents in the target commu-
nity. 
‘‘(E) WHOLE CHILD HEALTH MODEL RE-
QUIREMENTS.— 
‘‘(i) IN GENERAL.—A proposed whole 
child health model shall include descrip-
tions of the following: 
‘‘(I) How the State and its multi- 
sector partners will address the phys-
ical health, mental, emotional and be-
havioral health, developmental, social, 
relational and substance use disorder 
service needs of eligible individuals in 
the target community identified in the 
needs assessment of that community 
through implementation of the whole 
child health model and provision of 
whole child health services. 
‘‘(II) How the State Medicaid, 
human services, and child welfare 
agencies will coordinate with commu-
nity partners to ensure the successful 
implementation of the whole child 
health model in the target commu-
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nities and the provision of whole child 
health services. 
‘‘(III) The lead agency or other 
entity the State proposes to designate 
to coordinate activities carried out to 
implement the whole child health 
model in the target communities. 
‘‘(ii) REQUIREMENTS.—A proposed 
whole child health model shall meet the fol-
lowing requirements: 
‘‘(I) Align with an existing or 
planned delivery and payment system 
of the State plan under this title or 
under a waiver of such plan, includ-
ing, as applicable, a managed care de-
livery system. 
‘‘(II) Include partnerships with 
child and family serving organizations 
and agencies such as health care pro-
viders, payers, school districts, public 
health and child care. 
‘‘(III) Promote the delivery of 
trauma-informed and culturally com-
petent care, including strategies to ad-
dress systemic resource needs, includ-
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ing workforce shortages, in the target 
community and an assessment of the 
potential impact of the model on 
health equity, disparities, and safety 
net providers in the target commu-
nity. 
‘‘(IV) Coordinate funding sources 
under the State plan under this title 
(or under a waiver of plan), the State 
plans under parts B and E of title IV, 
and other applicable funding sources, 
for the whole child health services pro-
vided under the model. 
‘‘(V) Include— 
‘‘(aa) the design and imple-
mentation or adaptation of a 
value-based 
payment 
arrange-
ment for providing whole child 
health services under the State 
plan under this title (or under a 
waiver of such plan) that pro-
motes pediatric health; or 
‘‘(bb) in the case of a State 
that faces significant barriers to 
implementing or adapting such a 
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value-based 
payment 
arrange-
ment, a proposal for steps that 
the State will take towards ad-
vancing value-based care with re-
spect to whole child health serv-
ices provided under the State 
plan under this title (or under a 
waiver of such plan). 
‘‘(VI) Include strategies to co-
ordinate referrals to whole child 
health services, including using tele-
health, referral networks and/or other 
technologies to facilitate access to 
whole child health services. 
‘‘(VII) Include strategies to pro-
mote the integration of primary care 
with whole child health services and 
substance use disorder services. 
‘‘(VIII) Include strategies to inte-
grate and streamline eligibility, enroll-
ment, and renewal processes to facili-
tate enrollment in health coverage and 
other benefit programs. 
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‘‘(IX) Include strategies to pro-
mote 
school-based 
health 
and 
wellness. 
‘‘(X) Describe how the State will 
leverage or enhance existing health in-
formation technology infrastructure 
and cross-sector data-sharing capabili-
ties to support the provision of en-
hanced care coordination services, in-
cluding with respect to claiming ad-
ministrative matching funds for the 
design, development, and installation 
of data systems to allow or enhance 
coordination among State agencies 
and other entities. 
‘‘(XI) Describe how the State will 
evaluate the impact of the model on 
child health and disparities in health 
outcomes, according to requirements 
outlined by Secretary. 
‘‘(XII) Include other such popu-
lation health strategies or core serv-
ices as the State determines appro-
priate. 
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‘‘(iii) 
PARTICIPATION
BY
INDIAN 
TRIBES IN WHOLE CHILD HEALTH MOD-
ELS.—The Secretary may waive or other-
wise modify the requirements for a whole 
child health model described in clause (ii) 
to the extent necessary to permit Indian 
tribes to participate in such a model. 
‘‘(3) IMPLEMENTATION PHASE.—After the de-
sign period, the implementation phase of the dem-
onstration project shall be conducted for a period of 
not less than 48 months and not more than 72 
months. 
‘‘(4) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(A) IN GENERAL.—There are authorized 
to be appropriated to the Secretary for the pur-
pose of carrying out this subsection, out of any 
funds in the Treasury not otherwise appro-
priated, $125,000,000, to remain available until 
expended. 
‘‘(B) LIMITATION
ON
USE
OF
FUNDS.— 
From any amounts appropriated pursuant to 
this paragraph, the Secretary shall use— 
‘‘(i) not more than $2,000,000 for ad-
ministrative costs, staffing, and reporting 
requirements; 
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‘‘(ii) not more than $10,000,000 for 
learning platforms, staffing, and technical 
assistance related directly to the design 
and implementation of whole child health 
models, and to carry out activities under 
this subsection; and 
‘‘(iii) not more than $3,000,0000 may 
be used for carrying out evaluations de-
scribed in paragraph (5). 
‘‘(C) 
PAYMENT
FOR
WHOLE
CHILD 
HEALTH SERVICES.— 
‘‘(i) IN
GENERAL.—For each fiscal 
quarter occurring during the implementa-
tion phase of the demonstration project, 
subject to clause (ii), the Secretary shall 
pay each State selected to participate in 
that phase of the project, an amount equal 
to 80 percent of the amounts expended by 
the State during such quarter for pro-
viding whole child health services to eligible 
individuals in the target communities net 
of any Federal payments made to the 
State for such expenditures, under this 
title or otherwise. 
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‘‘(ii) REQUIREMENT.—The additional 
Federal funds paid to a State under this 
subparagraph shall be used to supplement, 
not supplant, the level of State funds ex-
pended for services that are treated as 
whole child health services under the dem-
onstration project. 
‘‘(5) REPORTS AND EVALUATION.— 
‘‘(A) IN GENERAL.—A State that is se-
lected to participate in the demonstration 
project shall report on the outcomes under the 
entity’s whole child health model pursuant to 
periodic reporting requirements established by 
the Secretary. 
‘‘(B) 
STATE
REPORTS.—Each 
State 
awarded a grant under this subsection shall 
submit the following reports to the Secretary: 
‘‘(i) INTERIM
REPORT.—An interim 
report at the end of the first 24 months of 
the implementation phase of the project 
that describes— 
‘‘(I) the progress of the State’s 
implementation of the whole child 
health model in the target commu-
nities; 
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‘‘(II) the organizations and pro-
viders that are participating in the 
implementation of the model in the 
target communities; 
‘‘(III) the number of eligible indi-
viduals in the target communities re-
ceiving enhanced care coordination 
services; and 
‘‘(IV) such other information as 
the Secretary may require. 
‘‘(ii) FINAL REPORT.—A final report 
not later than 1 year after the end of the 
implementation phase of the demonstration 
project that describes— 
‘‘(I) best practices and challenges 
in implementing the whole child 
health model in the target commu-
nities; 
‘‘(II) the impact of the model on 
child well-being, health care outcomes 
and health disparities in the target 
communities; and 
‘‘(III) such other information as 
the Secretary may require. 
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‘‘(C) GAO REPORT.—Not later than 3 
years after the first grant is awarded under this 
subsection, the Comptroller General of the 
United States shall submit a report to Congress 
evaluating the individual, financial, and sys-
tems-level impacts associated with whole child 
health models implemented under the dem-
onstration project. 
‘‘(6) CONSULTATION.—A State awarded a 
grant under paragraph (2) shall consult with stake-
holders, such as eligible individuals and their pri-
mary caregivers, schools, health care, mental health, 
and substance use disorder treatment organizations, 
pediatric providers, public health departments, child 
care providers, juvenile justice programs, child wel-
fare programs, and community-based organizations, 
in designing and carrying out the activities required 
under paragraph (2), and with respect to the imple-
mentation and evaluation of the whole child health 
models implemented by the State. Such consultation 
may include establishment of a Community Advisory 
Board as defined by the Secretary. 
‘‘(7) RESPONSIBILITIES OF THE SECRETARY.— 
‘‘(A) TECHNICAL ASSISTANCE.— 
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‘‘(i) IN
GENERAL.—The Secretary 
shall provide States awarded a grant under 
paragraph (2) with technical assistance 
with respect to the design of whole child 
health models. Such assistance may include 
assisting States with moving along a whole 
child health model and utilizing innovative 
financing strategies, such as braiding pub-
lic and private funds. As feasible, the Sec-
retary may partner with other Federal 
agencies, including the Office of Manage-
ment and Budget, when providing tech-
nical assistance to promote a whole child 
health approach. The Secretary shall also 
provide such States with technical assist-
ance with respect to implementation of 
such models. 
‘‘(ii) SHARED
LEARNING.—The Sec-
retary shall facilitate shared learning, such 
as a learning collaborative, among the 
States participating in the demonstration 
project. 
‘‘(iii) REPORTS
TO
CONGRESS.—The 
Secretary shall submit to the Committee 
on Finance of the Senate and the Com-
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mittee on Energy and Commerce of the 
House of Representatives the following re-
ports: 
‘‘(I) DESIGN PHASE.—Not later 
than 36 months after the date on 
which design grant funds are first 
awarded under paragraph (2), a re-
port that describes the whole child 
health models proposed by States. 
‘‘(II) 
IMPLEMENTATION 
PHASE.— 
‘‘(aa) INTERIM
REPORT.— 
Not later than 3 years after the 
date on which the implementa-
tion phase of the demonstration 
project begins, an interim report. 
‘‘(bb) FINAL REPORT.—Not 
later than 2 years after the date 
on 
which 
the 
demonstration 
project ends, a final report. 
‘‘(cc) CONTENT.—The in-
terim and final reports required 
under this clause shall include 
the following: 
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‘‘(AA) A summary of 
the whole child health mod-
els being implemented under 
the demonstration project. 
‘‘(BB) An assessment 
of the impacts of such mod-
els on the physical and men-
tal health and well-being of 
eligible individuals in the 
target communities. 
‘‘(CC) A description of 
the most effective strategies 
of such models in promoting 
the physical and mental 
health of eligible individuals, 
including the effectiveness of 
such strategies in reducing 
health disparities and im-
proving health equity. 
‘‘(DD) A summary of 
the information reported to 
the Secretary by States. 
‘‘(dd) 
LEGISLATIVE
REC-
OMMENDATIONS.—In addition to 
the information required under 
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item (cc), the final report sub-
mitted under item (bb) shall in-
clude recommendations for such 
Federal legislative changes, if 
any, 
as 
the 
Secretary 
rec-
ommends to implement positive 
outcomes identified by the use of 
whole child health models under 
the demonstration project. 
‘‘(8) DEFINITIONS.—In this subsection: 
‘‘(A) ELIGIBLE
INDIVIDUAL.—The term 
‘eligible individual’ means an individual who has 
not attained age 21 and who is eligible for med-
ical assistance under a State plan under this 
title or under a waiver of such plan, or for as-
sistance under a State child health plan under 
title XXI or under a waiver of such plan. 
‘‘(B) INDIAN
TRIBE.—The term ‘Indian 
Tribe’ has the meaning given that term in sec-
tion 4(e) of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 5304(e)). 
‘‘(C) TARGET
COMMUNITY.—The term 
‘target community’ means, with respect to a 
State, the boundaries of a geographic area with-
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in the State in which the State proposes to im-
plement a whole child health model. 
‘‘(D) WHOLE CHILD HEALTH SERVICES.— 
The term ‘whole child health services’ means 
the following: 
‘‘(i) Comprehensive care management. 
‘‘(ii) Enhanced care coordination serv-
ices and referrals to health, developmental 
and social supports that include strategies 
to— 
‘‘(I) identify and address the 
physical, mental, emotional, and be-
havioral health, developmental, rela-
tional and social needs of eligible indi-
viduals; 
‘‘(II) coordinate referrals, as 
needed, to health care, mental, emo-
tional, and behavioral health, sub-
stance use disorder treatment, child 
development, and social service pro-
viders; 
‘‘(III) ensure that eligible individ-
uals follow up with service providers 
to whom they are referred; and 
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