I 
119TH CONGRESS 
1ST SESSION H. R. 4641 
To amend titles XIX and XXI of the Social Security Act to provide for 
continuous eligibility for certain children under the Medicaid program 
and the Children’s Health Insurance Program. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 23, 2025 
Ms. CASTOR of Florida (for herself, Mr. TRAN, Ms. SCHRIER, Mr. RUIZ, Mr. 
VEASEY, Ms. BARRAGA´N, Mrs. FLETCHER, Mr. LANDSMAN, Ms. SCHA-
KOWSKY, Ms. MCCLELLAN, Mr. SOTO, Mr. CARTER of Louisiana, Ms. 
MATSUI, and Mrs. TRAHAN) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce 
A BILL 
To amend titles XIX and XXI of the Social Security Act 
to provide for continuous eligibility for certain children 
under the Medicaid program and the Children’s Health 
Insurance 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 ‘‘Keep Kids Covered 
Act’’. 
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SEC. 2. REQUIRING STATES TO PROVIDE FOR CONTINUOUS 
ELIGIBILITY FOR CHILDREN UNDER MED-
ICAID AND CHIP. 
(a) 
CONTINUOUS
ELIGIBILITY
FOR
DEEMED 
NEWBORNS UNTIL AGE 6.— 
(1) MEDICAID.—Section 1902(e)(4) of the So-
cial Security Act (42 U.S.C. 1396a(e)(4)) is amend-
ed by striking ‘‘one year’’ and inserting ‘‘6 years’’. 
(2) CHIP.—Section 2112(e) of the Social Secu-
rity Act (42 U.S.C. 1397ll(e)) is amended by strik-
ing ‘‘1 year of age’’ and inserting ‘‘6 years of age 
(except that such a child who is enrolled under the 
State child health plan or waiver may be transferred 
to the Medicaid program under title XIX for the re-
maining duration of the 6-year continuous eligibility 
period, if the child becomes eligible for full benefits 
under title XIX during such period)’’. 
(b) CONTINUOUS
ELIGIBILITY
FOR
CHILDREN 
UNDER AGE 19 AND FORMER FOSTER YOUTH.— 
(1) MEDICAID.—Section 1902(e)(12) of the So-
cial Security Act (42 U.S.C. 1396a(e)(12)) is 
amended— 
(A) in the paragraph heading, by striking 
‘‘1 YEAR OF CONTINUOUS’’ and inserting ‘‘CON-
TINUOUS’’; 
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(B) in the text preceding subparagraph 
(A), by inserting ‘‘has attained the age of 6 
and’’ after ‘‘an individual who’’; 
(C) in subparagraph (A), by striking ‘‘the 
12-month period’’ and inserting ‘‘the 24-month 
period’’; 
(D) by redesignating subparagraphs (A) 
through (C) as clauses (i) through (iii), respec-
tively, and adjusting the margins accordingly; 
(E) by striking ‘‘The State plan’’ and in-
serting: 
‘‘(A) CHILDREN UNDER AGE 6.—The State 
plan (or waiver of such State plan) shall pro-
vide that an individual who is under the age of 
6 and who is determined to be eligible for bene-
fits under a State plan (or waiver of such plan) 
approved under this title under subsection 
(a)(10)(A) shall remain eligible for such bene-
fits 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 AGES 6 THROUGH 18.— 
The State plan’’; and 
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(F) by adding at the end the following new 
subparagraph: 
‘‘(C) FORMER FOSTER YOUTH.—The State 
plan (or waiver of such State plan) shall pro-
vide that an individual who is determined to be 
eligible for benefits under a State plan (or waiv-
er of such plan) approved under this title under 
subsection (a)(10)(A)(i)(IX) shall remain eligi-
ble for such benefits until the earlier of— 
‘‘(i) the time that such individual at-
tains the age of 26; or 
‘‘(ii) the date that such individual 
ceases to be a resident of such State.’’. 
(2) CHIP.—Section 2107(e)(1)(L) of the Social 
Security Act (42 U.S.C. 1397gg(e)(1)(L)), as redes-
ignated by section 71103(b)(1) of Public Law 119– 
21, is amended— 
(A) by striking ‘‘1 year of’’; and 
(B) by striking ‘‘12-month’’ and inserting 
‘‘applicable’’. 
(c) UPDATING
CONTACT
INFORMATION
DURING 
CONTINUOUS ELIGIBILITY PERIOD.— 
(1) MEDICAID.—Section 1902(a) of the Social 
Security Act (42 U.S.C. 1396a(a)), as amended by 
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sections 71103(a)(1) and 71104 of Public Law 119– 
21, is amended— 
(A) in paragraph (88), by striking ‘‘and’’ 
at the end; 
(B) in paragraph (89), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(C) by inserting after paragraph (89) the 
following new paragraph: 
‘‘(90) provide for a process— 
‘‘(A) to obtain, not less frequently than an-
nually, the up-to-date contact information for 
individuals enrolled under such plan (or a waiv-
er of such plan) who have been so enrolled for 
a period of longer than 12 months pursuant to 
a continuous eligibility provision under this 
title; and 
‘‘(B) to inform each such individual of 
their enrollment under such plan (or waiver) 
pursuant to such continuous eligibility provision 
and of the remaining duration of the applicable 
period of continuous eligibility.’’. 
(2) CHIP.—Section 2107(e)(1) of the Social 
Security Act (42 U.S.C. 1397gg(e)(1)), as amended 
by sections 71103(b)(1) and 71109(b) of Public Law 
119–21, is amended— 
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(A) by redesignating subparagraphs (I) 
through (W) as subparagraphs (J) through (X), 
respectively; and 
(B) by inserting after subparagraph (H) 
the following new subparagraph: 
‘‘(I) Section 1902(a)(90) (relating to the 
verification of contact information and provision 
of information regarding enrollment during a 
period of continuous eligibility).’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the date that is 1 year 
after the date of the enactment of this section. 
SEC. 3. ADJUSTING APPLICATION OF PROVISION PRO-
VIDING 
COVERAGE 
CONTINUITY 
FOR 
FORMER FOSTER CHILDREN UP TO AGE 26 
UNDER MEDICAID. 
Section 1002(a)(2) of the SUPPORT for Patients 
and Communities Act (42 U.S.C. 1396a note) is amended 
by striking ‘‘shall take effect with respect to’’ and all that 
follows through the period at the end and inserting the 
following: ‘‘shall apply— 
‘‘(A) beginning January 1, 2023, with re-
spect to foster youth who attain 18 years of age 
on or after such date; and 
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‘‘(B) beginning on the date that is 180 
days after the date of enactment of the Keep 
Kids Covered Act, with respect to foster youth 
not described in subparagraph (A).’’. 
Æ 
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