182 
‘‘(II) the information described in 
subparagraph (A); 
‘‘(III) a description of the dif-
ferences between such MA plan or 
MA–PD plan and the reasonable cost 
reimbursement contract in which the 
individual was most recently enrolled 
with respect to benefits covered under 
such plans, including cost-sharing, 
premiums, drug coverage, and pro-
vider networks; 
‘‘(IV) information about the spe-
cial period for elections under sub-
section (e)(2)(F); and 
‘‘(V) other information the Sec-
retary may specify.’’. 
(d) TREATMENT OF TRANSITION PLAN FOR QUALITY 
RATING FOR PAYMENT PURPOSES.—Section 1853(o)(4) 
of the Social Security Act (42 U.S.C. 1395w–23(o)(4)) is 
amended by adding at the end the following new subpara-
graph: 
‘‘(C) SPECIAL
RULE
FOR
FIRST
PLAN 
YEARS
FOR
PLANS
THAT
WERE
CONVERTED 
FROM
A
REASONABLE
COST
REIMBURSEMENT 
CONTRACT.—For purposes of applying para-
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graph (1) and section 1854(b)(1)(C) for the 
first 3 plan years under this part in the case of 
an MA plan to which deemed enrollment applies 
under section 1851(c)(4)— 
‘‘(i) such plan shall not be treated as 
a new MA plan (as defined in paragraph 
(3)(A)(iii)(II)); and 
‘‘(ii) in determining the star rating of 
the plan under subparagraph (A), to the 
extent that Medicare Advantage data for 
such plan is not available for a measure 
used to determine such star rating, the 
Secretary shall use data from the period in 
which such plan was a reasonable cost re-
imbursement contract.’’. 
SEC. 210. EXTENSION OF HOME HEALTH RURAL ADD-ON. 
Section 421(a) of the Medicare Prescription Drug, 
Improvement, and Modernization Act of 2003 (Public Law 
108–173; 117 Stat. 2283; 42 U.S.C. 1395fff note), as 
amended by section 5201(b) of the Deficit Reduction Act 
of 2005 (Public Law 109–171; 120 Stat. 46) and by sec-
tion 3131(c) of the Patient Protection and Affordable 
Care Act (Public Law 111–148; 124 Stat. 428), is amend-
ed by striking ‘‘January 1, 2016’’ and inserting ‘‘January 
1, 2018’’ each place it appears. 
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Subtitle B—Other Health 
Extenders 
SEC. 211. PERMANENT EXTENSION OF THE QUALIFYING IN-
DIVIDUAL (QI) PROGRAM. 
(a) 
PERMANENT
EXTENSION.—Section 
1902(a)(10)(E)(iv) of the Social Security Act (42 U.S.C. 
1396a(a)(10)(E)(iv)) is amended by striking ‘‘(but only 
for premiums payable with respect to months during the 
period beginning with January 1998, and ending with 
March 2015)’’. 
(b) ALLOCATIONS.—Section 1933(g) of the Social Se-
curity Act (42 U.S.C. 1396u–3(g)) is amended— 
(1) in paragraph (2)— 
(A) by striking subparagraphs (A) through 
(H); 
(B) in subparagraph (V), by striking 
‘‘and’’ at the end; 
(C) in subparagraph (W), by striking the 
period at the end and inserting a semicolon; 
(D) by redesignating subparagraphs (I) 
through (W) as subparagraphs (A) through 
(O), respectively; and 
(E) by adding at the end the following new 
subparagraphs: 
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‘‘(P) for the period that begins on April 1, 
2015, and ends on December 31, 2015, the 
total allocation amount is $535,000,000; and 
‘‘(Q) for 2016 and, subject to paragraph 
(4), for each subsequent year, the total alloca-
tion amount is $980,000,000.’’; 
(2) in paragraph (3), by striking ‘‘(P), (R), (T), 
or (V)’’ and inserting ‘‘or (P)’’; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(4) ADJUSTMENT
TO
ALLOCATIONS.—The 
Secretary may increase the allocation amount under 
paragraph (2)(Q) for a year (beginning with 2017) 
up to an amount that does not exceed the product 
of the following: 
‘‘(A) MAXIMUM ALLOCATION AMOUNT FOR 
PREVIOUS YEAR.—In the case of 2017, the allo-
cation amount for 2016, or in the case of a sub-
sequent year, the maximum allocation amount 
allowed under this paragraph for the previous 
year. 
‘‘(B) INCREASE
IN
PART
B
PREMIUM.— 
The monthly premium rate determined under 
section 1839 for the year divided by the month-
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ly premium rate determined under such section 
for the previous year. 
‘‘(C) INCREASE
IN
PART
B
ENROLL-
MENT.—The average number of individuals (as 
estimated by the Chief Actuary of the Centers 
for Medicare & Medicaid Services in September 
of the previous year) to be enrolled under part 
B of title XVIII for months in the year divided 
by the average number of such individuals (as 
so estimated) under this subparagraph with re-
spect to enrollments in months in the previous 
year.’’. 
SEC. 212. PERMANENT EXTENSION OF TRANSITIONAL MED-
ICAL ASSISTANCE (TMA). 
(a) IN GENERAL.—Section 1925 of the Social Secu-
rity Act (42 U.S.C. 1396r–6) is amended— 
(1) by striking subsection (f); and 
(2) by redesignating subsection (g) as sub-
section (f). 
(b) CONFORMING AMENDMENT.—Section 1902(e)(1) 
of the Social Security Act (42 U.S.C. 1396a(e)(1)) is 
amended to read as follows: 
‘‘(1) Beginning April 1, 1990, for provisions relating 
to the extension of eligibility for medical assistance for cer-
tain families who have received aid pursuant to a State 
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plan approved under part A of title IV and have earned 
income, see section 1925.’’. 
SEC. 213. EXTENSION OF SPECIAL DIABETES PROGRAM 
FOR TYPE I DIABETES AND FOR INDIANS. 
(a) SPECIAL DIABETES PROGRAMS FOR TYPE I DIA-
BETES.—Section 330B(b)(2)(C) of the Public Health 
Service Act (42 U.S.C. 254c–2(b)(2)(C)) is amended by 
striking ‘‘2015’’ and inserting ‘‘2017’’. 
(b) SPECIAL DIABETES PROGRAMS FOR INDIANS.— 
Section 330C(c)(2)(C) of the Public Health Service Act 
(42 U.S.C. 254c–3(c)(2)(C)) is amended by striking 
‘‘2015’’ and inserting ‘‘2017’’. 
SEC. 214. EXTENSION OF ABSTINENCE EDUCATION. 
(a) IN GENERAL.—Section 510 of the Social Security 
Act (42 U.S.C. 710) is amended— 
(1) in subsection (a), striking ‘‘2015’’ and in-
serting ‘‘2017’’; and 
(2) in subsection (d), by inserting ‘‘and an ad-
ditional $75,000,000 for each of fiscal years 2016 
and 2017’’ after ‘‘2015’’. 
(b) BUDGET
SCORING.—Notwithstanding section 
257(b)(2) of the Balanced Budget and Emergency Deficit 
Control Act of 1985, the baseline shall be calculated as-
suming that no grant shall be made under section 510 
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of the Social Security Act (42 U.S.C. 710) after fiscal year 
2017. 
(c) REALLOCATION OF UNUSED FUNDING.—The re-
maining unobligated balances of the amount appropriated 
for fiscal years 2016 and 2017 by section 510(d) of the 
Social Security Act (42 U.S.C. 710(d)) for which no appli-
cation has been received by the Funding Opportunity An-
nouncement deadline, shall be made available to States 
that require the implementation of each element described 
in subparagraphs (A) through (H) of the definition of ab-
stinence education in section 510(b)(2). The remaining 
unobligated balances shall be reallocated to such States 
that submit a valid application consistent with the original 
formula for this funding. 
SEC. 215. EXTENSION OF PERSONAL RESPONSIBILITY EDU-
CATION PROGRAM (PREP). 
Section 513 of the Social Security Act (42 U.S.C. 
713) is amended— 
(1) in paragraphs (1)(A) and (4)(A) of sub-
section (a), by striking ‘‘2015’’ and inserting 
‘‘2017’’ each place it appears; 
(2) in subsection (a)(4)(B)(i), by striking ‘‘, 
2013, 2014, and 2015’’ and inserting ‘‘through 
2017’’; and 
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(3) in subsection (f), by striking ‘‘2015’’ and 
inserting ‘‘2017’’. 
SEC. 216. EXTENSION OF FUNDING FOR FAMILY-TO-FAMILY 
HEALTH INFORMATION CENTERS. 
Section 501(c)(1)(A) of the Social Security Act (42 
U.S.C. 701(c)(1)(A)) is amended— 
(1) by striking clause (vi); and 
(2) by adding after clause (v) the following new 
clause: 
‘‘(vi) $5,000,000 for each of fiscal years 2015 
through 2017.’’. 
SEC. 217. EXTENSION OF HEALTH WORKFORCE DEM-
ONSTRATION PROJECT FOR LOW-INCOME IN-
DIVIDUALS. 
Section 2008(c)(1) of the Social Security Act (42 
U.S.C. 1397g(c)(1)) is amended by striking ‘‘2015’’ and 
inserting ‘‘2017’’. 
SEC. 218. EXTENSION OF MATERNAL, INFANT, AND EARLY 
CHILDHOOD HOME VISITING PROGRAMS. 
Section 511(j)(1) of the Social Security Act (42 
U.S.C. 711(j)) is amended— 
(1) by striking ‘‘and’’ at the end of subpara-
graph (E); 
(2) in subparagraph (F)— 
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(A) by striking ‘‘for the period beginning 
on October 1, 2014, and ending on March 31, 
2015’’ and inserting ‘‘for fiscal year 2015’’; 
(B) by striking ‘‘an amount equal to the 
amount provided in subparagraph (E)’’ and in-
serting ‘‘$400,000,000’’; and 
(C) by striking the period at the end and 
inserting a semicolon; and 
(3) by adding at the end the following new sub-
paragraphs: 
‘‘(G) for fiscal year 2016, $400,000,000; 
and 
‘‘(H) for fiscal year 2017, $400,000,000.’’. 
SEC. 219. TENNESSEE DSH ALLOTMENT FOR FISCAL YEARS 
2015 THROUGH 2025. 
Section 1923(f)(6)(A) of the Social Security Act (42 
U.S.C. 1396r–4(f)(6)(A)) is amended by adding at the end 
the following: 
‘‘(vi) ALLOTMENT FOR FISCAL YEARS 
2015 THROUGH 2025.—Notwithstanding any 
other provision of this subsection, any 
other provision of law, or the terms of the 
TennCare Demonstration Project in effect 
for the State, the DSH allotment for Ten-
nessee for fiscal year 2015, and for each 
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fiscal year thereafter through fiscal year 
2025, shall be $53,100,000 for each such 
fiscal year.’’. 
SEC. 220. DELAY IN EFFECTIVE DATE FOR MEDICAID 
AMENDMENTS RELATING TO BENEFICIARY 
LIABILITY SETTLEMENTS. 
Section 202(c) of the Bipartisan Budget Act of 2013 
(division A of Public Law 113–67; 42 U.S.C. 1396a note), 
as amended by section 211 of the Protecting Access to 
Medicare Act of 2014 (Public Law 113–93; 128 Stat. 
1047) is amended by striking ‘‘October 1, 2016’’ and in-
serting ‘‘October 1, 2017’’. 
SEC. 221. EXTENSION OF FUNDING FOR COMMUNITY 
HEALTH CENTERS, THE NATIONAL HEALTH 
SERVICE CORPS, AND TEACHING HEALTH 
CENTERS. 
(a) FUNDING FOR COMMUNITY HEALTH CENTERS 
AND THE NATIONAL HEALTH SERVICE CORPS.— 
(1) COMMUNITY
HEALTH
CENTERS.—Section 
10503(b)(1)(E) of the Patient Protection and Af-
fordable Care Act (42 U.S.C. 254b–2(b)(1)(E)) is 
amended by striking ‘‘for fiscal year 2015’’ and in-
serting ‘‘for each of fiscal years 2015 through 
2017’’. 
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(2) NATIONAL HEALTH SERVICE CORPS.—Sec-
tion 10503(b)(2)(E) of the Patient Protection and 
Affordable Care Act (42 U.S.C. 254b–2(b)(2)(E)) is 
amended by striking ‘‘for fiscal year 2015’’ and in-
serting ‘‘for each of fiscal years 2015 through 
2017’’. 
(b) EXTENSION OF TEACHING HEALTH CENTERS 
PROGRAM.—Section 340H(g) of the Public Health Service 
Act (42 U.S.C. 256h(g)) is amended by inserting ‘‘and 
$60,000,000 for each of fiscal years 2016 and 2017’’ be-
fore the period at the end. 
(c) APPLICATION.—Amounts appropriated pursuant 
to this section for fiscal year 2016 and fiscal year 2017 
are subject to the requirements contained in Public Law 
113–235 for funds for programs authorized under sections 
330 through 340 of the Public Health Service Act (42 
U.S.C. 254b–256). 
TITLE III—CHIP 
SEC. 301. 2-YEAR EXTENSION OF THE CHILDREN’S HEALTH 
INSURANCE PROGRAM. 
(a) FUNDING.—Section 2104(a) of the Social Secu-
rity Act (42 U.S.C. 1397dd(a)) is amended— 
(1) in paragraph (17), by striking ‘‘and’’ at the 
end; 
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(2) in paragraph (18)(B), by striking the period 
at the end and inserting a semicolon; and 
(3) by adding at the end the following new 
paragraphs: 
‘‘(19) for fiscal year 2016, $19,300,000,000; 
and 
‘‘(20) for fiscal year 2017, for purposes of mak-
ing 2 semi-annual allotments— 
‘‘(A) $2,850,000,000 for the period begin-
ning on October 1, 2016, and ending on March 
31, 2017; and 
‘‘(B) $2,850,000,000 for the period begin-
ning on April 1, 2017, and ending on Sep-
tember 30, 2017.’’. 
(b) ALLOTMENTS.— 
(1) IN GENERAL.—Section 2104(m) of the So-
cial Security Act (42 U.S.C. 1397dd(m)) is amend-
ed— 
(A) in the subsection heading, by striking 
‘‘THROUGH 2015’’and inserting ‘‘AND THERE-
AFTER’’; 
(B) in paragraph (2)— 
(i) in the paragraph heading, by strik-
ing ‘‘2014’’ and inserting ‘‘2016’’; and 
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(ii) by striking subparagraph (B) and 
inserting the following new subparagraph: 
‘‘(B) FISCAL YEAR 2013 AND EACH SUC-
CEEDING FISCAL YEAR.—Subject to paragraphs 
(5) and (7), from the amount made available 
under paragraphs (16) through (19) of sub-
section (a) for fiscal year 2013 and each suc-
ceeding fiscal year, respectively, the Secretary 
shall compute a State allotment for each State 
(including the District of Columbia and each 
commonwealth and territory) for each such fis-
cal year as follows: 
‘‘(i) REBASING IN FISCAL YEAR 2013 
AND
EACH
SUCCEEDING
ODD-NUMBERED 
FISCAL YEAR.—For fiscal year 2013 and 
each succeeding odd-numbered fiscal year 
(other than fiscal years 2015 and 2017), 
the allotment of the State is equal to the 
Federal payments to the State that are at-
tributable to (and countable toward) the 
total amount of allotments available under 
this section to the State in the preceding 
fiscal year (including payments made to 
the State under subsection (n) for such 
preceding fiscal year as well as amounts 
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redistributed to the State in such pre-
ceding fiscal year), multiplied by the allot-
ment increase factor under paragraph (6) 
for such odd-numbered fiscal year. 
‘‘(ii) GROWTH FACTOR UPDATE FOR 
FISCAL YEAR 2014 AND EACH SUCCEEDING 
EVEN-NUMBERED
FISCAL
YEAR.—Except 
as provided in clauses (iii) and (iv), for fis-
cal year 2014 and each succeeding even- 
numbered fiscal year, the allotment of the 
State is equal to the sum of— 
‘‘(I) the amount of the State al-
lotment under clause (i) for the pre-
ceding fiscal year; and 
‘‘(II) the amount of any pay-
ments made to the State under sub-
section (n) for such preceding fiscal 
year, 
multiplied by the allotment increase factor 
under paragraph (6) for such even-num-
bered fiscal year. 
‘‘(iii) SPECIAL RULE FOR 2016.—For 
fiscal year 2016, the allotment of the State 
is equal to the Federal payments to the 
State that are attributable to (and count-
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able toward) the total amount of allot-
ments available under this section to the 
State in the preceding fiscal year (includ-
ing payments made to the State under 
subsection (n) for such preceding fiscal 
year as well as amounts redistributed to 
the State in such preceding fiscal year), 
but determined as if the last two sentences 
of section 2105(b) were in effect in such 
preceding fiscal year and then multiplying 
the result by the allotment increase factor 
under paragraph (6) for fiscal year 2016. 
‘‘(iv) REDUCTION IN 2018.—For fiscal 
year 2018, with respect to the allotment of 
the State for fiscal year 2017, any 
amounts of such allotment that remain 
available for expenditure by the State in 
fiscal year 2018 shall be reduced by one- 
third.’’; 
(C) in paragraph (4), by inserting ‘‘or 
2017’’ after ‘‘2015’’; 
(D) in paragraph (6)— 
(i) in subparagraph (A), by striking 
‘‘2015’’ and inserting ‘‘2017’’; and 
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(ii) in the second sentence, by striking 
‘‘or fiscal year 2014’’ and inserting ‘‘fiscal 
year 2014, or fiscal year 2016’’; 
(E) in paragraph (8)— 
(i) in the paragraph heading, by strik-
ing ‘‘FISCAL
YEAR
2015’’ and inserting 
‘‘FISCAL YEARS 2015 AND 2017’’; and 
(ii) by inserting ‘‘or fiscal year 2017’’ 
after ‘‘2015’’; 
(F) 
by 
redesignating 
paragraphs 
(4) 
through (8) as paragraphs (5) through (9), re-
spectively; and 
(G) by inserting after paragraph (3) the 
following new paragraph: 
‘‘(4) FOR FISCAL YEAR 2017.— 
‘‘(A) FIRST HALF.—Subject to paragraphs 
(5) and (7), from the amount made available 
under subparagraph (A) of paragraph (20) of 
subsection (a) for the semi-annual period de-
scribed in such paragraph, increased by the 
amount of the appropriation for such period 
under section 301(b)(2) of the Medicare Access 
and CHIP Reauthorization Act of 2015, the 
Secretary shall compute a State allotment for 
each State (including the District of Columbia 
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and each commonwealth and territory) for such 
semi-annual period in an amount equal to the 
first half ratio (described in subparagraph (D)) 
of the amount described in subparagraph (C). 
‘‘(B) SECOND
HALF.—Subject to para-
graphs (5) and (7), from the amount made 
available under subparagraph (B) of paragraph 
(20) of subsection (a) for the semi-annual pe-
riod described in such paragraph, the Secretary 
shall compute a State allotment for each State 
(including the District of Columbia and each 
commonwealth and territory) for such semi-an-
nual period in an amount equal to the amount 
made available under such subparagraph, multi-
plied by the ratio of— 
‘‘(i) the amount of the allotment to 
such State under subparagraph (A); to 
‘‘(ii) the total of the amount of all of 
the allotments made available under such 
subparagraph. 
‘‘(C) FULL
YEAR
AMOUNT
BASED
ON 
REBASED AMOUNT.—The amount described in 
this subparagraph for a State is equal to the 
Federal payments to the State that are attrib-
utable to (and countable towards) the total 
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amount of allotments available under this sec-
tion to the State in fiscal year 2016 (including 
payments made to the State under subsection 
(n) for fiscal year 2016 as well as amounts re-
distributed to the State in fiscal year 2016), 
multiplied by the allotment increase factor 
under paragraph (6) for fiscal year 2017. 
‘‘(D) FIRST HALF RATIO.—The first half 
ratio described in this subparagraph is the ratio 
of— 
‘‘(i) the sum of— 
‘‘(I) the amount made available 
under subsection (a)(20)(A); and 
‘‘(II) the amount of the appro-
priation for such period under section 
301(b)(2) of the Medicare Access and 
CHIP Reauthorization Act of 2015; 
to 
‘‘(ii) the sum of the— 
‘‘(I) amount described in clause 
(i); and 
‘‘(II) the amount made available 
under subsection (a)(20)(B).’’. 
(2) CONFORMING AMENDMENTS.—— 
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(A) Section 2104(c)(1) of the Social Secu-
rity Act (42 U.S.C. 1397dd(c)(1)) is amended 
by striking ‘‘(m)(4)’’ and inserting ‘‘(m)(5)’’. 
(B) Section 2104(m) of such Act (42 
U.S.C. 1397dd(m)), as amended by paragraph 
(1), is further amended— 
(i) by striking ‘‘the allotment increase 
factor determined under paragraph (5)’’ 
each place it appears in paragraphs (1) 
(2)(A), and (3) and inserting ‘‘the allot-
ment increase factor determined under 
paragraph (6)’’; 
(ii) in paragraph (1)— 
(I) by striking ‘‘paragraph (4)’’ 
each place it appears in subpara-
graphs (A) and (B) and inserting 
‘‘paragraph (5)’’; and 
(II) by striking ‘‘the allotment 
increase 
factor 
determined 
under 
paragraph (5)’’ each place it appears 
and inserting ‘‘the allotment increase 
factor determined under paragraph 
(6)’’; 
(iii) in paragraph (2)(A), by striking 
‘‘the allotment increase factor under para-
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graph (5)’’ and inserting ‘‘the allotment in-
crease factor under paragraph (6)’’; 
(iv) in paragraph (3)— 
(I) by striking ‘‘paragraphs (4) 
and (6)’’ and inserting ‘‘paragraphs 
(5) and (7)’’; and 
(II) by striking ‘‘the allotment 
increase factor under paragraph (5)’’ 
and inserting ‘‘the allotment increase 
factor under paragraph (6)’’; 
(v) in paragraph (5) (as redesignated 
by paragraph (1)(F)), by striking ‘‘para-
graph (1), (2), or (3)’’ and inserting 
‘‘paragraph (1), (2), (3), or (4)’’; 
(vi) in paragraph (7) (as redesignated 
by paragraph (1)(F)), by striking ‘‘subject 
to paragraph (4)’’ and inserting ‘‘subject 
to paragraph (5)’’; and 
(vii) in paragraph (9), (as redesig-
nated by paragraph (1)(F)), by striking 
‘‘paragraph (3)’’ and inserting ‘‘paragraph 
(3) or (4)’’. 
(C) Section 2104(n)(3)(B)(ii) of such Act 
(42 U.S.C. 1397dd(n)(3)(B)(ii)) is amended by 
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striking ‘‘subsection (m)(5)(B)’’ and inserting 
‘‘subsection (m)(6)(B)’’. 
(D) Section 2111(b)(2)(B)(i) of such Act 
(42 U.S.C. 1397kk(b)(2)(B)(i)) is amended by 
striking ‘‘section 2104(m)(4)’’ and inserting 
‘‘section 2104(m)(5)’’. 
(3) ONE-TIME
APPROPRIATION
FOR
FISCAL 
YEAR 2017.—There is appropriated to the Secretary 
of Health and Human Services, out of any money in 
the 
Treasury 
not 
otherwise 
appropriated, 
$14,700,000,000 to accompany the allotment made 
for the period beginning on October 1, 2016, and 
ending on March 31, 2017, under paragraph 
(20)(A) of section 2104(a) of the Social Security Act 
(42 U.S.C. 1397dd(a)) (as added by subsection 
(a)(1)), to remain available until expended. Such 
amount shall be used to provide allotments to States 
under paragraph (3) of section 2104(m) of such Act 
(42 U.S.C. 1397dd(m)) (as amended by paragraph 
(1)(C)) for the first 6 months of fiscal year 2017 in 
the same manner as allotments are provided under 
subsection (a)(20)(A) of such section 2104 and sub-
ject to the same terms and conditions as apply to 
the allotments provided from such subsection 
(a)(20)(A). 
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203 
(c) EXTENSION OF 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 
‘‘2015’’ and inserting ‘‘2017’’; and 
(2) in subparagraph (A), by striking ‘‘2015’’ 
and inserting ‘‘2017’’. 
(d) EXTENSION OF THE CHILD ENROLLMENT CON-
TINGENCY FUND.— 
(1) IN GENERAL.—Section 2104(n) of the So-
cial Security Act (42 U.S.C. 1397dd(n)) is amend-
ed— 
(A) in paragraph (2)— 
(i) in subparagraph (A)(ii)— 
(I) by striking ‘‘2010 through 
2014’’ and inserting ‘‘2010, 2011, 
2012, 2013, 2014, and 2016’’; and 
(II) by inserting ‘‘and 2017’’ 
after ‘‘2015’’; and 
(ii) in subparagraph (B)— 
(I) by striking ‘‘2010 through 
2014’’ and inserting ‘‘2010, 2011, 
2012, 2013, 2014, and 2016’’; and 
(II) by inserting ‘‘and 2017’’ 
after ‘‘2015’’; and 
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204 
(B) in paragraph (3)(A), in the matter 
preceding clause (i), by striking ‘‘fiscal year 
2009, fiscal year 2010, fiscal year 2011, fiscal 
year 2012, fiscal year 2013, fiscal year 2014, or 
a semi-annual allotment period for fiscal year 
2015’’ and inserting ‘‘any of fiscal years 2009 
through 2014, fiscal year 2016, or a semi-an-
nual allotment period for fiscal year 2015 or 
2017’’. 
SEC. 302. EXTENSION OF EXPRESS LANE ELIGIBILITY. 
Section 1902(e)(13)(I) of the Social Security Act (42 
U.S.C. 1396a(e)(13)(I)) is amended by striking ‘‘2015’’ 
and inserting ‘‘2017’’. 
SEC. 303. EXTENSION OF OUTREACH AND ENROLLMENT 
PROGRAM. 
Section 2113 of the Social Security Act (42 U.S.C. 
1397mm) is amended— 
(1) in subsection (a)(1), by striking ‘‘2015’’ and 
inserting ‘‘2017’’; and 
(2) in subsection (g), by inserting ‘‘and 
$40,000,000 for the period of fiscal years 2016 and 
2017’’ after ‘‘2015’’. 
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205 
SEC. 304. EXTENSION OF CERTAIN PROGRAMS AND DEM-
ONSTRATION PROJECTS. 
(a) 
CHILDHOOD
OBESITY
DEMONSTRATION 
PROJECT.—Section 1139A(e)(8) of the Social Security 
Act (42 U.S.C. 1320b–9a(e)(8)) is amended by inserting 
‘‘, and $10,000,000 for the period of fiscal years 2016 
and 2017’’ after ‘‘2014’’. 
(b) PEDIATRIC QUALITY MEASURES PROGRAM.— 
Section 1139A(i) of the Social Security Act (42 U.S.C. 
1320b–9a(i)) is amended in the first sentence by inserting 
before the period at the end the following: ‘‘, and there 
is appropriated for the period of fiscal years 2016 and 
2017, $20,000,000 for the purpose of carrying out this 
section (other than subsections (e), (f), and (g))’’. 
SEC. 305. REPORT OF INSPECTOR GENERAL OF HHS ON 
USE OF EXPRESS LANE OPTION UNDER MED-
ICAID AND CHIP. 
Not later than 18 months after the date of the enact-
ment of this Act, the Inspector General of the Department 
of Health and Human Services shall submit to the Com-
mittee on Energy and Commerce of the House of Rep-
resentatives and the Committee on Finance of the Senate 
a report that— 
(1) provides data on the number of individuals 
enrolled in the Medicaid program under title XIX of 
the Social Security Act (referred to in this section 
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as ‘‘Medicaid’’) and the Children’s Health Insurance 
Program under title XXI of such Act (referred to in 
this section as ‘‘CHIP’’) through the use of the Ex-
press Lane option under section 1902(e)(13) of the 
Social Security Act (42 U.S.C. 1396a(e)(13)); 
(2) assesses the extent to which individuals so 
enrolled meet the eligibility requirements under Med-
icaid or CHIP (as applicable); and 
(3) provides data on Federal and State expendi-
tures under Medicaid and CHIP for individuals so 
enrolled and disaggregates such data between ex-
penditures made for individuals who meet the eligi-
bility requirements under Medicaid or CHIP (as ap-
plicable) and expenditures made for individuals who 
do not meet such requirements. 
TITLE IV—OFFSETS 
Subtitle A—Medicare Beneficiary 
Reforms 
SEC. 401. LIMITATION ON CERTAIN MEDIGAP POLICIES 
FOR 
NEWLY 
ELIGIBLE 
MEDICARE 
BENE-
FICIARIES. 
Section 1882 of the Social Security Act (42 U.S.C. 
1395ss) is amended by adding at the end the following 
new subsection: 
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‘‘(z) LIMITATION ON CERTAIN MEDIGAP POLICIES 
FOR NEWLY ELIGIBLE MEDICARE BENEFICIARIES.— 
‘‘(1) IN GENERAL.—Notwithstanding any other 
provision of this section, on or after January 1, 
2020, a medicare supplemental policy that provides 
coverage of the part B deductible, including any 
such policy (or rider to such a policy) issued under 
a waiver granted under subsection (p)(6), may not 
be sold or issued to a newly eligible Medicare bene-
ficiary. 
‘‘(2) NEWLY ELIGIBLE MEDICARE BENEFICIARY 
DEFINED.—In this subsection, the term ‘newly eligi-
ble Medicare beneficiary’ means an individual who is 
neither of the following: 
‘‘(A) An individual who has attained age 
65 before January 1, 2020. 
‘‘(B) An individual who was entitled to 
benefits under part A pursuant to section 
226(b) or 226A, or deemed to be eligible for 
benefits under section 226(a), before January 
1, 2020. 
‘‘(3) TREATMENT OF WAIVERED STATES.—In 
the case of a State described in subsection (p)(6), 
nothing in this section shall be construed as pre-
venting the State from modifying its alternative sim-
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