I 
116TH CONGRESS 
2D SESSION 
H. R. 6797 
To increase support for State Children’s Health Insurance programs during 
the COVID–19 emergency, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 8, 2020 
Ms. WILD (for herself, Mr. FITZPATRICK, Mr. MICHAEL F. DOYLE of Penn-
sylvania, Ms. DEAN, Ms. SCANLON, Mr. GRIJALVA, Mrs. NAPOLITANO, 
Ms. JACKSON LEE, Ms. MOORE, Mr. GONZALEZ of Texas, Mr. HAS-
TINGS, Ms. NORTON, Ms. WILSON of Florida, Mr. NEGUSE, Ms. PORTER, 
Mr. HORSFORD, Mrs. HAYES, Mr. RASKIN, Mrs. MCBATH, Mr. 
MORELLE, Mr. RYAN, Mr. SOTO, Mr. KILMER, Mrs. AXNE, Mr. COHEN, 
Mrs. LURIA, Mr. PAYNE, Mr. LARSON of Connecticut, Mrs. FLETCHER, 
Mr. BROWN of Maryland, Ms. TLAIB, Mr. EVANS, Mr. LAMB, Ms. 
FINKENAUER, Ms. HOULAHAN, Mr. COX of California, Ms. SPANBERGER, 
Ms. BARRAGA´N, Ms. ROYBAL-ALLARD, Mrs. BEATTY, Mr. SAN NICOLAS, 
Mr. DANNY K. DAVIS of Illinois, Ms. JOHNSON of Texas, Mr. COSTA, Mr. 
CARSON of Indiana, Mr. CROW, and Ms. FUDGE) introduced the following 
bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To increase support for State Children’s Health Insurance 
programs during the COVID–19 emergency, and for 
other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Children’s Health In-
surance Program Pandemic Enhancement and Relief Act’’ 
or the ‘‘CHIPPER Act’’. 
SEC. 2. INCREASING THE CHIP ENHANCED FMAP TO HELP 
STATES RESPOND TO THE COVID–19 PAN-
DEMIC. 
Section 2105(b) of the Social Security Act (42 U.S.C. 
1397ee(b)) is amended— 
(1) by striking ‘‘For purposes of subsection 
(a),’’ and inserting the following: 
‘‘(1) IN GENERAL.—For purposes of subsection 
(a),’’; 
(2) in the second sentence— 
(A) by inserting ‘‘, subject to paragraph 
(2),’’ after ‘‘23 percentage points, and’’; and 
(B) by striking ‘‘September 30, 2020’’ and 
inserting ‘‘September 30, 2021’’; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(2) REQUIREMENTS.—During the period that 
begins on October 1, 2020, and ends on September 
30, 2021, a State shall not receive the increase de-
scribed in the second sentence of paragraph (1) to 
the enhanced FMAP for such State, with respect to 
a quarter that occurs during such period, if— 
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‘‘(A) the amount of any premium imposed 
by the State under the State child health plan 
(or a waiver of such plan) during such quarter, 
with respect to an individual enrolled under 
such plan (or waiver), exceeds the amount of 
such premium as of January 1, 2020; 
‘‘(B) the State fails to provide that an in-
dividual who is enrolled for benefits under such 
plan (or waiver) as of the date of enactment of 
this paragraph or enrolls for benefits under 
such plan (or waiver) during the period begin-
ning on such date of enactment and ending on 
the last day of the month in which the emer-
gency period defined in paragraph (1)(B) of 
section 1135(g) ends shall be treated as eligible 
for such benefits through the end of the month 
in which such emergency period ends unless the 
individual requests a voluntary termination of 
eligibility or the individual ceases to be a resi-
dent of the State; 
‘‘(C) the State does not provide coverage 
under such plan (or waiver), without the impo-
sition of cost sharing, during such quarter for 
any 
testing 
services 
and 
treatments 
for 
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COVID–19, 
including 
vaccines, 
specialized 
equipment, and therapies; 
‘‘(D) the State imposes a waiting period 
under the State child health plan prior to the 
provision of child health assistance to a tar-
geted low-income child; or 
‘‘(E) the State fails to take active meas-
ures (as determined by the Secretary) to iden-
tify and re-enroll children who are eligible for 
child health assistance under the State plan and 
who were previously enrolled in such plan.’’. 
Æ 
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