I 
117TH CONGRESS 
1ST SESSION H. R. 1791 
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 
MARCH 11, 2021 
Ms. BARRAGA´N (for herself, Mr. CA´RDENAS, Mr. RUSH, Mr. BISHOP of Geor-
gia, Mr. HASTINGS, Ms. NORTON, and Mr. COHEN) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce 
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’’. 
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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: 
‘‘(28) for fiscal year 2027 and each subsequent 
year, such sums as are necessary to fund allotments 
to States under subsections (c) and (m).’’. 
(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 paragraph (2)(B)(i), by striking ‘‘,, 
2023, and 2027’’ and inserting ‘‘and 2023’’; 
(B) in paragraph (5)— 
(i) by striking ‘‘for a fiscal year’’ and 
inserting ‘‘for a fiscal year before 2027’’; 
and 
(ii) by striking ‘‘2023, or 2027’’ and 
inserting ‘‘or 2023’’; 
(C) in paragraph (7)— 
(i) in subparagraph (A), by striking 
‘‘and ending with fiscal year 2027,’’; and 
(ii) in the flush left matter at the end, 
by striking ‘‘or fiscal year 2026’’ and in-
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serting ‘‘fiscal year 2026, or a subsequent 
even-numbered fiscal year’’; 
(D) in paragraph (9)— 
(i) by striking ‘‘(10), or (11)’’ and in-
serting ‘‘or (10)’’; and 
(ii) by striking ‘‘2023, or 2027,’’ 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(Public Law 115–123) is repealed.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 (C), by striking at the end 
‘‘and’’; 
(2) in subparagraph (D), 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 2028, $15,000,000 for 
the purpose of carrying out this section (other 
than subsections (e), (f), and (g)); and 
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‘‘(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 
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, 2027’’; 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, 2027’’ and 
inserting ‘‘Beginning on the date of the en-
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amount equal to 10 percent of such amounts’’ 
and inserting ‘‘Beginning with fiscal year 2024, 
an amount equal to 10 percent of such amounts 
for the period or the fiscal year for which such 
amounts are appropriated’’; and 
(2) in subsection (g)— 
(A) by striking ‘‘2017,,’’ and inserting 
‘‘2017,’’; 
(B) by striking ‘‘and $48,000,000’’ and in-
serting ‘‘$48,000,000’’; and 
(C) by inserting after ‘‘through 2027’’ the 
following: ‘‘, $12,000,000 for fiscal year 2028, 
and, for each fiscal year after fiscal year 2028, 
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)— 
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(i) by striking ‘‘and 2024 through 
2026’’ and inserting ‘‘beginning with fiscal 
year 2024’’; and 
(ii) by striking ‘‘2023, and 2027’’ and 
inserting ‘‘, and 2023’’; and 
(B) in subparagraph (B)— 
(i) by striking ‘‘2024 through 2026’’ 
and inserting ‘‘beginning with fiscal year 
2024’’; and 
(ii) by striking ‘‘2023, and 2027’’ and 
inserting ‘‘, and 2023’’; and 
(2) in paragraph (3)(A)— 
(A) by striking ‘‘fiscal years 2024 through 
2026’’ and inserting ‘‘fiscal year 2024 or any 
subsequent fiscal year’’; and 
(B) by striking ‘‘2023, or 2027’’ 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 
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(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 
of the date of the enactment of this sub-
clause; and’’. 
Æ 
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