I 
118TH CONGRESS 
2D SESSION 
H. R. 9688 
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 
SEPTEMBER 19, 2024 
Ms. CASTOR of Florida (for herself and Ms. CARAVEO) introduced the 
following bill; which was referred 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.— 
(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; 
and 
(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. 
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‘‘(B) CHILDREN AGES 6 THROUGH 18.— 
The State plan’’. 
(2) CHIP.—Section 2107(e)(1)(K) of the So-
cial Security Act (42 U.S.C. 1397gg(e)(1)(K)) 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)) is amended— 
(A) in paragraph (86), by striking ‘‘and’’ 
at the end; 
(B) in paragraph (87), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(C) by inserting after paragraph (87) the 
following new paragraph: 
‘‘(88) 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 
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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)) is amended— 
(A) by redesignating subparagraphs (H) 
through (U) as subparagraphs (I) through (V), 
respectively; and 
(B) by inserting after subparagraph (G) 
the following new subparagraph: 
‘‘(H) Section 1902(a)(88) (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. 
Æ 
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