I 
115TH CONGRESS 
1ST SESSION H. R. 4515 
To amend title XXI of the Social Security Act to provide for a special 
rule during the first quarter of fiscal year 2018 for the redistribution 
of certain Children’s Health Insurance Program allocations for certain 
shortfall States. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 1, 2017 
Mr. COSTELLO of Pennsylvania (for himself, Mr. EMMER, Mr. WALDEN, and 
Mr. BURGESS) introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend title XXI of the Social Security Act to provide 
for a special rule during the first quarter of fiscal year 
2018 for the redistribution of certain Children’s Health 
Insurance Program allocations for certain shortfall 
States. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
VerDate Sep 11 2014 
03:20 Dec 05, 2017
Jkt 079200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H4515.IH
H4515
dlhill on DSK3GLQ082PROD with BILLS
SECTION 1. CHIP ALLOCATION REDISTRIBUTION SPECIAL 
RULE FOR CERTAIN SHORTFALL STATES 
DURING FIRST QUARTER OF FISCAL YEAR 
2018. 
Section 2104(f)(2) of the Social Security Act (42 
U.S.C. 1397dd(f)(2)) is amended— 
(1) by amending subparagraph (B) to read as 
follows: 
‘‘(B) DETERMINATION OF REDISTRIBUTED 
AMOUNTS
IF
INSUFFICIENT
AMOUNTS
AVAIL-
ABLE.— 
‘‘(i) PRORATION
RULE.—Subject to 
clause (ii), if the amounts available for re-
distribution under paragraph (1) for a fis-
cal year are less than the total amounts of 
the estimated shortfalls determined for the 
year under subparagraph (A), the amount 
to be redistributed under such paragraph 
for each shortfall State shall be reduced 
proportionally. 
‘‘(ii) SPECIAL RULE FOR FIRST QUAR-
TER OF FISCAL YEAR 2018.— 
‘‘(I) IN GENERAL.—For the pe-
riod beginning on October 1, 2017, 
and ending December 31, 2017, with 
respect to any amounts available for 
VerDate Sep 11 2014 
03:20 Dec 05, 2017
Jkt 079200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H4515.IH
H4515
dlhill on DSK3GLQ082PROD with BILLS
estimates, in accordance with sub-
paragraph (A) (unless otherwise speci-
fied in this subclause), that the pro-
jected expenditures under the State 
child health plan and under section 
2105(g) (calculated as if the reference 
under section 2105(g)(4)(A) to ‘2017’ 
were a reference to ‘2018’ and insofar 
as the allotments are available to the 
State under this subsection or sub-
section (e) or (m)) for such period will 
exceed the sum of the amounts de-
scribed in clauses (i) through (iii) of 
subparagraph (A) for such period, in-
cluding 
after 
application 
of 
any 
amount redistributed under paragraph 
(1) before such date of enactment to 
such State. A shortfall State may be 
an emergency shortfall State under 
the previous sentence without regard 
to whether any amounts were redis-
tributed before such date of enact-
ment to such State under paragraph 
(1) for fiscal year 2018. 
VerDate Sep 11 2014 
03:20 Dec 05, 2017
Jkt 079200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H4515.IH
H4515
dlhill on DSK3GLQ082PROD with BILLS
‘‘(III) APPLICATION
OF
QUALI-
FYING
STATE
OPTION.—During the 
period described in subclause (I), sec-
tion 2105(g)(4) shall apply to a quali-
fying State (as defined in section 
2105(g)(2)) 
as 
if 
under 
section 
2105(g)(4)— 
‘‘(aa) the reference to ‘2017’ 
were a reference to ‘2018’; and 
‘‘(bb) the reference to ‘under 
subsections (e) and (m) of such 
section’ were a reference to 
‘under subsections (e), (f), and 
(m) of such section’.’’; and 
(2) by adding at the end the following new sub-
paragraph: 
‘‘(D) RULE OF CONSTRUCTION.—Nothing 
in this paragraph may be construed as pre-
venting a commonwealth or territory described 
in subsection (c)(3) from being treated as a 
shortfall State or an emergency shortfall 
State.’’. 
Æ 
VerDate Sep 11 2014 
03:20 Dec 05, 2017
Jkt 079200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6301
E:\BILLS\H4515.IH
H4515
dlhill on DSK3GLQ082PROD with BILLS