I 
111TH CONGRESS 
2D SESSION 
H. R. 4708 
To amend titles XIX and XXI of the Social Security Act to require citizenship 
and immigration verification of eligibility under Medicaid and the State 
Children’s Health Insurance Program. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 25, 2010 
Mr. TIAHRT (for himself, Mr. HELLER, Mr. BILBRAY, Mrs. MYRICK, and Mr. 
JONES) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To amend titles XIX and XXI of the Social Security Act 
to require citizenship and immigration verification of eli-
gibility under Medicaid and the State 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 ‘‘Reinstatement of Per-
sonal Responsibility for Immigrants Act of 2010’’. 
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SEC. 2. REINSTATEMENT OF 5-YEAR BAN FOR LEGAL IMMI-
GRANTS. 
(a) IN GENERAL.—Section 1903(v) of the Social Se-
curity Act (42 U.S.C. 1396b(v)) is amended— 
(1) in paragraph (1), by striking ‘‘paragraphs 
(2) and (4)’’ and inserting ‘‘paragraph (2)’’; and 
(2) by striking paragraph (4). 
(b) CONFORMING
SCHIP AMENDMENT.—Section 
2107(e)(1) of such Act (42 U.S.C. 1397gg(e)(1)) is 
amended by striking subparagraph (E). 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to medical assistance and child 
health assistance for items and services furnished on or 
after the first day of the first month beginning more than 
60 days after the date of the enactment of this Act. 
SEC. 3. REQUIREMENT FOR USE OF SAVE PROGRAM UNDER 
SCHIP. 
(a) IN GENERAL.—Section 1137(b)(2) of the Social 
Security Act (42 U.S.C. 1337(b)(2)) is amended by insert-
ing before the semicolon at the end the following: ‘‘and 
the State children’s health insurance program under title 
XXI of this Act’’. 
(b) CONFORMING AMENDMENTS.—Section 2107(e) 
of such Act (42 U.S.C. 1397gg(e)) is amended— 
(1) by adding at the end of paragraph (1) the 
following new subparagraph: 
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‘‘(M) Sections 1902(a)(46), 1903(a)(4), 
1903(i)(22), and 1903(x) (relating to applica-
tion of SAVE program).’’; and 
(2) by adding at the end of paragraph (2) the 
following new subparagraph: 
‘‘(H) Section 1137 (relating to the SAVE 
program).’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to determinations (and redeter-
minations) of eligibility made on or after the first day of 
the first month beginning more than 60 days after the 
date of the enactment of this Act. 
SEC. 
4. 
APPLICATION 
OF 
PRE-CHIPRA 
CITIZENSHIP 
VERIFICATION PROCEDURES UNDER MED-
ICAID AND SCHIP. 
(a) IN GENERAL.—Section 1902 of the Social Secu-
rity Act (42 U.S.C. 1396a) is amended— 
(1) in subsection (a)(46)(B), by striking ‘‘the 
requirements of’’ and all that follows and inserting 
‘‘the requirements of section 1903(x);’’; and 
(2) by striking subsection (ee). 
(b) CONFORMING AMENDMENTS.— 
(1) IN GENERAL.—Section 1903 of such Act 
(42 U.S.C. 1396b) is amended— 
(A) in subsection (a)(3)— 
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(i) in subparagraph (E), by striking 
‘‘and’’ at the end and inserting ‘‘plus’’; 
and 
(ii) by striking the subparagraph (F) 
relating to implementation of section 
1902(ee); 
(B) in subsection (i)(22), by striking 
‘‘1902(a)(46)(B)’’ and inserting ‘‘1903(x)’’; and 
(C) in subsection (x)(1), by striking ‘‘sec-
tion 1902(a)(46)(B)(i)’’ and inserting ‘‘section 
1902(a)(46)(B) and subsection (i)(22)’’. 
(2) SCHIP.—Section 2105(c)(9) of such Act 
(42 U.S.C. 1397ee(c)(9)) is amended by striking 
subparagraph (B). 
(c) RESCISSION
OF
UNOBLIGATED
AMOUNTS.— 
Amounts appropriated under section 211(a)(4) of the 
Children’s Health Insurance Program Reauthorization 
Act of 2009 (Public Law 111–3) which are not obligated 
as of the date of the enactment of this Act are hereby 
rescinded. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to determinations (and redeter-
minations) of eligibility made on or after the first day of 
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the first month beginning more than 60 days after the 
date of the enactment of this Act. 
Æ 
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