I 
110TH CONGRESS 
1ST SESSION H. R. 2147 
To amend titles XXI and XIX of the Social Security Act to extend the 
State Children’s Health Insurance Program (SCHIP) and streamline 
enrollment under SCHIP and Medicaid and to amend the Internal Rev-
enue Code of 1986 to provide for a healthy savings tax credit for 
purchase of children’s health coverage. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 3, 2007 
Mr. EMANUEL (for himself, Mr. RAMSTAD, Mr. LAHOOD, Mr. ROSS, Ms. 
SCHWARTZ, Ms. SHEA-PORTER, Mrs. EMERSON, Mr. KENNEDY, Mr. 
COURTNEY, Mr. PLATTS, Mr. SCHIFF, Mrs. MCCARTHY of New York, 
Mr. MCNULTY, Mr. ALEXANDER, Ms. HIRONO, Ms. BERKLEY, Mr. SAR-
BANES, Mr. COHEN, Mr. MORAN of Virginia, Ms. NORTON, Mr. JACKSON 
of Illinois, Mr. DAVIS of Alabama, Mr. SMITH of Washington, Mr. KIND, 
Mrs. TAUSCHER, Mr. CROWLEY, Mr. RUSH, Mr. HARE, Mr. HIGGINS, 
Mr. BRALEY of Iowa, Mr. SNYDER, Mr. MEEKS of New York, and Mr. 
CLEAVER) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committee on 
Ways and Means, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To amend titles XXI and XIX of the Social Security Act 
to extend the State Children’s Health Insurance Program 
(SCHIP) and streamline enrollment under SCHIP and 
Medicaid and to amend the Internal Revenue Code of 
1986 to provide for a healthy savings tax credit for 
purchase of children’s health coverage. 
VerDate Aug 31 2005 
02:58 May 05, 2007
Jkt 059200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6652
E:\BILLS\H2147.IH
H2147
hmoore on PRODPC68 with HMBILLS
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS; FINDINGS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Healthy Kids Act of 2007’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents; findings. 
TITLE I—SCHIP EXTENSION 
Sec. 101. Extension of SCHIP program. 
Sec. 102. 1-year initial availability of SCHIP allotments. 
Sec. 103. Redistribution of unused allotments to address State funding short-
falls. 
TITLE II—INCREASING ENROLLMENT UNDER SCHIP AND 
MEDICAID 
Sec. 201. Bonus payments for States that implement administrative policies to 
streamline enrollment process. 
Sec. 202. State option to provide for ‘‘express lane’’ and simplified determina-
tions of a child’s financial eligibility for medical assistance 
under Medicaid or child health assistance under SCHIP. 
Sec. 203. Information technology connections to improve health coverage deter-
minations. 
Sec. 204. State option to expand or add coverage of certain pregnant women 
under SCHIP. 
Sec. 205. Optional coverage of legal immigrants under the medicaid program 
and SCHIP. 
Sec. 206. Authorizing adjustment of SCHIP allotment due to increased out-
reach. 
Sec. 207. Grants to promote innovative outreach and enrollment under Med-
icaid and SCHIP. 
Sec. 208. Model of Interstate coordinated enrollment and coverage process. 
Sec. 209. Authority for qualifying States to use portion of SCHIP allotment for 
any fiscal year for certain medicaid expenditures. 
Sec. 210. Application of medicaid outreach procedures to all pregnant women 
and children. 
Sec. 211. No impact on section 1115 waivers. 
Sec. 212. Elimination of counting medicaid child presumptive eligibility costs 
against title XXI allotment. 
Sec. 213. Prohibiting limitations on enrollment. 
TITLE III—HEALTHY SAVINGS TAX CREDIT 
Sec. 301. Healthy savings tax credit. 
VerDate Aug 31 2005 
02:58 May 05, 2007
Jkt 059200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6211
E:\BILLS\H2147.IH
H2147
hmoore on PRODPC68 with HMBILLS
TITLE IV—BROKER REPORTING OF CUSTOMER’S BASIS IN 
SECURITIES TRANSACTIONS 
Sec. 401. Broker reporting of customer’s basis in securities transactions. 
(c) FINDINGS REGARDING
THE NEED
FOR UNI-
VERSAL HEALTH COVERAGE FOR CHILDREN.—Congress 
finds the following: 
(1) Currently, there are more than 9 million 
children who are uninsured in the United States. 
(2) Approximately 75 percent of uninsured chil-
dren are eligible for Medicaid or the State Children’s 
Health Insurance Program (SCHIP). 
(3) As the wealthiest nation in the world, the 
United States can and should be doing a better job 
to improve the health of children. 
(4) In 2004, according to the World Health Or-
ganization, the United States ranked 35th on infant 
mortality, behind Korea and Cuba. 
(5) Two-thirds of nations have lower rates of 
children dying from injuries than does the United 
States. 
(6) One-third of uninsured children in the 
United States went without any medical care for the 
entire year in 2003, while 88 percent of insured chil-
dren received care. 
VerDate Aug 31 2005 
19:45 May 05, 2007
Jkt 059200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H2147.IH
H2147
hmoore on PRODPC68 with HMBILLS
(7) Uninsured children more often have unmet 
health care needs and delay seeking care, resulting 
in poorer health. 
(8) Uninsured children are less likely to have 
access to and receive appropriate preventive care, 
such as immunizations, hearing and vision screens, 
and monitoring of growth and development. 
(9) Uninsured children are between three and 
five times more likely to have an unmet medical 
need than are insured children. 
(10) Uninsured children may delay necessary 
care because they visit a doctor only when their care 
needs become urgent. 
(11) Uninsured children are four times more 
likely than insured children to seek care in an emer-
gency department with conditions that could have 
been avoided. 
(12) The cost of unmet health needs among 
children extends beyond measurable health system 
costs. 
(13) Recognizing that children whose parents 
have health insurance are more likely to obtain pre-
ventive and necessary care, many States are employ-
ing strategies to promote coverage of the entire fam-
VerDate Aug 31 2005 
02:58 May 05, 2007
Jkt 059200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H2147.IH
H2147
hmoore on PRODPC68 with HMBILLS
ily and offer programs that leverage employer spon-
sored insurance. 
(14) Problems that should be managed or cured 
with regular access to health care result in lower 
school attendance. 
(15) In 2004, asthma alone accounted for an 
estimate 14 million lost school days among children. 
(16) Recurrent ear infections, which could be 
addressed through regular access to health care, re-
duce children’s ability to communicate and thus 
school readiness and performance. 
(d) FINDINGS REGARDING THE ROLE OF MEDICAID 
AND SCHIP IN COVERING CHILDREN.—Congress finds 
the following: 
(1) Since SCHIP was created, enormous 
progress has been made in reducing disparities in 
children’s coverage rates. 
(2) SCHIP and Medicaid have improved chil-
dren’s coverage rates and access to needed health 
care services. 
(3) SCHIP and Medicaid account for the 30 
percent decline in the number of uninsured children 
since 1998, even as employer-based coverage de-
creased and the overall rate of uninsured people 
grew. 
VerDate Aug 31 2005 
19:45 May 05, 2007
Jkt 059200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H2147.IH
H2147
hmoore on PRODPC68 with HMBILLS