I 
110TH CONGRESS 
2D SESSION 
H. R. 6788 
To amend title XXI of the Social Security Act to extend through fiscal 
year 2012 funding under the State Children’s Health Insurance Program 
(SCHIP). 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 1, 2008 
Mr. KUHL of New York (for himself, Mr. KNOLLENBERG, Mrs. BIGGERT, Mr. 
DEAL of Georgia, Mr. CHABOT, Mr. ADERHOLT, Mr. WALDEN of Oregon, 
Mr. UPTON, Mr. PRICE of Georgia, Mr. GINGREY, Mrs. DRAKE, Mr. 
ROGERS
of Michigan, Mr. BILIRAKIS, Ms. ROS-LEHTINEN, Mr. 
WALBERG, Mr. HAYES, Mr. MCCOTTER, Mr. BURGESS, Mr. HELLER of 
Nevada, Mr. LINCOLN DIAZ-BALART of Florida, Mr. MARIO DIAZ- 
BALART of Florida, Mr. EHLERS, Mrs. MUSGRAVE, Mr. SHAYS, Mr. 
BOUSTANY, Mrs. MYRICK, Mr. STEARNS, Mr. PICKERING, Mr. TIM MUR-
PHY of Pennsylvania, Mr. SHIMKUS, Mr. RADANOVICH, Mr. ROSKAM, Mr. 
FERGUSON, Mr. KING of Iowa, Mr. WESTMORELAND, Mr. WHITFIELD of 
Kentucky, Mr. FEENEY, Mr. NEUGEBAUER, Mr. GRAVES, Ms. GINNY 
BROWN-WAITE of Florida, Mr. BARTON of Texas, Mrs. SCHMIDT, Mr. 
SMITH of Nebraska, Mr. MCKEON, Mr. HALL of Texas, Ms. FALLIN, Mr. 
KLINE of Minnesota, Mr. DAVIS of Kentucky, Mrs. BACHMANN, Mr. 
CAMP of Michigan, and Mr. TURNER) 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 extend 
through fiscal year 2012 funding under the State Chil-
dren’s Health Insurance Program (SCHIP). 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘SCHIP Full Funding 
Extension Act of 2008’’. 
SEC. 2. EXTENDING SCHIP FUNDING THROUGH FISCAL 
YEAR 2012. 
(a) THROUGH FISCAL YEAR 2012.— 
(1) IN GENERAL.—Section 2104 of the Social 
Security Act (42 U.S.C. 1397dd), as amended by 
section 201 of the Medicare, Medicaid, and SCHIP 
Extension Act of 2007 (Public Law 110–173), is 
amended— 
(A) in subsection (a)(11), by striking ‘‘and 
2009’’ and inserting ‘‘, 2009, 2010, 2011, and 
2012’’; and 
(B) in subsection (c)(4)(B), by striking 
‘‘through 2009’’ and inserting ‘‘through 2012’’. 
(2) AVAILABILITY OF EXTENDED FUNDING.— 
Funds made available from any allotment made 
from funds appropriated under subsection (a)(11) or 
(c)(4)(B) of section 2104 of the Social Security Act 
(42 U.S.C. 1397dd) for fiscal year 2009, 2010, 
2011, or 2012 shall not be available for child health 
assistance for items and services furnished after 
September 30, 2012. 
(b) EXTENSION
OF TREATMENT
OF QUALIFYING 
STATES.— 
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(1) IN GENERAL.—Section 2105(g)(1)(A) of the 
Social Security Act (42 U.S.C. 1397ee(g)(1)(A)), as 
amended by section 201(b) of the Medicare, Med-
icaid, and SCHIP Extension Act of 2007 (Public 
Law 110–173), is amended by striking ‘‘or 2009’’ 
and inserting ‘‘2009, 2010, 2011, or 2012’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
201(b) of such Public Law is amended by striking 
paragraph (2). 
(c) ADDITIONAL ALLOTMENTS TO MAINTAIN SCHIP 
PROGRAMS THROUGH FISCAL YEAR 2012.—Section 2104 
of the Social Security Act (42 U.S.C. 1397dd) is amended 
by striking subsection (l) and inserting the following new 
subsections: 
‘‘(l) 
ADDITIONAL
ALLOTMENTS
TO
MAINTAIN 
SCHIP PROGRAMS FOR FISCAL YEAR 2009.— 
‘‘(1) APPROPRIATION; ALLOTMENT
AUTHOR-
ITY.—For the purpose of providing additional allot-
ments described in subparagraphs (A) and (B) of 
paragraph (3), there is appropriated, out of any 
money in the Treasury not otherwise appropriated, 
such sums as may be necessary, not to exceed 
$2,000,000,000 for fiscal year 2009. 
‘‘(2) SHORTFALL
STATES
DESCRIBED.—For 
purposes of paragraph (3), a shortfall State de-
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‘‘(B) to each commonwealth or territory 
described in subsection (c)(3), an amount equal 
to the percentage specified in subsection (c)(2) 
for the commonwealth or territory multiplied by 
1.05 percent of the sum of the amounts deter-
mined for each shortfall State under subpara-
graph (A). 
‘‘(4) PRORATION RULE.—If the amounts avail-
able for additional allotments under paragraph (1) 
are less than the total of the amounts determined 
under subparagraphs (A) and (B) of paragraph (3), 
the amounts computed under such subparagraphs 
shall be reduced proportionally. 
‘‘(5) RETROSPECTIVE ADJUSTMENT.—The Sec-
retary may adjust the estimates and determinations 
made to carry out this subsection as necessary on 
the basis of the amounts reported by States not 
later than November 30, 2008, on CMS Form 64 or 
CMS Form 21, as the case may be, and as approved 
by the Secretary. 
‘‘(6) ONE-YEAR AVAILABILITY; NO REDISTRIBU-
TION OF UNEXPENDED ADDITIONAL ALLOTMENTS.— 
Notwithstanding subsections (e) and (f), amounts al-
lotted to a State pursuant to this subsection for fis-
cal year 2009, subject to paragraph (5), shall only 
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remain available for expenditure by the State 
through September 30, 2009. Any amounts of such 
allotments that remain unexpended as of such date 
shall not be subject to redistribution under sub-
section (f). 
‘‘(m) ADDITIONAL
ALLOTMENTS
TO
MAINTAIN 
SCHIP PROGRAMS FOR FISCAL YEAR 2010.— 
‘‘(1) APPROPRIATION; ALLOTMENT
AUTHOR-
ITY.—For the purpose of providing additional allot-
ments described in subparagraphs (A) and (B) of 
paragraph (3), there is appropriated, out of any 
money in the Treasury not otherwise appropriated, 
such sums as may be necessary, not to exceed 
$3,000,000,000 for fiscal year 2010. 
‘‘(2) SHORTFALL
STATES
DESCRIBED.—For 
purposes of paragraph (3), a shortfall State de-
scribed in this paragraph is a State with a State 
child health plan approved under this title for which 
the Secretary estimates, on the basis of the most re-
cent data available to the Secretary, that the Fed-
eral share amount of the projected expenditures 
under such plan for such State for fiscal year 2010 
will exceed the sum of— 
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‘‘(A) the amount of the State’s allotments 
for each of fiscal years 2008 and 2009 that will 
not be expended by the end of fiscal year 2009; 
‘‘(B) the amount, if any, that is to be re-
distributed to the State during fiscal year 2010 
in accordance with subsection (f); and 
‘‘(C) the amount of the State’s allotment 
for fiscal year 2010. 
‘‘(3) ALLOTMENTS.—In addition to the allot-
ments provided under subsections (b) and (c), sub-
ject to paragraph (4), of the amount available for 
the additional allotments under paragraph (1) for 
fiscal year 2010, the Secretary shall allot— 
‘‘(A) to each shortfall State described in 
paragraph (2) not described in subparagraph 
(B) such amount as the Secretary determines 
will eliminate the estimated shortfall described 
in such paragraph for the State; and 
‘‘(B) to each commonwealth or territory 
described in subsection (c)(3), an amount equal 
to the percentage specified in subsection (c)(2) 
for the commonwealth or territory multiplied by 
1.05 percent of the sum of the amounts deter-
mined for each shortfall State under subpara-
graph (A). 
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‘‘(4) PRORATION RULE.—If the amounts avail-
able for additional allotments under paragraph (1) 
are less than the total of the amounts determined 
under subparagraphs (A) and (B) of paragraph (3), 
the amounts computed under such subparagraphs 
shall be reduced proportionally. 
‘‘(5) RETROSPECTIVE ADJUSTMENT.—The Sec-
retary may adjust the estimates and determinations 
made to carry out this subsection as necessary on 
the basis of the amounts reported by States not 
later than November 30, 2010, on CMS Form 64 or 
CMS Form 21, as the case may be, and as approved 
by the Secretary. 
‘‘(6) AVAILABILITY; NO
REDISTRIBUTION
OF 
UNEXPENDED ADDITIONAL ALLOTMENTS.—Notwith-
standing subsections (e) and (f), amounts allotted to 
a State pursuant to this subsection for fiscal year 
2010, subject to paragraph (5), shall only remain 
available for expenditure by the State through Sep-
tember 30, 2010. Any amounts of such allotments 
that remain unexpended as of such date shall not be 
subject to redistribution under subsection (f). 
‘‘(n) APPLICATION
TO FISCAL YEARS 2011 AND 
2012.— 
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‘‘(1) IN GENERAL.—Subject to paragraph (2), 
subsection (m) shall apply to each of fiscal years 
2011 and 2012 in the same manner such subsection 
applies to fiscal year 2010. 
‘‘(2) APPLICATION.—In applying subsection (m) 
under paragraph (1) with respect to— 
‘‘(A) fiscal year 2011— 
‘‘(i) each reference to a year or date 
in such subsection shall be deemed a ref-
erence to the following year or to one year 
after such date, respectively; and 
‘‘(ii) the reference to ‘$3,000,000,000’ 
in paragraph (1) of such subsection shall 
be deemed a reference to ‘$4,000,000,000’; 
and 
‘‘(B) fiscal year 2012— 
‘‘(i) each reference to a year or date 
in such subsection shall be deemed a ref-
erence to the second following year or to 
two year after such date, respectively; and 
‘‘(ii) the reference to ‘$3,000,000,000’ 
in paragraph (1) of such subsection shall 
be 
deemed 
a 
reference 
to 
‘$5,000,000,000’.’’. 
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