I 
118TH CONGRESS 
1ST SESSION H. R. 3805 
To amend title XIX of the Social Security Act to establish a demonstration 
project testing Whole Child Health Models, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 5, 2023 
Ms. BLUNT ROCHESTER (for herself and Mr. BURGESS) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to establish 
a demonstration project testing Whole Child Health Mod-
els, and for other purposes. 
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 ‘‘Kickstarting Innova-
tive Demonstrations Supporting Kids Health Act of 2023’’ 
or the ‘‘KIDS Health Act of 2023’’. 
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SEC. 2. ESTABLISHMENT OF WHOLE CHILD HEALTH MOD-
ELS. 
Section 1903 of the Social Security Act (42 U.S.C. 
1396b) is amended by adding at the end the following new 
subsection: 
‘‘(cc) WHOLE
CHILD
HEALTH
DEMONSTRATION 
PROJECT.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Deputy Administrator and Director of 
the Center for Medicaid and CHIP Services, shall 
conduct a demonstration project (referred to in this 
subsection as the ‘demonstration project’) under 
which participating States shall design and imple-
ment whole child health models in 1 or more target 
communities in accordance with the requirements of 
this 
subsection. 
The 
requirements 
of 
section 
1902(a)(1) (relating to statewideness) shall not 
apply to the demonstration project. 
‘‘(2) DESIGN PHASE.— 
‘‘(A) GRANTS.—Not later than 12 months 
after the date of the enactment of this sub-
section, the Secretary shall award up to 15 
grants to States that submit complete applica-
tions for such grants which meet the require-
ments of subparagraph (C). 
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‘‘(B) 
SELECTION
OF
GRANTEES.—In 
awarding grants under this paragraph, the Sec-
retary shall, to the extent possible, prioritize 
awarding grants to a geographically diverse se-
lection of States and target communities of dif-
ferent sizes and with varying experience with 
value-based payment, including rural and urban 
communities. 
‘‘(C) GRANT APPLICATION.—A State shall 
include in an application for a grant awarded 
under this paragraph the following: 
‘‘(i) A description of each proposed 
target community in which the State pro-
poses to implement a whole child health 
model. 
‘‘(ii) For each target community de-
scribed in clause (i), a statement of the 
proposed objectives of the State in imple-
menting a whole child health model in that 
community. 
‘‘(iii) Such other information as the 
Secretary may require. 
‘‘(D) USE OF GRANT FUNDS.— 
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‘‘(i) IN GENERAL.—A State awarded a 
grant under this paragraph shall use the 
grant funds to— 
‘‘(I) conduct or use an existing 
needs assessment that is not more 
than two years old and meets the re-
quirements of clause (ii) for each pro-
posed target community; 
‘‘(II) not later than 12 months 
after being awarded the grant, design 
and submit for approval by the Sec-
retary a proposed whole child health 
model that meets the requirements of 
subparagraph (E) for each target 
community based on the results of the 
needs assessment and other assess-
ments or surveys conducted for that 
community; and 
‘‘(III) implement the whole child 
health model during the implementa-
tion phase described in paragraph (3). 
‘‘(ii) NEEDS
ASSESSMENT
REQUIRE-
MENTS.—A needs assessment conducted 
for a proposed target community with 
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grant funds awarded to a State shall in-
clude the following: 
‘‘(I) An evaluation of the physical 
health, mental, emotional and behav-
ioral health, developmental, social, re-
lational and substance use disorder 
service needs of eligible individuals in 
the target community, including needs 
that could be addressed through popu-
lation-based 
or 
community-based 
interventions. 
‘‘(II) A review of the resources 
available to meet the physical health, 
mental health, and substance use dis-
order service needs of eligible individ-
uals in the target community. 
‘‘(III) A description of the bar-
riers identified in the target commu-
nity to eligible individuals accessing 
resources and services to address their 
physical health, mental health, and 
substance use disorder service needs. 
‘‘(IV) A description of health dis-
parities identified in the target com-
munity, including input from commu-
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nity residents in the target commu-
nity. 
‘‘(E) WHOLE CHILD HEALTH MODEL RE-
QUIREMENTS.— 
‘‘(i) IN GENERAL.—A proposed whole 
child health model shall include descrip-
tions of the following: 
‘‘(I) How the State and its multi- 
sector partners will address the phys-
ical health, mental, emotional and be-
havioral health, developmental, social, 
relational and substance use disorder 
service needs of eligible individuals in 
the target community identified in the 
needs assessment of that community 
through implementation of the whole 
child health model and provision of 
whole child health services. 
‘‘(II) How the State Medicaid, 
human services, and child welfare 
agencies will coordinate with commu-
nity partners to ensure the successful 
implementation of the whole child 
health model in the target commu-
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nities and the provision of whole child 
health services. 
‘‘(III) The lead agency or other 
entity the State proposes to designate 
to coordinate activities carried out to 
implement the whole child health 
model in the target communities. 
‘‘(ii) REQUIREMENTS.—A proposed 
whole child health model shall meet the fol-
lowing requirements: 
‘‘(I) Align with an existing or 
planned delivery and payment system 
of the State plan under this title or 
under a waiver of such plan, includ-
ing, as applicable, a managed care de-
livery system. 
‘‘(II) Include partnerships with 
child and family serving organizations 
and agencies such as health care pro-
viders, payers, school districts, public 
health and child care. 
‘‘(III) Promote the delivery of 
trauma-informed and culturally com-
petent care, including strategies to ad-
dress systemic resource needs, includ-
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ing workforce shortages, in the target 
community and an assessment of the 
potential impact of the model on 
health equity, disparities, and safety 
net providers in the target commu-
nity. 
‘‘(IV) Coordinate funding sources 
under the State plan under this title 
(or under a waiver of plan), the State 
plans under parts B and E of title IV, 
and other applicable funding sources, 
for the whole child health services pro-
vided under the model. 
‘‘(V) Include— 
‘‘(aa) the design and imple-
mentation or adaptation of a 
value-based 
payment 
arrange-
ment for providing whole child 
health services under the State 
plan under this title (or under a 
waiver of such plan) that pro-
motes pediatric health; or 
‘‘(bb) in the case of a State 
that faces significant barriers to 
implementing or adapting such a 
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value-based 
payment 
arrange-
ment, a proposal for steps that 
the State will take towards ad-
vancing value-based care with re-
spect to whole child health serv-
ices provided under the State 
plan under this title (or under a 
waiver of such plan). 
‘‘(VI) Include strategies to co-
ordinate referrals to whole child 
health services, including using tele-
health, referral networks and/or other 
technologies to facilitate access to 
whole child health services. 
‘‘(VII) Include strategies to pro-
mote the integration of primary care 
with whole child health services and 
substance use disorder services. 
‘‘(VIII) Include strategies to inte-
grate and streamline eligibility, enroll-
ment, and renewal processes to facili-
tate enrollment in health coverage and 
other benefit programs. 
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‘‘(IX) Include strategies to pro-
mote 
school-based 
health 
and 
wellness. 
‘‘(X) Describe how the State will 
leverage or enhance existing health in-
formation technology infrastructure 
and cross-sector data-sharing capabili-
ties to support the provision of en-
hanced care coordination services, in-
cluding with respect to claiming ad-
ministrative matching funds for the 
design, development, and installation 
of data systems to allow or enhance 
coordination among State agencies 
and other entities. 
‘‘(XI) Describe how the State will 
evaluate the impact of the model on 
child health and disparities in health 
outcomes, according to requirements 
outlined by the Secretary. 
‘‘(XII) Include other such popu-
lation health strategies or core serv-
ices as the State determines appro-
priate. 
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‘‘(iii) 
PARTICIPATION
BY
INDIAN 
TRIBES IN WHOLE CHILD HEALTH MOD-
ELS.—The Secretary may waive or other-
wise modify the requirements for a whole 
child health model described in clause (ii) 
to the extent necessary to permit Indian 
tribes to participate in such a model. 
‘‘(3) IMPLEMENTATION PHASE.—After the de-
sign period, the implementation phase of the dem-
onstration project shall be conducted for a period of 
not less than 48 months and not more than 72 
months. 
‘‘(4) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(A) IN GENERAL.—There are authorized 
to be appropriated to the Secretary for the pur-
pose of carrying out this subsection, out of any 
funds in the Treasury not otherwise appro-
priated, $125,000,000, to remain available until 
expended. 
‘‘(B) LIMITATION
ON
USE
OF
FUNDS.— 
From any amounts appropriated pursuant to 
this paragraph, the Secretary shall use— 
‘‘(i) not more than $2,000,000 for ad-
ministrative costs, staffing, and reporting 
requirements; 
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