‘‘(4) STATE
ALL
HEALTHY
CHILDREN
PLAN; 
STATE PLAN.—The terms ‘State all healthy children 
plan’ and ‘State plan’ mean such a plan as approved 
under this title. 
‘‘(5) STATE.—The term ‘State’ has the mean-
ing given such term for purposes of titles XIX and 
XXI. 
‘‘SEC. 2207. EFFECTIVE DATES; TRANSITION. 
‘‘(a) EFFECTIVE DATE.—Benefits and payments to 
States shall first be available under this title for items and 
services furnished on or after October 1, 2008 (in this sec-
tion referred to as the ‘All Healthy Children Program ef-
fective date’). 
‘‘(b) TRANSITION PROVISIONS.— 
‘‘(1) IN GENERAL.—Any child under 19 years 
of age, any pregnant woman, or any independent 
foster care adolescent (as defined in section 
1905(w)(1)) who, as of the day before the All 
Healthy Children Program effective date, is enrolled 
under title XIX or XXI shall, as of such effective 
date, automatically qualify for and be enrolled in the 
State plan under this title, with the benefits based 
on the family income of the individual as most re-
cently determined for purposes of the title under 
which the individual was enrolled. 
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‘‘(2) TREATMENT OF SCHIP ADULTS.—In the 
case of an individual not described in paragraph (1) 
who, as of the day before the All Healthy Children 
Program effective date, was enrolled under title XXI 
through a program waiver, during the remainder of 
such program waiver period, so long as the indi-
vidual continues to meet the conditions for eligibility 
under such program waiver, shall be eligible for 
medical assistance under the State plan under title 
XIX and, with respect to medical assistance to such 
individuals, the enhanced FMAP under title XXI 
shall be substituted for the Federal medical assist-
ance percentage (FMAP) for purposes of section 
1903(a)(1). 
‘‘(3) GUIDANCE.—The Secretary shall provide 
guidance and assistance to the States in carrying 
out this section. 
‘‘(c) MEDICAID; SCHIP TRANSITION.—Notwith-
standing any other provision of law, as of the All Healthy 
Children Program effective date, any all healthy children 
eligible individual shall not be eligible for medical assist-
ance under title XIX or child health assistance under title 
XXI and no Federal financial participation shall be avail-
able under either such title with respect to such individ-
uals.’’. 
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SEC. 3. COMMISSION ON CHILDREN’S HEALTH COVERAGE. 
(a) ESTABLISHMENT.—There is hereby established a 
Commission on Children’s Health Coverage (in this sec-
tion referred to as the ‘‘Commission’’). 
(b) COMPOSITION.— 
(1) IN
GENERAL.—The Commission shall be 
composed of the following: 
(A) Four members one each appointed by 
the majority and minority leaders of the House 
of Representatives and the majority and minor-
ity leaders of the Senate. 
(B) One member appointed by the Sec-
retary of Health and Human Services. 
(C) Two members one each appointed by 
the American Academy of Pediatrics and by the 
Institute of Medicine of the National Academies 
of Science. 
(D) One member appointed by the Sec-
retary of Health and Human Services who is a 
representative of parents of children with spe-
cial health care needs. 
(E) One member appointed by the Sec-
retary of Health and Human Services who is a 
representative of a children’s advocacy group. 
(F) Two non-voting advisory members ap-
pointed by the National Governors Association. 
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Appointment of members of the Commission shall 
first be made not later than 60 days after the date 
of the enactment of this Act. 
(2) TERMS.—The term of each member of the 
Commission shall be for 2 years. A vacancy shall be 
filled in the same manner as the original appoint-
ment but the member so appointed shall serve for 
the remainder of the term of the vacating member. 
(3) COMPENSATION.—Members of the Commis-
sion who are not Federal officers or employees shall 
be entitled to compensation, including travel time, at 
a per diem rate equivalent of rate for level IV of Ex-
ecutive Schedule under section 5315 of title 5, 
United States Code, and for travel expense reim-
bursement, at rates authorized for employees of 
agencies under such title. 
(4) CHAIR.—The Secretary shall designate a 
member to serve as Chair of the Commission. 
(5) MEETINGS.—The Commission shall meet at 
the call of the Chair. 
(6) USE
OF
COMMITTEES.—The Commission 
may establish committees if necessary to carry out 
its duties. 
(c) SUPERMAJORITY REQUIREMENT FOR ACTIONS.— 
Commission actions must be approved by at least six of 
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the members described in subparagraphs (A) through (E) 
of subsection (b)(1). 
(d) ADMINISTRATION.— 
(1) POWERS.— 
(A) HEARINGS.—The Commission may 
hold such hearings, sit and act at such times 
and places, take such testimony, and receive 
such evidence as the Commission considers ad-
visable to carry out this section. 
(B) INFORMATION FROM FEDERAL AGEN-
CIES.—The Commission may secure directly 
from any Federal department or agency such 
information as the Commission considers nec-
essary to carry out this section. Upon request 
of the Chairperson of the Commission, the head 
of such department or agency shall furnish such 
information to the Commission. 
(C) POSTAL SERVICES.—The Commission 
may use the United States mails in the same 
manner and under the same conditions as other 
departments and agencies of the Federal Gov-
ernment. 
(D) GIFTS.—The Commission may accept, 
use, and dispose of gifts or donations of serv-
ices or property. 
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(2) COMPENSATION.—While serving on the 
business of the Commission (including travel time), 
a member of the Commission who is not a Federal 
officer or employee shall be entitled to compensation 
at the per diem equivalent of the rate provided for 
level IV of the Executive Schedule under section 
5315 of title 5, United States Code, and while so 
serving away from home and the member’s regular 
place of business, any member may be allowed travel 
expenses, as authorized by the chairperson of the 
Commission. All members of the Commission who 
are officers or employees of the United States shall 
serve without compensation in addition to that re-
ceived for their services as officers or employees of 
the United States. 
(3) STAFF.— 
(A) IN GENERAL.—The Chair of the Com-
mission may, without regard to the civil service 
laws and regulations, appoint and terminate an 
executive director and such other additional 
personnel as may be necessary to enable the 
Commission to perform its duties. The employ-
ment of an executive director shall be subject to 
confirmation by the Commission. 
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(B) STAFF COMPENSATION.—The Chair of 
the Commission may fix the compensation of 
the executive director and other personnel with-
out regard to chapter 51 and subchapter III of 
chapter 53 of title 5, United States Code, relat-
ing to classification of positions and General 
Schedule pay rates, except that the rate of pay 
for the executive director and other personnel 
may not exceed the rate payable for level V of 
the Executive Schedule under section 5316 of 
such title. 
(C) DETAIL
OF
GOVERNMENT
EMPLOY-
EES.—Any Federal Government employee may 
be detailed to the Commission without reim-
bursement, and such detail shall be without 
interruption or loss of civil service status or 
privilege. 
(D) PROCUREMENT OF TEMPORARY AND 
INTERMITTENT
SERVICES.—The Chair of the 
Commission may procure temporary and inter-
mittent services under section 3109(b) of title 
5, United States Code, at rates for individuals 
which do not exceed the daily equivalent of the 
annual rate of basic pay prescribed for level V 
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of the Executive Schedule under section 5316 
of such title. 
(e) REIMBURSEMENT
OF COSTS.—The Secretary 
shall provide, from general operating funds of the Depart-
ment of Health and Human Services, the Commission 
with such funds and support as may be necessary to sup-
port its activities. 
(f) ANNUAL REPORTS.—Beginning one year after the 
All Healthy Children Program effective date, the Commis-
sion shall transmit to Congress an annual report that eval-
uates the status of children’s health coverage in the 
United States, including an evaluation of the implementa-
tion of title XXII of the Social Security Act and rec-
ommendations for policy improvements at the State and 
national levels and in the private sector to improve such 
coverage. 
(g) SUBMISSION OF LEGISLATIVE PROPOSAL FOR 
UNIVERSAL COVERAGE OF CHILDREN.—Not later than 
three years after the date of the enactment of this Act, 
the Commission shall submit to Congress a report that 
contains a legislative proposal that would assure health 
benefits coverage for all children in the United States. 
Such proposal may include a requirement that parents ob-
tain coverage for their children or that employers fund 
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coverage for children of their workers. The proposal shall 
provide for the following: 
(1) Coverage shall include all medically nec-
essary care for all children. 
(2) Enrollment shall be simple and seamless. 
(3) Unnecessary costs shall be avoided. 
(4) Quality, access and continuity of care shall 
be promoted. 
(h) EXPEDITED CONGRESSIONAL CONSIDERATION 
OF LEGISLATIVE PROPOSAL.— 
(1) BILL INTRODUCTION.— 
(A) IN GENERAL.—Any legislative proposal 
described in subsection (f) may be introduced 
as a bill by request in the following manner: 
(i) HOUSE OF REPRESENTATIVES.—In 
the House of Representatives, by the ma-
jority leader and the minority leader not 
later than 10 days after receipt of the leg-
islative proposal. 
(ii) SENATE.—In the Senate, by the 
majority leader and the minority leader not 
later than 10 days after receipt of the leg-
islative proposal. 
(B) ALTERNATIVE BY ADMINISTRATION.— 
The President may submit a legislative proposal 
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based on the recommendations of the Commis-
sion and such legislative proposal may be intro-
duced in the manner described in subparagraph 
(A). 
(2) COMMITTEE CONSIDERATION.— 
(A) IN GENERAL.—Any legislative proposal 
submitted pursuant to subparagraph (A) or (B) 
of paragraph (1) (in this subsection referred to 
as ‘‘implementing legislation’’) shall be referred 
to the appropriate committees of the House of 
Representatives and the Senate. 
(B) COMMITTEE REPORTING.—If, not later 
than 150 days after the date on which the im-
plementing legislation is referred to a com-
mittee under subparagraph (A), the committee 
has reported the implementing legislation or 
has reported an original bill whose subject is re-
lated to universal health benefits coverage of 
children, or to providing access to affordable 
health care coverage for all children, the regular 
rules of the applicable House of Congress shall 
apply to such legislation. 
(C) DISCHARGE FROM COMMITTEES.— 
(i) SENATE.— 
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(I) IN GENERAL.—If the imple-
menting legislation or an original bill 
described in paragraph (1) has not 
been reported by a committee of the 
Senate within 180 days after the date 
on which such legislation was referred 
to committee under subparagraph (A), 
it shall be in order for any Senator to 
move to discharge the committee from 
further consideration of such imple-
menting legislation. 
(II) SEQUENTIAL REFERRALS.— 
Should a sequential referral of the im-
plementing legislation be made, the 
additional committee has 30 days for 
consideration of implementing legisla-
tion before the discharge motion de-
scribed in subclause (I) would be in 
order. 
(III) PROCEDURE.—The motion 
described in subclause (I) shall not be 
in order after the implementing legis-
lation has been placed on the cal-
endar. While the motion described in 
subclause (I) is pending, no other mo-
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tions related to the motion described 
in subclause (I) shall be in order. De-
bate on a motion to discharge shall be 
limited to not more than 10 hours, 
equally divided and controlled by the 
majority leader and the minority lead-
er, or their designees. An amendment 
to the motion shall not be in order, 
nor shall it be in order to move to re-
consider the vote by which the motion 
is agreed or disagreed to. 
(IV) 
EXCEPTION.—If 
imple-
menting language is submitted on a 
date later than May 1 of the second 
session of a Congress, the committee 
shall have 90 days to consider the im-
plementing legislation before a motion 
to discharge under this clause would 
be in order. 
(ii) HOUSE OF REPRESENTATIVES.— 
If the implementing legislation or an origi-
nal bill described in paragraph (1) has not 
been reported out of a committee of the 
House of Representatives within 180 days 
after the date on which such legislation 
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was referred to committee under subpara-
graph (A), then on any day on which the 
call of the calendar for motions to dis-
charge committees is in order, any member 
of the House of Representatives may move 
that the committee be discharged from 
consideration of the implementing legisla-
tion, and this motion shall be considered 
under the same terms and conditions, and 
if adopted the House of Representatives 
shall follow the procedure described in 
sparagraph (4)(A). 
(3) FLOOR CONSIDERATION.— 
(A) MOTION TO PROCEED.—If a motion to 
discharge 
made 
pursuant 
to 
paragraph 
(3)(B)(ii)(I) or (3)(B)(ii)(II) is adopted, then, 
not earlier than 5 legislative days after the date 
on which the motion to discharge is adopted, a 
motion may be made to proceed to the bill. 
(B) FAILURE OF MOTION.—If the motion 
to discharge made pursuant to either such 
paragraph fails, such motion may be made not 
more than 2 additional times, but in no case 
more frequently than within 30 days of the pre-
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vious motion. Debate on each of such motions 
shall be limited to 5 hours, equally divided. 
(C) APPLICABLE RULES.—Once the Senate 
is debating the implementing legislation the 
regular rules of the Senate shall apply. 
Æ 
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