I 
117TH CONGRESS 
1ST SESSION H. R. 1795 
To amend title XIX of the Social Security Act to ensure health insurance 
coverage continuity for former foster youth. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 11, 2021 
Ms. BASS 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 ensure 
health insurance coverage continuity for former foster youth. 
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 ‘‘Expanded Coverage 
for Former Foster Youth Act’’. 
SEC. 2. COVERAGE CONTINUITY FOR FORMER FOSTER 
CARE CHILDREN UP TO AGE 26. 
(a) IN GENERAL.—Section 1902(a)(10)(A)(i)(IX) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1396a(a)(10)(A)(i)(IX)) is amended to read as follows: 
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‘‘(IX) who— 
‘‘(aa) are under 26 years of 
age; 
‘‘(bb) are not described in 
and are not enrolled under any of 
subclauses (I) through (VII) of 
this clause or are described in 
any of such subclauses but have 
income that exceeds the level of 
income 
applicable 
under 
the 
State plan for eligibility to enroll 
for medical assistance under such 
subclause; and 
‘‘(cc) were in foster care 
under the responsibility of a 
State on the date of attaining 18 
years of age (or such higher age 
as such State has elected under 
section 475(8)(B)(iii)), or were in 
such care at any age but subse-
quently left such care to enter 
into a legal guardianship with a 
kinship caregiver (without regard 
to whether kinship guardianship 
payments are being made on be-
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half of the child under this part), 
or were emancipated from such 
care prior to attaining age 18;’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect on January 1, 2023, and 
shall apply with respect to individuals who attain 18 years 
of age on or after that date. 
(c) REPEAL.—Subsection (a) of section 1002 of the 
SUPPORT for Patients and Communities Act (Public 
Law 115–271) is repealed. 
SEC. 
3. 
OUTREACH 
EFFORTS 
FOR 
ENROLLMENT 
OF 
FORMER FOSTER CHILDREN. 
Section 1902(a) of the Social Security Act (42 U.S.C. 
1396a(a)) is amended— 
(1) in paragraph (85), by striking ‘‘; and’’ and 
inserting a semicolon; 
(2) in paragraph (86), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (86) the fol-
lowing new paragraph: 
‘‘(87) not later than January 1, 2022, establish 
an outreach and enrollment program, in coordination 
with the State agency responsible for administering 
the State plan under part E of title IV and any 
other appropriate or interested agencies, designed to 
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increase the enrollment of individuals who are eligi-
ble for medical assistance under the State plan 
under paragraph (10)(A)(i)(IX) in accordance with 
best practices established by the Secretary.’’. 
Æ 
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