‘‘(i) 
MINIMUM
PEDIATRIC
DIS-
CHARGES.—The hospital has at least 5,000 
annual pediatric discharges (including neo-
nates, but excluding obstetrics and normal 
newborns) for the most recent cost report-
ing period for which data are available. 
‘‘(ii) MINIMUM NUMBER OF BEDS.— 
The hospital has 100 licensed pediatric 
beds, not including beds in neonatal inten-
sive care units but including beds in pedi-
atric intensive care units and other acute 
care beds. 
‘‘(iii) ACCESS
TO
PEDIATRIC
EMER-
GENCY SERVICES.—The hospital has access 
(through ownership or otherwise) to pedi-
atric emergency services. 
‘‘(iv) MEDICAID
RELIANT.—At least 
30 percent of the pediatric discharges or 
inpatient days (excluding observation days) 
in the hospital for the most recent cost re-
porting period for which data are available 
were children eligible for medical assist-
ance under this title or for children’s 
health assistance under title XXI. 
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‘‘(v) AFFILIATION WITH ACCREDITED 
PEDIATRIC
RESIDENCY
TRAINING
PRO-
GRAM.—The hospital sponsors or is affili-
ated with a pediatric residency program 
that is accredited by the Accreditation 
Council for Graduate Medical Education. 
‘‘(vi) PEDIATRIC MEDICAL HOME PRO-
GRAMS.—The hospital has established and 
implemented demonstrable pediatric med-
ical home programs dedicated to medically 
complex children. 
‘‘(5) NATIONALLY
DESIGNATED
CHILDREN’S 
HOSPITAL
NETWORK.—The term ‘nationally des-
ignated children’s hospital network’ means a net-
work of hospitals and health care providers— 
‘‘(A) anchored by a qualified children’s 
hospital or hospitals with principal governance 
responsibility over the hospital network; 
‘‘(B) in which the full complement of 
health care providers needed to provide the best 
care for children in the network participate; and 
‘‘(C) that represents the interests of physi-
cians, other health care providers, parents of 
medically complex children, and other relatives 
of such children. 
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‘‘(6) PROGRAM AGREEMENT.—The term ‘pro-
gram agreement’ means, with respect to a nationally 
designated children’s hospital network, an agree-
ment, between the hospital network, the Secretary, 
and a State administering agency for the operation 
of an MCCC program by the hospital network in the 
State that meets the requirements of this section. 
‘‘(7) STATE
ADMINISTERING
AGENCY.—The 
term ‘State administering agency’ means, with re-
spect to the operation of an MCCC program in a 
State, the agency of that State (which may be the 
single agency responsible for administration of the 
State plan under this title in the State) responsible 
for administering program agreements under this 
section.’’. 
(b) 
APPLICATION
UNDER
CHIP.—Section 
2107(e)(1) of the Social Security Act (42 U.S.C. 
1397gg(e)(1)) is amended by adding at the end the fol-
lowing new subparagraph: 
‘‘(P) Section 1947 (relating to Medicaid 
children’s care coordination programs for chil-
dren with complex medical conditions).’’. 
(c) REGULATIONS.—Not later than 120 days after 
the date of the enactment of this Act, the Secretary of 
Health and Human Services shall make rules on the 
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record, after opportunity for an agency hearing to carry 
out the amendments made by this section in accordance 
with sections 556 and 557 of title 5, United States Code. 
Æ 
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