IA 
115TH CONGRESS 
2D SESSION 
H. J. RES. 125 
Making an extension of continuing appropriations for fiscal year 2018, and 
for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 16, 2018 
Mr. FRELINGHUYSEN submitted the following joint resolution; which was re-
ferred to the Committee on Appropriations, and in addition to the Com-
mittees on Ways and Means, and the Budget, for a period to be subse-
quently determined by the Speaker, in each case for consideration of such 
provisions as fall within the jurisdiction of the committee concerned 
JOINT RESOLUTION 
Making an extension of continuing appropriations for fiscal 
year 2018, and for other purposes. 
Resolved by the Senate and House of Representatives
of the United States of America in Congress assembled, 
DIVISION B—EXTENSION OF CONTINUING 
APPROPRIATIONS ACT, 2018 
SEC. 2001. The Continuing Appropriations Act, 2018 
(division D of Public Law 115–56) is amended— 
(1) by striking the date specified in section 
106(3) and inserting ‘‘February 16, 2018’’; and 
(2) by adding after section 147 the following: 
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‘‘SEC. 148. Funds appropriated by the Department 
of Defense Missile Defeat and Defense Enhancements Ap-
propriations Act, 2018 (division B of Public Law 115– 
96) may be obligated and expended notwithstanding sec-
tion 504(a)(1) of the National Security Act of 1947 (50 
U.S.C. 3094(a)(1)). 
‘‘SEC. 149. Amounts made available by section 101 
for ‘Department of Agriculture—Food and Nutrition 
Service—Child Nutrition Programs’ to carry out section 
749(g) of the Agriculture Appropriations Act of 2010 
(Public Law 111–80) may be apportioned up to the rate 
for operations necessary to ensure that the program can 
be fully operational by May 2018. 
‘‘SEC. 150. Amounts made available by section 101 
for ‘National Aeronautics and Space Administration—Ex-
ploration’ may be apportioned up to the rate for oper-
ations necessary to maintain the planned launch capability 
schedules for the Space Launch System launch vehicle, 
Exploration Ground Systems, and Orion Multi-Purpose 
Crew Vehicle programs. 
‘‘SEC. 151. Amounts made available by section 101 
for ‘Department of Energy—Energy Programs—Office of 
the Inspector General’ may be apportioned up to the rate 
for operations necessary to sustain staffing levels achieved 
on June 30, 2017. 
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‘‘SEC. 152. Amounts made available by section 101 
for ‘Small Business Administration—Business Loans Pro-
gram Account’ may be apportioned up to the rate for oper-
ations necessary to accommodate increased demand for 
commitments for general business loans authorized under 
section 7(a) of the Small Business Act (15 U.S.C. 636(a)). 
‘‘SEC. 153. For 2018, the Secretary of Housing and 
Urban Development may make temporary adjustments to 
the Section 8 housing choice voucher annual renewal fund-
ing allocations and administrative fee eligibility determina-
tions for public housing agencies in an area for which the 
President declared a disaster in 2017 or 2018 under title 
IV of the Robert T. Stafford Disaster Relief and Emer-
gency Assistance Act (42 U.S.C. 5170 et seq.), to avoid 
significant adverse funding impacts that would otherwise 
result from the disaster and that would otherwise prevent 
a public housing agency from leasing up to its authorized 
level of units under contract (but not to exceed such level), 
upon request by and in consultation with a public housing 
agency and supported by documentation as required by 
the Secretary that demonstrates the need for the adjust-
ment.’’. 
SEC. 2002. The Further Additional Continuing Ap-
propriations Act, 2018 (division A of Public Law 115–96) 
is amended by striking section 1002. 
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This division may be cited as the ‘‘Extension of Con-
tinuing Appropriations Act, 2018’’. 
DIVISION C—HEALTHY KIDS ACT 
SEC. 3001. SHORT TITLE. 
This division may be cited as the ‘‘Helping Ensure 
Access for Little Ones, Toddlers, and Hopeful Youth by 
Keeping 
Insurance 
Delivery 
Stable 
Act’’ 
or 
the 
‘‘HEALTHY KIDS Act’’. 
SEC. 3002. SIX-YEAR FUNDING EXTENSION OF THE CHIL-
DREN’S HEALTH INSURANCE PROGRAM. 
(a) FUNDING.— 
(1) IN GENERAL.—Section 2104(a) of the So-
cial Security Act (42 U.S.C. 1397dd(a)), as amend-
ed by section 3201(a) of the CHIP and Public 
Health Funding Extension Act (division C of Public 
Law 115–96), is amended— 
(A) in paragraph (20)(B), by striking ‘‘; 
and’’ and inserting a semicolon; and 
(B) by striking paragraph (21) and insert-
ing the following new paragraphs: 
‘‘(21) for fiscal year 2018, $21,500,000,000; 
‘‘(22) for fiscal year 2019, $22,600,000,000; 
‘‘(23) for fiscal year 2020, $23,700,000,000; 
‘‘(24) for fiscal year 2021, $24,800,000,000; 
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‘‘(25) for fiscal year 2022, $25,900,000,000; 
and 
‘‘(26) for fiscal year 2023, for purposes of mak-
ing two semi-annual allotments— 
‘‘(A) $2,850,000,000 for the period begin-
ning on October 1, 2022, and ending on March 
31, 2023; and 
‘‘(B) $2,850,000,000 for the period begin-
ning on April 1, 2023, and ending on Sep-
tember 30, 2023.’’. 
(2) PREVENTION
OF
DUPLICATE
APPROPRIA-
TIONS FOR FISCAL YEAR 2018.—Notwithstanding any 
other provision of law, insofar as funds have been 
appropriated under subsection (a)(21) of section 
2104 of the Social Security Act (42 U.S.C. 1397dd), 
as such subsection is in effect on the day before the 
date of the enactment of this Act, to provide allot-
ments to States under the State Children’s Health 
Insurance Program established under title XXI of 
the Social Security Act (42 U.S.C. 1397aa et seq.) 
(whether implemented under title XIX, XXI, or 
both, of the Social Security Act) for fiscal year 
2018— 
(A) any amounts that are so appropriated 
that are not so allotted and obligated before the 
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date of the enactment of this Act, are re-
scinded; and 
(B) any amount provided for CHIP allot-
ments to a State under this section (and the 
amendments made by this section) for such fis-
cal year shall be reduced by the amount of such 
appropriations so allotted and obligated before 
such date. 
(b) ALLOTMENTS.— 
(1) IN GENERAL.—Section 2104(m) of the So-
cial Security Act (42 U.S.C. 1397dd(m)), as amend-
ed by section 3201(b) of the CHIP and Public 
Health Funding Extension Act (division C of Public 
Law 115–96), is amended— 
(A) in paragraph (2)(B)— 
(i) in the matter preceding clause (i), 
by striking ‘‘(19)’’ and inserting ‘‘(25)’’; 
(ii) in clause (i), by striking ‘‘and 
2017’’ and inserting ‘‘, 2017, and 2023’’; 
and 
(iii) in clause (ii)— 
(I) in the matter preceding sub-
clause (I), by striking ‘‘and paragraph 
(10)’’; and 
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(II) in subclause (I), by inserting 
‘‘(or, in the case of fiscal year 2018, 
under paragraph (4))’’ after ‘‘clause 
(i)’’; 
(B) in paragraph (5), by striking ‘‘2018’’ 
and inserting ‘‘2023’’; 
(C) in paragraph (7)— 
(i) in subparagraph (A), by striking 
‘‘2017’’ and inserting ‘‘2023’’; 
(ii) in subparagraph (B), in the mat-
ter preceding clause (i), by inserting ‘‘(or, 
in the case of fiscal year 2018, by not later 
than the date that is 60 days after the 
date of the enactment of the HEALTHY 
KIDS Act)’’ after ‘‘before the August 31 
preceding the beginning of the fiscal year’’; 
and 
(iii) in the matter following subpara-
graph (B), by striking ‘‘or fiscal year 
2016’’ and inserting ‘‘fiscal year 2016, fis-
cal year 2018, fiscal year 2020, or fiscal 
year 2022’’; 
(D) in paragraph (9), by striking ‘‘2018’’ 
and inserting ‘‘2023’’; and 
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(E) by amending paragraph (10) to read 
as follows: 
‘‘(10) FOR FISCAL YEAR 2023.— 
‘‘(A) FIRST HALF.—Subject to paragraphs 
(5) and (7), from the amount made available 
under subparagraph (A) of paragraph (26) of 
subsection (a) for the semi-annual period de-
scribed in such subparagraph, increased by the 
amount of the appropriation for such period 
under section 3002(b)(2) of the HEALTHY 
KIDS Act, the Secretary shall compute a State 
allotment for each State (including the District 
of Columbia and each commonwealth and terri-
tory) for such semi-annual period in an amount 
equal to the first half ratio (described in sub-
paragraph (D)) of the amount described in sub-
paragraph (C). 
‘‘(B) SECOND
HALF.—Subject to para-
graphs (5) and (7), from the amount made 
available under subparagraph (B) of paragraph 
(26) of subsection (a) for the semi-annual pe-
riod described in such subparagraph, the Sec-
retary shall compute a State allotment for each 
State (including the District of Columbia and 
each commonwealth and territory) for such 
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semi-annual period in an amount equal to the 
amount made available under such subpara-
graph, multiplied by the ratio of— 
‘‘(i) the amount of the allotment to 
such State under subparagraph (A); to 
‘‘(ii) the total of the amount of all of 
the allotments made available under such 
subparagraph. 
‘‘(C) FULL
YEAR
AMOUNT
BASED
ON 
REBASED AMOUNT.—The amount described in 
this subparagraph for a State is equal to the 
Federal payments to the State that are attrib-
utable to (and countable towards) the total 
amount of allotments available under this sec-
tion to the State in fiscal year 2022 (including 
payments made to the State under subsection 
(n) for fiscal year 2022 as well as amounts re-
distributed to the State in fiscal year 2022), 
multiplied by the allotment increase factor 
under paragraph (6) for fiscal year 2023. 
‘‘(D) FIRST HALF RATIO.—The first half 
ratio described in this subparagraph is the ratio 
of— 
‘‘(i) the sum of— 
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‘‘(I) the amount made available 
under subsection (a)(26)(A); and 
‘‘(II) the amount of the appro-
priation for such period under section 
3002(b)(2) of the HEALTHY KIDS 
Act; to 
‘‘(ii) the sum of— 
‘‘(I) the amount described in 
clause (i); and 
‘‘(II) the amount made available 
under subsection (a)(26)(B).’’. 
(2) ONE-TIME
APPROPRIATION
FOR
FISCAL 
YEAR 2023.—There is appropriated to the Secretary 
of Health and Human Services, out of any money in 
the 
Treasury 
not 
otherwise 
appropriated, 
$20,200,000,000 to accompany the allotment made 
for the period beginning on October 1, 2022, and 
ending on March 31, 2023, under paragraph 
(26)(A) of section 2104(a) of the Social Security Act 
(42 U.S.C. 1397dd(a)) (as added by subsection (a)), 
to remain available until expended. Such amount 
shall be used to provide allotments to States under 
paragraph (10) of section 2104(m) of such Act (as 
added by paragraph (1)) for the first 6 months of 
fiscal year 2023 in the same manner as allotments 
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to children in families whose income does not 
exceed 300 percent of the poverty line (as de-
fined in section 2110(c)(5)) applicable to a fam-
ily of the size involved)’’. 
(g) CHIP LOOK-ALIKE PLANS.— 
(1) BLENDING RISK POOLS.—Section 2107 of 
the Social Security Act (42 U.S.C. 1397gg) is 
amended by adding at the end the following: 
‘‘(g) USE OF BLENDED RISK POOLS.— 
‘‘(1) IN GENERAL.—Nothing in this title (or 
any other provision of Federal law) shall be con-
strued as preventing a State from considering chil-
dren enrolled in a qualified CHIP look-alike pro-
gram and children enrolled in a State child health 
plan under this title (or a waiver of such plan) as 
members of a single risk pool. 
‘‘(2) QUALIFIED CHIP LOOK-ALIKE PROGRAM.— 
In this subsection, the term ‘qualified CHIP look- 
alike program’ means a State program— 
‘‘(A) under which children who are under 
the age of 19 and are not eligible to receive 
medical assistance under title XIX or child 
health assistance under this title may purchase 
coverage through the State that provides bene-
fits that are at least identical to the benefits 
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provided under the State child health plan 
under this title (or a waiver of such plan); and 
‘‘(B) that is funded exclusively through 
non-Federal funds, including funds received by 
the State in the form of premiums for the pur-
chase of such coverage.’’. 
(2) COVERAGE RULE.— 
(A) IN GENERAL.—Section 5000A(f)(1) of 
the Internal Revenue Code of 1986 is amended 
in subparagraph (A)(iii), by inserting ‘‘or under 
a qualified CHIP look-alike program (as de-
fined in section 2107(g) of the Social Security 
Act)’’ before the comma at the end. 
(B) EFFECTIVE
DATE.—The amendment 
made by subparagraph (A) shall apply with re-
spect to taxable years beginning after December 
31, 2017. 
(h) AVAILABILITY OF UNUSED FISCAL YEAR 2018 
REDISTRIBUTION AMOUNTS.—Any amounts that have 
been redistributed to States under subsection (f) of section 
2104 of the Social Security Act (42 U.S.C. 1397dd) for 
fiscal year 2018 that are not, or will not be, expended by 
the end of that fiscal year shall be— 
(1) adjusted by the Secretary before the end of 
fiscal year 2018 to reflect an updated estimate of 
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shortfalls under subsection (f)(2)(A) of such section; 
and 
(2) available for redistribution under subsection 
(f) of such section for subsequent fiscal years. 
SEC. 3003. EXTENSION OF CERTAIN PROGRAMS AND DEM-
ONSTRATION PROJECTS. 
(a) 
CHILDHOOD
OBESITY
DEMONSTRATION 
PROJECT.—Section 1139A(e)(8) of the Social Security 
Act (42 U.S.C. 1320b–9a(e)(8)) is amended— 
(1) by striking ‘‘and $10,000,000’’ and insert-
ing ‘‘, $10,000,000’’; and 
(2) by inserting after ‘‘2017’’ the following: ‘‘, 
and $30,000,000 for the period of fiscal years 2018 
through 2023’’. 
(b) PEDIATRIC QUALITY MEASURES PROGRAM.— 
Section 1139A(i) of the Social Security Act (42 U.S.C. 
1320b–9a(i)) is amended— 
(1) by striking ‘‘Out of any’’ and inserting the 
following: 
‘‘(1) IN GENERAL.—Out of any’’; 
(2) by striking ‘‘there is appropriated for each’’ 
and inserting ‘‘there is appropriated— 
‘‘(A) for each’’; 
(3) by striking ‘‘, and there is appropriated for 
the period’’ and inserting ‘‘; 
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‘‘(B) for the period’’; 
(4) by striking ‘‘. Funds appropriated under 
this subsection shall remain available until ex-
pended.’’ and inserting ‘‘; and’’; and 
(5) by adding at the end the following: 
‘‘(C) for the period of fiscal years 2018 
through 2023, $90,000,000 for the purpose of 
carrying out this section (other than sub-
sections (e), (f), and (g)). 
‘‘(2) 
AVAILABILITY.—Funds 
appropriated 
under this subsection shall remain available until ex-
pended.’’. 
SEC. 3004. EXTENSION OF OUTREACH AND ENROLLMENT 
PROGRAM. 
(a) IN GENERAL.—Section 2113 of the Social Secu-
rity Act (42 U.S.C. 1397mm) is amended— 
(1) in subsection (a)(1), by striking ‘‘2017’’ and 
inserting ‘‘2023’’; and 
(2) in subsection (g)— 
(A) by striking ‘‘and $40,000,000’’ and in-
serting ‘‘, $40,000,000’’; and 
(B) by inserting after ‘‘2017’’ the fol-
lowing: ‘‘, and $120,000,000 for the period of 
fiscal years 2018 through 2023’’. 
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(b) MAKING ORGANIZATIONS THAT USE PARENT 
MENTORS
ELIGIBLE
TO
RECEIVE
GRANTS.—Section 
2113(f) of the Social Security Act (42 U.S.C. 1397mm(f)) 
is amended— 
(1) in paragraph (1)(E), by striking ‘‘or com-
munity-based doula programs’’ and inserting ‘‘, com-
munity-based doula programs, or parent mentors’’; 
and 
(2) by adding at the end the following new 
paragraph: 
‘‘(5) PARENT
MENTOR.—The term ‘parent 
mentor’ means an individual who— 
‘‘(A) is a parent or guardian of at least 
one child who is an eligible child under this title 
or title XIX; and 
‘‘(B) is trained to assist families with chil-
dren who have no health insurance coverage 
with respect to improving the social deter-
minants of the health of such children, includ-
ing by providing— 
‘‘(i) education about health insurance 
coverage, including, with respect to obtain-
ing such coverage, eligibility criteria and 
application and renewal processes; 
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‘‘(ii) assistance with completing and 
submitting applications for health insur-
ance coverage; 
‘‘(iii) a liaison between families and 
representatives of State plans under title 
XIX or State child health plans under this 
title; 
‘‘(iv) guidance on identifying medical 
and dental homes and community phar-
macies for children; and 
‘‘(v) assistance and referrals to suc-
cessfully address social determinants of 
children’s health, including poverty, food 
insufficiency, and housing.’’. 
(c) EXCLUSION FROM MODIFIED ADJUSTED GROSS 
INCOME.—Section 1902(e) of the Social Security Act (42 
U.S.C. 1396a(e)) is amended— 
(1) in the first paragraph (14), relating to in-
come determined using modified adjusted gross in-
come, by adding at the end the following new sub-
paragraph: 
‘‘(J) EXCLUSION
OF
PARENT
MENTOR 
COMPENSATION
FROM
INCOME
DETERMINA-
TION.—Any nominal amount received by an in-
dividual as compensation, including a stipend, 
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for participation as a parent mentor (as defined 
in paragraph (5) of section 2113(f)) in an activ-
ity or program funded through a grant under 
such section shall be disregarded for purposes 
of determining the income eligibility of such in-
dividual for medical assistance under the State 
plan or any waiver of such plan.’’; and 
(2) by striking ‘‘(14) EXCLUSION’’ and insert-
ing ‘‘(15) EXCLUSION’’. 
SEC. 3005. EXTENSION AND REDUCTION OF ADDITIONAL 
FEDERAL FINANCIAL PARTICIPATION FOR 
CHIP. 
Section 2105(b) of the Social Security Act (42 U.S.C. 
1397ee(b)) is amended in the second sentence by inserting 
‘‘and during the period that begins on October 1, 2019, 
and ends on September 30, 2020, the enhanced FMAP 
determined for a State for a fiscal year (or for any portion 
of a fiscal year occurring during such period) shall be in-
creased by 11.5 percentage points’’ after ‘‘23 percentage 
points,’’. 
SEC. 3006. MEDICAID IMPROVEMENT FUND. 
Section 1941 of the Social Security Act (42 U.S.C. 
1396w–1) is amended— 
(1) in subsection (a), in the first sentence, by 
inserting before the period at the end the following: 
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‘‘, and, in accordance with subsection (b)(3), for the 
purposes of subparagraph (B) of such subsection’’; 
and 
(2) in subsection (b)— 
(A) in paragraph (2)— 
(i) in the first sentence, by inserting 
‘‘pursuant to paragraph (1)’’ after ‘‘in the 
Fund’’; 
(ii) by inserting after the first sen-
tence the following sentence: ‘‘Amounts in 
the Fund pursuant to paragraph (3) shall 
be available in advance of appropriations 
but only if the total amount obligated from 
the Fund does not exceed the amount 
available to the Fund under such para-
graph (3).’’; and 
(iii) in the last sentence, by striking 
‘‘sentence’’ and inserting ‘‘sentences’’; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(3) ADDITIONAL FUNDING FOR STATE ACTIVI-
TIES
RELATING
TO
MECHANIZED
CLAIMS
SYS-
TEMS.— 
‘‘(A) IN
GENERAL.—In addition to the 
amount made available under paragraph (1), 
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there shall be available to the Fund, for expend-
itures from the Fund in accordance with sub-
paragraph (B), for fiscal year 2023 and there-
after, $980,000,000, to remain available until 
expended. 
‘‘(B) PURPOSES.—The Secretary shall use 
amounts made available to the Fund under sub-
paragraph (A) to pay to each State which has 
a plan approved under this title, for each quar-
ter beginning during or after fiscal year 2023 
an amount equal to— 
‘‘(i) 100 percent minus the percent 
specified 
in 
clause 
(i) 
of 
section 
1903(a)(3)(A) of so much of the sums ex-
pended by the State during such quarter 
as are attributable to the activities de-
scribed in such clause; 
‘‘(ii) 100 percent minus the Federal 
medical 
assistance 
percentage 
applied 
under clause (iii) of such section of so 
much of the sums expended during such 
quarter (as found necessary by the Sec-
retary under such clause) by the State as 
are attributable to the activities described 
in such clause; and 
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‘‘(iii) 100 percent minus the percent 
specified in section 1903(a)(3)(B) of so 
much of the sums expended by the State 
during such quarter as are attributable to 
the activities described in such section.’’. 
DIVISION 
D—SUSPENSION 
OF 
CERTAIN 
HEALTH-RELATED 
TAXES 
SEC. 4001. EXTENSION OF MORATORIUM ON MEDICAL DE-
VICE EXCISE TAX. 
(a) IN GENERAL.—Section 4191(c) of the Internal 
Revenue Code of 1986 is amended by striking ‘‘December 
31, 2017’’ and inserting ‘‘December 31, 2019’’. 
(b) EFFECTIVE DATE.—The amendment made by 
this section shall apply to sales after December 31, 2017. 
SEC. 4002. DELAY IN IMPLEMENTATION OF EXCISE TAX ON 
HIGH COST EMPLOYER-SPONSORED HEALTH 
COVERAGE. 
Section 9001(c) of the Patient Protection and Afford-
able Care Act is amended by striking ‘‘December 31, 
2019’’ and inserting ‘‘December 31, 2021’’. 
SEC. 4003. SUSPENSION OF ANNUAL FEE ON HEALTH IN-
SURANCE PROVIDERS. 
(b) IN GENERAL.—Section 9010(j) of the Patient 
Protection and Affordable Care Act is amended— 
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(1) by striking ‘‘and’’ at the end of paragraph 
(1); 
(2) by striking the period at the end of para-
graph (2) and inserting ‘‘, and ending before Janu-
ary 1, 2019, and’’; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(3) beginning after December 31, 2019.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to calendar years beginning after 
December 31, 2018. 
DIVISION E—BUDGETARY 
EFFECTS 
SEC. 5001. BUDGETARY EFFECTS. 
(a) IN GENERAL.—The budgetary effects of division 
C and each succeeding division shall not be entered on 
either PAYGO scorecard maintained pursuant to section 
4(d) of the Statutory Pay-As-You-Go Act of 2010. 
(b) SENATE PAYGO SCORECARDS.—The budgetary 
effects of division C and each succeeding division shall not 
be entered on any PAYGO scorecard maintained for pur-
poses of section 4106 of H. Con. Res. 71 (115th Con-
gress). 
(c) CLASSIFICATION
OF BUDGETARY EFFECTS.— 
Notwithstanding Rule 3 of the Budget Scorekeeping 
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