Continuing Community Health And Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act of 2017

Bill: 115-hr-3922
Sponsor: Rep. Walden, Greg [R-OR-2]
Introduced: 2017-10-03 in the House
Policy area: Health
Subjects: Appropriations
Caribbean area
Child health
Congressional oversight
Department of Health and Human Services
Digestive and metabolic diseases
Family planning and birth control
Fraud offenses and financial crimes
Gambling
Government lending and loan guarantees
Government studies and investigations
Health care costs and insurance
Health care coverage and access
Health care quality
Health facilities and institutions
Health programs administration and funding
Health promotion and preventive care
Indian social and development programs
Marriage and family status
Medicaid
Medical education
Medicare
Minority health
Nutrition and diet
Physical fitness and lifestyle
Poverty and welfare assistance
Puerto Rico
Rural conditions and development
Sex and reproductive health
State and local finance
U.S. territories and protectorates
Virgin Islands

Summary:
action_date: 2017-10-03
text: 

Community Health And Medical Professionals Improve Our Nation Act of 2017 or the CHAMPION Act

 
This bill amends the Patient Protection and Affordable Care Act to extend funding through FY2019 for community health centers and the National Health Service Corps. Health centers that serve medically underserved populations may receive supplemental grant funds to increase access to primary care services.
 
The bill reduces appropriations for the Prevention and Public Health Fund through FY2025 and continues funding through FY2027.
 
The bill amends the Public Health Service Act to extend funding through FY2019 for type I diabetes research and the prevention and treatment of diabetes in Native Americans.
 
The bill increases and extends funding through FY2019 for teaching health centers that sponsor graduate medical residency training programs.
 
The bill amends the Social Security Act to increase and extend funding through FY2019 for family-to-family health information centers, which assist families of children with disabilities or special health needs.
 
The bill creates, and makes appropriations for, the Youth Empowerment Program. The program shall fund allotments to states or other entities to implement education exclusively about sexual risk avoidance (voluntarily refraining from sexual activity). Up to 20% of an allotment may be used to build evidence for sexual risk avoidance education.
 
The bill extends funding for the grant program for personal responsibility education through FY2019.

action_date: 2017-10-19
text: 

Community Health And Medical Professionals Improve Our Nation Act of 2017 or the CHAMPION Act

 
TITLE I--EXTENSION OF PUBLIC HEALTH PROGRAMS
 
(Sec. 101) This bill amends the Patient Protection and Affordable Care Act to extend funding through FY2019 for community health centers and the National Health Service Corps. 
 
Health centers that serve medically underserved populations may receive supplemental grant funds to increase access to primary care services.
 
In awarding health center operating grants, special consideration may be given to a new center that is located in a sparely populated area or in an area that has a higher level of unmet need.
 
Loan guarantees are no longer made to assist health centers to plan and develop a managed care network or to plan and develop practice management networks.
 
The bill provides funds for FY2018 to support the participation of health centers in the All of Us Research Program in the National Institutes of Health's Precision Medicine Initiative.
 
(Sec. 102) The bill amends the Public Health Service Act to extend funding through FY2019 for type I diabetes research and the prevention and treatment of diabetes in Native Americans.
 
(Sec. 103) The bill increases and extends funding through FY2019 for teaching health centers that sponsor graduate medical residency training programs. Priority is given to teaching health centers that serve health professional shortage areas, serve medically underserved communities, or are in rural areas.
 
The Department of Health and Human Services must report on expenses associated with graduate medical residency training programs.

(Sec. 104) The bill amends the Social Security Act to increase and extend funding through FY2019 for family-to-family health information centers, which assist families of children with disabilities or special health needs.
 
(Sec. 105) The bill creates, and makes appropriations in FY2018 and FY2019 for, the Youth Empowerment Program. The program shall fund allotments to states or other entities to implement education exclusively about sexual risk avoidance (voluntarily refraining from sexual activity). Up to 20% of an allotment may be used to build evidence for sexual risk avoidance education.
 
The bill extends funding for the grant program for personal responsibility education through FY2019.
 
TITLE II--OFFSETS
 
(Sec. 201) The bill revises the grace period that health insurers must provide to recipients of premium subsidies before discontinuing health coverage for nonpayment of premiums. The grace period is shortened from three months to one month unless state law includes an applicable grace period.
 
The Government Accountability Office must report about the effects on consumers of aligning grace periods for Medicaid, Medicare, and plans offered on health insurance exchanges, including whether such an alignment may reduce fraud, waste, and abuse under Medicaid.
 
(Sec. 202) The bill reduces appropriations for the Prevention and Public Health Fund through FY2025 and continues funding through FY2027.

action_date: 2017-11-03
text: 

Continuing Community Health And Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act of 2017 or the CHAMPIONING HEALTHY KIDS Act

 
DIVISION A--CHAMPION ACT
 

Community Health And Medical Professionals Improve Our Nation Act of 2017 or the Champion Act
 
 

TITLE I--EXTENSION OF PUBLIC HEALTH PROGRAMS
 
(Sec. 101) This bill amends the Patient Protection and Affordable Care Act to extend funding through FY2019 for community health centers and the National Health Service Corps. Health centers that serve medically underserved populations may receive supplemental grant funds to increase access to primary care services. In awarding health center operating grants, special consideration may be given to a new center that is located in a sparely populated area or in an area that has a higher level of unmet need. Loan guarantees are no longer made to assist health centers to plan and develop a managed care network or to plan and develop practice management networks. The bill provides funds for FY2018 to support the participation of health centers in the All of Us Research Program in the National Institutes of Health's Precision Medicine Initiative.
 
The bill increases and extends funding through FY2019 for teaching health centers that sponsor graduate medical residency training programs. Priority is given to teaching health centers that serve health professional shortage areas, serve medically underserved communities, or are in rural areas.

The Department of Health and Human Services must report on expenses associated with graduate medical residency training programs.
 
(Sec. 102) The bill amends the Public Health Service Act to extend funding through FY2019 for type I diabetes research and the prevention and treatment of diabetes in Native Americans.
 
(Sec. 103) The bill amends the Social Security Act to increase and extend funding through FY2019 for family-to-family health information centers, which assist families of children with disabilities or special health needs.
 
(Sec. 104) The bill creates, and makes appropriations in FY2018 and FY2019 for, the Youth Empowerment Program. The program shall fund allotments to states or other entities to implement education exclusively about sexual risk avoidance (voluntarily refraining from sexual activity). Up to 20% of an allotment may be used to build evidence for sexual risk avoidance education.
 
The bill extends funding for the grant program for personal responsibility education through FY2019.
 
TITLE II--OFFSETS
 
(Sec. 201) The bill revises the grace period that health insurers must provide to recipients of premium subsidies before discontinuing health coverage for nonpayment of premiums. The grace period is shortened from three months to one month unless state law includes an applicable grace period.
 
The Government Accountability Office must report about the effects on consumers of aligning grace periods for Medicaid, Medicare, and plans offered on health insurance exchanges, including whether such an alignment may reduce fraud, waste, and abuse under Medicaid.
 
(Sec. 202) The bill reduces appropriations for the Prevention and Public Health Fund through FY2025 and continues funding through FY2027.
 
DIVISION B--HEALTHY KIDS ACT
 

Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act of 2017 or the HEALTHY KIDS Act

 
TITLE I--CHIP EXTENSION AND OTHER MEDICAID AND CHIP PROVISIONS
 
 
(Sec. 301) The bill extends funding through FY2022 for the Children's Health Insurance Program (CHIP). 
 
In addition, the bill reauthorizes through FY2022:
 
 
the qualifying-states option (which allows states that provided coverage to now CHIP-eligible children prior to CHIP's enactment to continue to provide such coverage), and 
 
the express-lane eligibility option (which allows states to use eligibility findings from other public benefit programs to determine children's eligibility for Medicaid and CHIP). 

 
Beginning in FY2020, the bill allows state child-health plans to adopt more restrictive eligibility standards with respect to children in families whose income exceeds 300% of the poverty line.
 
(Sec. 302) The bill extends funding through FY2022 for the Childhood Obesity Demonstration Project and the Pediatric Quality Measures Program.
 
(Sec. 303) The bill: (1) extends funding through FY2022 for specified outreach and enrollment grants, and (2) makes eligible for such grants "parent-mentors" who are trained to assist families with children who have no health-insurance coverage.
 
(Sec. 304) Current law provides states with an enhanced Federal Matching Assistance Percentage (FMAP) for child-health assistance through FY2019. The bill maintains the enhanced FMAP in FY2020, but halves the percentage-point increase.
 
(Sec. 305) The bill eliminates Medicaid payment reductions for disproportionate-share hospitals (which receive additional payment under Medicaid for treating a large share of low-income patients) in FY2018 and FY2019, but increases such reductions from FY2021-FY2025.
 
(Sec. 306) The bill also increases Medicaid funding for Puerto Rico and the U.S. Virgin Islands through FY2019. Such funding shall be further increased through 2019 for both territories if Puerto Rico takes specified actions to improve its Medicaid program. 
 
TITLE II--OFFSETS
 
(Sec. 401) The bill alters provisions related to third-party liability under Medicaid and CHIP. 
 
(Sec. 402) The bill specifies how a state must treat qualified lottery winnings and lump-sum income for purposes of determining Medicaid eligibility. 
 
(Sec. 403) The bill eliminates Medicare premium subsidies for beneficiaries with annual incomes exceeding $500,000.


Legislative actions:
action_date: 2017-11-06
text: Received in the Senate and Read twice and referred to the Committee on Finance.
action_date: 2017-11-03
text: Motion to reconsider laid on the table Agreed to without objection.
action_date: 2017-11-03
text: On passage Passed by the Yeas and Nays: 242 - 174 (Roll no. 606). (text: CR H8449-8456)
action_date: 2017-11-03
text: Passed/agreed to in House: On passage Passed by the Yeas and Nays: 242 - 174 (Roll no. 606).(text: CR H8449-8456)
action_date: 2017-11-03
text: On motion to recommit with instructions Failed by the Yeas and Nays: 187 - 231 (Roll no. 605).
action_date: 2017-11-03
text: The previous question on the motion to recommit with instructions was ordered without objection.
action_date: 2017-11-03
text: DEBATE - The House proceeded with 10 minutes of debate on the Clyburn motion to recommit with instructions pending reservation of a point of order. The instructions contained in the motion seek to require the bill to be reported back to the House with an amendment to strike all after the enacting clause and insert a complete new text entitled "Continuing Community Health and Medical Professional Programs to Improve Our Nation and Keep Insurance Delivery Stable Act of 2017". Subsequently, the reservation was removed.
action_date: 2017-11-03
text: Mr. Clyburn moved to recommit with instructions to the Committee on Energy and Commerce. (text: CR H8466-8472)
action_date: 2017-11-03
text: The previous question was ordered pursuant to the rule.
action_date: 2017-11-03
text: DEBATE - The House proceeded with one hour of debate on H.R. 3922.
action_date: 2017-11-03
text: Rule provides for consideration of H.R. 3922 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions.
action_date: 2017-11-03
text: Considered under the provisions of rule H. Res. 601. (consideration: CR H8449-8475)
action_date: 2017-11-02
text: Rule H. Res. 601 passed House.
action_date: 2017-11-01
text: Rules Committee Resolution H. Res. 601 Reported to House. Rule provides for consideration of H.R. 3922 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions.
action_date: 2017-10-19
text: Placed on the Union Calendar, Calendar No. 262.
action_date: 2017-10-19
text: Committee on Ways and Means discharged.
action_date: 2017-10-19
text: Committee on Ways and Means discharged.
action_date: 2017-10-19
text: Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 115-359, Part I.
action_date: 2017-10-19
text: Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 115-359, Part I.
action_date: 2017-10-04
text: Ordered to be Reported (Amended) by the Yeas and Nays: 28 - 23.
action_date: 2017-10-04
text: Committee Consideration and Mark-up Session Held.
action_date: 2017-10-03
text: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
action_date: 2017-10-03
text: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
action_date: 2017-10-03
text: Introduced in House
action_date: 2017-10-03
text: Introduced in House