[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1316 Introduced in House (IH)]
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118th CONGRESS
1st Session
H. R. 1316
To amend titles XIX and XXI of the Social Security Act to allow States
to provide for extended periods of continuous coverage under the
Medicaid and CHIP programs for children, to provide a period of
continuous eligibility under the Medicaid program for certain adults,
and for other purposes.
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IN THE HOUSE OF REPRESENTATIVES
March 1, 2023
Mr. Neguse introduced the following bill; which was referred to the
Committee on Energy and Commerce
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A BILL
To amend titles XIX and XXI of the Social Security Act to allow States
to provide for extended periods of continuous coverage under the
Medicaid and CHIP programs for children, to provide a period of
continuous eligibility under the Medicaid program for certain adults,
and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Save Children's Coverage Act''.
SEC. 2. OPTIONAL EXTENSION OF CONTINUOUS ELIGIBILITY FOR CHILDREN UNDER
MEDICAID AND CHIP.
(a) Under the Medicaid Program.--Section 1902(e) of the Social
Security Act (42 U.S.C. 1396a(e)) is amended by adding at the end the
following new paragraph:
``(17) Optional extension of continuous eligibility for
children.--
``(A) Children under age 6.--At the option of the
State, the State plan (or waiver of such State plan)
may provide that an individual who is under the age of
6 and who is determined to be eligible for benefits
under a State plan (or waiver of such plan) approved
under this title may remain eligible for such benefits
until the earlier of--
``(i) the time that such individual attains
the age of 6; or
``(ii) the date that such individual ceases
to be a resident of such State.
``(B) Children age 6 through 18.--At the option of
the State, the State plan (or waiver of such State
plan) may provide that an individual who is over the
age of 5 and under the age of 19, and who is determined
to be eligible for benefits under a State plan (or
waiver of such plan) approved under this title, may
remain eligible for such benefits until the earlier
of--
``(i) the end of the 24-month period
beginning on the date of such determination;
``(ii) the time that such individual
attains the age of 19; or
``(iii) the date that such individual
ceases to be a resident of such State.''.
(b) Under the Children's Health Insurance Program.--Section
2107(e)(1) of the Social Security Act (42 U.S.C. 1397gg(e)(1)) is
amended--
(1) by redesignating subparagraphs (L) through (U) as
subparagraphs (M) through (V), respectively; and
(2) by inserting after subparagraph (K) the following new
subparagraph:
``(L) Section 1902(e)(17) (relating to the State
option to extend continuous eligibility for children
under the age of 19).''.
(c) Effective Date.--The amendments made by this section shall take
effect on the first day following the end of the emergency period
described in section 1135(g)(1)(B) of the Social Security Act (42
U.S.C. 1320b-5(g)(1)(B)).
SEC. 3. OPTION TO PROVIDE CONTINUOUS ELIGIBILITY FOR CERTAIN
INDIVIDUALS UNDER MEDICAID.
(a) In General.--Section 1902(e) of the Social Security Act (42
U.S.C. 1396a(e)), as amended by section 2, is further amended by adding
at the end the following new paragraph:
``(18) Option for continuous eligibility for certain
individuals.--
``(A) In general.--At the option of the State, the
State plan (or waiver of such State plan) may provide
that an eligible individual (as defined in subparagraph
(B)) who is determined to be eligible for benefits
under a State plan (or waiver of such plan) approved
under this title, may remain eligible for such benefits
until the earlier of--
``(i) the end of the 12-month period
beginning on the date of such determination; or
``(ii) the date that such individual ceases
to be a resident of such State.
``(B) Eligible individual defined.--For purposes of
this paragraph, the term `eligible individual' means an
individual over the age of 18--
``(i) whose income does not exceed 28
percent of the poverty line (as defined by the
Office of Management and Budget, and revised
annually in accordance with section 673(2) of
the Omnibus Budget Reconciliation Act of 1981);
``(ii) who, in the 2 years prior to such
individual's application for medical assistance
under a plan under this title, experienced
homelessness (as defined in section 103 of the
McKinney-Vento Homeless Assistance Act); or
``(iii) who, in the 2 years prior to such
individual's application for medical assistance
under a plan under this title, was incarcerated
in a prison or psychiatric hospital.''.
(b) Effective Date.--The amendment made by this section shall take
effect on the first day following the end of the emergency period
described in section 1135(g)(1)(B) of the Social Security Act (42
U.S.C. 1320b-5(g)(1)(B)).
SEC. 4. DATA VERIFICATION REQUIREMENT FOR NEW WAIVERS.
(a) Program Waivers.--Section 1915 of the Social Security Act (42
U.S.C. 1396n) is amended--
(1) in subsection (b), by striking ``The Secretary'' and
inserting ``Subject to subsection (m), the Secretary'';
(2) in subsection (c)(1), by striking ``The Secretary may
by waiver'' and inserting ``Subject to subsection (m), the
Secretary may by waiver''; and
(3) by adding at the end the following new subsection:
``(m) Data Verification Requirement for New Waivers.--In the case
of a waiver granted under this section on or after the first day
following the end of the emergency period described in section
1135(g)(1)(B) of the Social Security Act, as a condition of receiving
such waiver, a State shall agree to conduct an annual review of the
demographic information of individuals enrolled under a State plan
under this title, including the names, dates of birth, and contact
information for such individuals.''.
(b) Research and Demonstration Waivers.--Section 1115 of the Social
Security Act (42 U.S.C. 1315) is amended--
(1) in subsection (a)(1), by inserting ``subject to
subsection (g),'' before ``the Secretary''; and
(2) by adding at the end the following new subsection:
``(g) In the case of a waiver granted under this section on or
after the first day following the end of the emergency period described
in section 1135(g)(1)(B) of the Social Security Act, as a condition of
receiving such waiver, a State shall agree to conduct an annual review
of the demographic information of individuals enrolled under a State
plan under this title, including the names, dates of birth, and contact
information for such individuals.''.
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