US Codex
Pub. L.
Notes

Title III — Chip

114th Congress · Approved Apr 16, 2015 · 129 Stat. 87

TITLE III Chip

SEC. 301. 2-Year Extension of the Children’s Health Insurance Program.

(a)
Funding.— Section 2104(a) of the Social Security Act (42 U.S.C. 1397dd(a)) is amended—
(1)
in paragraph (17), by striking “ and” at the end;
(2)
in paragraph (18)(B), by striking the period at the end and inserting a semicolon; and
(3)
by adding at the end the following new paragraphs:

“(19) for fiscal year 2016, $19,300,000,000; and

“(20) for fiscal year 2017, for purposes of making 2 semi-annual allotments—

“(A) $2,850,000,000 for the period beginning on October 1, 2016, and ending on March 31, 2017; and

“(B) $2,850,000,000 for the period beginning on April 1, 2017, and ending on September 30, 2017.”

(b)
Allotments.—
(1)
In general.— Section 2104(m) of the Social Security Act (42 U.S.C. 1397dd(m)) is amended—
(A)
in the subsection heading, by striking “ Through 2015” and inserting “ and Thereafter”;
(B)
in paragraph (2)—
(i)
in the paragraph heading, by striking “ 2014” and inserting “ 2016”; and
(ii)
by striking subparagraph (B) and inserting the following new subparagraph:

“(B) Fiscal year 2013 and each succeeding fiscal year.—Subject to paragraphs (5) and (7), from the amount made available under paragraphs (16) through (19) of subsection (a) for fiscal year 2013 and each succeeding fiscal year, respectively, the Secretary shall compute a State allotment for each State (including the District of Columbia and each commonwealth and territory) for each such fiscal year as follows:

“(i) Rebasing in fiscal year 2013 and each succeeding odd-numbered fiscal year.—For fiscal year 2013 and each succeeding odd-numbered fiscal year (other than fiscal years 2015 and 2017), the allotment of the State is equal to the Federal payments to the State that are attributable to (and countable toward) the total amount of allotments available under this section to the State in the preceding fiscal year (including payments made to the State under subsection (n) for such preceding fiscal year as well as amounts redistributed to the State in such preceding fiscal year), multiplied by the allotment increase factor under paragraph (6) for such odd-numbered fiscal year.

“(ii) Growth factor update for fiscal year 2014 and each succeeding even-numbered fiscal year.—Except as provided in clauses (iii) and (iv), for fiscal year 2014 and each succeeding even-numbered fiscal year, the allotment of the State is equal to the sum of—

“(I) the amount of the State allotment under clause (i) for the preceding fiscal year; and

“(II) the amount of any payments made to the State under subsection (n) for such preceding fiscal year,

“(iii) Special rule for 2016.—For fiscal year 2016, the allotment of the State is equal to the Federal payments to the State that are attributable to (and countable toward) the total amount of allotments available under this section to the State in the preceding fiscal year (including payments made to the State under subsection (n) for such preceding fiscal year as well as amounts redistributed to the State in such preceding fiscal year), but determined as if the last two sentences of section 2105(b) were in effect in such preceding fiscal year and then multiplying the result by the allotment increase factor under paragraph (6) for fiscal year 2016.

“(iv) Reduction in 2018.—For fiscal year 2018, with respect to the allotment of the State for fiscal year 2017, any amounts of such allotment that remain available for expenditure by the State in fiscal year 2018 shall be reduced by one-third.”

(C)
in paragraph (4), by inserting “ or 2017” after “ 2015”;
(D)
in paragraph (6)—
(i)
in subparagraph (A), by striking “ 2015” and inserting “ 2017”; and
(ii)
in the second sentence, by striking “ or fiscal year 2014” and inserting “ fiscal year 2014, or fiscal year 2016”;
(E)
in paragraph (8)—
(i)
in the paragraph heading, by striking “ fiscal year 2015” and inserting “ fiscal years 2015 and 2017”; and
(ii)
by inserting “ or fiscal year 2017” after “ 2015”;
(F)
by redesignating paragraphs (4) through (8) as paragraphs (5) through (9), respectively; and
(G)
by inserting after paragraph (3) the following new paragraph:

“(4) For fiscal year 2017.—

“(A) First half.—Subject to paragraphs (5) and (7), from the amount made available under subparagraph (A) of paragraph (20) of subsection (a) for the semi-annual period described in such paragraph, increased by the amount of the appropriation for such period under section 301(b)(3) of the Medicare Access and CHIP Reauthorization Act of 2015, the Secretary shall compute a State allotment for each State (including the District of Columbia and each commonwealth and territory) for such semi-annual period in an amount equal to the first half ratio (described in subparagraph (D)) of the amount described in subparagraph (C).

“(B) Second half.—Subject to paragraphs (5) and (7), from the amount made available under subparagraph (B) of paragraph (20) of subsection (a) for the semi-annual period described in such paragraph, the Secretary shall compute a State allotment for each State (including the District of Columbia and each commonwealth and territory) for such semi-annual period in an amount equal to the amount made available under such subparagraph, 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 attributable to (and countable towards) the total amount of allotments available under this section to the State in fiscal year 2016 (including payments made to the State under subsection (n) for fiscal year 2016 as well as amounts redistributed to the State in fiscal year 2016), multiplied by the allotment increase factor under paragraph (6) for fiscal year 2017.

“(D) First half ratio.—The first half ratio described in this subparagraph is the ratio of—

“(i) the sum of—

“(I) the amount made available under subsection (a)(20)(A); and

“(II) the amount of the appropriation for such period under section 301(b)(3) of the Medicare Access and CHIP Reauthorization Act of 2015; to

“(ii) the sum of the—

“(I) amount described in clause (i); and

“(II) the amount made available under subsection (a)(20)(B).”

(2)
Conforming amendments.—
(A)
Section 2104(c)(1) of the Social Security Act (42 U.S.C. 1397dd(c)(1)) is amended by striking “ (m)(4)” and inserting “ (m)(5)”.
(B)
Section 2104(m) of such Act (42 U.S.C. 1397dd(m)), as amended by paragraph (1), is further amended—
(i)
in paragraph (1)—
(I)
by striking “ paragraph (4)” each place it appears in subparagraphs (A) and (B) and inserting “ paragraph (5)”; and
(II)
by striking “ the allotment increase factor determined under paragraph (5)” each place it appears and inserting “ the allotment increase factor determined under paragraph (6)”;
(ii)
in paragraph (2)(A), by striking “ the allotment increase factor under paragraph (5)” and inserting “ the allotment increase factor under paragraph (6)”;
(iii)
in paragraph (3)—
(I)
by striking “ paragraphs (4) and (6)” and inserting “ paragraphs (5) and (7)” each place it appears; and
(II)
by striking “ the allotment increase factor under paragraph (5)” and inserting “ the allotment increase factor under paragraph (6)”;
(iv)
in paragraph (5) (as redesignated by paragraph (1)(F)), by striking “ paragraph (1), (2), or (3)” and inserting “ paragraph (1), (2), (3), or (4)”;
(v)
in paragraph (7) (as redesignated by paragraph (1)(F)), by striking “ subject to paragraph (4)” and inserting “ subject to paragraph (5)”; and
(vi)
in paragraph (9), (as redesignated by paragraph (1)(F)), by striking “ paragraph (3)” and inserting “ paragraph (3) or (4)”.
(C)
Section 2104(n)(3)(B)(ii) of such Act (42 U.S.C. 1397dd(n)(3)(B)(ii)) is amended by striking “ subsection (m)(5)(B)” and inserting “ subsection (m)(6)(B)”.
(D)
Section 2111(b)(2)(B)(i) of such Act (42 U.S.C. 1397kk(b)(2)(B)(i)) is amended by striking “ section 2104(m)(4)” and inserting “ section 2104(m)(5)”.
(3)
One-time appropriation for fiscal year 2017.— There is appropriated to the Secretary of Health and Human Services, out of any money in the Treasury not otherwise appropriated, $14,700,000,000 to accompany the allotment made for the period beginning on October 1, 2016, and ending on March 31, 2017, under paragraph (20)(A) of section 2104(a) of the Social Security Act (42 U.S.C. 1397dd(a)) (as added by subsection (a)(1)), to remain available until expended. Such amount shall be used to provide allotments to States under paragraph (4) of section 2104(m) of such Act (42 U.S.C. 1397dd(m)) (as amended by paragraph(1)(G)) for the first 6 months of fiscal year 2017 in the same manner as allotments are provided under subsection (a)(20)(A) of such section 2104 and subject to the same terms and conditions as apply to the allotments provided from such subsection (a)(20)(A).
(c)
Extension of Qualifying States Option.— Section 2105(g)(4) of the Social Security Act (42 U.S.C. 1397ee(g)(4)) is amended—
(1)
in the paragraph heading, by striking “ 2015” and inserting “ 2017”; and
(2)
in subparagraph (A), by striking “ 2015” and inserting “ 2017”.
(d)
Extension of the Child Enrollment Contingency Fund.—
(1)
In general.— Section 2104(n) of the Social Security Act (42 U.S.C. 1397dd(n)) is amended—
(A)
in paragraph (2)—
(i)
in subparagraph (A)(ii)—
(I)
by striking “ 2010 through 2014” and inserting “ 2010, 2011, 2012, 2013, 2014, and 2016”; and
(II)
by inserting “ and fiscal year 2017” after “ 2015”; and
(ii)
in subparagraph (B)—
(I)
by striking “ 2010 through 2014” and inserting “ 2010, 2011, 2012, 2013, 2014, and 2016”; and
(II)
by inserting “ and fiscal year 2017” after “ 2015”; and
(B)
in paragraph (3)(A), in the matter preceding clause (i), by striking “ fiscal year 2009, fiscal year 2010, fiscal year 2011, fiscal year 2012, fiscal year 2013, fiscal year 2014, or a semi-annual allotment period for fiscal year 2015” and inserting “ any of fiscal years 2009 through 2014, fiscal year 2016, or a semi-annual allotment period for fiscal year 2015 or 2017”.

SEC. 302. Extension of Express Lane Eligibility.

Section 1902(e)(13)(I) of the Social Security Act (42 U.S.C. 1396a(e)(13)(I)) is amended by striking “ 2015” and inserting “ 2017”.

SEC. 303. Extension of Outreach and Enrollment Program.

Section 2113 of the Social Security Act (42 U.S.C. 1397mm) is amended—
(1)
in subsection (a)(1), by striking “ 2015” and inserting “ 2017”; and
(2)
in subsection (g), by inserting “ and $40,000,000 for the period of fiscal years 2016 and 2017” after “ 2015”.

SEC. 304. Extension of Certain Programs and Demonstration 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 by inserting “ , and $10,000,000 for the period of fiscal years 2016 and 2017” after “ 2014”.
(b)
Pediatric Quality Measures Program.— Section 1139A(i) of the Social Security Act (42 U.S.C. 1320b–9a(i)) is amended in the first sentence by inserting before the period at the end the following: “ , and there is appropriated for the period of fiscal years 2016 and 2017, $20,000,000 for the purpose of carrying out this section (other than subsections (e), (f), and (g))”.

SEC. 305. Report of Inspector General of Hhs on Use of Express Lane Option under Medicaid and Chip.

Not later than 18 months after the date of the enactment of this Act, the Inspector General of the Department of Health and Human Services shall submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Finance of the Senate a report that—
(1)
provides data on the number of individuals enrolled in the Medicaid program under title XIX of the Social Security Act (referred to in this section as “Medicaid”) and the Children’s Health Insurance Program under title XXI of such Act (referred to in this section as “CHIP”) through the use of the Express Lane option under section 1902(e)(13) of the Social Security Act (42 U.S.C. 1396a(e)(13));
(2)
assesses the extent to which individuals so enrolled meet the eligibility requirements under Medicaid or CHIP (as applicable); and
(3)
provides data on Federal and State expenditures under Medicaid and CHIP for individuals so enrolled and disaggregates such data between expenditures made for individuals who meet the eligibility requirements under Medicaid or CHIP (as applicable) and expenditures made for individuals who do not meet such requirements.