113 S2461 IS: CHIP Extension Act of 2014 U.S. Senate 2014-06-11 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

II 113th CONGRESS2d Session S. 2461 IN THE SENATE OF THE UNITED STATES June 11, 2014 Mr. Rockefeller introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes.

1.

Short title; amendments to Social Security Act; references; table of contents

(a)

Short title

This Act may be cited as the CHIP Extension Act of 2014.(b)

Amendments to Social Security Act

Except as otherwise specifically provided, whenever in this Act an amendment is expressed in terms of an amendment to or repeal of a section or other provision, the reference shall be considered to be made to that section or other provision of the Social Security Act. (c)

References to CHIP; Medicaid; Secretary

In this Act: (1)

CHIP

The term CHIP means the 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).(2)

Medicaid

The term Medicaid means the program for medical assistance established under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.). (3)

Secretary

The term Secretary means the Secretary of Health and Human Services.(d)

Table of contents

The table of contents for this Act is as follows:Sec. 1. Short title; amendments to Social Security Act; references; table of contents. Sec. 2. Purposes. Sec. 3. General effective date; exception for State legislation; reliance on law. TITLE I—Financing Sec. 101. Extension of CHIP. Sec. 102. Continuation and update of performance incentives. Sec. 103. Funds to address any Federal funding shortfalls for States. TITLE II—Eligibility and Enrollment Subtitle A—Coverage Continuity Sec. 201. State option to increase upper age limit for children with special health care needs. Sec. 202. Improving coverage transitions from Medicaid or CHIP to coverage under a qualified health plan. Sec. 203. Assuring coverage continuity for former foster care children. Subtitle B—Enrollment Simplification and Improvements Sec. 211. Automatic enrollment for newborns under CHIP. Sec. 212. Express Lane Eligibility extension and application to pregnant women, foster children, and children with special health care needs. Sec. 213. Outreach to targeted populations. TITLE III—Affordability Sec. 301. Strengthened cost sharing protections under Medicaid and CHIP. TITLE IV—Benefits Sec. 401. Preventive health services. Sec. 402. Timely immunization coverage. TITLE V—Access and Quality Subtitle A—Pediatric Quality Measures Sec. 501. Extending the pediatric quality measures program. Sec. 502. Improving the effectiveness of the pediatric quality measures. Sec. 503. Annual State reports regarding State-specific quality of care measures applied under Medicaid or CHIP. Sec. 504. Advisory panel regarding pediatric quality. Sec. 505. Extending and expanding demonstration projects. Subtitle B—Maternal, Infant, and Early Childhood Home Visiting Program Sec. 511. Supporting evidence-based care coordination in communities. Subtitle C—Comparative study of Medicaid, CHIP, and qualified health plans Sec. 521. GAO study and report. TITLE VI—Budgetary Effects Sec. 601. Budgetary effect of this Act.

2.

Purposes

The purposes of this Act are to ensure the extension of CHIP, safeguard child-specific health coverage for millions of children, and make improvements to promote children's access to cost-effective, high-quality health care.

3.

General effective date; exception for State legislation; reliance on law

(a)

General effective date

Unless otherwise provided in this Act, subject to subsections (b) and (c), this Act and the amendments made by this Act shall take effect on October 1, 2015, and shall apply to child health assistance and medical assistance provided on or after that date. (b)

Exception for State legislation

In the case of a State plan under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) or a State child health plan under title XXI of such Act (42 U.S.C. 1397aa et seq.), which the Secretary determines requires State legislation in order for the respective plan to meet 1 or more additional requirements imposed by amendments made by this Act, the respective plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet such an additional requirement before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of the session shall be considered to be a separate regular session of the State legislature. (c)

Reliance on law

With respect to amendments made by this Act that become effective as of a date— (1)such amendments are effective as of such date whether or not regulations implementing such amendments have been issued; and (2)Federal financial participation for medical assistance or child health assistance furnished under title XIX or XXI, respectively, of the Social Security Act on or after such date by a State in good faith reliance on such amendments before the date of promulgation of final regulations, if any, to carry out such amendments (or before the date of guidance, if any, regarding the implementation of such amendments) shall not be denied on the basis of the State’s failure to comply with such regulations or guidance.