[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.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 1, 2023

  Mr. Neguse introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 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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