    [United States Statutes at Large, Volume 132, 115th Congress, 2nd Session]
    [From the U.S. Government Publishing Office, www.gpo.gov]

    Public Law 115-120
    115th Congress

    An Act

    Making further continuing appropriations for the fiscal year ending
    September 30, 2018, and for other purposes. <>

    Be it enacted by the Senate and House of Representatives of the
    United States of America in Congress assembled,

    DIVISION <>  A--
    FEDERAL REGISTER PRINTING SAVINGS ACT OF 2017
    SECTION 1. <>  SHORT TITLE.

    This division may be cited as the ``Federal Register Printing
    Savings Act of 2017''.
    SEC. 2. RESTRICTIONS ON DISTRIBUTION OF FREE PRINTED COPIES OF
    FEDERAL REGISTER TO MEMBERS OF CONGRESS AND
    FEDERAL EMPLOYEES.

    (a) Restrictions.--Section 1506 of title 44, United States Code, is
    amended--
    (1) by striking ``The Administrative Committee'' and
    inserting ``(a) Composition; Duties.--The Administrative
    Committee'';
    (2) in subsection (a)(4), by striking ``the number of
    copies'' and inserting ``subject to subsection (b), the number
    of copies''; and
    (3) by adding at the end the following new subsection:

    ``(b) <>  Restrictions on Distribution of Free
    Printed Copies to Members of Congress and Officers and Employees of the
    United States.--
    ``(1) Prohibiting subscription to printed copies without
    request.--Under the regulations prescribed to carry out
    subsection (a)(4), the Director of the Government Publishing
    Office may not provide a printed copy of the Federal Register
    without charge to any Member of Congress or any other office of
    the United States during a year unless--
    ``(A) the Member or office requests a printed copy
    of a specific issue of the Federal Register; or
    ``(B) during that year or during the previous year,
    the Member or office requested a subscription to printed
    copies of the Federal Register for that year, as
    described in paragraph (2).
    ``(2) Administration of subscriptions.--The regulations
    prescribed to carry out subsection (a)(4) shall include--

    [[Page 29]]

    ``(A) <>  provisions regarding
    notifications to offices of Members of Congress and
    other offices of the United States of the restrictions
    of paragraph (1);
    ``(B) provisions describing the process by which
    Members and other offices may request a specific issue
    of the Federal Register for purposes of paragraph
    (1)(A); and
    ``(C) <>  provisions describing
    the process by which Members and other offices may
    request a subscription to the Federal Register for
    purposes of paragraph (1)(B), except that such
    regulations shall limit the period for such a
    subscription to not longer than 1 year.''.

    (b) <>  Effective Date.--The amendment made
    by subsection (a) shall take effect January 1, 2018.

    DIVISION <>
    B--EXTENSION OF CONTINUING APPROPRIATIONS ACT, 2018

    Sec. 2001.  The Continuing Appropriations Act, 2018 (division D of
    Public Law 115-56) is amended--
    (1) by striking the date specified in section
    106(3) <>  and inserting ``February 8,
    2018''; and
    (2) by adding after section 147 <>
    the following:

    ``Sec. 148.  Funds appropriated by the Department of Defense Missile
    Defeat and Defense Enhancements Appropriations Act, 2018 (division B of
    Public Law 115-96) may be obligated and expended notwithstanding section
    504(a)(1) of the National Security Act of 1947 (50 U.S.C. 3094(a)(1)).
    ``Sec. 149.  Amounts made available by section 101 for `Department
    of Agriculture--Food and Nutrition Service--Child Nutrition Programs' to
    carry out section 749(g) of the Agriculture Appropriations Act of 2010
    (Public Law 111-80) may be apportioned up to the rate for operations
    necessary to ensure that the program can be fully operational by May
    2018.
    ``Sec. 150.  Amounts made available by section 101 for `National
    Aeronautics and Space Administration--Exploration' may be apportioned up
    to the rate for operations necessary to maintain the planned launch
    capability schedules for the Space Launch System launch vehicle,
    Exploration Ground Systems, and Orion Multi-Purpose Crew Vehicle
    programs.
    ``Sec. 151.  Amounts made available by section 101 for `Department
    of Energy--Energy Programs--Office of the Inspector General' may be
    apportioned up to the rate for operations necessary to sustain staffing
    levels achieved on June 30, 2017.
    ``Sec. 152.  Amounts made available by section 101 for `Small
    Business Administration--Business Loans Program Account' may be
    apportioned up to the rate for operations necessary to accommodate
    increased demand for commitments for general business loans authorized
    under section 7(a) of the Small Business Act (15 U.S.C. 636(a)).
    ``Sec. 153.  For 2018, the Secretary of Housing and Urban
    Development may make temporary adjustments to the Section 8 housing
    choice voucher annual renewal funding allocations and administrative fee
    eligibility determinations for public housing agencies in an area for
    which the President declared a disaster in 2017 or 2018 under title IV
    of the Robert T. Stafford Disaster Relief and Emergency Assistance Act
    (42 U.S.C. 5170 et seq.), to avoid significant adverse funding impacts
    that would otherwise

    [[Page 30]]

    result from the disaster and that would otherwise prevent a public
    housing agency from leasing up to its authorized level of units under
    contract (but not to exceed such level), upon request by and in
    consultation with a public housing agency and supported by documentation
    as required by the Secretary that demonstrates the need for the
    adjustment.
    ``Sec. 154. (a) <>  Employees furloughed as a
    result of any lapse in appropriations which begins on or about January
    20, 2018, shall be compensated at their standard rate of compensation,
    for the period of such lapse in appropriations, as soon as practicable
    after such lapse in appropriations ends.

    ``(b) <>  For purposes of this section,
    `employee' means:
    ``(1) a federal employee;
    ``(2) an employee of the District of Columbia Courts;
    ``(3) an employee of the Public Defender Service for the
    District of Columbia; or
    ``(4) a District of Columbia Government employee.

    ``(c) All obligations incurred in anticipation of the appropriations
    made and authority granted by this division for the purposes of
    maintaining the essential level of activity to protect life and property
    and bringing about orderly termination of Government functions, and for
    purposes as otherwise authorized by law, are hereby ratified and
    approved if otherwise in accord with the provisions of this division.
    ``Sec. 155. (a) If a State (or another Federal grantee) used State
    funds (or the grantee's non-Federal funds) to continue carrying out a
    Federal program or furloughed State employees (or the grantee's
    employees) whose compensation is advanced or reimbursed in whole or in
    part by the Federal Government--
    ``(1) such furloughed employees shall be compensated at
    their standard rate of compensation for such period;
    ``(2) <>  the State (or such other
    grantee) shall be reimbursed for expenses that would have been
    paid by the Federal Government during such period had
    appropriations been available, including the cost of
    compensating such furloughed employees, together with interest
    thereon calculated under section 6503(d) of title 31, United
    States Code; and
    ``(3) the State (or such other grantee) may use funds
    available to the State (or the grantee) under such Federal
    program to reimburse such State (or the grantee), together with
    interest thereon calculated under section 6503(d) of title 31,
    United States Code.

    ``(b) <>  For purposes of this section, the term
    `State' and the term `grantee' shall have the meaning as such term is
    defined under the applicable Federal program under subsection (a). In
    addition, `to continue carrying out a Federal program' means the
    continued performance by a State or other Federal grantee, during the
    period of a lapse in appropriations, of a Federal program that the State
    or such other grantee had been carrying out prior to the period of the
    lapse in appropriations.

    ``(c) <>  The authority under this section
    applies with respect to any period in fiscal year 2018 (not limited to
    periods beginning or ending after the date of the enactment of this
    division) during which there occurs a lapse in appropriations with
    respect to any department or agency of the Federal Government which, but
    for such lapse in appropriations, would have paid, or made reimbursement
    relating to, any of the expenses referred to in this section

    [[Page 31]]

    with respect to the program involved. Payments and reimbursements under
    this authority shall be made only to the extent and in amounts provided
    in advance in appropriations Acts.''.

    Sec. 2002.  The Further Additional Continuing Appropriations Act,
    2018 (division A of Public Law 115-96) <>  is
    amended by striking section 1002.

    Sec. 2003.  <> For the purposes of division D of
    Public Law 115-56, the time covered by such division shall be considered
    to include the period which began on or about January 20, 2018, during
    which there occurred a lapse in appropriations.

    This division may be cited as the ``Extension of Continuing
    Appropriations Act, 2018''.

    DIVISION <>  C--HEALTHY KIDS ACT
    SEC. 3001. SHORT TITLE.

    This division may be cited as the ``Helping Ensure Access for Little
    Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable
    Act'' or the ``HEALTHY KIDS Act''.
    SEC. 3002. SIX-YEAR FUNDING EXTENSION OF THE CHILDREN'S HEALTH
    INSURANCE PROGRAM.

    (a) Funding.--
    (1) In general.--Section 2104(a) of the Social Security Act
    (42 U.S.C. 1397dd(a)), as amended by section 3201(a) of the CHIP
    and Public Health Funding Extension Act (division C of Public
    Law 115-96), is amended--
    (A) in paragraph (20)(B), by striking ``; and'' and
    inserting a semicolon;
    (B) by striking paragraph (21) and inserting the
    following new paragraphs:
    ``(21) for fiscal year 2018, $21,500,000,000;
    ``(22) for fiscal year 2019, $22,600,000,000;
    ``(23) for fiscal year 2020, $23,700,000,000;
    ``(24) for fiscal year 2021, $24,800,000,000;
    ``(25) for fiscal year 2022, $25,900,000,000; and
    ``(26) for fiscal year 2023, for purposes of making two
    semi-annual allotments--
    ``(A) $2,850,000,000 for the period beginning on
    October 1, 2022, and ending on March 31, 2023; and
    ``(B) $2,850,000,000 for the period beginning on
    April 1, 2023, and ending on September 30, 2023.''.
    (2) Prevention of duplicate appropriations for fiscal year
    2018.--Notwithstanding any other provision of law, insofar as
    funds have been appropriated under subsection (a)(21) of section
    2104 of the Social Security Act (42 U.S.C. 1397dd), as such
    subsection is in effect on the day before the date of the
    enactment of this Act, to provide allotments to States under the
    State Children's Health Insurance 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) for fiscal year 2018--
    (A) any amounts that are so appropriated that are
    not so allotted and obligated before the date of the
    enactment of this Act, are rescinded; and

    [[Page 32]]

    (B) any amount provided for CHIP allotments to a
    State under this section (and the amendments made by
    this section) for such fiscal year shall be reduced by
    the amount of such appropriations so allotted and
    obligated before such date.

    (b) Allotments.--
    (1) In general.--Section 2104(m) of the Social Security Act
    (42 U.S.C. 1397dd(m)), as amended by section 3201(b) of the CHIP
    and Public Health Funding Extension Act (division C of Public
    Law 115-96), is amended--
    (A) in paragraph (2)(B)--
    (i) in the matter preceding clause (i), by
    striking ``(19)'' and inserting ``(25)'';
    (ii) in clause (i), by striking ``and 2017''
    and inserting ``, 2017, and 2023''; and
    (iii) in clause (ii)--
    (I) in the matter preceding
    subclause (I), by striking ``and
    paragraph (10)''; and
    (II) in subclause (I), by inserting
    ``(or, in the case of fiscal year 2018,
    under paragraph (4))'' after ``clause
    (i)'';
    (B) in paragraph (5), by striking ``2018'' and
    inserting ``2023'';
    (C) in paragraph (7)--
    (i) in subparagraph (A), by striking ``2017''
    and inserting ``2023'';
    (ii) <>  in subparagraph (B),
    in the matter preceding clause (i), by inserting
    ``(or, in the case of fiscal year 2018, by not
    later than the date that is 60 days after the date
    of the enactment of the HEALTHY KIDS Act)'' after
    ``before the August 31 preceding the beginning of
    the fiscal year''; and
    (iii) in the matter following subparagraph
    (B), by striking ``or fiscal year 2016'' and
    inserting ``fiscal year 2016, fiscal year 2018,
    fiscal year 2020, or fiscal year 2022'';
    (D) in paragraph (9), by striking ``2018'' and
    inserting ``2023''; and
    (E) by amending paragraph (10) to read as follows:
    ``(10) <>  For fiscal year 2023.--
    ``(A) First half.--Subject to paragraphs (5) and
    (7), from the amount made available under subparagraph
    (A) of paragraph (26) of subsection (a) for the semi-
    annual period described in such subparagraph, increased
    by the amount of the appropriation for such period under
    section 3002(b)(2) of the HEALTHY KIDS Act, 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 (26) of subsection (a) for the semi-
    annual period described in such subparagraph, the
    Secretary shall compute a State allotment for each State
    (including the District of Columbia and each
    commonwealth and territory)

    [[Page 33]]

    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 2022 (including payments made to the
    State under subsection (n) for fiscal year 2022 as well
    as amounts redistributed to the State in fiscal year
    2022), multiplied by the allotment increase factor under
    paragraph (6) for fiscal year 2023.
    ``(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)(26)(A); and
    ``(II) the amount of the
    appropriation for such period under
    section 3002(b)(2) of the HEALTHY KIDS
    Act; to
    ``(ii) the sum of--
    ``(I) the amount described in clause
    (i); and
    ``(II) the amount made available
    under subsection (a)(26)(B).''.
    (2) <>  One-time appropriation for
    fiscal year 2023.--There is appropriated to the Secretary of
    Health and Human Services, out of any money in the Treasury not
    otherwise appropriated, $20,200,000,000 to accompany the
    allotment made for the period beginning on October 1, 2022, and
    ending on March 31, 2023, under paragraph (26)(A) of section
    2104(a) of the Social Security Act (42 U.S.C. 1397dd(a)) (as
    added by subsection (a)), to remain available until expended.
    Such amount shall be used to provide allotments to States under
    paragraph (10) of section 2104(m) of such Act (as added by
    paragraph (1)) for the first 6 months of fiscal year 2023 in the
    same manner as allotments are provided under subsection
    (a)(26)(A) of such section 2104 and subject to the same terms
    and conditions as apply to the allotments provided from such
    subsection (a)(26)(A).

    (c) Extension of the Child Enrollment Contingency Fund.--Section
    2104(n) of the Social Security Act (42 U.S.C. 1397dd(n)) is amended--
    (1) in paragraph (2)--
    (A) in subparagraph (A)(ii)--
    (i) by striking ``2010, 2011, 2012, 2013,
    2014, and 2016'' and inserting ``2010 through
    2014, 2016, and 2018 through 2022''; and
    (ii) by striking ``fiscal year 2015 and fiscal
    year 2017'' and inserting ``fiscal years 2015,
    2017, and 2023''; and
    (B) in subparagraph (B)--

    [[Page 34]]

    (i) by striking ``2010, 2011, 2012, 2013,
    2014, and 2016'' and inserting ``2010 through
    2014, 2016, and 2018 through 2022''; and
    (ii) by striking ``fiscal year 2015 and fiscal
    year 2017'' and inserting ``fiscal years 2015,
    2017, and 2023''; and
    (2) in paragraph (3)(A), in the matter preceding clause (i),
    by striking ``or a semi-annual allotment period for fiscal year
    2015 or 2017'' and inserting ``or in any of fiscal years 2018
    through 2022 (or a semi-annual allotment period for fiscal year
    2015, 2017, or 2023)''.

    (d) Extension of Qualifying States Option.--
    (1) In general.--Section 2105(g)(4) of the Social Security
    Act (42 U.S.C. 1397ee(g)(4)) is amended--
    (A) in the heading, by striking ``through 2017'' and
    inserting ``through 2023''; and
    (B) in subparagraph (A), by striking ``2017'' and
    inserting ``2023''.
    (2) Technical amendments.--Section 2104(f)(2)(B)(ii) of the
    Social Security Act (42 U.S.C. 1397dd(f)(2)(B)(ii)), as amended
    by section 3201(c) of the CHIP and Public Health Funding
    Extension Act (division C of Public Law 115-96), is amended--
    (A) in subclause (I), by striking ``for the month
    (as defined in subclause (II))'' and inserting ``(as
    defined in subclause (II)) for the month'';
    (B) in subclause (II), by inserting ``, as in effect
    on the day before the date of the enactment of the
    HEALTHY KIDS Act,'' after ``section 2105(g)(4)(A)''; and
    (C) in subclause (VI)--
    (i) by inserting ``, as in effect on the day
    before the date of the enactment of the HEALTHY
    KIDS Act'' after ``, section 2105(g)(4)''; and
    (ii) by inserting ``, as so in effect'' after
    ``under section 2105(g)(4)''.

    (e) Extension of Express Lane Eligibility Option.--Section
    1902(e)(13)(I) of the Social Security Act (42 U.S.C. 1396a(e)(13)(I)) is
    amended by striking ``2017'' and inserting ``2023''.
    (f) Assurance of Affordability Standard for Children and Families.--
    (1) In general.--Section 2105(d)(3) of the Social Security
    Act (42 U.S.C. 1397ee(d)(3)) is amended--
    (A) in the paragraph heading, by striking ``until
    october 1, 2019'' and inserting ``through september 30,
    2023''; and
    (B) in subparagraph (A), in the matter preceding
    clause (i)--
    (i) by striking ``2019'' and inserting
    ``2023''; and
    (ii) <>  by
    striking ``The preceding sentence shall not be
    construed as preventing a State during such
    period'' and inserting ``During the period that
    begins on October 1, 2019, and ends on September
    30, 2023, the preceding sentence shall only apply
    with respect to children in families whose income
    does not exceed 300 percent of the poverty line
    (as defined in section 2110(c)(5)) applicable to a
    family of the size involved.

    [[Page 35]]

    The preceding sentences shall not be construed as
    preventing a State during any such periods''.
    (2) Conforming amendments.--Section 1902(gg)(2) of the
    Social Security Act (42 U.S.C. 1396a(gg)(2)) is amended--
    (A) in the paragraph heading, by striking ``until
    october 1, 2019'' and inserting ``through september 30,
    2023''; and
    (B) <>  by striking ``September
    30, 2019,'' and inserting ``September 30, 2023 (but
    during the period that begins on October 1, 2019, and
    ends on September 30, 2023, only with respect to
    children in families whose income does not exceed 300
    percent of the poverty line (as defined in section
    2110(c)(5)) applicable to a family of the size
    involved)''.

    (g) CHIP Look-Alike Plans.--
    (1) Blending risk pools.--Section 2107 of the Social
    Security Act (42 U.S.C. 1397gg) is amended by adding at the end
    the following:

    ``(g) Use of Blended Risk Pools.--
    ``(1) In general.--Nothing in this title (or any other
    provision of Federal law) shall be construed as preventing a
    State from considering children enrolled in a qualified CHIP
    look-alike program and children enrolled in a State child health
    plan under this title (or a waiver of such plan) as members of a
    single risk pool.
    ``(2) <>  Qualified chip look-alike
    program.--In this subsection, the term `qualified CHIP look-
    alike program' means a State program--
    ``(A) under which children who are under the age of
    19 and are not eligible to receive medical assistance
    under title XIX or child health assistance under this
    title may purchase coverage through the State that
    provides benefits that are at least identical to the
    benefits provided under the State child health plan
    under this title (or a waiver of such plan); and
    ``(B) that is funded exclusively through non-Federal
    funds, including funds received by the State in the form
    of premiums for the purchase of such coverage.''.
    (2) Coverage rule.--
    (A) In general.--Section 5000A(f)(1) of the Internal
    Revenue Code of 1986 <>  is amended
    in subparagraph (A)(iii), by inserting ``or under a
    qualified CHIP look-alike program (as defined in section
    2107(g) of the Social Security Act)'' before the comma
    at the end.
    (B) <>  Effective date.--
    The amendment made by subparagraph (A) shall apply with
    respect to taxable years beginning after December 31,
    2017.

    (h) Availability of Unused Fiscal Year 2018 Redistribution
    Amounts.--Any amounts that have been redistributed to States under
    subsection (f) of section 2104 of the Social Security Act (42 U.S.C.
    1397dd) for fiscal year 2018 that are not, or will not be, expended by
    the end of that fiscal year shall be--
    (1) adjusted by the Secretary before the end of fiscal year
    2018 to reflect an updated estimate of shortfalls under
    subsection (f)(2)(A) of such section; and
    (2) available for redistribution under subsection (f) of
    such section for subsequent fiscal years.

    [[Page 36]]

    SEC. 3003. 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--
    (1) by striking ``and $10,000,000'' and inserting ``,
    $10,000,000''; and
    (2) by inserting after ``2017'' the following: ``, and
    $30,000,000 for the period of fiscal years 2018 through 2023''.

    (b) Pediatric Quality Measures Program.--Section 1139A(i) of the
    Social Security Act (42 U.S.C. 1320b-9a(i)) is amended--
    (1) by striking ``Out of any'' and inserting the following:
    ``(1) In general.--Out of any'';
    (2) by striking ``there is appropriated for each'' and
    inserting ``there is appropriated--
    ``(A) for each'';
    (3) by striking ``, and there is appropriated for the
    period'' and inserting ``;
    ``(B) for the period'';
    (4) by striking ``. Funds appropriated under this subsection
    shall remain available until expended.'' and inserting ``;
    and''; and
    (5) by adding at the end the following:
    ``(C) <>  for the period of
    fiscal years 2018 through 2023, $90,000,000 for the
    purpose of carrying out this section (other than
    subsections (e), (f), and (g)).
    ``(2) Availability.--Funds appropriated under this
    subsection shall remain available until expended.''.
    SEC. 3004. EXTENSION OF OUTREACH AND ENROLLMENT PROGRAM.

    (a) In General.--Section 2113 of the Social Security Act (42 U.S.C.
    1397mm) is amended--
    (1) in subsection (a)(1), by striking ``2017'' and inserting
    ``2023''; and
    (2) in subsection (g)--
    (A) by striking ``and $40,000,000'' and inserting
    ``, $40,000,000''; and
    (B) <>  by inserting after
    ``2017'' the following: ``, and $120,000,000 for the
    period of fiscal years 2018 through 2023''.

    (b) Making Organizations That Use Parent Mentors Eligible To Receive
    Grants.--Section 2113(f) of the Social Security Act (42 U.S.C.
    1397mm(f)) is amended--
    (1) in paragraph (1)(E), by striking ``or community-based
    doula programs'' and inserting ``, community-based doula
    programs, or parent mentors''; and
    (2) by adding at the end the following new paragraph:
    ``(5) <>  Parent mentor.--The term
    `parent mentor' means an individual who--
    ``(A) is a parent or guardian of at least one child
    who is an eligible child under this title or title XIX;
    and
    ``(B) is trained to assist families with children
    who have no health insurance coverage with respect to
    improving the social determinants of the health of such
    children, including by providing--
    ``(i) education about health insurance
    coverage, including, with respect to obtaining
    such coverage,

    [[Page 37]]

    eligibility criteria and application and renewal
    processes;
    ``(ii) assistance with completing and
    submitting applications for health insurance
    coverage;
    ``(iii) a liaison between families and
    representatives of State plans under title XIX or
    State child health plans under this title;
    ``(iv) guidance on identifying medical and
    dental homes and community pharmacies for
    children; and
    ``(v) assistance and referrals to successfully
    address social determinants of children's health,
    including poverty, food insufficiency, and
    housing.''.

    (c) Exclusion From Modified Adjusted Gross Income.--Section 1902(e)
    of the Social Security Act (42 U.S.C. 1396a(e)) is amended--
    (1) in the first paragraph (14), relating to income
    determined using modified adjusted gross income, by adding at
    the end the following new subparagraph:
    ``(J) Exclusion of parent mentor compensation from
    income determination.--Any nominal amount received by an
    individual as compensation, including a stipend, for
    participation as a parent mentor (as defined in
    paragraph (5) of section 2113(f)) in an activity or
    program funded through a grant under such section shall
    be disregarded for purposes of determining the income
    eligibility of such individual for medical assistance
    under the State plan or any waiver of such plan.''; and
    (2) by striking ``(14) Exclusion'' and inserting ``(15)
    Exclusion''.
    SEC. 3005. <>  EXTENSION AND REDUCTION OF
    ADDITIONAL FEDERAL FINANCIAL
    PARTICIPATION FOR CHIP.

    Section 2105(b) of the Social Security Act (42 U.S.C. 1397ee(b)) is
    amended in the second sentence by inserting ``and during the period that
    begins on October 1, 2019, and ends on September 30, 2020, the enhanced
    FMAP determined for a State for a fiscal year (or for any portion of a
    fiscal year occurring during such period) shall be increased by 11.5
    percentage points'' after ``23 percentage points,''.
    SEC. 3006. MEDICAID IMPROVEMENT FUND.

    Section 1941 of the Social Security Act (42 U.S.C. 1396w-1) is
    amended--
    (1) in subsection (a), in the first sentence, by inserting
    before the period at the end the following: ``, and, in
    accordance with subsection (b)(3), for the purposes of
    subparagraph (B) of such subsection''; and
    (2) in subsection (b)--
    (A) in paragraph (2)--
    (i) in the first sentence, by inserting
    ``pursuant to paragraph (1)'' after ``in the
    Fund'';
    (ii) by inserting after the first sentence the
    following sentence: ``Amounts in the Fund pursuant
    to paragraph (3) shall be available in advance of
    appropriations but only if the total amount
    obligated from the Fund does not exceed the amount
    available to the Fund under such paragraph (3).'';
    and

    [[Page 38]]

    (iii) in the last sentence, by striking
    ``sentence'' and inserting ``sentences''; and
    (B) by adding at the end the following new
    paragraph:
    ``(3) Additional funding for state activities relating to
    mechanized claims systems.--
    ``(A) In general.--In addition to the amount made
    available under paragraph (1), there shall be available
    to the Fund, for expenditures from the Fund in
    accordance with subparagraph (B), for fiscal year 2023
    and thereafter, $980,000,000, to remain available until
    expended.
    ``(B) <>  Purposes.--The
    Secretary shall use amounts made available to the Fund
    under subparagraph (A) to pay to each State which has a
    plan approved under this title, for each quarter
    beginning during or after fiscal year 2023 an amount
    equal to--
    ``(i) 100 percent minus the percent specified
    in clause (i) of section 1903(a)(3)(A) of so much
    of the sums expended by the State during such
    quarter as are attributable to the activities
    described in such clause;
    ``(ii) 100 percent minus the Federal medical
    assistance percentage applied under clause (iii)
    of such section of so much of the sums expended
    during such quarter (as found necessary by the
    Secretary under such clause) by the State as are
    attributable to the activities described in such
    clause; and
    ``(iii) 100 percent minus the percent
    specified in section 1903(a)(3)(B) of so much of
    the sums expended by the State during such quarter
    as are attributable to the activities described in
    such section.''.

    DIVISION D--SUSPENSION OF CERTAIN HEALTH-RELATED TAXES

    SEC. 4001. EXTENSION OF MORATORIUM ON MEDICAL DEVICE EXCISE TAX.

    (a) In General.--Section 4191(c) of the Internal Revenue Code of
    1986 <>  is amended by striking ``December 31,
    2017'' and inserting ``December 31, 2019''.

    (b) <>  Effective Date.--The amendment made
    by this section shall apply to sales after December 31, 2017.
    SEC. 4002. DELAY IN IMPLEMENTATION OF EXCISE TAX ON HIGH COST
    EMPLOYER-SPONSORED HEALTH COVERAGE.

    Section 9001(c) of the Patient Protection and Affordable Care Act is
    amended <>  by striking ``December 31, 2019''
    and inserting ``December 31, 2021''.
    SEC. 4003. SUSPENSION OF ANNUAL FEE ON HEALTH INSURANCE PROVIDERS.

    (b) In General.--Section 9010(j) of the Patient Protection and
    Affordable Care Act is <>  amended--
    (1) by striking ``and'' at the end of paragraph (1),
    (2) by striking the period at the end of paragraph (2) and
    inserting ``, and ending before January 1, 2019, and'', and

    [[Page 39]]

    (3) by adding at the end the following new paragraph:
    ``(3) beginning after December 31, 2019.''.

    (c) <>  Effective Date.--The
    amendments made by this section shall apply to calendar years beginning
    after December 31, 2018.

    DIVISION E--BUDGETARY EFFECTS

    SEC. 5001. BUDGETARY EFFECTS.

    (a) In General.--The budgetary effects of division C and each
    succeeding division shall not be entered on either PAYGO scorecard
    maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act
    of 2010.
    (b) Senate Paygo Scorecards.--The budgetary effects of division C
    and each succeeding division shall not be entered on any PAYGO scorecard
    maintained for purposes of section 4106 of H. Con. Res. 71 (115th
    Congress).
    (c) Classification of Budgetary Effects.--Notwithstanding Rule 3 of
    the Budget Scorekeeping Guidelines set forth in the joint explanatory
    statement of the committee of conference accompanying Conference Report
    105-217 and section 250(c)(8) of the Balanced Budget and Emergency
    Deficit Control Act of 1985, the budgetary effects of division C and
    each succeeding division shall not be estimated--
    (1) for purposes of section 251 of such Act; and
    (2) for purposes of paragraph (4)(C) of section 3 of the
    Statutory Pay-As-You-Go Act of 2010 as being included in an
    appropriation Act.

    Approved January 22, 2018.

    LEGISLATIVE HISTORY--H.R. 195:
    ---------------------------------------------------------------------------

    HOUSE REPORTS: No. 115-128, Pt. 1 (Comm. on Oversight and Government
    Reform).
    SENATE REPORTS: No. 115-184 (Comm. on Homeland Security and Governmental
    Affairs).
    CONGRESSIONAL RECORD:
    Vol. 163 (2017):
    May 17, considered and passed House.
    Dec. 21, considered and passed
    Senate, amended.
    Vol. 164 (2018):
    Jan. 18, House concurred in Senate
    amendment with an amendment.
    Senate considered concurring in
    House amendment.
    Jan. 19-21, Senate further
    considered concurring in House
    amendment.
    Jan. 22, Senate concurred in House
    amendment with an amendment.
    House concurred in Senate
    amendment.