Sec. 301. 2-year extension of the Children's Health Insurance Program
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Section 2104(a) of the Social Security Act ( 42 U.S.C. 1397dd(a) ) is amended— in paragraph (17), by striking and at the end; in paragraph (18)(B), by striking the period at the end and inserting a semicolon; and by adding at the end the following new paragraphs: for fiscal year 2016, $19,300,000,000; and for fiscal year 2017, for purposes of making 2 semi-annual allotments— $2,850,000,000 for the period beginning on October 1, 2016, and ending on March 31, 2017; and $2,850,000,000 for the period beginning on April 1, 2017, and ending on September 30, 2017. .
Section 2104(m) of the Social Security Act ( 42 U.S.C. 1397dd(m) ) is amended— in the subsection heading, by striking and inserting Through 2015 ; and Thereafter in paragraph (2)— in the paragraph heading, by striking and inserting 2014 ; and 2016 by striking subparagraph
(B)and inserting the following new subparagraph: 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: 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. 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— the amount of the State allotment under clause
(i)for the preceding fiscal year; and the amount of any payments made to the State under subsection
(n)for such preceding fiscal year, multiplied by the allotment increase factor under paragraph
(6)for such even-numbered fiscal year. 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. 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. ; in paragraph (4), by inserting or 2017 after 2015 ; in paragraph (6)— in subparagraph (A), by striking 2015 and inserting 2017 ; and in the second sentence, by striking or fiscal year 2014 and inserting fiscal year 2014, or fiscal year 2016 ; in paragraph (8)— in the paragraph heading, by striking and inserting fiscal year 2015 ; and fiscal years 2015 and 2017 by inserting or fiscal year 2017 after 2015 ; by redesignating paragraphs
(4)through
(8)as paragraphs
(5)through (9), respectively; and by inserting after paragraph
(3)the following new paragraph: 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). 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— the amount of the allotment to such State under subparagraph (A); to the total of the amount of all of the allotments made available under such subparagraph. 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. The first half ratio described in this subparagraph is the ratio of— the sum of— the amount made available under subsection (a)(20)(A); and the amount of the appropriation for such period under section 301(b)(3) of the Medicare Access and CHIP Reauthorization Act of 2015 ; to the sum of the— amount described in clause (i); and the amount made available under subsection (a)(20)(B). . 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) . Section 2104(m) of such Act ( 42 U.S.C. 1397dd(m) ), as amended by paragraph (1), is further amended— in paragraph (1)— by striking paragraph
(4)each place it appears in subparagraphs
(A)and
(B)and inserting paragraph
(5); and by striking the allotment increase factor determined under paragraph
(5)each place it appears and inserting the allotment increase factor determined under paragraph
(6); in paragraph (2)(A), by striking the allotment increase factor under paragraph
(5)and inserting the allotment increase factor under paragraph
(6); in paragraph (3)— by striking paragraphs
(4)and
(6)and inserting paragraphs
(5)and
(7)each place it appears; and by striking the allotment increase factor under paragraph
(5)and inserting the allotment increase factor under paragraph
(6); in paragraph
(5)(as redesignated by paragraph (1)(F)), by striking paragraph (1), (2), or
(3)and inserting paragraph (1), (2), (3), or
(4); in paragraph
(7)(as redesignated by paragraph (1)(F)), by striking subject to paragraph
(4)and inserting subject to paragraph
(5); and in paragraph (9), (as redesignated by paragraph (1)(F)), by striking paragraph
(3)and inserting paragraph
(3)or
(4). 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) . 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) . 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). Section 2105(g)(4) of the Social Security Act ( 42 U.S.C. 1397ee(g)(4) ) is amended— in the paragraph heading, by striking and inserting 2015 ; and 2017 in subparagraph (A), by striking 2015 and inserting 2017 . Section 2104(n) of the Social Security Act ( 42 U.S.C. 1397dd(n) ) is amended— in paragraph (2)— in subparagraph (A)(ii)— by striking 2010 through 2014 and inserting 2010, 2011, 2012, 2013, 2014, and 2016 ; and by inserting and fiscal year 2017 after 2015 ; and in subparagraph (B)— by striking 2010 through 2014 and inserting 2010, 2011, 2012, 2013, 2014, and 2016 ; and by inserting and fiscal year 2017 after 2015 ; and 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 .
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Sec. 301
2-year extension of the Children's Health Insurance Program
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