Sec. 3201. Funding 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 (19), by striking and ; in paragraph (20), by striking the period at the end and inserting ; and ; and by adding at the end the following new paragraph: for fiscal year 2018, for purposes of making 1 semi-annual allotment— $2,850,000,000 for the period beginning on October 1, 2017, and ending on March 31, 2018. . Section 2104(m) of the Social Security Act ( 42 U.S.C. 1397dd(m) ) is amended— in paragraph (2)(B)(ii), in the matter preceding subclause (I), by inserting and paragraph
(10)after clauses
(iii)and
(iv); in paragraph (5)— by striking or
(4)and inserting (4), or
(10); and by striking or 2017 and inserting , 2017, or 2018 ; in paragraph (9)— in the heading, by striking and inserting fiscal years 2015 and 2017 ; certain fiscal years by striking or
(4)and inserting , (4), or
(10); and by striking or fiscal year 2017 and inserting , 2017, or 2018 ; and by adding at the end the following new paragraph: 2018 Subject to paragraphs
(5)and (7), from the amount made available under subparagraph
(A)of paragraph
(21)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) for such semi-annual period in an amount equal to 1/2 of the amount described in clause
(ii)for the State. The amount described in this clause for a State is equal to the sum of— the sum of the 2 semi-annual allotments made to the State under paragraph
(4)for fiscal year 2017; and the amount of any payments made to the State under subsection
(n)for fiscal year 2017, multiplied by the allotment increase factor under paragraph
(6)for fiscal year 2018. . Section 2104(m)(2) of such Act ( 42 U.S.C. 1397dd(m)(2) ) is amended— in the paragraph heading, by striking and inserting 2010 through 2016 ; and beginning with fiscal year 2010 by striking the allotment increase factor under paragraph
(5)each place it appears and inserting the allotment increase factor under paragraph
(6). Amounts allotted to a State under section 2104(m)(10)(A) of the Social Security Act ( 42 U.S.C. 1397dd(m)(10)(A) ) (as added by paragraph (1)) shall be subject to the same requirements of title XXI of such Act and applicable regulations of the Secretary of Health and Human Services as apply to other allotments made to States for a fiscal year under section 2104 of such Act. Section 2104(f)(2)(B)(ii) of the Social Security Act ( 42 U.S.C. 1397dd(f)(2)(B) ), as amended by section 201 of Public Law 115–90 , is amended— in the clause heading, by striking and inserting first quarter ; first half by redesignating subclause
(III)as subclause (VI); and by striking subclauses
(I)and
(II)and inserting the following: For each month beginning during the period beginning on October 1, 2017, and ending March 31, 2018, subject to the succeeding subclauses of this clause, the Secretary shall redistribute any amounts available for redistribution under paragraph
(1)for fiscal year 2018, to each State that is an emergency shortfall State for the month (as defined in subclause (II)) such amount as the Secretary determines will eliminate the estimated shortfall described in subclause
(II)for such State for the month (as may be adjusted under subparagraph (C)) before the Secretary may redistribute such amounts to any shortfall State that is not an emergency shortfall State. In the case of any amounts redistributed under this subclause to a State that is not an emergency shortfall State, such amounts shall be determined in accordance with clause (i). For purposes of this clause, the term emergency shortfall State means, with respect to a month beginning during the period beginning October 1, 2017, and ending March 31, 2018, a shortfall State for which the Secretary estimates, in accordance with subparagraph
(A)(unless otherwise specified in this subclause) and on a monthly basis using the most recent data available to the Secretary as of such month, that the projected expenditures under the State child health plan and under section 2105(g) (calculated as if the reference under section 2105(g)(4)(A) to 2017 were a reference to 2018 and insofar as the allotments are available to the State under this subsection or subsection
(e)or (m)) for such month will exceed the sum of the amounts described in clauses
(i)through
(iii)of subparagraph
(A)for such month, including after application of any amount redistributed under paragraph
(1)for a previous month for fiscal year 2018 in accordance with this clause, to such State. A shortfall State may be an emergency shortfall State under the previous sentence without regard to whether any amounts were redistributed to such State under paragraph
(1)for a previous month in fiscal year 2018. The Secretary shall redistribute the amounts available for redistribution under paragraph
(1)to emergency shortfall States described in subclause
(II)in the order in which such States realize monthly funding shortfalls under this title for fiscal year 2018. The Secretary shall only make redistributions under this clause to the extent that such amounts are available for such redistributions. If the amounts available for redistribution under paragraph
(1)for a month during the period described in subclause
(I)are less than the total amounts of the estimated shortfalls determined for the month for emergency shortfall States described in subclause (II), the amount computed under subclause
(I)for each emergency shortfall State shall be reduced proportionally. The Secretary shall withhold any funds redistributed under paragraph
(1)for fiscal year 2018 before January 1, 2018, but which have not been obligated for amounts expended by a State as of that date, and shall redistribute such funds in accordance with the preceding subclauses of this clause. . Nothing in the amendments made by paragraph
(1)shall be construed as authorizing the Secretary of Health and Human Services to de-obligate any funds redistributed under clause
(ii)of section 2104(f)(2)(B) of the Social Security Act ( 42 U.S.C. 1397dd(f)(2)(B) ) that have been obligated for amounts expended by an emergency shortfall State described in such clause as of January 1, 2018.
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Sec. 3201
Funding extension of the Children’s Health Insurance Program
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