Sec. 50101. Funding extension of the Children's Health Insurance Program through fiscal year 2027
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Section 2104(a) of the Social Security Act ( 42 U.S.C. 1397dd(a) ), as amended by section 3002(a) of the HEALTHY KIDS Act (division C of Public Law 115–120 ), is amended— in paragraph (25), by striking ; and and inserting a semicolon; in paragraph (26), by striking the period at the end and inserting a semicolon; and by adding at the end the following new paragraphs: for each of fiscal years 2024 through 2026, such sums as are necessary to fund allotments to States under subsections
(c)and (m); and for fiscal year 2027, for purposes of making two semi-annual allotments— $7,650,000,000 for the period beginning on October 1, 2026, and ending on March 31, 2027; and $7,650,000,000 for the period beginning on April 1, 2027, and ending on September 30, 2027. . Section 2104(m) of the Social Security Act ( 42 U.S.C. 1397dd(m) ), as amended by section 3002(b) of the HEALTHY KIDS Act (division C of Public Law 115–120 ), is amended— in paragraph (2)(B)— in the matter preceding clause (i), by striking
(25)and inserting
(27); in clause (i), by striking and 2023 and inserting , 2023, and 2027 ; and in clause (ii)(I), by striking (or, in the case of fiscal year 2018, under paragraph (4)) and inserting (or, in the case of fiscal year 2018 or 2024, under paragraph
(4)or (10), respectively) ; in paragraph (5)— by striking or
(10)and inserting (10), or
(11); and by striking or 2023, and inserting 2023, or 2027, ; in paragraph (7)— in subparagraph (A), by striking 2023 and inserting 2027, ; and in the matter following subparagraph (B), by striking or fiscal year 2022 and inserting fiscal year 2022, fiscal year 2024, or fiscal year 2026 ; in paragraph (9)— by striking or
(10)and inserting (10), or
(11); and by striking or 2023, and inserting 2023, or 2027, ; and by adding at the end the following: 2027 Subject to paragraphs
(5)and (7), from the amount made available under subparagraph
(A)of paragraph
(28)of subsection
(a)for the semi-annual period described in such subparagraph, increased by the amount of the appropriation for such period under section 50101(b)(2) of the Advancing Chronic Care, Extenders, and Social Services 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). Subject to paragraphs
(5)and (7), from the amount made available under subparagraph
(B)of paragraph
(28)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 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 2026 (including payments made to the State under subsection
(n)for fiscal year 2026 as well as amounts redistributed to the State in fiscal year 2026), multiplied by the allotment increase factor under paragraph
(6)for fiscal year 2027. The first half ratio described in this subparagraph is the ratio of— the sum of— the amount made available under subsection (a)(28)(A); and the amount of the appropriation for such period under section 50101(b)(2) of the Advancing Chronic Care, Extenders, and Social Services Act; to the sum of— the amount described in clause (i); and the amount made available under subsection (a)(28)(B). . 2027 There is appropriated to the Secretary of Health and Human Services, out of any money in the Treasury not otherwise appropriated, such sums as are necessary to fund allotments to States under subsections
(c)and
(m)of section 2104 of the Social Security Act ( 42 U.S.C. 1397dd ) for fiscal year 2027, taking into account the full year amounts calculated for States under paragraph (11)(C) of subsection
(m)of such section (as added by paragraph (1)) and the amounts appropriated under subparagraphs
(A)and
(B)of subsection (a)(28) of such section (as added by subsection (a)). Such amount shall accompany the allotment made for the period beginning on October 1, 2026, and ending on March 31, 2027, under paragraph (28)(A) of section 2104(a) of such Act ( 42 U.S.C. 1397dd(a) ), to remain available until expended. Such amount shall be used to provide allotments to States under paragraph
(11)of section 2104(m) of such Act for the first 6 months of fiscal year 2027 in the same manner as allotments are provided under subsection (a)(28)(A) of such section 2104 and subject to the same terms and conditions as apply to the allotments provided from such subsection (a)(28)(A). Section 2104(n) of the Social Security Act ( 42 U.S.C. 1397dd(n) ), as amended by section 3002(c) of the HEALTHY KIDS Act (division C of Public Law 115–120 ), is amended— in paragraph (2)— in subparagraph (A)(ii)— by striking and 2018 through 2022 and inserting 2018 through 2022, and 2024 through 2026 ; and by striking and 2023 and inserting 2023, and 2027 ; and in subparagraph (B)— by striking and 2018 through 2022 and inserting 2018 through 2022, and 2024 through 2026 ; and by striking and 2023 and inserting 2023, and 2027 ; and in paragraph (3)(A), in the matter preceding clause (i)— by striking or in any of fiscal years 2018 through 2022 and inserting fiscal years 2018 through 2022, or fiscal years 2024 through 2026 ; and by striking or 2023 and inserting 2023, or 2027 . Section 2105(g)(4) of the Social Security Act ( 42 U.S.C. 1397ee(g)(4) ), as amended by section 3002(d) of the HEALTHY KIDS Act (division C of Public Law 115–120 ), is amended— in the paragraph heading, by striking and inserting through 2023 ; and through 2027 in subparagraph (A), by striking 2023 and inserting 2027 . Section 1902(e)(13)(I) of the Social Security Act ( 42 U.S.C. 1396a(e)(13)(I) ), as amended by section 3002(e) of the HEALTHY KIDS Act (division C of Public Law 115–120 ), is amended by striking 2023 and inserting 2027 . Section 2105(d)(3) of the Social Security Act ( 42 U.S.C. 1397ee(d)(3) ), as amended by section 3002(f)(1) of the HEALTHY KIDS Act (division C of Public Law 115–120 ), is amended— in the paragraph heading, by striking and inserting through September 30, 2023 ; and through September 30 , 2027 in subparagraph (A), in the matter preceding clause (i), by striking 2023 each place it appears and inserting 2027 . Section 1902(gg)(2) of the Social Security Act ( 42 U.S.C. 1396a(gg)(2) ), as amended by section 3002(f)(2) of the HEALTHY KIDS Act (division C of Public Law 115–120 ), is amended— in the paragraph heading, by striking and inserting through September 30, 2023 ; and through September 30 , 2027 by striking 2023, each place it appears and inserting 2027 .
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Sec. 50101
Funding extension of the Children's Health Insurance Program through fiscal year 2027
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