Sec. 101. Five-year 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 a semicolon; and by adding at the end the following new paragraphs: for fiscal year 2018, $21,500,000,000; for fiscal year 2019, $22,600,000,000; for fiscal year 2020, $23,700,000,000; for fiscal year 2021, $24,800,000,000; and for fiscal year 2022, for purposes of making 2 semi-annual allotments— $2,850,000,000 for the period beginning on October 1, 2021, and ending on March 31, 2022; and $2,850,000,000 for the period beginning on April 1, 2022, and ending on September 30, 2022. .
Section 2104(m) of the Social Security Act ( 42 U.S.C. 1397dd(m) ) is amended— in paragraph (2)— in the heading, by striking and inserting through 2016 ; and through 2022 in subparagraph (B)— in the matter preceding clause (i), by striking
(19)and inserting
(24); in clause (ii), in the matter preceding subclause (I), by inserting (other than fiscal year 2022) after even-numbered fiscal year ; and in clause (ii)(I), by inserting (or, in the case of fiscal year 2018, under paragraph (4)) after clause
(i); in paragraph (5)— by striking or
(4)and inserting (4), or
(10); and by striking or 2017 and inserting , 2017, or 2022 ; in paragraph (7)— in subparagraph (A), by striking 2017 and inserting 2022 ; 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 of 2017) after before the August 31 preceding the beginning of the fiscal year ; and 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 ; 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 2022 ; and by adding at the end the following new paragraph: 2022 Subject to paragraphs
(5)and (7), from the amount made available under subparagraph
(A)of paragraph
(25)of subsection
(a)for the semi-annual period described in such subparagraph, increased by the amount of the appropriation for such period under section 101(b)(3) 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). Subject to paragraphs
(5)and (7), from the amount made available under subparagraph
(B)of paragraph
(25)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 sum of— the amount of the State allotment for fiscal year 2021 determined under paragraph (2)(B)(i); and the amount of any payments made to the State under subsection
(n)for fiscal year 2021, multiplied by the allotment increase factor under paragraph
(6)for fiscal year 2022. The first half ratio described in this subparagraph is the ratio of— the sum of— the amount made available under subsection (a)(25)(A); and the amount of the appropriation for such period under section 101(b)(3) of the HEALTHY KIDS Act; to the sum of— the amount described in clause (i); and the amount made available under subsection (a)(25)(B). . Section 2104(m)(2)(A) of such Act ( 42 U.S.C. 1397dd(m)(2)(A) ) is amended by striking the allotment increase factor under paragraph
(5)each place it appears and inserting the allotment increase factor under paragraph
(6). 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, 2021, and ending on March 31, 2022, under paragraph (25)(A) of section 2104(a) of the Social Security Act ( 42 U.S.C. 1397dd(a) ) (as added by subsection (a)(3)), 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 subsection (b)(1)(E)) for the first 6 months of fiscal year 2022 in the same manner as allotments are provided under subsection (a)(25)(A) of such section 2104 and subject to the same terms and conditions as apply to the allotments provided from such subsection (a)(25)(A). 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, 2011, 2012, 2013, 2014, and 2016 and inserting 2010 through 2014, 2016, and 2018 through 2021 ; and by striking fiscal year 2015 and fiscal year 2017 and inserting fiscal years 2015, 2017, and 2022 ; and in subparagraph (B)— by striking 2010, 2011, 2012, 2013, 2014, and 2016 and inserting 2010 through 2014, 2016, and 2018 through 2021 ; and by striking fiscal year 2015 and fiscal year 2017 and inserting fiscal years 2015, 2017, and 2022 ; and 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 2021 (or a semi-annual allotment period for fiscal year 2015, 2017, or 2022) . Section 2105(g)(4) of the Social Security Act ( 42 U.S.C. 1397ee(g)(4) ) is amended— in the heading, by striking and inserting through 2017 ; and through 2022 in subparagraph (A), by striking 2017 and inserting 2022 . 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 2022 . Section 2105(d)(3) of the Social Security Act ( 42 U.S.C. 1397ee(d)(3) ) is amended— in the paragraph heading, by striking and inserting until October 1 , 2019 ; and through September 30 , 2022 in subparagraph (A), in the matter preceding clause (i)— by striking 2019 and inserting 2022 ; and 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, 2022, 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. The preceding sentences shall not be construed as preventing a State during any such periods . Section 1902(gg)(2) of the Social Security Act ( 42 U.S.C. 1396a(gg)(2) ) is amended— in the paragraph heading, by striking and inserting until October 1 , 2019 ; and through September 30 , 2022 by striking September 30, 2019, and inserting September 30, 2022 (but during the period that begins on October 1, 2019, and ends on September 30, 2022, 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) . Section 2107 of the Social Security Act ( 42 U.S.C. 1397gg ) is amended by adding at the end the following: 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. In this subsection, the term qualified CHIP look-alike program means a State program— 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 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. . 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. The amendment made by subparagraph
(A)shall apply with respect to taxable years beginning after December 31, 2017.
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Sec. 101
Five-year funding extension of the Children’s Health Insurance Program
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