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Code · BILL · 117th Congress · H.R. 1319 (Placed on Calendar Senate) — To provide for reconciliation pursuant to title II of S. Con. Res. 5. · Sec. 3201

Sec. 3201. Mandatory coverage of COVID–19 vaccines and administration and treatment under CHIP

631 words·~3 min read·/bill/117/hr/1319/pcs/section-3201

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Section 2103(c) of the Social Security Act ( 42 U.S.C. 1397cc(c) ) is amended by adding at the end the following paragraph: Regardless of the type of coverage elected by a State under subsection (a), the child health assistance provided for a targeted low-income child, and, in the case of a State that elects to provide pregnancy-related assistance pursuant to section 2112, the pregnancy-related assistance provided for a targeted low-income pregnant woman (as such terms are defined for purposes of such section), shall include coverage, during the period beginning on the date of the enactment of this paragraph and ending on the last day of the first calendar quarter that begins at least one year after the last day of the emergency period described in section 1135(g)(1)(B), of— a COVID–19 vaccine (and the administration of the vaccine); and testing and treatments for COVID-19, including specialized equipment and therapies (including preventive therapies), and, in the case of an individual who is diagnosed with or presumed to have COVID–19, during the period during which such individual has (or is presumed to have) COVID–19, the treatment of a condition that may seriously complicate the treatment of COVID–19, if otherwise covered under the State child health plan (or waiver of such plan). .
Section 2103(e)(2) of the Social Security Act ( 42 U.S.C. 1397cc(e)(2) ), as amended by section 6004(b)(3) of the Families First Coronavirus Response Act, is amended— in the paragraph header, by inserting before a COVID–19 vaccine, COVID–19 treatment, ; and or pregnancy-related assistance by striking visits described in section 1916(a)(2)(G), or and inserting services described in section 1916(a)(2)(G), vaccines described in section 1916(a)(2)(H) administered during the period described in such section (and the administration of such vaccines), testing or treatments described in section 1916(a)(2)(I) furnished during the period described in such section, or .
Section 2105(c) of the Social Security Act ( 42 U.S.C. 1397ee(c) ) is amended by adding at the end the following new paragraph: During the period described in section 1905(hh)(2), notwithstanding subsection (b), the enhanced FMAP for a State, with respect to payments under subsection
(a)for expenditures under the State child health plan (or a waiver of such plan) for a vaccine described in section 1905(a)(4)(E) (and the administration of such a vaccine), shall be equal to 100 percent. . Section 2104(m) of the Social Security Act ( 42 U.S.C. 1397dd(m) ) is amended— in paragraph (2)(B), in the matter preceding clause (i), by striking paragraphs
(5)and
(7)and inserting paragraphs (5), (7), and
(12); and by adding at the end the following new paragraph: If a State, commonwealth, or territory receives payment for a fiscal year (beginning with fiscal year 2021) under subsection
(a)of section 2105 for expenditures that are subject to the enhanced FMAP specified under subsection (c)(12) of such section, the amount of the allotment determined for the State, commonwealth, or territory under this subsection— for such fiscal year shall be increased by the projected expenditures for such year by the State, commonwealth, or territory under the State child health plan (or a waiver of such plan) for vaccines described in section 1905(a)(4)(E) (and the administration of such vaccines); and once actual expenditures are available in the subsequent fiscal year, the fiscal year allotment that was adjusted by the amount described in subparagraph
(A)shall be adjusted on the basis of the difference between— such projected amount of expenditures described in subparagraph
(A)for such fiscal year described in such subparagraph by the State, commonwealth, or territory; and the actual amount of expenditures for such fiscal year described in subparagraph
(A)by the State, commonwealth, or territory under the State child health plan (or waiver of such plan) for vaccines described in section 1905(a)(4)(E) (and the administration of such vaccines). .
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Sec. 3201
Mandatory coverage of COVID–19 vaccines and administration and treatment under CHIP
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