To provide assistance for States with percentages of children with no health insurance coverage above the national average.

SA 93. Mrs. HUTCHISON (for herself and Mr. Cornyn) submitted an
amendment intended to be proposed by her to the bill H.R. 2, to amend
title XXI of the Social Security Act to extend and improve the
Children's Health Insurance Program, and for other purposes; as
follows:

Beginning on page 42, strike line 20 and all that follows
through page 43, line 11, and insert the following:
``(e) Availability of Amounts Allotted.--
``(1) In general.--Except as provided in paragraphs (2) and
(3), amounts allotted to a State pursuant to this section--
``(A) for each of fiscal years 1998 through 2008, shall
remain available for expenditure by the State through the end
of the second succeeding fiscal year; and
``(B) for fiscal year 2009 and each fiscal year thereafter,
shall remain available for expenditure by the State through
the end of the succeeding fiscal year.
``(2) Special rule extending availability for outreach and
enrollment for certain states.--
``(A) In general.--In the case of a State described in
subparagraph (B), any amounts allotted or redistributed to
the State pursuant to this subsection for a fiscal year that
are not expended by the State by March 31, 2009, (including
any amounts available to the State for the first 2 quarters
of fiscal year 2009 from the fiscal year 2009 allotment for
the State or from amounts redistributed to the State under
subsection (k) or allotted to the State under subsection (l)
for such quarters), shall remain available for expenditure by
the State through the end of fiscal year 2012, without regard
to the limitation on expenditures under section
2105(c)(2)(A).
``(B) State described.--A State is described in this
subparagraph if the State is 1 of the 5 States with the
highest percentage of children with no health insurance
coverage (as determined by the Secretary on the basis of the
most recent data available as of the date of enactment of the
Children's Health Insurance Program Reauthorization Act of
2009).
``(3) Availability of amounts redistributed.--Amounts
redistributed to a State under subsection (f) shall be
available for expenditure by the State through the end of the
fiscal year in which they are redistributed.''.
On page 38, line 18, insert ``subject to paragraph (5),''
after ``(3)(A),''.
On page 42, between lines 15 and 16, insert the following:
``(5) Authority to modify required number of enrollment and
retention provisions.--Upon the request of a State in which
the percentage of children with no health insurance coverage
is above the national average (as determined by the Secretary
on the basis of the most recent data available as of the date
of enactment of the Children's Health Insurance Program
Reauthorization Act of 2009), the Secretary may reduce the
number of enrollment and retention provisions that the State
must satisfy in order to meet the conditions of paragraph (4)
for a fiscal year, but not below 2.''.
On page 84, line 20, insert ``The Secretary shall
prioritize implementation of such campaign in States in which
the percentage of children with no health insurance coverage
is above the national average (as determined by the Secretary
on the basis of the most recent data available as of the date
of enactment of the Children's Health Insurance Program
Reauthorization Act of 2009).'' after ``title XIX.''.
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