S.Amdt. 95Senate111th Congress (2009-2011)

To make technical corrections to the State option to provide dental-only supplemental coverage.

What it does: Rewrites page 216, line 8 through page 219, line 21
Sponsored by Max BaucusSen. Max Baucus (D-MT)
Submitted January 29, 2009

What it changes

1 change to H.R. 2

Replaces text
  1. Rewrites page 216, line 8 through page 219, line 21

    ReplacesPrinted page

    Removes page 216, line 8 through page 219, line 21 of the printed bill. See that page

    Inserted: (5) Option for states with a separate chip program to provide dental-only supplemental coverage.--

    Inserted: (A) In general.--Subject to subparagraphs (B) and (C), in the case of any child who is enrolled in a group health plan or health insurance coverage offered through an employer who would, but for the application of paragraph (1)(C), satisfy the requirements for being a targeted low-income child under a State child health plan that is implemented under this title, a State may waive the application of such paragraph to the child in order to provide--

    Inserted: (i) dental coverage consistent with the requirements of subsection (c)(5) of section 2103; or

    Inserted: (ii) cost-sharing protection for dental coverage consistent with such requirements and the requirements of subsection (e)(3)(B) of such section.

    Inserted: (B) Limitation.--A State may limit the application of a waiver of paragraph (1)(C) to children whose family income does not exceed a level specified by the State, so long as the level so specified does not exceed the maximum income level otherwise established for other children under the State child health plan.

    Inserted: (C) Conditions.--A State may not offer dental-only supplemental coverage under this paragraph unless the State satisfies the following conditions:

    Inserted: (i) Income eligibility.--The State child health plan under this title--

    Inserted: (I) has the highest income eligibility standard permitted under this title (or a waiver) as of January 1, 2009;

    Inserted: (II) does not limit the acceptance of applications for children or impose any numerical limitation, waiting list, or similar limitation on the eligibility of such children for child health assistance under such State plan; and

    Inserted: (III) provides benefits to all children in the State who apply for and meet eligibility standards.

    Inserted: (ii) No more favorable treatment.--The State child health plan may not provide more favorable dental coverage or cost-sharing protection for dental coverage to children provided dental-only supplemental coverage under this paragraph than the dental coverage and cost-sharing protection for dental coverage provided to targeted low-income children who are eligible for the full range of child health assistance provided under the State child health plan.

    Inserted: (2) State option to waive waiting period.--Section 2102(b)(1)(B) (42 U.S.C. 1397bb(b)(1)(B)), as amended by section 111(b)(2), is amended--

    Show 4 more inserted paragraphs

    Inserted: (A) in clause (ii), by striking "and" at the end;

    Inserted: (B) in clause (iii), by striking the period and inserting "; and"; and

    Inserted: (C) by adding at the end the following new clause:

    Inserted: "(iv) at State option, may not apply a waiting period in the case of a child provided dental-only supplemental coverage under section 2110(b)(5).".

    Original wording

    Beginning on page 216, strike line 8 and all that follows through page 219, line 21, and insert the following:

Read automatically from the Congressional Record. Check the original before relying on it.

As printed

Beginning on page 216, strike line 8 and all that follows through page 219, line 21, and insert the following:

“(5) Option for states with a separate chip program to provide dental-only supplemental coverage.--

“(A) In general.--Subject to subparagraphs (B) and (C), in the case of any child who is enrolled in a group health plan or health insurance coverage offered through an employer who would, but for the application of paragraph (1)(C), satisfy the requirements for being a targeted low-income child under a State child health plan that is implemented under this title, a State may waive the application of such paragraph to the child in order to provide--

“(i) dental coverage consistent with the requirements of subsection (c)(5) of section 2103; or

“(ii) cost-sharing protection for dental coverage consistent with such requirements and the requirements of subsection (e)(3)(B) of such section.

“(B) Limitation.--A State may limit the application of a waiver of paragraph (1)(C) to children whose family income does not exceed a level specified by the State, so long as the level so specified does not exceed the maximum income level otherwise established for other children under the State child health plan.

“(C) Conditions.--A State may not offer dental-only supplemental coverage under this paragraph unless the State satisfies the following conditions:

“(i) Income eligibility.--The State child health plan under this title--

“(I) has the highest income eligibility standard permitted under this title (or a waiver) as of January 1, 2009;

“(II) does not limit the acceptance of applications for children or impose any numerical limitation, waiting list, or similar limitation on the eligibility of such children for child health assistance under such State plan; and

“(III) provides benefits to all children in the State who apply for and meet eligibility standards.

“(ii) No more favorable treatment.--The State child health plan may not provide more favorable dental coverage or cost-sharing protection for dental coverage to children provided dental-only supplemental coverage under this paragraph than the dental coverage and cost-sharing protection for dental coverage provided to targeted low-income children who are eligible for the full range of child health assistance provided under the State child health plan.”.

(2) State option to waive waiting period.--Section 2102(b)(1)(B) (42 U.S.C. 1397bb(b)(1)(B)), as amended by section 111(b)(2), is amended--

(A) in clause (ii), by striking “and” at the end;

(B) in clause (iii), by striking the period and inserting “; and”; and

(C) by adding at the end the following new clause:

“(iv) at State option, may not apply a waiting period in the case of a child provided dental-only supplemental coverage under section 2110(b)(5).”.

Legislative Activity

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Senate amendment submitted

January 29, 2009

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Floor

Senate amendment submitted

January 29, 2009

Floor

Senate amendment proposed (on the floor): Amendment SA 95 proposed by Senator Baucus.(consideration: CR S1042; text: CR S1042)

January 29, 2009

Floor

Senate amendment agreed to: Amendment SA 95 agreed to in Senate by Unanimous Consent.

January 29, 2009

Floor

Amendment SA 95 proposed by Senator Baucus. (consideration: CR S1042; text: CR S1042) To make technical corrections to the State option to provide dental-only supplemental coverage.

January 29, 2009

Floor

Amendment SA 95 agreed to in Senate by Unanimous Consent.

January 29, 2009