II
110th CONGRESS
1st Session
S. 2086
IN THE SENATE OF THE UNITED STATES
September 24, 2007
Mr. Lott introduced the following bill; which was read twice and referred to the Committee on Finance
A BILL
To amend title XXI of the Social Security Act to extend funding for 18 months for the State Children’s Health Insurance Program (SCHIP) and for other purposes.
Short title
This Act may be cited as
the SCHIP Extension Act of
2007
.
Extension of SCHIP
Section 2104 of the Social Security Act (42 U.S.C. 1397dd) is amended—
in subsection (a)—
by striking
and
at the end of paragraph (9);
by striking the period at the end of paragraph (10) and inserting a semicolon; and
by adding at the end the following new paragraph:
for fiscal year 2008, $5,000,000,000; and
for the first 6 months of fiscal year 2009, $2,500,000,000.
; and
in subsection
(c)(4)(B), by striking and $40,000,000 for fiscal year 2007
and
inserting $40,000,000 for each of fiscal years 2007 and 2008, and
$20,000,000 for the first 6 months of fiscal year 2009
.
Additional allotments to address SCHIP funding shortfalls for fiscal year 2008 and first 6 months of fiscal year 2009
Section 2104 of the Social Security Act (42 U.S.C. 1397dd) is amended by adding at the end the following new subsection:
Amounts To eliminate funding shortfalls for fiscal year 2008 and first 6 months of fiscal year 2009
In general
From the amounts appropriated under paragraph (4) for a shortfall period (as defined in paragraph (5)), the Secretary shall allot to each shortfall State described in paragraph (2) for such period such amount as the Secretary determines will eliminate the estimated shortfall described in paragraph (2) for the State for the shortfall period.
Shortfall state described
For purposes of paragraph (1), a shortfall State described in this paragraph for a shortfall period is a State with a State child health plan approved under this title for which the Secretary estimates, on the basis of the most recent data available to the Secretary as of a date (specified by the Secretary) during the shortfall period, that the projected Federal expenditures under such plan for the State for the shortfall period will exceed the sum of—
the amount of the State's allotments for the two fiscal years ending before the shortfall period that will not be expended by the end of the more recent such fiscal year;
the amount of the State's allotment for the shortfall period; and
the amounts, if any, that are to be redistributed to the State during the shortfall period in accordance with subsection (f).
Proration rule
If the amount available under paragraph (4) for a shortfall period is less than the total amount of the estimated shortfalls determined by the Secretary under paragraph (1) for such period, the amount of the estimated shortfall for each shortfall State determined under such paragraph for such period shall be reduced proportionally.
Appropriation; allotment authority
For the purpose of providing additional allotments to shortfall States under this subsection—
Fiscal year 2008
For the shortfall period specified in paragraph (5)(A), there is appropriated, out of any funds in the Treasury not otherwise appropriated, such sums as are necessary for such fiscal year, but not to exceed $1,500,000,000.
First 6 months of fiscal year 2009
For the shortfall period specified in paragraph (5)(B), there is appropriated, out of any funds in the Treasury not otherwise appropriated, such sums as are necessary for such period, but not to exceed $1,100,000,000.
Shortfall periods specified
For purposes of this subsection, each of the
following is a shortfall period
:
Fiscal year 2008.
The first 6 months of fiscal year 2009.
.
Option for qualifying States to receive the enhanced portion of the SCHIP matching rate for Medicaid coverage of certain children
Section 2105(g) of the Social Security Act (42 U.S.C. 1397ee(g)) is amended—
in paragraph (1)(A), by inserting
subject to paragraph (4),
after Notwithstanding any other
provision of law,
; and
by adding at the end the following new paragraph:
Option for allotments
Payment of enhanced portion of matching rate for certain expenditures
In the case of expenditures described in subparagraph (B), a qualifying State (as defined in paragraph (2)) may elect to be paid from the State's allotment made under section 2104 for any fiscal year (beginning with fiscal year 2008) (insofar as the allotment is available to the State under subsections (e) and (i) of such section) an amount each quarter equal to the additional amount that would have been paid to the State under title XIX with respect to such expenditures if the enhanced FMAP (as determined under subsection (b)) had been substituted for the Federal medical assistance percentage (as defined in section 1905(b)).
Expenditures described
For purposes of subparagraph (A), the expenditures described in this subparagraph are expenditures made after the date of the enactment of this paragraph and during the period in which funds are available to the qualifying State for use under subparagraph (A), for the provision of medical assistance to individuals residing in the State who are eligible for medical assistance under the State plan under title XIX or under a waiver of such plan and who have not attained age 19, and whose family income equals or exceeds 133 percent of the poverty line but does not exceed the Medicaid applicable income level.
.