S. 522Senate114th Congress (2015-2017)In Committee

Protecting And Retaining Our Children's Health Insurance Program Act of 2015

Introduced February 12, 2015

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SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S996-997)

February 12, 2015

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SenateIntro Referral

Introduced in Senate

February 12, 2015

SenateIntro Referral

Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S996-997)

February 12, 2015

Floor Debate

14 members

What members said about S. 522 on the floor

5 Republicans9 Democrats
Benjamin L. Cardin
Sen. Benjamin L. CardinD-MD · Feb 12, 2015

Mr. President, today I come to the floor to discuss the introduction of my latest legislative proposal to better control the harmful and volumes of polluted stormwater that is generated from our…

Cory A. Booker
Sen. Cory A. BookerD-NJ · Feb 12, 2015

Mr. President, I rise today to speak about the Smarter Sentencing Act, which I believe is a very critical piece of legislation. I am pleased to be an original cosponsor of this legislation in this…

Lisa Murkowski
Sen. Lisa MurkowskiR-AK · Feb 12, 2015

Mr. President, I rise, along with my colleague Senator Sullivan, to introduce a bill to open a small portion of the arctic coastal plain, in my home State of Alaska, to oil and gas development. I am…

Jeff Merkley
Sen. Jeff MerkleyD-OR · Feb 12, 2015

Mr. President, I rise today to urge our colleagues to come together quickly to pass a clean Homeland Security bill. We are now just 16 days away from a Homeland Security shutdown. The clock is…

Amy Klobuchar
Sen. Amy KlobucharD-MN · Feb 12, 2015

Mr. President, I rise today to discuss our country's relationship with Cuba. I have long advocated modernizing our relationship with Cuba. The current embargo has been in place for 50 years, and it…

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Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Feb 12, 2015

Mr. President, I rise today to introduce the Fire- Damaged Home Rebuilding Act. This legislation is simple. It allows families living in federally- designated flood plains to rebuild their home in…

Jack Reed
Sen. Jack ReedD-RI · Feb 12, 2015

Mr. President, today I am reintroducing bipartisan legislation to provide support for environmental education in our Nation's classrooms. I thank Senators Kirk, Durbin, Whitehouse, Heinrich, and…

Sherrod Brown
Sen. Sherrod BrownD-OH · Feb 12, 2015

Mr. President, we have made great strides in recent years ensuring that Americans of all ages have access to quality health care. Part of this success comes from the Children's Health Insurance…

Sherrod Brown
Sen. Sherrod BrownD-OH · Feb 12, 2015

Mr. President, we have made great strides in recent years ensuring that Americans of all ages have access to quality health care. Part of this success comes from the Children's Health Insurance…

Chuck Grassley
Sen. Chuck GrassleyR-IA · Feb 12, 2015

Mr. President, today, I am introducing a measure that would help us make progress in the fight against domestic human trafficking, a terrible crime. This legislation, titled the Combating Human…

Tim Kaine
Sen. Tim KaineD-VA · Feb 12, 2015

Mr. President, preparing all students to be college and career-ready upon graduating high school is one of the central promises that public education and the Elementary and Secondary Education Act,…

Ron Wyden
Sen. Ron WydenD-OR · Feb 12, 2015

Mr. President, today I am proud to introduce the Secure Rural Schools and Payment in Lieu of Taxes Repair Act with my colleague Senator Crapo. The bill will ensure that counties across the nation…

Steve Daines
Sen. Steve DainesR-MT · Feb 12, 2015

Mr. President, I join Senator Cassidy of Louisiana, Senator Gardner of Colorado, and Senator Cotton of Arkansas in introducing the Balanced Budget Accountability Act. By establishing the principle No…

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Marco Rubio
Sen. Marco RubioR-FL · Feb 12, 2015

Madam President, I ask unanimous consent that the order for the quorum call be rescinded. Madam President, are we on the Carter nomination? Madam President, this is an important nomination, at a time…

Sherrod Brown
Sen. Sherrod BrownD-OH · Feb 12, 2015

Madam President, I ask unanimous consent that the order for the quorum call be rescinded. Madam President, I suggest the absence of a quorum.

John Cornyn
Sen. John CornynR-TX · Feb 12, 2015

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Bill Text

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Introduced in SenateIssued February 12, 2015

II

114th CONGRESS

1st Session

S. 522

IN THE SENATE OF THE UNITED STATES

February 12, 2015

Mr. Brown (for himself, Ms. Stabenow, Mr. Wyden, Mr. Casey, Mr. Reid, Mr. Durbin, Ms. Baldwin, Mr. Bennet, Mr. Blumenthal, Mr. Booker, Mrs. Boxer, Ms. Cantwell, Mr. Cardin, Mr. Carper, Mr. Coons, Mr. Donnelly, Mr. Franken, Mrs. Gillibrand, Mr. Heinrich, Ms. Heitkamp, Ms. Hirono, Mr. Kaine, Mr. King, Ms. Klobuchar, Mr. Leahy, Mr. Markey, Mr. Manchin, Mrs. McCaskill, Mr. Menendez, Mr. Merkley, Ms. Mikulski, Mr. Murphy, Mrs. Murray, Mr. Nelson, Mr. Peters, Mr. Reed, Mr. Sanders, Mr. Schatz, Mr. Schumer, Mrs. Shaheen, Mr. Tester, Mr. Udall, Mr. Warner, Ms. Warren, Mr. Whitehouse, and Mrs. Feinstein) 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 the Children's Health Insurance Program, and for other purposes.

1.

Short title

This Act may be cited as the Protecting And Retaining Our Children's Health Insurance Program Act of 2015.

2.

4-year extension of CHIP funding

(a)

Funding

(1)

In general

Section 2104(a) of the Social Security Act (42 U.S.C. 1397dd(a)) is amended—

(A)

in paragraph (17), by striking and at the end; and

(B)

by striking paragraph (18) and inserting the following new paragraphs:

(18)

for fiscal year 2015, $21,061,000,000;

(19)

for fiscal year 2016, $19,300,000,000;

(20)

for fiscal year 2017, $20,300,000,000;

(21)

for fiscal year 2018, $21,300,000,000; and

(22)

for fiscal year 2019, for purposes of making 2 semi-annual allotments—

(A)

$2,850,000,000 for the period beginning on October 1, 2018, and ending on March 31, 2019; and

(B)

$2,850,000,000 for the period beginning on April 1, 2019, and ending on September 30, 2019.

.

(2)

Prevention of duplicate appropriations for fiscal year 2015

Notwithstanding any other provision of law, insofar as funds have been appropriated under subsection (a)(18) or (m) of section 2104 of the Social Security Act (42 U.S.C. 1397dd), or under section 108 of the Children's Health Insurance Program Reauthorization Act of 2009 (Public Law 111–3), as such subsections and section are in effect on the day before the date of the enactment of this Act, to provide allotments to States under the State Children’s Health Insurance Program established under title XXI of the Social Security Act (42 U.S.C. 1397aa et seq.) (whether implemented under title XIX, XXI, or both, of the Social Security Act) for fiscal year 2015—

(A)

any amounts that are so appropriated that are not so allotted and obligated before the date of the enactment of this Act, are rescinded; and

(B)

any amount provided for CHIP allotments to a State under this section (and the amendments made by this section) for such fiscal year shall be reduced by the amount of such appropriations so allotted and obligated before such date.

(b)

Allotments

(1)

In general

Section 2104(m) of the Social Security Act (42 U.S.C. 1397dd(m)) is amended—

(A)

in the subsection heading, by striking Through 2015 and inserting and Thereafter;

(B)

in paragraph (2)—

(i)

in the paragraph heading, by striking 2014 and inserting 2018; and

(ii)

by striking subparagraph (B) and inserting the following new subparagraph:

(B)

Fiscal year 2013 through 2018

Subject to paragraphs (4) and (6), from the amount made available under paragraphs (16) through (21) of subsection (a) for each of fiscal years 2013 through 2018, respectively, the Secretary shall compute a State allotment for each State (including the District of Columbia and each commonwealth and territory) for each such fiscal year as follows:

(i)

Rebasing in fiscal year 2013 and each succeeding odd-numbered fiscal year

For fiscal year 2013 and each succeeding odd-numbered fiscal year, the allotment of the State is equal to the Federal payments to the State that are attributable to (and countable toward) the total amount of allotments available under this section to the State in the preceding fiscal year (including payments made to the State under subsection (n) for such preceding fiscal year as well as amounts redistributed to the State in such preceding fiscal year), multiplied by the allotment increase factor under paragraph (5) for such odd-numbered fiscal year.

(ii)

Growth factor update for fiscal year 2014 and each succeeding even-numbered fiscal year

Except as provided in clause (iii), for fiscal year 2014 and each succeeding even-numbered fiscal year, the allotment of the State is equal to the sum of—

(I)

the amount of the State allotment under clause (i) for the preceding fiscal year; and

(II)

the amount of any payments made to the State under subsection (n) for such preceding fiscal year,

multiplied by the allotment increase factor under paragraph (5) for such even-numbered fiscal year.
(iii)

Special rule for fiscal year 2016

For fiscal year 2016, the allotment of the State is equal to the Federal payments to the State that are attributable to (and countable toward) the total amount of allotments available under this section to the State in the preceding fiscal year (including payments made to the State under subsection (n) for such preceding fiscal year as well as amounts redistributed to the State in such preceding fiscal year), but determined as if the last two sentences of section 2105(b) were in effect in such preceding fiscal year and then multiplying the result by the allotment increase factor under paragraph (5) for fiscal year 2016.

;

(C)

in paragraph (3)—

(i)

in the heading, by striking 2015and inserting 2019;

(ii)

in subparagraph (A)—

(I)

by striking paragraph (18) and inserting paragraph (22); and

(II)

by striking section 108 of the Children's Health Insurance Program Reauthorization Act of 2009 and inserting section 2(b)(2) of the Protecting And Retaining Our Children's Health Insurance Program Act of 2015;

(iii)

in subparagraph (B), by striking paragraph (18) and inserting paragraph (22);

(iv)

in subparagraph (C)—

(I)

by striking 2014 each place it appears and inserting 2018; and

(II)

by striking 2015 and inserting 2019; and

(v)

in subparagraph (D)—

(I)

in clause (i)—

(aa)

in subclause (I), by striking subsection (a)(18)(A) and inserting subsection (a)(22)(A); and

(bb)

in subclause (II), by striking section 108 of the Children's Health Insurance Program Reauthorization Act of 2009 and inserting section 2(b)(2) of the Protecting And Retaining Our Children's Health Insurance Program Act of 2015; and

(II)

in clause (ii)(II), by striking subsection (a)(18)(B) and inserting subsection (a)(22)(B);

(D)

in paragraph (4), by striking 2015 and inserting 2019;

(E)

in paragraph (6)—

(i)

in subparagraph (A), by striking 2015 and inserting 2019; and

(ii)

in the second sentence, by striking or fiscal year 2014 and inserting fiscal year 2014, fiscal year 2016, or fiscal year 2018; and

(F)

in paragraph (8)—

(i)

in the paragraph heading, by striking 2015 and inserting 2019; and

(ii)

by striking for a period in fiscal year 2015 and inserting for a period in fiscal year 2019.

(2)

One-time appropriation for fiscal year 2019

There is appropriated to the Secretary of Health and Human Services, out of any money in the Treasury not otherwise appropriated, $16,700,000,000 to accompany the allotment made for the period beginning on October 1, 2018, and ending on March 31, 2019, under section 2104(a)(22)(A) of the Social Security Act (42 U.S.C. 1397dd(a)(22)(A)) (as added by subsection (a)(1)), to remain available until expended. Such amount shall be used to provide allotments to States under paragraph (3) of section 2104(m) of such Act (42 U.S.C. 1397dd(m)) (as amended by paragraph (1)(C)) for the first 6 months of fiscal year 2019 in the same manner as allotments are provided under subsection (a)(22)(A) of such section 2104 and subject to the same terms and conditions as apply to the allotments provided from such subsection (a)(22)(A).

(c)

Child enrollment contingency fund

(1)

In general

Section 2104(n) of the Social Security Act (42 U.S.C. 1397dd(n)) is amended—

(A)

in paragraph (2)—

(i)

in subparagraph (A)—

(I)

in the matter preceding clause (i), by striking and (D) and inserting , (D), and (E); and

(II)

by striking clause (ii) and inserting the following:

(ii)

for each of—

(I)

fiscal years 2010 through 2014, such sums as are necessary for making payments to eligible States for such fiscal year, but not in excess of the aggregate cap described in subparagraph (B); and

(II)

fiscal years 2015 through 2018 (and for each of the semi-annual allotment periods for fiscal year 2019), such sums as are necessary for making payments to eligible States for such fiscal year or period.

; and

(ii)

by striking subparagraph (B) and inserting the following:

(B)

Aggregate cap

The total amount available for payment from the Fund for each of fiscal years 2010 through 2014, taking into account deposits made under subparagraph (C), shall not exceed 20 percent of the amount made available under subsection (a) for the fiscal year. In the case of fiscal years 2015 through 2018 (and for each of the semi-annual allotment periods for fiscal year 2019), there shall be no limit on the amount available for payment from the Fund.

;

(iii)

in subparagraph (D)—

(I)

by inserting before fiscal year 2015 after fiscal year or period; and

(II)

by striking for any succeeding fiscal year; and

(iv)

by adding at the end the following subparagraph:

(E)

Transfers

Notwithstanding any other provision of this title, the following amounts shall also be available, without fiscal year limitation, for making payments from the Fund:

(i)

Unobligated national allotment for fiscal years beginning with fiscal year 2014

(I)

Fiscal year 2014 allotment

As of December 31 of fiscal year 2015, the portion, if any, of the amount appropriated under subsection (a) for fiscal year 2014 that is unobligated for allotment to a State under subsection (m) for such fiscal year.

(II)

Succeeding fiscal year allotments

As of December 31 of fiscal year 2016, and each succeeding fiscal year, the portion, if any, of the amount appropriated under subsection (a) for the preceding fiscal year that is unobligated for allotment to a State under subsection (m) for such preceding fiscal year.

(ii)

Unexpended allotments not used for redistribution

As of December 31 of fiscal year 2015, and as of November 15 of each succeeding fiscal year, the total amount of allotments made to States under subsection (a) for the second preceding fiscal year that is not expended or redistributed under subsection (f) during the period in which such allotments are available for obligation.

(iii)

Unexpended performance incentive funds

As of January 1, 2016, and as of January 1 of each succeeding calendar year, the portion, if any, of the amount appropriated under section 2105(a)(3)(E)(iii) for the preceding fiscal year that is not expended or obligated under such section.

; and

(B)

in paragraph (3)—

(i)

in subparagraph (A)—

(I)

by redesignating clauses (i) and (ii) as subclauses (I) and (II), respectively, and realigning the left margins accordingly;

(II)

by striking If a State's and all that follows through 2015, and inserting the following:

(i)

For fiscal years 2009 through 2014

If a State's expenditures under this title in fiscal year 2009, fiscal year 2010, fiscal year 2011, fiscal year 2012, fiscal year 2013, or fiscal year 2014

;

(III)

by striking or period each place it appears;

(IV)

in subclause (II) (as so redesignated), by striking (or in which the period occurs); and

(V)

by adding at the end the following clause:

(ii)

For fiscal years after 2014

(I)

In general

For each of fiscal years 2015 through 2018 (and for each of the semi-annual allotment periods for fiscal year 2019), if the Secretary determines that a State is a shortfall State described in subclause (II) for that fiscal year or period, the Secretary shall pay to the State from the Fund, in addition to any other payments made to the State under this title for the fiscal year or period, an amount equal to the amount described in subclause (III).

(II)

Shortfall States described

For purposes of this clause, with respect to a fiscal year or semi-annual allotment period, a shortfall State is a State for which the Secretary estimates, on the basis of the most recent data available to the Secretary, that the projected expenditures for the State and fiscal year or period under this title (including in the form of coverage described in paragraph (1) or (2) of section 2101, or both) will exceed the sum of—

(aa)

the amount of the State's allotments for any preceding fiscal year that remains available for expenditure and that will not be expended by the end of the immediately preceding fiscal year;

(bb)

the amount (if any) that will be redistributed to the State under subsection (f) for the fiscal year or period;

(cc)

the amount (if any) to be paid to the State in the first quarter of the fiscal year under section 2105(a)(3); and

(dd)

the amount of the State's allotment for the fiscal year or period.

(III)

Amount described

With respect to a State and fiscal year or period, the amount described in this subclause is equal to the amount by which the projected expenditures for the State under this title for the fiscal year or period (estimated by the Secretary on the basis of the most recent data available to the Secretary) exceed the sum determined under subclause (II) for the State and fiscal year or period.

(IV)

Retrospective adjustment

The Secretary may adjust the determinations made under this clause with respect to a State and fiscal year or period as necessary on the basis of the amounts reported by States not later than November 30 of the succeeding fiscal year, as approved by the Secretary.

;

(ii)

in subparagraph (B)(ii), by striking (or semi-annual period occurring in a fiscal year);

(iii)

in subparagraph (C)—

(I)

in the matter preceding clause (i), by striking subparagraph (A)(ii) and inserting subparagraph (A)(i)(II); and

(II)

in clause (ii), by striking (or semi-annual period occurring in a fiscal year); and

(iv)

in subparagraph (G), by inserting the expenditures under the State child health plan and after regarding.

(2)

Conforming amendment

Section 2104(f)(2)(A)(ii) of the Social Security Act (42 U.S.C. 13957dd(f)(2)(A)(ii)) is amended by inserting only in the case of a fiscal year before fiscal year 2015, before the amount.

(d)

Extension and update of performance incentive payments

(1)

Extension through fiscal year 2019

Section 2105(a)(3) of the Social Security Act (42 U.S.C. 1397ee(a)(3)) is amended—

(A)

in subparagraph (A)—

(i)

by striking 2013 and inserting 2019; and

(ii)

in the second sentence, by inserting , except that payment under this paragraph may be made to a State for fiscal year 2014 as a single payment not later than December 31, 2015 before the period;

(B)

in subparagraph (E)—

(i)

in clause (ii)—

(I)

by striking subclause (I) and inserting the following:

(I)

Unobligated national allotment for fiscal years 2009 through 2013

As of December 31 of fiscal year 2009, and as of December 31 of each succeeding fiscal year through fiscal year 2013, the portion, if any, of the amount appropriated under section 2104(a) for such fiscal year that is unobligated for allotment to a State under section 2104(m) for such fiscal year or set aside under subsection (a)(3) or (b)(2) of section 2111 for such fiscal year.

;

(II)

in subclause (III), by striking 2013 and inserting 2014;

(ii)

by redesignating clause (iii) as clause (iv); and

(iii)

by inserting after clause (ii) the following new clause:

(iii)

Appropriation for fiscal years 2015 through 2019

Out of any money in the Treasury not otherwise appropriated, there are appropriated $500,000,000 for each of fiscal years 2015 through 2019 for making payments under this paragraph. Amounts appropriated for a fiscal year under this clause shall remain available for making payments under this paragraph until January 1 of the following fiscal year. Any amounts of such appropriations that remain unexpended or unobligated as of such date shall be transferred and made available for making payments under section 2104(n).

; and

(C)

in subparagraph (F)(iii), by striking 2013 and inserting 2019.

(2)

Updated performance incentive criteria for fiscal years 2015 through 2019

Section 2105(a) of the Social Security Act (42 U.S.C. 1397ee(a)) is amended—

(A)

in paragraph (3)(A), by inserting or (5) after paragraph (4);

(B)

in paragraph (4)—

(i)

in the heading, by inserting fiscal years 2009 through 2014 after for children; and

(ii)

in the matter preceding subparagraph (A), by striking for a fiscal year if and inserting for fiscal years 2009 through 2014 if; and

(C)

by adding at the end the following new paragraph:

(5)

Enrollment and retention provisions for children for fiscal year 2015 and succeeding fiscal years

(A)

In general

For purposes of paragraph (3)(A), a State meets the condition of this paragraph for fiscal year 2015 and any succeeding fiscal year if it is implementing at least 4 of the enrollment and retention provisions specified in subparagraph (B) (treating each clause as a separate enrollment and retention provision) throughout the entire fiscal year.

(B)

Enrollment and retention provisions

The enrollment and retention provisions specified in this subparagraph are the following:

(i)

Continuous eligibility

The State has elected the option of continuous eligibility for a full 12 months for all children described in section 1902(e)(12) under title XIX under 19 years of age, as well as applying such policy under its State child health plan under this title.

(ii)

Express Lane eligibility

The State is implementing the option described in section 1902(e)(13) under title XIX as well as, pursuant to section 2107(e)(1), under this title.

(iii)

Presumptive eligibility

The State provides medical assistance to children during a presumptive eligibility period by implementing section 1920A under title XIX as well as, pursuant to section 2107(e)(1), under this title, and ensures that such period begins with the determination by any qualified entity that the family income of the child does not exceed the applicable level of income eligibility under the State plan. A State shall not satisfy this provision if the only type of entity recognized by the State as a qualified entity is a hospital that has elected to be a qualified entity under section 1902(a)(47)(B).

(iv)

Premium assistance for employer-sponsored plans

The State has opted to offer a premium assistance subsidy for qualified employer-sponsored coverage by implementing section 1906A under title XIX or the option described in section 2105(c)(10) under this title.

(v)

Elimination of waiting periods

The State does not impose a waiting period for coverage of any individual under the State child health plan and ensures that no waiting period applies in the case of coverage provided to any individual eligible for coverage under the State child health plan through coverage purchased by the State under section 2105(c)(3) or employer-sponsored coverage subsidized by the State under section 1906A of title XIX or section 2105(c)(10) of this title.

(vi)

Automated tracking of cost sharing or lower cap on cost sharing

In the case of a State child health plan that imposes premiums, deductibles, cost sharing, or similar charges that could (as determined by the Secretary) cause families that include an individual receiving assistance under the plan to have out-of-pocket expenses that exceed the limit imposed under section 2103(e)(3)(B), the State has either—

(I)

established, or, in the case of a State child health plan that provides child health assistance through managed care entities or organizations, required such entities or organizations to coordinate with the State agency responsible for implementing the State child health plan under this title in establishing—

(aa)

an electronic process for tracking such expenses that does not rely on documentation provided by the individual or the family; and

(bb)

a system for notifying each such family of the aggregate monthly or quarterly limits on out-of-pocket expenses applicable to the family under section 2103(e)(3)(B) and explaining to each such family that no such expenses shall be imposed on any individual in the family for the remainder of any month or quarter with respect to which the family has reached the applicable aggregate monthly or quarterly family limit imposed under such section; or

(II)

elected to eliminate deductibles, copayments, coinsurance, or other forms of cost-sharing (other than premiums) imposed under this title with respect to any individual receiving coverage under the State child health plan.

(vii)

Real-time eligibility determinations through the use of enhanced data sources

With respect to applications and renewals for medical assistance under title XIX or child health assistance under this title for a fiscal year, the State meets the following criteria for all income determinations made using modified adjusted gross income under section 1902(e)(14)(A):

(I)

The State relies on enhanced data sources (which may include, but shall not be limited to, the data sources available under section 1137 or the federal Data Services Hub) to make the determinations.

(II)

In the case of initial applications, the State makes at least 50 percent of the determinations within 24 hours of receiving the application. If a State successfully makes the required minimum percentage of timely determinations for a fiscal year, such State shall not receive credit for meeting this provision in any subsequent fiscal year unless the State makes a percentage of timely income determinations that is at least 5 percentage points higher (or, if at least 75 percent of the State's determinations in a previous fiscal year were timely, 1 percentage point higher) than the percentage that the State achieved in the last fiscal year in which the State received credit for meeting this provision.

(III)

In the case of renewals, the State makes at least 50 percent of the determinations within 24 hours of receiving the renewal. If a State successfully makes the required minimum percentage of timely determinations for a fiscal year, such State shall not receive credit for meeting this provision in any subsequent fiscal year unless the State makes a percentage of timely income determinations that is at least 5 percentage points higher (or, if at least 75 percent of the State's determinations in a previous fiscal year were timely, 1 percentage point higher) than the percentage that the State achieved in the last fiscal year in which the State received credit for meeting this provision.

(viii)

Elimination of premiums or retroactive reinstatement upon premium payment

The State has elected to either—

(I)

impose no premiums for coverage under the State child health plan; or

(II)

in the case of an individual whose coverage under the State child health plan has been terminated for failure to make premium payments, provide assistance to such individual for purposes of immediate reenrollment of the individual upon payment of outstanding premiums, with coverage retroactive to the beginning of the most recent month for which an outstanding premium has been paid, and shall not impose any waiting period or fee as a condition of such reenrollment.

.

(e)

Extension of qualifying states option

Section 2105(g)(4) of the Social Security Act (42 U.S.C. 1397ee(g)(4)) is amended—

(1)

in the paragraph heading, by striking 2015 and inserting 2019; and

(2)

in subparagraph (A), by striking 2015 and inserting 2019.

(f)

Extension of certain programs and demonstration projects

(1)

Quality care for children demonstration project

Section 1139A(d)(1) of the Social Security Act (42 U.S.C. 1320b–9a(d)(1)) is amended in the matter before subparagraph (A) by inserting , and during the period of fiscal years 2016 through 2019, the Secretary shall award not more than 10 grants, before to States.

(2)

Childhood obesity demonstration project

Section 1139A(e)(8) of the Social Security Act (42 U.S.C. 1320b–9a(e)(8)) is amended by inserting , and $25,000,000 for the period of fiscal years 2015 though 2019 after 2014.

(3)

Pediatric quality measures program

Section 1139A(i) of the Social Security Act (42 U.S.C. 1320b–9a(i)) is amended in the first sentence by inserting before the period at the end the following: , and there is appropriated for each of fiscal years 2016 through 2019, $45,000,000 for the purpose of carrying out this section (other than subsections (e), (f), and (g))..

(4)

Outreach and enrollment grants; national campaign

Section 2113 of the Social Security Act (42 U.S.C. 1397mm) is amended—

(A)

in subsection (a)(1), by striking 2015 and inserting 2019; and

(B)

in subsection (g), by inserting , and $80,000,000 for the period of fiscal years 2016 through 2019, to remain available until expended, after 2015.

(g)

Express lane eligibility

Section 1902(e)(13)(I) of the Social Security Act (42 U.S.C. 1396a(e)(13)(I)) is amended by striking September 30, 2015 and inserting September 30, 2019.

(h)

Authority To use income determination made under certain programs

Section 1902(e)(14) of the Social Security Act (42 U.S.C. 1396a(e)(14)) is amended—

(1)

in subparagraph (A), in the first sentence, by striking subparagraph (D) and inserting subparagraphs (D) and (J); and

(2)

by adding at the end the following new subparagraph:

(J)

Use of income determination made under certain other programs

(i)

In general

For purposes of determining income eligibility for medical assistance under the State plan or under any waiver of such plan, a State may use a determination of income made by—

(I)

the State program funded under part A of title IV; or

(II)

the supplemental nutrition assistance program established under the Food and Nutrition Act of 2008.

(ii)

Sunset

Clause (i) shall not apply after September 30, 2019.

.