H.R. 2263House115th Congress (2017-2019)In Committee

Medicaid and CHIP Territory Transparency and Information Act

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Updated April 15, 2026 at 3:07 PM UTC

The Medicaid and CHIP Territory Transparency and Information Act requires the Department of Health and Human Services to make detailed information about Medicaid and the Children’s Health Insurance Program (CHIP) in U.S. territories publicly available online. Within 180 days of the law’s enactment, the Centers for Medicare & Medicaid Services must post data on eligibility income levels, enrollment numbers, plan amendments, waivers, spending shares, and how services are delivered. The goal is to give residents, policymakers, and the public clearer insight into how federal health‑care funds are used in territories such as Puerto Rico, Guam, and others.

Key Provisions

The HHS Secretary must publish, and regularly update, Medicaid and CHIP information for each U.S. territory on the CMS website.
Required data includes income eligibility thresholds, enrollment counts, any state plan amendments, and waivers (including applications and related correspondence).
The law also mandates disclosure of the federal and non‑federal share of expenditures, the systems used to deliver health‑care items and services, and the design of CHIP in each territory.
All of this information must be posted no later than 180 days after the act becomes law.

Legislative Activity

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2 earlier actions

HouseCommittee Latest Action

Referred to the Subcommittee on Health.

Health Subcommittee

May 5, 2017

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HouseIntro Referral

Introduced in House

May 1, 2017

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

May 1, 2017

HouseCommittee

Referred to the Subcommittee on Health.

Health Subcommittee

May 5, 2017

Bill Text

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Introduced in HouseIssued May 1, 2017

115th CONGRESS

1st Session

H. R. 2263

IN THE HOUSE OF REPRESENTATIVES

May 1, 2017

Mr. Bilirakis (for himself, Miss González-Colón of Puerto Rico, Mrs. Radewagen, Ms. Bordallo, Mr. Sablan, and Ms. Plaskett) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To provide for greater transparency and information with respect to Federal expenditures under the Medicaid and CHIP programs in the territories of the United States, and for other purposes.

Short title

This Act may be cited as the Medicaid and CHIP Territory Transparency and Information Act.

Publication of information on Federal expenditures under Medicaid and CHIP in the territories

Not later than 180 days after the date of the enactment of this Act, the Secretary of Health and Human Services shall publish, and periodically update, on the Internet site of the Centers for Medicare & Medicaid Services information on Medicaid and CHIP carried out in the territories of the United States. Such information shall include, with respect to each such territory—

(1)

the income levels established by the territory for purposes of eligibility of an individual to receive medical assistance under Medicaid or child health assistance under CHIP;

(2)

the number of individuals enrolled in Medicaid and CHIP in such territory;

(3)

any State plan amendments in effect to carry out Medicaid or CHIP in such territory;

(4)

any waiver of the requirements of title XIX or title XXI issued by the Secretary to carry out Medicaid or CHIP in the territory, including a waiver under section 1115 of the Social Security Act (42 U.S.C. 1315), any application for such a waiver, and any documentation related to such application (including correspondence);

(5)

the amount of the Federal and non-Federal share of expenditures under Medicaid and CHIP in such territory;

(6)

the systems in place for the furnishing of health care items and services under Medicaid and CHIP in such territory;

(7)

the design of CHIP in such territory; and

(8)

other information regarding the carrying out of Medicaid and CHIP in the territory that is published on such Internet site with respect to carrying out Medicaid and CHIP in each State and the District of Columbia.

Definitions

In this Act:

(1)

CHIP

The term CHIP means the State Children’s Health Insurance Program under title XXI of the Social Security Act.

(2)

Medicaid

The term Medicaid means the Medicaid program under title XIX of the Social Security Act.

(3)

Territory

The term territory of the United States includes Puerto Rico, the Virgin Islands of the United States, Guam, the Northern Mariana Islands, and American Samoa.