H.R. 3927House115th Congress (2017-2019)In Committee

To amend title XXI to allow for the blending of risk pools of children's health insurance buy-in programs with the risk pools of State child health plans under such title, and for other purposes.

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Updated April 15, 2026 at 6:19 PM UTC

The bill changes the Social Security Act so that states can combine the risk pools of children who buy coverage through a state‑run health‑insurance buy‑in program with the risk pools of children covered under the state’s child health plan. It also makes those buy‑in programs count as minimum essential coverage under the Affordable Care Act, affecting children under 18 who are not eligible for Medicaid and the states that run these programs.

Key Provisions

Allows a state to treat children enrolled in a qualified children’s health‑insurance buy‑in program and children in the state child health plan as members of a single risk pool.
Defines a “qualified children’s health‑insurance buy‑in program” as a state program for children under 18 who are not Medicaid‑eligible, offering benefits identical to the state child health plan and funded only with non‑federal money.
Amends the Internal Revenue Code to include qualified children’s health‑insurance buy‑in programs as minimum essential coverage for the ACA, effective for taxable years beginning after Dec. 31, 2017.

Legislative Activity

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2 earlier actions

HouseCommittee Latest Action

Referred to the Subcommittee on Health.

Health Subcommittee

October 6, 2017

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HouseIntro Referral

Introduced in House

October 3, 2017

HouseIntro Referral

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Energy and Commerce Committee

October 3, 2017

HouseCommittee

Referred to the Subcommittee on Health.

Health Subcommittee

October 6, 2017

Bill Text

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Introduced in HouseIssued October 3, 2017

115th CONGRESS

1st Session

H. R. 3927

IN THE HOUSE OF REPRESENTATIVES

October 3, 2017

Mr. Bilirakis introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned

A BILL

To amend title XXI to allow for the blending of risk pools of children’s health insurance buy-in programs with the risk pools of State child health plans under such title, and for other purposes.

Ensuring State flexibility in offering children’s health insurance buy-in programs

(a)

Blending risk pools

Section 2107 of the Social Security Act (42 U.S.C. 1397gg) is amended by adding at the end the following:

(g)

Use of blended risk pools

(1)

In general

Nothing in this title (or any other provision of Federal law) shall be construed as preventing a State from considering children enrolled in a qualified children’s health insurance buy-in program and children enrolled in a State child health plan under this title (or a waiver of such plan) as members of a single-risk pool.

(2)

Qualified children’s health insurance buy-in program

In this subsection, the term qualified children’s health insurance buy-in program means a State program—

(A)

under which children who are under the age of 18 and are not eligible to receive medical assistance under title XIX or child health assistance under this title may purchase coverage through the State that provides benefits that are at least identical to the benefits provided under the State child health plan under this title (or a waiver of such plan); or

(B)

that is funded exclusively through non-Federal funds, including funds received by the State in the form of premiums for the purchase of such coverage.

(b)

Minimum essential coverage

(1)

In general

Section 5000A(f)(1)(A) of the Internal Revenue Code of 1986 is amended—

(A)

in clause (vi), by striking or at the end;

(B)

in clause (vii), by striking the period at the end and inserting ; or; and

(C)

by adding at the end the following new clause:

(viii)

a qualified children’s health insurance buy-in program (as defined in section 2107(g) of the Social Security Act).

(2)

Effective date

The amendment made by paragraph (1) shall apply with respect to taxable years beginning after December 31, 2017.