SCHIP Expansion Act of 2004 - Amends title XXI (State Children's Health Insurance Program) (SCHIP) of the Social Security Act (SSA) to: (1) make all uninsured children eligible for SCHIP; (2) prohibit the State from excluding a child who has access to high cost coverage under a group health plan or health insurance coverage from being treated as a targeted vulnerable child under SCHIP; (3) increase Federal financial participation under SCHIP and Medicaid for States with simplified enrollment and renewal procedures for children, regardless of their family income; (4) provide for an increase in funds under SCHIP and Medicaid for outreach strategies for children; (5) increase funding for SCHIP; (6) prohibit payments to a State with an enrollment cap (or related procedures) which has not exhausted its available allotments; and (7) provide for the application of Medicaid managed care requirements to States under SCHIP.
[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 2420 Introduced in Senate (IS)]
108th CONGRESS
2d Session
S. 2420
To amend title XXI of the Social Security Act to make all uninsured
children eligible for the State children's health insurance program, to
encourage States to increase the number of children enrolled in the
medicaid and State children's health insurance programs by simplifying
the enrollment and renewal procedures for those programs, and for other
purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
May 13, 2004
Mr. Graham of Florida 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 make all uninsured
children eligible for the State children's health insurance program, to
encourage States to increase the number of children enrolled in the
medicaid and State children's health insurance programs by simplifying
the enrollment and renewal procedures for those programs, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``SCHIP Expansion Act of 2004''.
SEC. 2. ELIGIBILITY OF ALL UNINSURED CHILDREN FOR SCHIP.
(a) In General.--Section 2110(b) of the Social Security Act (42
U.S.C. 1397jj(b)) is amended--
(1) in paragraph (1)--
(A) by striking subparagraph (B); and
(B) by redesignating subparagraph (C) as
subparagraph (B);
(2) in paragraph (2)--
(A) by striking ``include'' and all that follows
through ``a child who is an'' and inserting ``include a
child who is an''; and
(B) by striking the semicolon and all that follows
through the period and inserting a period; and
(3) by striking paragraph (4).
(b) No Exclusion of Children With Access to High-Cost Coverage.--
Section 2110(b)(3) of the Social Security Act (42 U.S.C. 1397jj(b)(3))
is amended--
(1) in the paragraph heading, by striking ``rule'' and
inserting ``rules'';
(2) by striking ``A child'' and inserting the following:
``(A) Certain non federally funded coverage.--A
child''; and
(3) by adding at the end the following:
``(B) No exclusion of children with access to high-
cost coverage.--A State shall not exclude a child from
being treated as a targeted vulnerable child who has
access to coverage under a group health plan or health
insurance coverage if the total annual aggregate cost
for premiums, deductibles, cost sharing, and similar
charges imposed under the group health plan or health
insurance coverage with respect to all targeted
vulnerable children in the child's family exceeds 5
percent of such family's income for the year
involved.''.
(c) Conforming Amendments.--
(1) Titles XIX and XXI of the Social Security Act (42
U.S.C. 1396 et seq.; 1397aa et. seq.) are amended by striking
``targeted low-income'' each place it appears and inserting
``targeted vulnerable''.
(2) Section 2102(b)(3)(C) of the Social Security Act (42
U.S.C. 1397bb(b)(3)(C)) is amended by inserting ``particularly
with respect to children whose family income exceeds 200
percent of the poverty line'' before the semicolon.
(d) Effective Date.--The amendments made by this section take
effect on October 1, 2004.
SEC. 3. INCREASE IN FEDERAL FINANCIAL PARTICIPATION UNDER SCHIP AND
MEDICAID FOR STATES WITH SIMPLIFIED ENROLLMENT AND
RENEWAL PROCEDURES FOR CHILDREN.
(a) SCHIP.--Section 2105(c)(2) of the Social Security Act (42
U.S.C. 1397ee(c)(2)) is amended by adding at the end the following:
``(C) Nonapplication of limitation and increase in
federal payment for states with simplified enrollment
and renewal procedures.--
``(i) In general.--Notwithstanding
subsection (a)(1) and subparagraph (A)--
``(I) the limitation under
subparagraph (A) on expenditures for
items described in subsection (a)(1)(D)
shall not apply with respect to
expenditures incurred to carry out any
of the outreach strategies described in
clause (ii), but only if the State
carries out the same outreach
strategies for children under title
XIX; and
``(II) the enhanced FMAP for a
State for a fiscal year otherwise
determined under subsection (b) shall
be increased by 5 percentage points
(without regard to the application of
the 85 percent limitation under that
subsection)) with respect to such
expenditures.
``(ii) Outreach strategies described.--For
purposes of clause (i), the outreach strategies
described in this clause are the following:
``(I) Presumptive eligibility.--The
State provides for presumptive
eligibility for children under this
title and under title XIX.
``(II) Adoption of 12-month
continuous eligibility.--The State
provides that eligibility for children
shall not be redetermined more often
than once every year under this title
or under title XIX.
``(III) Elimination of asset
test.--The State does not apply any
asset test for eligibility under this
title or title XIX with respect to
children.
``(IV) Passive renewal.--The State
provides for the automatic renewal of
the eligibility of children for
assistance under this title and under
title XIX if the family of which such a
child is a member does not report any
changes to family income or other
relevant circumstances, subject to
verification of information from State
databases.''.
(b) Medicaid.--
(1) In general.--Section 1902(l) of the Social Security Act
(42 U.S.C. 1396a(l)) is amended--
(A) in paragraph (3), by inserting ``subject to
paragraph (5)'', after ``Notwithstanding subsection
(a)(17),''; and
(B) by adding at the end the following:
``(5)(A) Notwithstanding the first sentence of section 1905(b),
with respect to expenditures incurred to carry out any of the outreach
strategies described in subparagraph (B) for individuals under 19 years
of age who are eligible for medical assistance under subsection
(a)(10)(A), the Federal medical assistance percentage is equal to the
enhanced FMAP described in section 2105(b) and increased under section
2105(c)(2)(C)(i)(II), but only if the State carries out the same
outreach strategies for children under title XXI.
``(B) For purposes of subparagraph (A), the outreach strategies
described in this subparagraph are the following:
``(i) Presumptive eligibility.--The State provides for
presumptive eligibility for such individuals under this title
and title XXI.
``(ii) Adoption of 12-month continuous eligibility.--The
State provides that eligibility for such individuals shall not
be redetermined more often than once every year under this
title or under title XXI.
``(iii) Elimination of asset test.--The State does not
apply any asset test for eligibility under this title or title
XXI with respect to such individuals.
``(iv) Passive renewal.--The State provides for the
automatic renewal of the eligibility of such individuals for
assistance under this title and under title XXI if the family
of which such an individual is a member does not report any
changes to family income or other relevant circumstances,
subject to verification of information from State databases.''.
(2) Conforming amendment.--The first sentence of section
1905(b) of the Social Security Act (42 U.S.C. 1396d(b)) is
amended by striking ``section 1933(d)'' and inserting
``sections 1902(l)(5) and 1933(d)''.
(c) Effective Date.--The amendments made by this section take
effect on October 1, 2004.
SEC. 4. ELIMINATION OF SCHIP DIP AND INCREASE IN FUNDING.
(a) In General.--Section 2104(a) of the Social Security Act (42
U.S.C. 1397dd(a)) is amended--
(1) in paragraphs (5), (6), and (7), by striking
``$3,150,000,000'' each place it appears and inserting
``$4,275,000,000'';
(2) in paragraphs (8) and (9), by striking
``$4,050,000,000'' each place it appears and inserting
``$9,050,000,000''; and
(3) in paragraph (10), by striking ``$5,000,000,000'' and
inserting ``$10,000,000,000''.
(b) Effective Date.--The amendments made by this section take
effect on October 1, 2004, and apply to allotments and redistributions
of unused allotments made on or after that date.
SEC. 5. LIMITATION ON PAYMENTS TO STATES THAT HAVE AN ENROLLMENT CAP
BUT HAVE NOT EXHAUSTED THE STATE'S AVAILABLE ALLOTMENTS.
(a) In General.--Section 2105 of the Social Security Act (42 U.S.C.
1397ee) is amended by adding at the end the following:
``(h) Limitation on Payments to States That Have an Enrollment Cap
but Have Not Exhausted the State's Available Allotments.--
``(1) In general.--Notwithstanding any other provision of
this section, payment shall not be made to a State under this
section if the State has an enrollment freeze, enrollment cap,
procedures to delay consideration of, or not to consider,
submitted applications for child health assistance, or a
waiting list for the submission or consideration of such
applications or for such assistance, and the State has not
fully expended the amount of all allotments available with
respect to a fiscal year for expenditure by the State,
including allotments for prior fiscal years that remain
available for expenditure during the fiscal year under
subsection (c) or (g) of section 2104 or that were
redistributed to the State under subsection (f) or (g) of
section 2104.
``(2) Rule of construction.--Paragraph (1) shall not be
construed as prohibiting a State from establishing regular open
enrollment periods for the submission of applications for child
health assistance.''.
(b) Effective Date.--The amendments made by this section take
effect on October 1, 2004.
SEC. 6. APPLICATION OF MEDICAID MANAGED CARE REQUIREMENTS TO SCHIP.
(a) In General.--Section 2107(e)(1) of the Social Security Act (42
U.S.C. 1397gg(e)(1)) is amended by adding at the end the following:
``(E) Sections 1903(m) and 1932 (relating to
requirements for managed care).''.
(b) Effective Date.--The amendment made by subsection (a) takes
effect on October 1, 2004.
<all>
Introduced in Senate
Sponsor introductory remarks on measure. (CR S5477-5479)
Read twice and referred to the Committee on Finance.
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