May 1, 1997 - Issue: Vol. 143, No. 55 — Daily Edition105th Congress (1997 - 1998) - 1st Session
CHILDREN'S HEALTH INSURANCE PROVIDES SECURITY (CHIPS) ACT; Congressional Record Vol. 143, No. 55
(Senate - May 01, 1997)
Text available as:
Formatting necessary for an accurate reading of this text may be shown by tags (e.g., <DELETED> or <BOLD>) or may be missing from this TXT display. For complete and accurate display of this text, see the PDF.
[Pages S3926-S3927] From the Congressional Record Online through the Government Publishing Office [www.gpo.gov] CHILDREN'S HEALTH INSURANCE PROVIDES SECURITY (CHIPS) ACT
Mr. CHAFEE. Mr. President, yesterday I introduced S. 674 along with Senator Rockefeller and others. I ask that the text of bill S. 674 be printed in the Record. The text of the bill follows: S. 674 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 ``Children's Health Insurance Provides Security (CHIPS) Act of 1997''. SEC. 2. ENCOURAGING STATES THROUGH INCREASED FEDERAL MEDICAL ASSISTANCE PERCENTAGE (FMAP) TO EXPAND MEDICAID COVERAGE OF CHILDREN AND PREGNANT WOMEN. (a) Increased FMAP for Medical Assistance for Certain Individuals.--Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended-- (1) in subsection (b), by adding at the end the following new sentence: ``Notwithstanding the first sentence of this subsection, in the case of a State plan that meets the conditions described in subsection (t)(1), with respect to expenditures for medical assistance for individuals within an optional coverage group (as defined in subsection (t)(2)) the Federal medical assistance percentage is equal to the enhanced medical assistance [[Page S3927]] percentage described in subsection (t)(3).''; and (2) by adding at the end the following new subsection: ``(t)(1) The conditions described in this paragraph for a State plan are as follows: ``(A) The plan provides (either through exercise of the option under section 1902(l)(1)(D) or authority under section 1902(r)(2)) for coverage under section 1902(l)(1)(D) of individuals under 19 years of age, regardless of date of birth. ``(B) The plan provides under section 1902(e)(12) for continuous eligibility for a period of 12 months (under subparagraph (A) of such section) of all individuals under 19 years of age who are determined to be eligible for benefits under a State plan approved under this title under section 1902(a)(10)(A). ``(2) For purposes of subsection (b), the term `optional coverage group' means individuals described in each of the following subparagraphs: ``(A) Pregnant women with family income between 133 percent and 150 percent of poverty line.--Women described in subparagraph (A) of section 1902(l)(1) whose family income exceeds 133 percent, but does not exceed 150 percent, of the poverty line for a family of the size involved. ``(B) Infants with family income between 133 percent and 150 percent of poverty line.--Infants described in subparagraph (B) of section 1902(l)(1) whose family income exceeds 133 percent, but does not exceed 150 percent, of the poverty line for a family of the size involved. ``(C) Children under 6 years of age with family income between 133 percent and 150 percent of poverty line.-- Children described in subparagraph (C) of section 1902(l)(1) whose family income exceeds 133 percent, but does not exceed 150 percent, of the poverty line for a family of the size involved. ``(D) Older children with family income between 100 percent and 150 percent of poverty line.--Children described in subparagraph (D) of section 1902(l)(1), who are not described in any of subclauses (I) through (III) of section 1902(a)(10)(A)(i), and whose family income exceeds 100 percent, but does not exceed 150 percent, of the poverty line for a family of the size involved. ``(3) The enhanced medical assistance percentage described in this paragraph for a State is equal to the Federal medical assistance percentage (as defined in the first sentence of subsection (b)) for the State increased (but not above 90 percent) by the number of percentage points equal to 30 percent of the number of percentage points by which (A) such Federal medical assistance percentage for the State, is less than (B) 100 percent.''. (b) State Option to Expand Eligibility to 150 Percent of Poverty Line For Children Over 1 Year of Age.--Section 1902(l)(2) of such Act (42 U.S.C. 1396a(l)(2)) is amended-- (1) in subparagraph (B), by striking ``equal to 133 percent'' and inserting ``a percentage (specified by the State and not less than 133 percent and not more than 150 percent)'', and (2) in subparagraph (C), by striking ``equal to 100 percent'' and inserting ``a percentage (specified by the State and not less than 100 percent and not more than 150 percent)''. (c) Clarification of State Option to Cover All Children Under 19 Years of Age.--Section 1902(l)(1)(D) of such Act (42 U.S.C. 1396a(l)(1)(D)) is amended by inserting ``(or, at the option of a State, after any earlier date)'' after ``children born after September 30, 1983''. (d) State Option of Continuous Eligibility for 12 Months.-- Section 1902(e) of such Act (42 U.S.C. 1396a(e)) is amended by adding at the end the following new paragraph: ``(12) At the option of the State, the plan may provide that an individual who is under an age specified by the State (not to exceed 19 years of age) and who is determined to be eligible for benefits under a State plan approved under this title under subsection (a)(10)(A) shall remain eligible for those benefits until the earlier of-- ``(A) the end of a period (not to exceed 12 months) following the determination; or ``(B) the time that the individual exceeds that age.''. (e) Effective Date.--The amendments made by this section shall apply to medical assistance for items and services furnished on or after January 1, 1998. SEC. 3. EMPLOYER CONTRIBUTIONS TO PREMIUMS. (a) General Rule.--Any employer which elects to make employer contributions on behalf of an individual who is an employee of such employer, or who is a dependent of such employee, for health insurance coverage shall not condition, or vary, such contributions with respect to any such individual by reason of such individual's status as an individual eligible for medical assistance under a State plan under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.). (b) Elimination of Contributions.--An employer shall not be treated as failing to meet the requirements of subsection (a) if the employer ceases to make employer contributions for health insurance coverage for all its employees. (c) Enforcement.--The enforcement provisions applicable to group health insurance coverage under the amendments made by section 101(e)(2) of the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191; 110 Stat. 1952) shall apply with respect to an employer that violates the provisions of this section in the same manner as such provisions apply to employers under such amendments. SEC. 4. GRANT PROGRAM TO PROMOTE OUTREACH EFFORTS. (a) Authorization of Appropriations.--There are authorized to be appropriated, for each fiscal year beginning with fiscal year 1998 to the Secretary of Health and Human Services, $25,000,000 for grants to States, localities, and nonprofit entities to promote outreach efforts to enroll eligible children under the medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) and related programs. (b) Use of Funds.--Funds under this section may be used to reimburse States, localities, and nonprofit entities for additional training and administrative costs associated with outreach activities. Such activities include the following: (1) Use of a common application form for federal child assistance programs.--Implementing use of a single application form (established by the Secretary and based on the model application forms developed under subsections (a) and (b) of section 6506 of the Omnibus Budget Reconciliation Act of 1989 (42 U.S.C. 701 note; 1396a note)) to determine the eligibility of a child or the child's family (as applicable) for assistance or benefits under the medicaid program and under other Federal child assistance programs (such as the temporary assistance for needy families program under part A of title IV of the Social Security Act (42 U.S.C. 601 et seq.), the food stamp program, as defined in section 3(h) of the Food Stamp Act of 1977 (7 U.S.C. 2012(h)), and the State program for foster care maintenance payments and adoption assistance payments under part E of title IV of the Social Security Act (42 U.S.C. 670 et seq.)). (2) Expanding outstationing of eligibility personnel.-- Providing for the stationing of eligibility workers at sites, such as hospitals and health clinics, at which children receive health care or related services. (c) Application, Etc.--Funding shall be made available under this section only upon the approval of an application by a State, locality, or nonprofit entity for such funding and only upon such terms and conditions as the Secretary specifies. (d) Administration.--The Secretary may administer the grant program under this section through the identifiable administrative unit designated under section 509(a) of the Social Security Act (42 U.S.C. 709(a)) to promote coordination of medicaid and maternal and child health activities and other child health related activities. ____________________