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Section 10203

SEC. 10203. EXTENSION OF FUNDING FOR CHIP THROUGH FISCAL YEAR 2015 AND OTHER CHIP-RELATED PROVISIONS.

[a] Section 1311[c][1] of this Act is amended by striking 'and' at the end of subparagraph [G], by striking the period at the end of subparagraph [H] and inserting '; and', and by adding at the end the following:

'[I] report to the Secretary at least annually and in such manner as the Secretary shall require, pediatric quality reporting measures consistent with the pediatric quality reporting measures established under section 1139A of the Social Security Act.'.

[b] Effective as if included in the enactment of the Children's Health Insurance Program Reauthorization Act of 2009 [Public Law 111-3]:

[1] Section 1906[e][2] of the Social Security Act [42 U.S.C. 1396e[e][2]] is amended by striking 'means' and all that follows through the period and inserting 'has the meaning given that term in section 2105[c][3][A].'.

[2][A] Section 1906A[a] of the Social Security Act [42 U.S.C. 1396e-1[a]], is amended by inserting before the period the following: 'and the offering of such a subsidy is cost-effective, as defined for purposes of section 2105[c][3][A]'.

[B] This Act shall be applied without regard to subparagraph [A] of section 2003[a][1] of this Act and that subparagraph and the amendment made by that subparagraph are hereby deemed null, void, and of no effect.

[3] Section 2105[c][10] of the Social Security Act [42 U.S.C. 1397ee[c][10]] is amended--

[A] in subparagraph [A], in the first sentence, by inserting before the period the following: 'if the offering of such a subsidy is cost-effective, as defined for purposes of paragraph [3][A]';

[B] by striking subparagraph [M]; and

[C] by redesignating subparagraph [N] as subparagraph [M].

[4] Section 2105[c][3][A] of the Social Security Act [42 U.S.C. 1397ee[c][3][A]] is amended--

[A] in the matter preceding clause [i], by striking 'to' and inserting 'to--'; and

[B] in clause [ii], by striking the period and inserting a semicolon.

[c] Section 2105 of the Social Security Act [42 U.S.C. 1397ee], as amended by section 2101, is amended--

[1] in subsection [b], in the second sentence, by striking '2013' and inserting '2015'; and

[2] in subsection [d][3]--

[A] in subparagraph [A]--

[i] in the first sentence, by inserting 'as a condition of receiving payments under section 1903[a],' after '2019,';

[ii] in clause [i], by striking 'or' at the end;

[iii] by redesignating clause [ii] as clause [iii]; and

[iv] by inserting after clause [i], the following:

'[ii] after September 30, 2015, enrolling children eligible to be targeted low-income children under the State child health plan in a qualified health plan that has been certified by the Secretary under subparagraph [C]; or';

[B] in subparagraph [B], by striking 'provided coverage' and inserting 'screened for eligibility for medical assistance under the State plan under title XIX or a waiver of that plan and, if found eligible, enrolled in such plan or a waiver. In the case of such children who, as a result of such screening, are determined to not be eligible for medical assistance under the State plan or a waiver under title XIX, the State shall establish procedures to ensure that the children are enrolled in a qualified health plan that has been certified by the Secretary under subparagraph [C] and is offered'; and

[C] by adding at the end the following:

'[C] CERTIFICATION OF COMPARABILITY OF PEDIATRIC COVERAGE OFFERED BY QUALIFIED HEALTH PLANS- With respect to each State, the Secretary, not later than April 1, 2015, shall review the benefits offered for children and the cost-sharing imposed with respect to such benefits by qualified health plans offered through an Exchange established by the State under section 1311 of the Patient Protection and Affordable Care Act and shall certify those plans that offer benefits for children and impose cost-sharing with respect to such benefits that the Secretary determines are at least comparable to the benefits offered and cost-sharing protections provided under the State child health plan.'.

[d][1] Section 2104[a] of such Act [42 U.S.C. 1397dd[a]] is amended--

[A] in paragraph [15], by striking 'and' at the end; and

[B] by striking paragraph [16] and inserting the following:

'[16] for fiscal year 2013, $17,406,000,000;

'[17] for fiscal year 2014, $19,147,000,000; and

'[18] for fiscal year 2015, for purposes of making 2 semi-annual allotments--

'[A] $2,850,000,000 for the period beginning on October 1, 2014, and ending on March 31, 2015, and

'[B] $2,850,000,000 for the period beginning on April 1, 2015, and ending on September 30, 2015.'.

[2][A] Section 2104[m] of such Act [42 U.S.C. 1397dd[m]], as amended by section 2102[a][1], is amended--

[i] in the subsection heading, by striking '2013' and inserting '2015';

[ii] in paragraph [2]--

[I] in the paragraph heading, by striking '2012' and inserting '2014'; and

[II] by adding at the end the following:

'[B] FISCAL YEARS 2013 AND 2014- Subject to paragraphs [4] and [6], from the amount made available under paragraphs [16] and [17] of subsection [a] for fiscal years 2013 and 2014, 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- For fiscal year 2013, the allotment of the State is equal to the Federal payments to the State that are attributable to [and countable towards] the total amount of allotments available under this section to the State in fiscal year 2012 [including payments made to the State under subsection [n] for fiscal year 2012 as well as amounts redistributed to the State in fiscal year 2012], multiplied by the allotment increase factor under paragraph [5] for fiscal year 2013.

'[ii] GROWTH FACTOR UPDATE FOR FISCAL YEAR 2014- For fiscal year 2014, the allotment of the State is equal to the sum of--

'[I] the amount of the State allotment under clause [i] for fiscal year 2013; and

'[II] the amount of any payments made to the State under subsection [n] for fiscal year 2013,

multiplied by the allotment increase factor under paragraph [5] for fiscal year 2014.';

[iii] in paragraph [3]--

[I] in the paragraph heading, by striking '2013' and inserting '2015';

[II] in subparagraphs [A] and [B], by striking 'paragraph [16]' each place it appears and inserting 'paragraph [18]';

[III] in subparagraph [C]--

[aa] by striking '2012' each place it appears and inserting '2014'; and

[bb] by striking '2013' and inserting '2015'; and

[IV] in subparagraph [D]--

[aa] in clause [i][I], by striking 'subsection [a][16][A]' and inserting 'subsection [a][18][A]'; and

[bb] in clause [ii][II], by striking 'subsection [a][16][B]' and inserting 'subsection [a][18][B]';

[iv] in paragraph [4], by striking '2013' and inserting '2015';

[v] in paragraph [6]--

[I] in subparagraph [A], by striking '2013' and inserting '2015'; and

[II] in the flush language after and below subparagraph [B][ii], by striking 'or fiscal year 2012' and inserting ', fiscal year 2012, or fiscal year 2014'; and

[vi] in paragraph [8]--

[I] in the paragraph heading, by striking '2013' and inserting '2015'; and

[II] by striking '2013' and inserting '2015'.

[B] Section 2104[n] of such Act [42 U.S.C. 1397dd[n]] is amended--

[i] in paragraph [2]--

[I] in subparagraph [A][ii]--

[aa] by striking '2012' and inserting '2014'; and

[bb] by striking '2013' and inserting '2015';

[II] in subparagraph [B]--

[aa] by striking '2012' and inserting '2014'; and

[bb] by striking '2013' and inserting '2015'; and

[ii] in paragraph [3][A], by striking 'or a semi-annual allotment period for fiscal year 2013' and inserting 'fiscal year 2013, fiscal year 2014, or a semi-annual allotment period for fiscal year 2015'.

[C] Section 2105[g][4] of such Act [42 U.S.C. 1397ee[g][4]] is amended--

[i] in the paragraph heading, by striking '2013' and inserting '2015'; and

[ii] in subparagraph [A], by striking '2013' and inserting '2015'.

[D] Section 2110[b] of such Act [42 U.S.C. 1397jj[b]] is amended--

[i] in paragraph [2][B], by inserting 'except as provided in paragraph [6],' before 'a child'; and

[ii] by adding at the end the following new paragraph:

'[6] EXCEPTIONS TO EXCLUSION OF CHILDREN OF EMPLOYEES OF A PUBLIC AGENCY IN THE STATE-

'[A] IN GENERAL- A child shall not be considered to be described in paragraph [2][B] if--

'[i] the public agency that employs a member of the child's family to which such paragraph applies satisfies subparagraph [B]; or

'[ii] subparagraph [C] applies to such child.

'[B] MAINTENANCE OF EFFORT WITH RESPECT TO PER PERSON AGENCY CONTRIBUTION FOR FAMILY COVERAGE- For purposes of subparagraph [A][i], a public agency satisfies this subparagraph if the amount of annual agency expenditures made on behalf of each employee enrolled in health coverage paid for by the agency that includes dependent coverage for the most recent State fiscal year is not less than the amount of such expenditures made by the agency for the 1997 State fiscal year, increased by the percentage increase in the medical care expenditure category of the Consumer Price Index for All-Urban Consumers [all items: U.S. City Average] for such preceding fiscal year.

'[C] HARDSHIP EXCEPTION- For purposes of subparagraph [A][ii], this subparagraph applies to a child if the State determines, on a case-by-case basis, that the annual aggregate amount of premiums and cost-sharing imposed for coverage of the family of the child would exceed 5 percent of such family's income for the year involved.'.

[E] Section 2113 of such Act [42 U.S.C. 1397mm] is amended--

[i] in subsection [a][1], by striking '2013' and inserting '2015'; and

[ii] in subsection [g], by striking '$100,000,000 for the period of fiscal years 2009 through 2013' and inserting '$140,000,000 for the period of fiscal years 2009 through 2015'.

[F] Section 108 of Public Law 111-3 is amended by striking '$11,706,000,000' and all that follows through the second sentence and inserting '$15,361,000,000 to accompany the allotment made for the period beginning on October 1, 2014, and ending on March 31, 2015, under section 2104[a][18][A] of the Social Security Act [42 U.S.C. 1397dd[a][18][A]], to remain available until expended. Such amount shall be used to provide allotments to States under paragraph [3] of section 2104[m] of the Social Security Act [42 U.S.C. 1397dd[m]] for the first 6 months of fiscal year 2015 in the same manner as allotments are provided under subsection [a][18][A] of such section 2104 and subject to the same terms and conditions as apply to the allotments provided from such subsection [a][18][A].'.