,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #afih  ,,in ,,the ,,house ,,of  
,,representatives  ,april #bd1 #bjac    
,mr4 ,gene ,green of ,texas 7for himself
 and ,mr4 ,barton7 introduced the       
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to amend titles ,,xix and   
,,xxi of the ,social ,security ,act to  
provide for #ab-month continuous        
enrollment of individuals under the     
,medicaid program and ,children's       
,health ,insurance ,program1 and for    
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,stabilize     
,medicaid and ,,chip ,coverage ,act4    
#b4 ,findings ,congress finds the       
following3  7#a7 ,every year millions of
 people are enrolled in ,medicaid and   
the ,children's ,health ,insurance      
,program 7in this section referred to as
 ,,chip71 but subsequently lose their   
coverage1 despite still being eligible1 
because of inefficient and cumbersome   
paperwork and logistical requirements4  

7#b7 ,data show that the typical        
enrollee receives ,medicaid coverage for
 about three-quarters of a year4        
,coverage periods are lower for         
non-elderly1 non-disabled adults than   
for those with disabilities1 seniors1   
and children4  7#c7 ,medicaid enrollees 
with coverage disruptions are more      
likely to be hospitalized for illnesses 
like asthma1 diabetes1 or cardiovascular
 disease that can be effectively managed
 through ongoing primary medical care   
and medication1 are less likely to be   
screened for breast cancer1 and may have
 poorer cancer outcomes4  7#d7 ,children
 enrolled in ,,chip also experience     
disruptions in health coverage and care4
 ,for example1 during just a one-year   
period1 over one-third of ,,chip        
enrollees were also enrolled in a       
,state's ,medicaid program4 ,transitions
 between ,medicaid and ,,chip can cause 
disruptions in care because the health  
care coverage and participating         
providers vary between the two programs4

  7#e7 ,interruptions in coverage can   
impair the receipt of effective primary 
care and lead to expensive              
hospitalizations or emergency room      
visits4 ,unnecessary enrollment1        
disenrollment1 and reenrollment in      
,medicaid and ,,chip result in higher   
administrative expenses for             
re-enrollment and result in more people 
uninsured at any given time4  7#f7      
,stable coverage under ,medicaid and    
,,chip lowers average monthly medical   
costs4  7#g7 ,continuous enrollment also
 permits better prevention and disease  
management1 leading to fewer serious    
illnesses and hospitalizations4  7#h7   
,children with stable coverage are less 
likely to have unmet medical needs1     
allowing children to receive the        
preventive care that is necessary to    
help them grow into healthy adults4  #c4
 #ab-month continuous enrollment  7a7   
,requirement of #ab-,month continuous   
enrollment under ,medicaid ,section     
#aijb7;e77#ab7 of the ,social ,security 

,act 7#db ,u4,s4,c4 #acif;a7e77#ab77 is 
amended to read as follows3  7#ab7      
#ab-month continuous enrollment         
,notwithstanding any other provision of 
this title1 a ,state plan approved under
 this title 7or under any waiver of such
 plan approved pursuant to section #aaae
 or section #aiae71 shall provide that  
an individual who is determined to be   
eligible for benefits under such plan   
7or waiver7 shall remain eligible and   
enrolled for such benefits through the  
end of the month in which the #ab-month 
period 7beginning on the date of        
determination of eligibility7 ends4  4  
7b7 ,requirement of #ab-,month          
continuous enrollment under ,,chip  7#a7
 ,in general ,section #bajb7;b7 of the  
,social ,security ,act 7#db ,u4,s4,c4   
#acig;bb7b77 is amended by adding at the
 end the following new paragraph3  7#f7 
,requirement for #ab-month continuous   
enrollment ,notwithstanding any other   
provision of this title1 a ,state child 
health plan that provides child health  

assistance under this title through a   
means other than described in section   
#baja7;a77#b71 shall provide that an    
individual who is determined to be      
eligible for benefits under such plan   
shall remain eligible and enrolled for  
such benefits through the end of the    
month in which the #ab-month period     
7beginning on the date of determination 
of eligibility7 ends4  4  7#b7          
,conforming amendment ,section          
#baje7;a77#d77;,a7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acig;ee7a77#d77;,a77 is amended--  7,a7
 by striking has elected the option of  
and inserting is in compliance with the 
requirement for2 and  7,b7 by striking  
applying such policy under its ,state   
child health plan under this title and  
inserting in compliance with section    
#bajb7;b74  7c7 ,effective date  7#a7   
,in general ,except as provided in      
paragraph 7#b7 or 7#c71 the amendments  
made by subsections 7a7 and 7b7 shall   
apply to determinations 7and            

redeterminations7 of eligibility made on
 or after the date that is #ah months   
after the date of the enactment of this 
,act4  7#b7 ,extension of effective date
 for ,state law amendment ,in the case  
of a ,state plan under title ,,xix or   
,state child health plan under title    
,,xxi of the ,social ,security ,act 7#db
 ,u4,s4,c4 #acif et seq41 #db ,u4,s4,c4 
#acig;aa et seq47 which the ,secretary  
of ,health and ,human ,services         
determines requires ,state legislation  
7other than legislation appropriating   
funds7 in order for the respective plan 
to meet the additional requirement      
imposed by the amendment made by        
subsection 7a7 or 7b71 respectively1 the
 respective plan shall not be regarded  
as failing to comply with the           
requirements of such title solely on the
 basis of its failure to meet such      
applicable additional requirement before
 the first day of the first calendar    
quarter beginning after the close of the
 first regular session of the ,state    

legislature that begins after the date  
of enactment of this ,act4 ,for purposes
 of the previous sentence1 in the case  
of a ,state that has a #b-year          
legislative session1 each year of the   
session is considered to be a separate  
regular session of the ,state           
legislature4  7#c7 ,option to implement 
#ab-month continuous eligibility prior  
to effective date ,a ,state may elect   
through a ,state plan amendment under   
title ,,xix or ,,xxi of the ,social     
,security ,act 7#db ,u4,s4,c4 #acif et  
seq41 #db ,u4,s4,c4 #acig;aa et seq47 to
 apply the amendment made by subsection 
7a7 or 7b71 respectively1 on any date   
prior to the #ah-month date specified in
 paragraph 7#a71 but not sooner than the
 date of the enactment of this ,act4