,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #afih  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #bd1 #bjac ,mr4
 ,g5e ,gre5 ( ,texas 7= himself & ,mr4  
,b>ton7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d titles    
,,xix & ,,xxi ( ! ,social ,security ,act
 to provide = #ab-mon? cont9u\s         
enrollm5t ( individuals "u ! ,m$icaid   
program & ,*ildr5's ,heal? ,insurance   
,program1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z !         
,/abilize ,m$icaid & ,,*ip ,cov]age     
,act4  #b4 ,f9d+s ,congress f9ds !      
foll[+3  7#a7 ,e ye> millions ( p are   
enroll$ 9 ,m$icaid & ! ,*ildr5's ,heal? 
,insurance ,program 79 ?is section      
ref]r$ to z ,,*ip71 b subsequ5tly lose  
_! cov]age1 despite /ill be+ eligible1  
because ( ineffici5t & cumb]some        
pap]work & logi/ical requirem5ts4  7#b7 
,data %[ t ! typical enrollee receives  
,m$icaid cov]age = ab\t ?ree-qu>t]s ( a 
ye>4 ,cov]age p]iods are l[] =          

non-eld]ly1 non-disabl$ adults ?an = ^? 
) disabilities1 s5iors1 & *ildr54  7#c7 
,m$icaid enrollees ) cov]age disruptions
 are m likely to be hospitaliz$ =       
illnesses l a/hma1 diabetes1 or         
c>diovascul> disease t c be effectively 
manag$ ?r\gh ongo+ prim>y m$ical c>e &  
m$ication1 are less likely to be scre5$ 
= brea/ canc]1 & may h poor] canc]      
outcomes4  7#d7 ,*ildr5 enroll$ 9 ,,*ip 
also exp]i5ce disruptions 9 heal?       
cov]age & c>e4 ,= example1 dur+ j a     
"o-ye> p]iod1 ov] "o-?ird ( ,,*ip       
enrollees 7 also enroll$ 9 a ,/ate's    
,m$icaid program4 ,transitions betwe5   
,m$icaid & ,,*ip c cause disruptions 9  
c>e because ! heal? c>e cov]age &       
p>ticipat+ provid]s v>y betwe5 ! two    
programs4  7#e7 ,int]ruptions 9 cov]age 
c impair ! receipt ( effective prim>y   
c>e & lead to exp5sive hospitalizations 
or em]g5cy room visits4 ,unnecess>y     
enrollm5t1 dis5rollm5t1 & re5rollm5t 9  
,m$icaid & ,,*ip result 9 high]         
adm9i/rative exp5ses = re-enrollm5t &   

result 9 m p un9sur$ at any giv5 "t4    
7#f7 ,/able cov]age "u ,m$icaid & ,,*ip 
l[]s av]age mon?ly m$ical co/s4  7#g7   
,cont9u\s enrollm5t also p]mits bett]   
prev5tion & disease managem5t1 lead+ to 
few] s]i\s illnesses & hospitalizations4
  7#h7 ,*ildr5 ) /able cov]age are less 
likely to h unmet m$ical ne$s1 all[+    
*ildr5 to receive ! prev5tive c>e t is  
necess>y to help !m gr[ into heal?y     
adults4  #c4 #ab-mon? cont9u\s enrollm5t
  7a7 ,requirem5t ( #ab-,mon? cont9u\s  
enrollm5t "u ,m$icaid ,section          
#aijb7;e77#ab7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;a7e77#ab77 is 
am5d$ to read z foll[s3  7#ab7 #ab-mon? 
cont9u\s enrollm5t ,not)/&+ any o!r     
provision ( ?is title1 a ,/ate plan     
approv$ "u ?is title 7or "u any waiv] ( 
su* plan approv$ pursuant to section    
#aaae or section #aiae71 %all provide t 
an individual :o is det]m9$ to be       
eligible = b5efits "u su* plan 7or      
waiv]7 %all rema9 eligible & enroll$ =  
su* b5efits ?r\gh ! end ( ! mon? 9 :i* !

 #ab-mon? p]iod 7beg9n+ on ! date (     
det]m9ation ( eligibility7 ends4  4  7b7
 ,requirem5t ( #ab-,mon? cont9u\s       
enrollm5t "u ,,*ip  7#a7 ,9 g5]al       
,section #bajb7;b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acig;bb7b77 is    
am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#f7 ,requirem5t = #ab-mon?  
cont9u\s enrollm5t ,not)/&+ any o!r     
provision ( ?is title1 a ,/ate *ild     
heal? plan t provides *ild heal?        
assi/ance "u ?is title ?r\gh a means o!r
 ?an describ$ 9 section #baja7;a77#b71  
%all provide t an individual :o is      
det]m9$ to be eligible = b5efits "u su* 
plan %all rema9 eligible & enroll$ = su*
 b5efits ?r\gh ! end ( ! mon? 9 :i* !   
#ab-mon? p]iod 7beg9n+ on ! date (      
det]m9ation ( eligibility7 ends4  4     
7#b7 ,con=m+ am5dm5t ,section           
#baje7;a77#d77;,a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acig;ee7a77#d77;,a77 is am5d$--  7,a7  
by /rik+ has elect$ ! option ( & ins]t+ 
is 9 compliance ) ! requirem5t =2 &     

7,b7 by /rik+ apply+ su* policy "u its  
,/ate *ild heal? plan "u ?is title &    
ins]t+ 9 compliance ) section #bajb7;b74
  7c7 ,effective date  7#a7 ,9 g5]al    
,except z provid$ 9 p>agraph 7#b7 or    
7#c71 ! am5dm5ts made by subsections 7a7
 & 7b7 %all apply to det]m9ations 7&    
r$et]m9ations7 ( eligibility made on or 
aft] ! date t is #ah mon?s aft] ! date (
 ! enactm5t ( ?is ,act4  7#b7 ,ext5sion 
( effective date = ,/ate law am5dm5t ,9 
! case ( a ,/ate plan "u title ,,xix or 
,/ate *ild heal? plan "u title ,,xxi ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif et seq41 #db ,u4,s4,c4 #acig;aa et
 seq47 :i* ! ,secret>y ( ,heal? & ,human
 ,s]vices det]m9es requires ,/ate       
legislation 7o!r ?an legislation        
appropriat+ funds7 9 ord] = ! respective
 plan to meet ! additional requirem5t   
impos$ by ! am5dm5t made by subsection  
7a7 or 7b71 respectively1 ! respective  
plan %all n be reg>d$ z fail+ to comply 
) ! requirem5ts ( su* title solely on ! 
basis ( its failure to meet su*         

applicable additional requirem5t be=e ! 
fir/ day ( ! fir/ cal5d> qu>t] beg9n+   
aft] ! close ( ! fir/ regul> session ( !
 ,/ate legislature t beg9s aft] ! date (
 enactm5t ( ?is ,act4 ,= purposes ( !   
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 ! session is consid]$ to be a sep>ate  
regul> session ( ! ,/ate legislature4   
7#c7 ,option to implem5t #ab-mon?       
cont9u\s eligibility prior to effective 
date ,a ,/ate may elect ?r\gh a ,/ate   
plan am5dm5t "u title ,,xix or ,,xxi ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif et seq41 #db ,u4,s4,c4 #acig;aa et
 seq47 to apply ! am5dm5t made by       
subsection 7a7 or 7b71 respectively1 on 
any date prior to ! #ah-mon? date       
specifi$ 9 p>agraph 7#a71 b n soon] ?an 
! date ( ! enactm5t ( ?is ,act4