,,ii #aadth ,,congress #ast ,session ,s4 #ebb ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,february #ab1 #bjae ,mr4 ,brown 7for himself1 ,ms4 ,stabenow1 ,mr4 ,wyden1 ,mr4 ,casey1 ,mr4 ,reid1 ,mr4 ,durbin1 ,ms4 ,baldwin1 ,mr4 ,bennet1 ,mr4 ,blumenthal1 ,mr4 ,booker1 ,mrs4 ,boxer1 ,ms4 ,cantwell1 ,mr4 ,cardin1 ,mr4 ,carper1 ,mr4 ,coons1 ,mr4 ,donnelly1 ,mr4 ,franken1 ,mrs4 ,gillibrand1 ,mr4 ,heinrich1 ,ms4 ,heitkamp1 ,ms4 ,hirono1 ,mr4 ,kaine1 ,mr4 ,king1 ,ms4 ,klobuchar1 ,mr4 ,leahy1 ,mr4 ,markey1 ,mr4 ,manchin1 ,mrs4 ,mc,caskill1 ,mr4 ,menendez1 ,mr4 ,merkley1 ,ms4 ,mikulski1 ,mr4 ,murphy1 ,mrs4 ,murray1 ,mr4 ,nelson1 ,mr4 ,peters1 ,mr4 ,reed1 ,mr4 ,sanders1 ,mr4 ,schatz1 ,mr4 ,schumer1 ,mrs4 ,shaheen1 ,mr4 ,tester1 ,mr4 ,udall1 ,mr4 ,warner1 ,ms4 ,warren1 ,mr4 ,whitehouse1 and ,mrs4 ,feinstein7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend title ,,xxi of the ,social ,security ,act to extend the ,children's ,health ,insurance ,program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,protecting ,and ,retaining ,our ,children's ,health ,insurance ,program ,act of #bjae4 #b4 #d-year extension of ,,chip funding 7a7 ,funding 7#a7 ,in general ,section #bajd7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7a77 is amended-- 7,a7 in paragraph 7#ag71 by striking and at the end2 and 7,b7 by striking paragraph 7#ah7 and inserting the following new paragraphs3 7#ah7 for fiscal year #bjae1 #ba1jfa1jjj1jjj2 7#ai7 for fiscal year #bjaf1 #ai1cjj1jjj1jjj2 7#bj7 for fiscal year #bjag1 #bj1cjj1jjj1jjj2 7#ba7 for fiscal year #bjah1 #ba1cjj1jjj1jjj2 and 7#bb7 for fiscal year #bjai1 for purposes of making #b semi-annual allotments-- 7,a7 #b1hej1jjj1jjj for the period beginning on ,october #a1 #bjah1 and ending on ,march #ca1 #bjai2 and 7,b7 #b1hej1jjj1jjj for the period beginning on ,april #a1 #bjai1 and ending on ,september #cj1 #bjai4 4 7#b7 ,prevention of duplicate appropriations for fiscal year #bjae ,notwithstanding any other provision of law1 insofar as funds have been appropriated under subsection 7a77#ah7 or 7m7 of section #bajd of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd71 or under section #ajh of the ,children's ,health ,insurance ,program ,reauthorization ,act of #bjji 7,public ,law #aaa-c71 as such subsections and section are in effect on the day before the date of the enactment of this ,act1 to provide allotments to ,states under the ,state ,children's ,health ,insurance ,program established under title ,,xxi of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;aa et seq47 7whether implemented under title ,,xix1 ,,xxi1 or both1 of the ,social ,security ,act7 for fiscal year #bjae-- 7,a7 any amounts that are so appropriated that are not so allotted and obligated before the date of the enactment of this ,act1 are rescinded2 and 7,b7 any amount provided for ,,chip allotments to a ,state under this section 7and the amendments made by this section7 for such fiscal year shall be reduced by the amount of such appropriations so allotted and obligated before such date4 7b7 ,allotments 7#a7 ,in general ,section #bajd7m7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7m77 is amended-- 7,a7 in the subsection heading1 by striking ,through #bjae and inserting and ,thereafter2 7,b7 in paragraph 7#b7-- 7i7 in the paragraph heading1 by striking #bjad and inserting #bjah2 and 7ii7 by striking subparagraph 7,b7 and inserting the following new subparagraph3 7,b7 ,fiscal year #bjac through #bjah ,subject to paragraphs 7#d7 and 7#f71 from the amount made available under paragraphs 7#af7 through 7#ba7 of subsection 7a7 for each of fiscal years #bjac through #bjah1 respectively1 the ,secretary shall compute a ,state allotment for each ,state 7including the ,district of ,columbia and each commonwealth and territory7 for each such fiscal year as follows3 7i7 ,rebasing in fiscal year #bjac and each succeeding odd-numbered fiscal year ,for fiscal year #bjac and each succeeding odd-numbered fiscal year1 the allotment of the ,state is equal to the ,federal payments to the ,state that are attributable to 7and countable toward7 the total amount of allotments available under this section to the ,state in the preceding fiscal year 7including payments made to the ,state under subsection 7n7 for such preceding fiscal year as well as amounts redistributed to the ,state in such preceding fiscal year71 multiplied by the allotment increase factor under paragraph 7#e7 for such odd-numbered fiscal year4 7ii7 ,growth factor update for fiscal year #bjad and each succeeding even-numbered fiscal year ,except as provided in clause 7iii71 for fiscal year #bjad and each succeeding even-numbered fiscal year1 the allotment of the ,state is equal to the sum of-- 7,i7 the amount of the ,state allotment under clause 7i7 for the preceding fiscal year2 and 7,,ii7 the amount of any payments made to the ,state under subsection 7n7 for such preceding fiscal year1 multiplied by the allotment increase factor under paragraph 7#e7 for such even-numbered fiscal year4 7iii7 ,special rule for fiscal year #bjaf ,for fiscal year #bjaf1 the allotment of the ,state is equal to the ,federal payments to the ,state that are attributable to 7and countable toward7 the total amount of allotments available under this section to the ,state in the preceding fiscal year 7including payments made to the ,state under subsection 7n7 for such preceding fiscal year as well as amounts redistributed to the ,state in such preceding fiscal year71 but determined as if the last two sentences of section #baje7;b7 were in effect in such preceding fiscal year and then multiplying the result by the allotment increase factor under paragraph 7#e7 for fiscal year #bjaf4 2 7,c7 in paragraph 7#c7-- 7i7 in the heading1 by striking #bjae;and inserting #bjai2 7ii7 in subparagraph 7,a7-- 7,i7 by striking paragraph 7#ah7 and inserting paragraph 7#bb72 and 7,,ii7 by striking section #ajh of the ,children's ,health ,insurance ,program ,reauthorization ,act of #bjji and inserting section #b7;b77#b7 of the ,protecting ,and ,retaining ,our ,children's ,health ,insurance ,program ,act of #bjae2 7iii7 in subparagraph 7,b71 by striking paragraph 7#ah7 and inserting paragraph 7#bb72 7iv7 in subparagraph 7,c7-- 7,i7 by striking #bjad each place it appears and inserting #bjah2 and 7,,ii7 by striking #bjae and inserting #bjai2 and 7v7 in subparagraph 7,d7-- 7,i7 in clause 7i7-- 7aa7 in subclause 7,i71 by striking subsection 7a77#ah77;,a7 and inserting subsection 7a77#bb77;,a72 and 7bb7 in subclause 7,,ii71 by striking section #ajh of the ,children's ,health ,insurance ,program ,reauthorization ,act of #bjji and inserting section #b7;b77#b7 of the ,protecting ,and ,retaining ,our ,children's ,health ,insurance ,program ,act of #bjae2 and 7,,ii7 in clause 7ii77,,ii71 by striking subsection 7a77#ah77;,b7 and inserting subsection 7a77#bb77;,b72 7,d7 in paragraph 7#d71 by striking #bjae and inserting #bjai2 7,e7 in paragraph 7#f7-- 7i7 in subparagraph 7,a71 by striking #bjae and inserting #bjai2 and 7ii7 in the second sentence1 by striking or fiscal year #bjad and inserting fiscal year #bjad1 fiscal year #bjaf1 or fiscal year #bjah2 and 7,f7 in paragraph 7#h7-- 7i7 in the paragraph heading1 by striking #bjae and inserting #bjai2 and 7ii7 by striking for a period in fiscal year #bjae and inserting for a period in fiscal year #bjai4 7#b7 ,one-time appropriation for fiscal year #bjai ,there is appropriated to the ,secretary of ,health and ,human ,services1 out of any money in the ,treasury not otherwise appropriated1 #af1gjj1jjj1jjj to accompany the allotment made for the period beginning on ,october #a1 #bjah1 and ending on ,march #ca1 #bjai1 under section #bajd7;a77#bb77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7a77#bb77;,a77 7as added by subsection 7a77#a771 to remain available until expended4 ,such amount shall be used to provide allotments to ,states under paragraph 7#c7 of section #bajd7m7 of such ,act 7#db ,u4,s4,c4 #acig;dd7m77 7as amended by paragraph 7#a77;,c77 for the first #f months of fiscal year #bjai in the same manner as allotments are provided under subsection 7a77#bb77;,a7 of such section #bajd and subject to the same terms and conditions as apply to the allotments provided from such subsection 7a77#bb77;,a74 7c7 ,child enrollment contingency fund 7#a7 ,in general ,section #bajd7n7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7n77 is amended-- 7,a7 in paragraph 7#b7-- 7i7 in subparagraph 7,a7-- 7,i7 in the matter preceding clause 7i71 by striking and 7,d7 and inserting 1 7,d71 and 7,e72 and 7,,ii7 by striking clause 7ii7 and inserting the following3 7ii7 for each of-- 7,i7 fiscal years #bjaj through #bjad1 such sums as are necessary for making payments to eligible ,states for such fiscal year1 but not in excess of the aggregate cap described in subparagraph 7,b72 and 7,,ii7 fiscal years #bjae through #bjah 7and for each of the semi-annual allotment periods for fiscal year #bjai71 such sums as are necessary for making payments to eligible ,states for such fiscal year or period4 2 and 7ii7 by striking subparagraph 7,b7 and inserting the following3 7,b7 ,aggregate cap ,the total amount available for payment from the ,fund for each of fiscal years #bjaj through #bjad1 taking into account deposits made under subparagraph 7,c71 shall not exceed #bj percent of the amount made available under subsection 7a7 for the fiscal year4 ,in the case of fiscal years #bjae through #bjah 7and for each of the semi-annual allotment periods for fiscal year #bjai71 there shall be no limit on the amount available for payment from the ,fund4 2 7iii7 in subparagraph 7,d7-- 7,i7 by inserting before fiscal year #bjae after fiscal year or period2 and 7,,ii7 by striking for any succeeding fiscal year2 and 7iv7 by adding at the end the following subparagraph3 7,e7 ,transfers ,notwithstanding any other provision of this title1 the following amounts shall also be available1 without fiscal year limitation1 for making payments from the ,fund3 7i7 ,unobligated national allotment for fiscal years beginning with fiscal year #bjad 7,i7 ,fiscal year #bjad allotment ,as of ,december #ca of fiscal year #bjae1 the portion1 if any1 of the amount appropriated under subsection 7a7 for fiscal year #bjad that is unobligated for allotment to a ,state under subsection 7m7 for such fiscal year4 7,,ii7 ,succeeding fiscal year allotments ,as of ,december #ca of fiscal year #bjaf1 and each succeeding fiscal year1 the portion1 if any1 of the amount appropriated under subsection 7a7 for the preceding fiscal year that is unobligated for allotment to a ,state under subsection 7m7 for such preceding fiscal year4 7ii7 ,unexpended allotments not used for redistribution ,as of ,december #ca of fiscal year #bjae1 and as of ,november #ae of each succeeding fiscal year1 the total amount of allotments made to ,states under subsection 7a7 for the second preceding fiscal year that is not expended or redistributed under subsection 7f7 during the period in which such allotments are available for obligation4 7iii7 ,unexpended performance incentive funds ,as of ,january #a1 #bjaf1 and as of ,january #a of each succeeding calendar year1 the portion1 if any1 of the amount appropriated under section #baje7;a77#c77;,e77iii7 for the preceding fiscal year that is not expended or obligated under such section4 2 and 7,b7 in paragraph 7#c7-- 7i7 in subparagraph 7,a7-- 7,i7 by redesignating clauses 7i7 and 7ii7 as subclauses 7,i7 and 7,,ii71 respectively1 and realigning the left margins accordingly2 7,,ii7 by striking ,if a ,state's and all that follows through #bjae1 and inserting the following3 7i7 ,for fiscal years #bjji through #bjad ,if a ,state's expenditures under this title in fiscal year #bjji1 fiscal year #bjaj1 fiscal year #bjaa1 fiscal year #bjab1 fiscal year #bjac1 or fiscal year #bjad 2 7,,iii7 by striking or period each place it appears2 7,,iv7 in subclause 7,,ii7 7as so redesignated71 by striking 7or in which the period occurs72 and 7,v7 by adding at the end the following clause3 7ii7 ,for fiscal years after #bjad 7,i7 ,in general ,for each of fiscal years #bjae through #bjah 7and for each of the semi-annual allotment periods for fiscal year #bjai71 if the ,secretary determines that a ,state is a shortfall ,state described in subclause 7,,ii7 for that fiscal year or period1 the ,secretary shall pay to the ,state from the ,fund1 in addition to any other payments made to the ,state under this title for the fiscal year or period1 an amount equal to the amount described in subclause 7,,iii74 7,,ii7 ,shortfall ,states described ,for purposes of this clause1 with respect to a fiscal year or semi-annual allotment period1 a shortfall ,state is a ,state for which the ,secretary estimates1 on the basis of the most recent data available to the ,secretary1 that the projected expenditures for the ,state and fiscal year or period under this title 7including in the form of coverage described in paragraph 7#a7 or 7#b7 of section #baja1 or both7 will exceed the sum of-- 7aa7 the amount of the ,state's allotments for any preceding fiscal year that remains available for expenditure and that will not be expended by the end of the immediately preceding fiscal year2 7bb7 the amount 7if any7 that will be redistributed to the ,state under subsection 7f7 for the fiscal year or period2 7cc7 the amount 7if any7 to be paid to the ,state in the first quarter of the fiscal year under section #baje7;a77#c72 and 7dd7 the amount of the ,state's allotment for the fiscal year or period4 7,,iii7 ,amount described ,with respect to a ,state and fiscal year or period1 the amount described in this subclause is equal to the amount by which the projected expenditures for the ,state under this title for the fiscal year or period 7estimated by the ,secretary on the basis of the most recent data available to the ,secretary7 exceed the sum determined under subclause 7,,ii7 for the ,state and fiscal year or period4 7,,iv7 ,retrospective adjustment ,the ,secretary may adjust the determinations made under this clause with respect to a ,state and fiscal year or period as necessary on the basis of the amounts reported by ,states not later than ,november #cj of the succeeding fiscal year1 as approved by the ,secretary4 2 7ii7 in subparagraph 7,b77ii71 by striking 7or semi-annual period occurring in a fiscal year72 7iii7 in subparagraph 7,c7-- 7,i7 in the matter preceding clause 7i71 by striking subparagraph 7,a77ii7 and inserting subparagraph 7,a77i77,,ii72 and 7,,ii7 in clause 7ii71 by striking 7or semi-annual period occurring in a fiscal year72 and 7iv7 in subparagraph 7,g71 by inserting the expenditures under the ,state child health plan and after regarding4 7#b7 ,conforming amendment ,section #bajd7;f77#b77;,a77ii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieg;dd7f77#b77;,a77ii77 is amended by inserting only in the case of a fiscal year before fiscal year #bjae1 before the amount4 7d7 ,extension and update of performance incentive payments 7#a7 ,extension through fiscal year #bjai ,section #baje7;a77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;ee7a77#c77 is amended-- 7,a7 in subparagraph 7,a7-- 7i7 by striking #bjac and inserting #bjai2 and 7ii7 in the second sentence1 by inserting 1 except that payment under this paragraph may be made to a ,state for fiscal year #bjad as a single payment not later than ,december #ca1 #bjae before the period2 7,b7 in subparagraph 7,e7-- 7i7 in clause 7ii7-- 7,i7 by striking subclause 7,i7 and inserting the following3 7,i7 ,unobligated national allotment for fiscal years #bjji through #bjac ,as of ,december #ca of fiscal year #bjji1 and as of ,december #ca of each succeeding fiscal year through fiscal year #bjac1 the portion1 if any1 of the amount appropriated under section #bajd7;a7 for such fiscal year that is unobligated for allotment to a ,state under section #bajd7m7 for such fiscal year or set aside under subsection 7a77#c7 or 7b77#b7 of section #baaa for such fiscal year4 2 7,,ii7 in subclause 7,,iii71 by striking #bjac and inserting #bjad2 7ii7 by redesignating clause 7iii7 as clause 7iv72 and 7iii7 by inserting after clause 7ii7 the following new clause3 7iii7 ,appropriation for fiscal years #bjae through #bjai ,out of any money in the ,treasury not otherwise appropriated1 there are appropriated #ejj1jjj1jjj for each of fiscal years #bjae through #bjai for making payments under this paragraph4 ,amounts appropriated for a fiscal year under this clause shall remain available for making payments under this paragraph until ,january #a of the following fiscal year4 ,any amounts of such appropriations that remain unexpended or unobligated as of such date shall be transferred and made available for making payments under section #bajd7n74 2 and 7,c7 in subparagraph 7,f77iii71 by striking #bjac and inserting #bjai4 7#b7 ,updated performance incentive criteria for fiscal years #bjae through #bjai ,section #baje7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;ee7a77 is amended-- 7,a7 in paragraph 7#c77;,a71 by inserting or 7#e7 after paragraph 7#d72 7,b7 in paragraph 7#d7-- 7i7 in the heading1 by inserting fiscal years #bjji through #bjad after for children2 and 7ii7 in the matter preceding subparagraph 7,a71 by striking for a fiscal year if and inserting for fiscal years #bjji through #bjad if2 and 7,c7 by adding at the end the following new paragraph3 7#e7 ,enrollment and retention provisions for children for fiscal year #bjae and succeeding fiscal years 7,a7 ,in general ,for purposes of paragraph 7#c77;,a71 a ,state meets the condition of this paragraph for fiscal year #bjae and any succeeding fiscal year if it is implementing at least #d of the enrollment and retention provisions specified in subparagraph 7,b7 7treating each clause as a separate enrollment and retention provision7 throughout the entire fiscal year4 7,b7 ,enrollment and retention provisions ,the enrollment and retention provisions specified in this subparagraph are the following3 7i7 ,continuous eligibility ,the ,state has elected the option of continuous eligibility for a full #ab months for all children described in section #aijb7;e77#ab7 under title ,,xix under #ai years of age1 as well as applying such policy under its ,state child health plan under this title4 7ii7 ,express ,lane eligibility ,the ,state is implementing the option described in section #aijb7;e77#ac7 under title ,,xix as well as1 pursuant to section #bajg7;e77#a71 under this title4 7iii7 ,presumptive eligibility ,the ,state provides medical assistance to children during a presumptive eligibility period by implementing section #aibj;,a under title ,,xix as well as1 pursuant to section #bajg7;e77#a71 under this title1 and ensures that such period begins with the determination by any qualified entity that the family income of the child does not exceed the applicable level of income eligibility under the ,state plan4 ,a ,state shall not satisfy this provision if the only type of entity recognized by the ,state as a qualified entity is a hospital that has elected to be a qualified entity under section #aijb7;a77#dg77;,b74 7iv7 ,premium assistance for employer-sponsored plans ,the ,state has opted to offer a premium assistance subsidy for qualified employer-sponsored coverage by implementing section #aijf;,a under title ,,xix or the option described in section #baje7;c77#aj7 under this title4 7v7 ,elimination of waiting periods ,the ,state does not impose a waiting period for coverage of any individual under the ,state child health plan and ensures that no waiting period applies in the case of coverage provided to any individual eligible for coverage under the ,state child health plan through coverage purchased by the ,state under section #baje7;c77#c7 or employer-sponsored coverage subsidized by the ,state under section #aijf;,a of title ,,xix or section #baje7;c77#aj7 of this title4 7vi7 ,automated tracking of cost sharing or lower cap on cost sharing ,in the case of a ,state child health plan that imposes premiums1 deductibles1 cost sharing1 or similar charges that could 7as determined by the ,secretary7 cause families that include an individual receiving assistance under the plan to have out-of-pocket expenses that exceed the limit imposed under section #bajc7;e77#c77;,b71 the ,state has either-- 7,i7 established1 or1 in the case of a ,state child health plan that provides child health assistance through managed care entities or organizations1 required such entities or organizations to coordinate with the ,state agency responsible for implementing the ,state child health plan under this title in establishing-- 7aa7 an electronic process for tracking such expenses that does not rely on documentation provided by the individual or the family2 and 7bb7 a system for notifying each such family of the aggregate monthly or quarterly limits on out-of-pocket expenses applicable to the family under section #bajc7;e77#c77;,b7 and explaining to each such family that no such expenses shall be imposed on any individual in the family for the remainder of any month or quarter with respect to which the family has reached the applicable aggregate monthly or quarterly family limit imposed under such section2 or 7,,ii7 elected to eliminate deductibles1 copayments1 coinsurance1 or other forms of cost-sharing 7other than premiums7 imposed under this title with respect to any individual receiving coverage under the ,state child health plan4 7vii7 ,real-time eligibility determinations through the use of enhanced data sources ,with respect to applications and renewals for medical assistance under title ,,xix or child health assistance under this title for a fiscal year1 the ,state meets the following criteria for all income determinations made using modified adjusted gross income under section #aijb7;e77#ad77;,a73 7,i7 ,the ,state relies on enhanced data sources 7which may include1 but shall not be limited to1 the data sources available under section #aacg or the federal ,data ,services ,hub7 to make the determinations4 7,,ii7 ,in the case of initial applications1 the ,state makes at least #ej percent of the determinations within #bd hours of receiving the application4 ,if a ,state successfully makes the required minimum percentage of timely determinations for a fiscal year1 such ,state shall not receive credit for meeting this provision in any subsequent fiscal year unless the ,state makes a percentage of timely income determinations that is at least #e percentage points higher 7or1 if at least #ge percent of the ,state's determinations in a previous fiscal year were timely1 #a percentage point higher7 than the percentage that the ,state achieved in the last fiscal year in which the ,state received credit for meeting this provision4 7,,iii7 ,in the case of renewals1 the ,state makes at least #ej percent of the determinations within #bd hours of receiving the renewal4 ,if a ,state successfully makes the required minimum percentage of timely determinations for a fiscal year1 such ,state shall not receive credit for meeting this provision in any subsequent fiscal year unless the ,state makes a percentage of timely income determinations that is at least #e percentage points higher 7or1 if at least #ge percent of the ,state's determinations in a previous fiscal year were timely1 #a percentage point higher7 than the percentage that the ,state achieved in the last fiscal year in which the ,state received credit for meeting this provision4 7viii7 ,elimination of premiums or retroactive reinstatement upon premium payment ,the ,state has elected to either-- 7,i7 impose no premiums for coverage under the ,state child health plan2 or 7,,ii7 in the case of an individual whose coverage under the ,state child health plan has been terminated for failure to make premium payments1 provide assistance to such individual for purposes of immediate reenrollment of the individual upon payment of outstanding premiums1 with coverage retroactive to the beginning of the most recent month for which an outstanding premium has been paid1 and shall not impose any waiting period or fee as a condition of such reenrollment4 4 7e7 ,extension of qualifying states option ,section #baje7;g77#d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;ee7g77#d77 is amended-- 7#a7 in the paragraph heading1 by striking #bjae and inserting #bjai2 and 7#b7 in subparagraph 7,a71 by striking #bjae and inserting #bjai4 7f7 ,extension of certain programs and demonstration projects 7#a7 ,quality care for children demonstration project ,section #aaci;,a7d77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#i;a7d77#a77 is amended in the matter before subparagraph 7,a7 by inserting 1 and during the period of fiscal years #bjaf through #bjai1 the ,secretary shall award not more than #aj grants1 before to ,states4 7#b7 ,childhood obesity demonstration project ,section #aaci;,a7e77#h7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#i;a7e77#h77 is amended by inserting 1 and #be1jjj1jjj for the period of fiscal years #bjae though #bjai after #bjad4 7#c7 ,pediatric quality measures program ,section #aaci;,a7i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#i;a7i77 is amended in the first sentence by inserting before the period at the end the following3 1 and there is appropriated for each of fiscal years #bjaf through #bjai1 #de1jjj1jjj for the purpose of carrying out this section 7other than subsections 7e71 7f71 and 7g7744 7#d7 ,outreach and enrollment grants2 national campaign ,section #baac of the ,social ,security ,act 7#db ,u4,s4,c4 #acigmm7 is amended-- 7,a7 in subsection 7a77#a71 by striking #bjae and inserting #bjai2 and 7,b7 in subsection 7g71 by inserting 1 and #hj1jjj1jjj for the period of fiscal years #bjaf through #bjai1 to remain available until expended1 after #bjae4 7g7 ,express lane eligibility ,section #aijb7;e77#ac77;,i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7e77#ac77;,i77 is amended by striking ,september #cj1 #bjae and inserting ,september #cj1 #bjai4 7h7 ,authority ,to use income determination made under certain programs ,section #aijb7;e77#ad7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7e77#ad77 is amended-- 7#a7 in subparagraph 7,a71 in the first sentence1 by striking subparagraph 7,d7 and inserting subparagraphs 7,d7 and 7,j72 and 7#b7 by adding at the end the following new subparagraph3 7,j7 ,use of income determination made under certain other programs 7i7 ,in general ,for purposes of determining income eligibility for medical assistance under the ,state plan or under any waiver of such plan1 a ,state may use a determination of income made by-- 7,i7 the ,state program funded under part ,a of title ,,iv2 or 7,,ii7 the supplemental nutrition assistance program established under the ,food and ,nutrition ,act of #bjjh4 7ii7 ,sunset ,clause 7i7 shall not apply after ,september #cj1 #bjai4 4