,i #aaeth ,,congress #ast ,session ,h4 ,r4 #deda ,,in ,,the ,,house ,,of ,,representatives ,december #d1 #bjag,mrs4 ,murphy of ,florida 7for herself1 ,mr4 ,neal1 and ,mr4 ,pallone7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,ways and ,means1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to extend funding for certain public health programs1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,continuing ,community ,health and ,medical ,professional ,programs to ,improve ,our ,nation and ,keep ,insurance ,delivery ,stable ,act of #bjag or the ,,champion ,,kids ,act of #bjag4 #b4 ,table of contents ,the table of contents of this ,act is as follows3 ,sec4 #a4 ,short title4 ,sec4 #b4 ,table of contents4 ,title ,i--,medicaid and ,public ,health ,extenders ,sec4 #aja4 ,extension for community health centers and the ,national ,health ,service ,corps4 ,sec4 #ajb4 ,extension for special diabetes programs4 ,sec4 #ajc4 ,reauthorization of program of payments to teaching health centers that operate graduate medical education programs4 ,sec4 #ajd4 ,extension for family-to-family health information centers4 ,sec4 #aje4 ,youth empowerment program2 personal responsibility education4 ,sec4 #ajf4 ,decreasing reduction in ,medicaid ,,dsh allotments4 ,sec4 #ajg4 ,increase in territorial cap for ,medicaid payments4 ,sec4 #ajh4 ,puerto ,rico and ,united ,states ,virgin ,island ,disaster ,relief ,medicaid4 ,sec4 #aji4 ,delay of ,bipartisan ,budget ,act of #bjac third-party liability provisions4 ,title ,,ii--,,chip ,sec4 #bja4 ,five-year funding extension of the ,children's ,health ,insurance ,program4 ,sec4 #bjb4 ,extension of certain programs and demonstration projects4 ,sec4 #bjc4 ,extension of outreach and enrollment program4 ,sec4 #bjd4 ,extension of additional ,federal financial participation for ,,chip4 ,title ,,iii--,offset ,sec4 #cja4 ,implementation of ,office of ,inspector ,general recommendation to delay certain ,medicare plan prepayments4 ,i ,medicaid and ,public ,health ,extenders #aja4 ,extension for community health centers and the ,national ,health ,service ,corps 7a7 ,community health centers funding ,section #ajejc7;b77#a77;,e7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#a77;,e77 is amended by striking #bjag and inserting #bjai4 7b7 ,other community health centers provisions ,section #ccj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;b7 is amended-- 7#a7 in subsection 7b77#a77;,a77ii71 by striking abuse and inserting use disorder2 7#b7 in subsection 7b77#b77;,a71 by striking abuse and inserting use disorder2 7#c7 in subsection 7c7-- 7,a7 in paragraph 7#a71 by striking subparagraphs 7,b7 through 7,d72 7,b7 by striking 7#a7 ,in general and all that follows through ,the ,secretary and inserting the following3 7#a7 ,centers ,the ,secretary 2 and 7,c7 in paragraph 7#a71 as amended1 by redesignating clauses 7i7 through 7v7 as subparagraphs 7,a7 through 7,e7 and moving the margin of each of such redesignated subparagraph #b ems to the left2 7#d7 by striking subsection 7d7 and inserting the following3 7d7 ,improving quality of care 7#a7 ,supplemental awards ,the ,secretary may award supplemental grant funds to health centers funded under this section to implement evidence-based models for increasing access to high-quality primary care services1 which may include models related to-- 7,a7 improving the delivery of care for individuals with multiple chronic conditions2 7,b7 workforce configuration2 7,c7 reducing the cost of care2 7,d7 enhancing care coordination2 7,e7 expanding the use of telehealth and technology-enabled collaborative learning and capacity building models2 7,f7 care integration1 including integration of behavioral health1 mental health1 or substance use disorder services2 and 7,g7 addressing emerging public health or substance use disorder issues to meet the health needs of the population served by the health center4 7#b7 ,sustainability ,in making supplemental awards under this subsection1 the ,secretary may consider whether the health center involved has submitted a plan for continuing the activities funded under this subsection after supplemental funding is expended4 7#c7 ,special consideration ,the ,secretary may give special consideration to applications for supplemental funding under this subsection that seek to address significant barriers to access to care in areas with a greater shortage of health care providers and health services relative to the national average4 2 7#e7 in subsection 7e77#a7-- 7,a7 in subparagraph 7,b7-- 7i7 by striking #b years and inserting #a year2 and 7ii7 by adding at the end the following3 ,the ,secretary shall not make a grant under this paragraph unless the applicant provides assurances to the ,secretary that within #abj days of receiving grant funding for the operation of the health center1 the applicant will submit1 for approval by the ,secretary1 an implementation plan to meet the requirements of subsection 7l77#c74 ,the ,secretary may extend such #abj-;day period for achieving compliance upon a demonstration of good cause by the health center42 and 7,b7 in subparagraph 7,c7-- 7i7 in the subparagraph heading1 by striking and plans2 7ii7 by striking or plan 7as described in subparagraphs 7,b7 and 7,c7 of subsection 7c77#a772 7iii7 by striking or plan1 including the purchase and inserting the following3 8including-- 7i7 the purchase 2 7iv7 by inserting 1 which may include data and information systems after of equipment2 7v7 by striking the period at the end and inserting a semicolon2 and 7vi7 by adding at the end the following3 7ii7 the provision of training and technical assistance2 and 7iii7 other activities that-- 7,i7 reduce costs associated with the provision of health services2 7,,ii7 improve access to1 and availability of1 health services provided to individuals served by the centers2 7,,iii7 enhance the quality and coordination of health services2 or 7,,iv7 improve the health status of communities4 2 7#f7 in subsection 7e77#e77;,b7-- 7,a7 in the heading of subparagraph 7,b71 by striking and plans2 and 7,b7 by striking and subparagraphs 7,b7 and 7,c7 of subsection 7c77#a7 to a health center or to a network or plan and inserting to a health center or to a network2 7#g7 by striking subsection 7s72 7#h7 by redesignating subsections 7g7 through 7r7 as subsections 7h7 through 7s71 respectively2 7#i7 by inserting after subsection 7f71 the following3 7g7 ,new access points and expanded services 7#a7 ,approval of new access points 7,a7 ,in general ,the ,secretary may approve applications for grants under subparagraph 7,a7 or 7,b7 of subsection 7e77#a7 to establish new delivery sites4 7,b7 ,special consideration ,in carrying out subparagraph 7,a71 the ,secretary may give special consideration to applicants that have demonstrated the new delivery site will be located within a sparsely populated area1 or an area which has a level of unmet need that is higher relative to other applicants4 7,c7 ,consideration of applications ,in carrying out subparagraph 7,a71 the ,secretary shall approve applications for grants under subparagraphs 7,a7 and 7,b7 of subsection 7e77#a7 in such a manner that the ratio of the medically underserved populations in rural areas which may be expected to use the services provided by the applicants involved to the medically underserved populations in urban areas which may be expected to use the services provided by the applicants is not less than two to three or greater than three to two4 7,d7 ,service area overlap ,if in carrying out subparagraph 7,a7 the applicant proposes to serve an area that is currently served by another health center funded under this section1 the ,secretary may consider whether the award of funding to an additional health center in the area can be justified based on the unmet need for additional services within the catchment area4 7#b7 ,approval of expanded service applications 7,a7 ,in general ,the ,secretary may approve applications for grants under subparagraph 7,a7 or 7,b7 of subsection 7e77#a7 to expand the capacity of the applicant to provide required primary health services described in subsection 7b77#a7 or additional health services described in subsection 7b77#b74 7,b7 ,priority expansion projects ,in carrying out subparagraph 7,a71 the ,secretary may give special consideration to expanded service applications that seek to address emerging public health or behavioral health1 mental health1 or substance abuse issues through increasing the availability of additional health services described in subsection 7b77#b7 in an area in which there are significant barriers to accessing care4 7,c7 ,consideration of applications ,in carrying out subparagraph 7,a71 the ,secretary shall approve applications for applicants in such a manner that the ratio of the medically underserved populations in rural areas which may be expected to use the services provided by the applicants involved to the medically underserved populations in urban areas which may be expected to use the services provided by such applicants is not less than two to three or greater than three to two4 2 7#aj7 in subsection 7i7 7as so redesignated7-- 7,a7 in paragraph 7#a71 by striking and children and youth at risk of homelessness and inserting 1 children and youth at risk of homelessness1 homeless veterans1 and veterans at risk of homelessness2 and 7,b7 in paragraph 7#e7-- 7i7 by striking subparagraph 7,b72 7ii7 by redesignating subparagraph 7,c7 as subparagraph 7,b72 and 7iii7 in subparagraph 7,b7 7as so redesignated7-- 7,i7 in the subparagraph heading1 by striking abuse and inserting use disorder2 and 7,,ii7 by striking abuse and inserting use disorder2 7#aa7 in subsection 7l7 7as so redesignated7-- 7,a7 in paragraph 7#b7-- 7i7 in the paragraph heading1 by inserting unmet before need2 7ii7 in the matter preceding subparagraph 7,a71 by inserting and an application for a grant under subsection 7g7 after subsection 7e77#a72 7iii7 in subparagraph 7,a71 by inserting unmet before need for health services2 7iv7 in subparagraph 7,b71 by striking and at the end2 7v7 in subparagraph 7,c71 by striking the period at the end and inserting 2 and2 and 7vi7 by adding after subparagraph 7,c7 the following3 7,d7 in the case of an application for a grant pursuant to subsection 7g77#a71 a demonstration that the applicant has consulted with appropriate ,state and local government agencies1 and health care providers regarding the need for the health services to be provided at the proposed delivery site4 2 7,b7 in paragraph 7#c7-- 7i7 in the matter preceding subparagraph 7,a71 by inserting or subsection 7g7 after subsection 7e77#a77;,b72 7ii7 in subparagraph 7,b71 by striking in the catchment area of the center and inserting 1 including other health care providers that provide care within the catchment area1 local hospitals1 and specialty providers in the catchment area of the center1 to provide access to services not available through the health center and to reduce the non-urgent use of hospital emergency departments2 7iii7 in subparagraph 7,h77ii71 by inserting who shall be directly employed by the center after approves the selection of a director for the center2 7iv7 in subparagraph 7,l71 by striking and at the end2 7v7 in subparagraph 7,m71 by striking the period and inserting 2 and2 and 7vi7 by inserting after subparagraph 7,m71 the following3 7,n7 the center has written policies and procedures in place to ensure the appropriate use of ,federal funds in compliance with applicable ,federal statutes1 regulations1 and the terms and conditions of the ,federal award4 2 and 7,c7 by striking paragraph 7#d72 7#ab7 in subsection 7m7 7as so redesignated71 by adding at the end the following3 ,funds expended to carry out activities under this subsection and operational support activities under subsection 7n7 shall not exceed #c percent of the amount appropriated for this section for the fiscal year involved42 7#ac7 in subsection 7q7 7as so redesignated71 by striking grants for new health centers under subsections 7c7 and 7e7 and inserting operating grants under subsection 7e71 applications for new access points and expanded service pursuant to subsection 7g72 7#ad7 in subsection 7r77#d7 7as so redesignated71 by adding at the end the following3 ,a waiver provided by the ,secretary under this paragraph may not remain in effect for more than #a year and may not be extended after such period4 ,an entity may not receive more than one waiver under this paragraph in consecutive years42 7#ae7 in subsection 7s77#c7 7as so redesignated7-- 7,a7 by striking appropriate committees of ,congress a report concerning the distribution of funds under this section and inserting the following3 8,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate1 and the ,committee on ,energy and ,commerce of the ,house of ,representatives1 a report including1 at a minimum-- 7,a7 the distribution of funds for carrying out this section 2 7,b7 by striking populations4 ,such report shall include an assessment and inserting the following3 8populations2 7,b7 an assessment 2 7,c7 by striking and the rationale for any substantial changes in the distribution of funds4 and inserting a semicolon2 and 7,d7 by adding at the end the following3 7,c7 the distribution of awards and funding for new or expanded services in each of rural areas and urban areas2 7,d7 the distribution of awards and funding for establishing new access points1 and the number of new access points created2 7,e7 the amount of unexpended funding for loan guarantees and loan guarantee authority under title ,,xvi2 7,f7 the rationale for any substantial changes in the distribution of funds2 7,g7 the rate of closures for health centers and access points2 7,h7 the number and reason for any grants awarded pursuant to subsection 7e77#a77;,b72 and 7,i7 the number and reason for any waivers provided pursuant to subsection 7r77#d74 2 and 7#af7 in subsection 7s7 7as so redesignated7 by adding at the end the following new paragraph3 7#e7 ,funding for participation of health centers in ,all of ,us ,research ,program ,in addition to any amounts made available pursuant to paragraph 7#a7 of this subsection1 section #djb;,a of this ,act1 or section #ajejc of the ,patient ,protection and ,affordable ,care ,act1 there is authorized to be appropriated1 and there is appropriated1 out of any monies in the ,treasury not otherwise appropriated1 to the ,secretary #be1jjj1jjj for fiscal year #bjah to support the participation of health centers in the ,all of ,us ,research ,program under the ,precision ,medicine ,initiative under section #dih;,e of this ,act4 4 7c7 ,national ,health ,service ,corps ,section #ajejc7;b77#b77;,e7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#b77;,e77 is amended by striking #bjag and inserting #bjai4 7d7 ,conforming amendment ,section #cjad7;h77#a7 of title #ah1 ,united ,states ,code1 is amended by striking 1 as amended by section #bba of the ,medicare ,access and ,,chip ,reauthorization ,act of #bjae14 #ajb4 ,extension for special diabetes programs 7a7 ,special diabetes program for type ,i diabetes ,section #ccj;,b7b77#b77;,c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;c-#b7;b77#b77;,c77 is amended by striking #bjag and inserting #bjai4 7b7 ,special diabetes program for ,indians ,section #ccj;,c7c77#b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;c-#c7;c77#b77 is amended-- 7#a7 in subparagraph 7,c71 by striking and at the end2 7#b7 in subparagraph 7,d71 by striking the period at the end and inserting and #aab1ejj1jjj for the period consisting of the second1 third1 and fourth quarters of fiscal year #bjah2 and2 and 7#c7 by adding at the end the following3 7,e7 #aej1jjj1jjj for fiscal year #bjai4 4 #ajc4 ,reauthorization of program of payments to teaching health centers that operate graduate medical education programs 7a7 ,payments ,subsection 7a7 of section #cdj;,h of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bef;h7 is amended to read as follows3 7a7 ,payments 7#a7 ,in general ,subject to subsection 7h77#b71 the ,secretary shall make payments under this section for direct expenses and indirect expenses to qualified teaching health centers that are listed as sponsoring institutions by the relevant accrediting body for-- 7,a7 maintenance of existing approved graduate medical residency training programs2 7,b7 expansion of existing approved graduate medical residency training programs2 and 7,c7 establishment of new approved graduate medical residency training programs1 as appropriate4 7#b7 ,priority ,in making payments pursuant to paragraph 7#a77;,c71 the ,secretary shall give priority to qualified teaching health centers that-- 7,a7 serve a health professional shortage area with a designation in effect under section #ccb or a medically underserved community 7as defined in section #gii;,b72 or 7,b7 are located in a rural area 7as defined in section #ahhf7;d77#b77;,d7 of the ,social ,security ,act74 4 7b7 ,funding ,subsection 7g7 of section #cdj;,h of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bef;h7 is amended-- 7#a7 by striking ,to carry out and inserting the following3 7#a7 ,in general ,to carry out 2 7#b7 by striking and #ae1jjj1jjj for the first quarter of fiscal year #bjah and inserting 1 #ae1jjj1jjj for the first quarter of fiscal year #bjah1 #aaa1ejj1jjj for the period consisting of the second1 third1 and fourth quarters of fiscal year #bjah1 and #abf1ejj1jjj for fiscal year #bjai1 to remain available until expended2 and 7#c7 by adding at the end the following3 7#b7 ,administrative expenses ,of the amount made available to carry out this section for any fiscal year1 the ,secretary may not use more than #e percent of such amount for the expenses of administering this section4 4 7c7 ,annual reporting ,subsection 7h77#a7 of section #cdj;,h of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bef;h7 is amended-- 7#a7 by redesignating subparagraph 7,d7 as subparagraph 7,h72 and 7#b7 by inserting after subparagraph 7,c7 the following3 7,d7 ,the number of patients treated by residents described in paragraph 7#d74 7,e7 ,the number of visits by patients treated by residents described in paragraph 7#d74 7,f7 ,of the number of residents described in paragraph 7#d7 who completed their residency training at the end of such residency academic year1 the number and percentage of such residents entering primary care practice 7meaning any of the areas of practice listed in the definition of a primary care residency program in section #gdi;,a74 7,g7 ,of the number of residents described in paragraph 7#d7 who completed their residency training at the end of such residency academic year1 the number and percentage of such residents who entered practice at a health care facility-- 7i7 primarily serving a health professional shortage area with a designation in effect under section #ccb or a medically underserved community 7as defined in section #gii;,b72 or 7ii7 located in a rural area 7as defined in section #ahhf7;d77#b77;,d7 of the ,social ,security ,act74 4 7d7 ,report on training costs ,not later than ,march #ca1 #bjai1 the ,secretary of ,health and ,human ,services shall submit to the ,congress a report on the direct graduate expenses of approved graduate medical residency training programs1 and the indirect expenses associated with the additional costs of teaching residents1 of qualified teaching health centers 7as such terms are used or defined in section #cdj;,h of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bef;h774 7e7 ,definition ,subsection 7j7 of section #cdj;,h of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bef;h7 is amended-- 7#a7 by redesignating paragraphs 7#b7 and 7#c7 as paragraphs 7#c7 and 7#d71 respectively2 and 7#b7 by inserting after paragraph 7#a7 the following3 7#b7 ,new approved graduate medical residency training program ,the term new approved graduate medical residency training program means an approved graduate medical residency training program for which the sponsoring qualified teaching health center has not received a payment under this section for a previous fiscal year 7other than pursuant to subsection 7a77#a77;,c774 4 7f7 ,technical correction ,subsection 7f7 of section #cdj;,h 7#db ,u4,s4,c4 #bef;h7 is amended by striking hospital each place it appears and inserting teaching health center4 7g7 ,payments for previous fiscal years ,the provisions of section #cdj;,h of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bef;h71 as in effect on the day before the date of enactment of this ,act1 shall continue to apply with respect to payments under such section for fiscal years before fiscal year #bjah4 #ajd4 ,extension for family-to-family health information centers ,section #eja7;c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #gja7;c77 is amended-- 7#a7 in paragraph 7#a77;,a7-- 7,a7 in clause 7v71 by striking and at the end2 7,b7 in clause 7vi71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following new clause3 7vii7 #f1jjj1jjj for each of fiscal years #bjah and #bjai4 2 7#b7 in paragraph 7#c77;,c71 by inserting before the period the following3 1 and with respect to fiscal years #bjah and #bjai1 such centers shall also be developed in all territories and at least one such center shall be developed for ,indian tribes2 and 7#c7 by amending paragraph 7#e7 to read as follows3 7#e7 ,for purposes of this subsection-- 7,a7 the term ,indian tribe has the meaning given such term in section #d of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afjc72 7,b7 the term ,state means each of the #ej ,states and the ,district of ,columbia2 and 7,c7 the term territory means ,puerto ,rico1 ,guam1 ,american ,samoa1 the ,virgin ,islands1 and the ,northern ,mariana ,islands4 4 #aje4 ,youth empowerment program2 personal responsibility education 7a7 ,youth empowerment program 7#a7 ,in general ,section #eaj of the ,social ,security ,act 7#db ,u4,s4,c4 #gaj7 is amended to read as follows3 #eaj4 ,youth empowerment program 7a7 ,in general 7#a7 ,allotments to ,states ,for the purpose described in subsection 7b71 the ,secretary shall1 for each of fiscal years #bjah and #bjai1 allot to each ,state which has transmitted an application for the fiscal year under section #eje7;a7 an amount equal to the product of-- 7,a7 the amount appropriated pursuant to subsection 7e77#a7 for the fiscal year1 minus the amount reserved under subsection 7e77#b7 for the fiscal year2 and 7,b7 the proportion that the number of low-income children in the ,state bears to the total of such numbers of children for all the ,states4 7#b7 ,other allotments 7,a7 ,other entities ,for the purpose described in subsection 7b71 the ,secretary shall1 for each of fiscal years #bjah and #bjai1 for any ,state which has not transmitted an application for the fiscal year under section #eje7;a71 allot to one or more entities in the ,state the amount that would have been allotted to the ,state under paragraph 7#a7 if the ,state had submitted such an application4 7,b7 ,process ,the ,secretary shall select the recipients of allotments under subparagraph 7,a7 by means of a competitive grant process under which-- 7i7 not later than #cj days after the deadline for the ,state involved to submit an application for the fiscal year under section #eje7;a71 the ,secretary publishes a notice soliciting grant applications2 and 7ii7 not later than #abj days after such deadline1 all such applications must be submitted4 7b7 ,purpose 7#a7 ,in general ,except for research under paragraph 7#e7 and information collection and reporting under paragraph 7#f71 the purpose of an allotment under subsection 7a7 to a ,state 7or to another entity in the ,state pursuant to subsection 7a77#b77 is to enable the ,state or other entity to implement education exclusively on sexual risk avoidance 7meaning voluntarily refraining from sexual activity74 7#b7 ,required components ,education on sexual risk avoidance pursuant to an allotment under this section shall-- 7,a7 ensure that the unambiguous and primary emphasis and context for each topic described in paragraph 7#c7 is a message to youth that normalizes the optimal health behavior of avoiding nonmarital sexual activity2 7,b7 be medically accurate and complete2 7,c7 be age-appropriate2 and 7,d7 be based on adolescent learning and developmental theories for the age group receiving the education4 7#c7 ,topics ,education on sexual risk avoidance pursuant to an allotment under this section shall address each of the following topics3 7,a7 ,the holistic individual and societal benefits associated with personal responsibility1 self-regulation1 goal setting1 healthy decisionmaking1 and a focus on the future4 7,b7 ,the advantage of refraining from nonmarital sexual activity in order to improve the future prospects and physical and emotional health of youth4 7,c7 ,the increased likelihood of avoiding poverty when youth attain self-sufficiency and emotional maturity before engaging in sexual activity4 7,d7 ,the foundational components of healthy relationships and their impact on the formation of healthy marriages and safe and stable families4 7,e7 ,how other youth risk behaviors1 such as drug and alcohol usage1 increase the risk for teen sex4 7,f7 ,how to resist and avoid1 and receive help regarding1 sexual coercion and dating violence1 recognizing that even with consent teen sex remains a youth risk behavior4 7#d7 ,contraception ,education on sexual risk avoidance pursuant to an allotment under this section shall ensure that-- 7,a7 any information provided on contraception is medically accurate and ensures that students understand that contraception offers physical risk reduction1 but not risk elimination2 and 7,b7 the education does not include demonstrations1 simulations1 or distribution of contraceptive devices4 7#e7 ,research 7,a7 ,in general ,a ,state or other entity receiving an allotment pursuant to subsection 7a7 may use up to #bj percent of such allotment to build the evidence base for sexual risk avoidance education by conducting or supporting research4 7,b7 ,requirements ,any research conducted or supported pursuant to subparagraph 7,a7 shall be-- 7i7 rigorous2 7ii7 evidence-based2 and 7iii7 designed and conducted by independent researchers who have experience in conducting and publishing research in peer-reviewed outlets4 7#f7 ,information collection and reporting ,a ,state or other entity receiving an allotment pursuant to subsection 7a7 shall1 as specified by the ,secretary-- 7,a7 collect information on the programs and activities funded through the allotment2 and 7,b7 submit reports to the ,secretary on the data from such programs and activities4 7c7 ,national evaluation 7#a7 ,in general ,the ,secretary shall-- 7,a7 in consultation with appropriate ,state and local agencies1 conduct one or more rigorous evaluations of the education funded through this section and associated data2 and 7,b7 submit a report to the ,congress on the results of such evaluations1 together with a summary of the information collected pursuant to subsection 7b77#f74 7#b7 ,consultation ,in conducting the evaluations required by paragraph 7#a71 including the establishment of evaluation methodologies1 the ,secretary shall consult with relevant stakeholders4 7d7 ,applicability of certain provisions 7#a7 ,sections #ejc1 #ejg1 and #ejh apply to allotments under subsection 7a7 to the same extent and in the same manner as such sections apply to allotments under section #ejb7;c74 7#b7 ,sections #eje and #ejf apply to allotments under subsection 7a7 to the extent determined by the ,secretary to be appropriate4 7e7 ,funding 7#a7 ,in general ,to carry out this section1 there is appropriated1 out of any money in the ,treasury not otherwise appropriated1 #ge1jjj1jjj for each of fiscal years #bjah and #bjai4 7#b7 ,reservation ,the ,secretary shall reserve1 for each of fiscal years #bjah and #bjai1 not more than #bj percent of the amount appropriated pursuant to paragraph 7#a7 for administering the program under this section1 including the conducting of national evaluations and the provision of technical assistance to the recipients of allotments4 4 7#b7 ,effective date ,the amendment made by this section takes effect on ,october #a1 #bjag4 7b7 ,personal responsibility education 7#a7 ,in general ,section #eac of the ,social ,security ,act 7#db ,u4,s4,c4 #gac7 is amended-- 7,a7 in subsection 7a77#a77;,a71 by striking #bjag and inserting #bjai2 7,b7 in subsection 7a77#d7-- 7i7 in subparagraph 7,a71 by striking #bjag each place it appears and inserting #bjai2 and 7ii7 in subparagraph 7,b7-- 7,i7 in the subparagraph heading1 by striking #c-year grants and inserting ,competitive ,,prep grants2 and 7,,ii7 in clause 7i71 by striking solicit applications to award #c-year grants in each of fiscal years #bjab through #bjag and inserting continue through fiscal year #bjai grants awarded for any of fiscal years #bjae through #bjag2 7,c7 in subsection 7c77#a71 by inserting after youth with ,,hiv_/,,aids1 the following3 victims of human trafficking12 and 7,d7 in subsection 7f71 by striking #bjag and inserting #bjai4 7#b7 ,effective date ,the amendments made by this subsection take effect on ,october #a1 #bjag4 #ajf4 ,decreasing reduction in ,medicaid ,,dsh allotments ,section #aibc7;f77#g77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#d7;f77#g77;,a77 is amended-- 7#a7 in clause 7i71 in the matter preceding subclause 7,i71 by striking #bjah and inserting #bjbc2 and 7#b7 in clause 7ii71 by striking subclauses 7,i7 through 7,,viii7 and inserting the following3 7,i7 #e1jjj1jjj1jjj for fiscal year #bjbc2 7,,ii7 #e1ejj1jjj1jjj for fiscal year #bjbd2 and 7,,iii7 #f1jjj1jjj1jjj for fiscal year #bjbe4 4 #ajg4 ,increase in territorial cap for ,medicaid payments ,section #aajh7;g77#e7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acjh7;g77#e77 is amended-- 7#a7 in subparagraph 7,a7-- 7,a7 by striking subparagraph 7,b7 and inserting subparagraphs 7,b71 7,c71 and 7,d72 and 7,b7 by striking #bjai and inserting #bjbb2 and 7#b7 by adding at the end the following new subparagraphs3 7,c7 ,the amount of the increase otherwise provided under subparagraph 7,a7 for-- 7i7 ,puerto ,rico shall1 after application of subparagraph 7,b71 be further increased by #a1fjj1jjj1jjj for each of fiscal years #bjah through #bjbb2 and 7ii7 the ,virgin ,islands shall be further increased by #ee1jjj1jjj for each of fiscal years #bjah through #bjbb4 7,d7 ,the amount of the increase otherwise provided under subparagraph 7,a7 for ,guam1 the ,northern ,mariana ,islands1 and ,america ,samoa1 respectively1 shall be further increased by such amounts that the total amount of increases under this subparagraph is equal to #aej1jjj1jjj4 ,in applying the previous sentence1 the ,secretary shall increase amounts for such territories in such a proportion as would be applied under subparagraph 7,a7 if such territories were the only territories to which such subparagraph applied4 4 #ajh4 ,puerto ,rico and ,united ,states ,virgin ,island ,disaster ,relief ,medicaid 7a7 ,simplified eligibility determinations and redeterminations 7#a7 ,in general ,notwithstanding any provision of title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 a ,state shall1 as a condition of participation in the ,medicaid program under such title and without submitting an amendment to the ,state ,medicaid plan-- 7,a7 use streamlined procedures described in paragraph 7#b7 in processing applications and determining and redetermining eligibility for medical assistance under the ,state ,medicaid plan for ,,drm-eligible ,maria ,survivors during the ,,drm coverage period2 and 7,b7 provide1 in the case of such a ,survivor1 for medical assistance under the ,state ,medicaid plan to such ,survivor during such period based on the family income level eligibility requirements established under the ,state ,medicaid plan or1 if higher1 under the ,state ,medicaid plan of the ,state in which such ,survivor resided as of ,september #ag1 #bjag4 7#b7 ,streamlined procedures ,the streamlined procedures described in this paragraph1 with respect to a ,state and an applicant for medical assistance under the ,state ,medicaid plan1 are the following3 7,a7 ,common application form ,use of a common #a-page application form developed by the ,secretary of ,health and ,human ,services1 in consultation with the ,national ,association of ,state ,medicaid ,directors4 ,such form shall-- 7i7 require an applicant to provide an expected address for the duration of the ,,drm coverage period and to agree to update that information if it changes during such period2 7ii7 include notice regarding the penalties for making a fraudulent application2 7iii7 require the applicant to assign to the ,state any rights of the applicant 7or any other person who is a ,,drm-eligible ,maria ,survivor and on whose behalf the applicant has the legal authority to execute an assignment of such rights7 under any group health plan or other third-party coverage for health care2 and 7iv7 require the applicant to list any health insurance coverage which the applicant was enrolled in immediately prior to submitting such application4 7,b7 ,self-attestation ,self-attestation by the applicant for medical assistance under the ,state ,medicaid plan that the applicant is a ,,drm-eligible ,maria ,survivor1 including with respect to citizenship1 identity1 immigration status1 and income requirements4 7,c7 ,no documentation ,no requirement for documentation evidencing the basis on which the applicant qualifies to be a ,,drm-eligible ,maria ,survivor4 7,d7 ,issuance of eligibility card ,issuance of a ,,drm assistance eligibility card to an applicant who completes such application1 including the self-attestation required under subparagraph 7,b74 ,such card shall be valid as long as the ,,drm coverage period is in effect and shall be accompanied by notice of the termination date for the ,,drm coverage period and1 if applicable1 notice that such termination date may be extended4 ,if the ,president extends the ,,drm coverage period1 the ,state shall notify ,,drm-eligible ,maria ,survivors enrolled in the ,state ,medicaid plan of the new termination date for the ,,drm coverage period4 7,e7 ,deemed eligibility ,if an applicant completes the application and presents it to a provider or facility participating in the ,state ,medicaid plan that is qualified to make presumptive eligibility determinations under such plan 7which at a minimum shall consist of facilities identified in section #aijb7;a77#ee7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#ee77 and it appears to the provider that the applicant is a ,,drm-eligible ,maria ,survivor based on the information in the application1 the applicant will be deemed to be a ,,drm-eligible ,maria ,survivor eligible for medical assistance under the ,state ,medicaid plan4 7,f7 ,continuous eligibility ,continuous eligibility1 without the need for any redetermination of eligibility1 for the duration of the ,,drm coverage period4 7b7 ,no continuation of ,,drm assistance 7#a7 ,in general ,except as provided in paragraphs 7#b7 and 7#c71 no ,,drm assistance shall be provided after the end of the ,,drm coverage period4 7#b7 ,presumptive eligibility ,in the case of any ,,drm-eligible ,maria ,survivor who is receiving ,,drm assistance from a ,state in accordance with this section and who1 as of the end of the ,,drm coverage period1 has an application pending for medical assistance under the ,state ,medicaid plan for periods beginning after the end of such period1 the ,state shall provide such ,survivor with a period of presumptive eligibility for medical assistance under the ,state ,medicaid plan 7not to exceed #fj days7 until a determination with respect to the ,survivor's application has been made4 7#c7 ,pregnant women ,in the case of a ,,drm-eligible ,maria ,survivor who is receiving ,,drm assistance from a ,state in accordance with this section and whose pregnancy ended during the #fj-;day period prior to the end of the ,,drm coverage period1 or who is pregnant as of the end of such period1 such ,survivor shall continue to be eligible for ,,drm assistance after the end of the ,,drm coverage period1 including 7but not limited to7 all pregnancy-related and postpartum medical assistance available under the ,state ,medicaid plan1 through the end of the month in which the #fj-;day period 7beginning on the last day of her pregnancy7 ends4 7c7 ,treatment of ,maria survivors provided assistance prior to date of enactment ,any ,maria ,survivor who is provided medical assistance under a ,state ,medicaid plan in accordance with guidance from the ,secretary during the period that begins on ,september #ag1 #bjag1 and ends on the date of enactment of this ,act shall be treated as a ,,drm-eligible ,maria ,survivor1 without the need to file an additional application1 for purposes of eligibility for medical assistance under this section4 7d7 ,scope of coverage 7#a7 ,in general ,a ,state providing medical assistance under a ,state ,medicaid plan to a ,,drm-eligible ,maria ,survivor pursuant to this section shall provide medical assistance that is either-- 7,a7 equal in amount and scope to the medical assistance that would otherwise be made available to such ,survivor if the ,survivor were a ,state resident enrolled in the ,state ,medicaid plan2 or 7,b7 if greater in amount and scope1 equal in amount and scope to the medical assistance that would have been made available to such ,survivor under the ,state ,medicaid plan of the ,state in which such ,survivor resided as of ,september #ag1 #bjag4 ,coverage for such medical assistance for ,,drm-eligible ,maria ,survivors shall be retroactive to items and services furnished on or after ,september #ag1 #bjag 7or in the case of applications for ,,drm assistance submitted after ,january #a1 #bjah1 the first day of the #eth month preceding the date on which such application is submitted74 7#b7 ,children born to pregnant women ,in the case of a child born to a ,,drm-eligible ,maria ,survivor who is provided ,,drm assistance during the ,,drm coverage period1 such child shall be treated as having been born to a pregnant woman eligible for medical assistance under the ,state ,medicaid plan and shall be eligible for medical assistance under such plan in accordance with section #aijb7;e77#d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7e77#d774 ,the ,federal medical assistance percentage applicable to the ,state ,medicaid plan shall apply to medical assistance provided to a child under such plan in accordance with the preceding sentence and ,federal payments for such assistance shall not be considered to be payments under this section4 7e7 #ajj percent ,federal matching payments 7#a7 ,in general ,notwithstanding section #aije7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7b771 subject to paragraph 7#b71 the ,federal medical assistance percentage or the ,federal matching rate otherwise applied under section #aijc7;a7 of such ,act 7#db ,u4,s4,c4 #acif;b7a77 shall be #ajj percent for-- 7,a7 providing ,,drm assistance to ,,drm-eligible ,maria ,survivors during the ,,drm coverage period in accordance with this section2 7,b7 costs directly attributable to administrative activities related to the provision of such ,,drm assistance2 and 7,c7 ,,drm assistance provided in accordance with paragraph 7#b7 or 7#c7 of subsection 7b7 after the end of the ,,drm coverage period4 7#b7 ,limitation 7,a7 ,territories ,payments provided to a ,state that is a territory 7as defined in section #aajh7;c77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acjh7;c77#a777 in accordance with this subsection shall be subject to subsections 7f7 and 7g7 of section #aajh of the ,social ,security ,act 7#db ,u4,s4,c4 #acjh74 7,b7 ,other ,states 7i7 ,in general ,in the case of ,states not described in subparagraph 7,a71 the difference between-- 7,i7 the total amount of payments made to such ,states in accordance with this subsection1 by reason of the ,federal medical assistance percentage or the ,federal matching rate applied under paragraph 7#a72 and 7,,ii7 the total amount of payments that would otherwise be made to such ,states if the ,federal medical assistance percentage and the ,federal matching rate under section #aije7;b7 of the ,social ,security ,act and #aijc7;a7 of such ,act were applied1 may not exceed the amount appropriated under clause 7ii74 7ii7 ,appropriations ,there are appropriated1 out of any amounts in the ,treasury not otherwise appropriated1 #a1jjj1jjj1jjj for the ,,drm coverage period for purposes of making payments in accordance with this subsection to ,states not described in subparagraph 7,a74 7#c7 ,exemption from error rate penalties ,all payments attributable to providing ,,drm assistance in accordance with this section shall be disregarded for purposes of section #aijc7u7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7u774 7f7 ,verification of status as a ,maria survivor 7#a7 ,in general ,a ,state shall make a good faith effort to verify the status of an individual who is enrolled in the ,state ,medicaid plan as a ,,drm-eligible ,maria ,survivor under the provisions of this section4 ,such effort shall not delay the determination of the eligibility of the ,survivor for ,,drm assistance under this section4 7#b7 ,evidence of verification ,a ,state may satisfy the verification requirement under paragraph 7#a7 with respect to an individual by showing that the ,state obtained information from the ,social ,security ,administration1 the ,internal ,revenue ,service1 or the ,state ,medicaid ,agency for the ,state from which the individual is from 7if the individual was not a resident of such ,state on any day during the week preceding ,september #ag1 #bjag74 7g7 ,provider payment rates ,in the case of any ,,drm assistance provided in accordance with this section to a ,,drm-eligible ,maria ,survivor that is covered under the ,state ,medicaid plan 7as applied without regard to this section7 the ,state shall pay a provider of such assistance the same payment rate as the ,state would otherwise pay for the assistance if the assistance were provided under the ,state ,medicaid plan 7or1 if no such payment rate applies under the ,state ,medicaid plan1 the usual and customary prevailing rate for the item or service for the community in which it is provided74 7h7 ,application to individuals eligible for medical assistance ,nothing in this section shall be construed as affecting any rights accorded to an individual who is a recipient of medical assistance under a ,state ,medicaid plan who is determined to be a ,,drm-eligible ,maria ,survivor but the provision of ,,drm assistance to such individual shall be limited to the provision of such assistance in accordance with this section4 7i7 ,definitions ,in this section3 7#a7 ,,drm assistance ,the term ,,drm assistance means medical assistance under a ,state ,medicaid plan for a ,,drm-eligible ,maria ,survivor during the ,,drm coverage period4 7#b7 ,,drm coverage period 7,a7 ,in general ,the term ,,drm coverage period means the period beginning on ,september #ag1 #bjag1 and1 subject to subparagraph 7,b71 ending on the date that is #bd months after the date of enactment of this ,act4 7,b7 ,secretary authority to extend ,,drm coverage period ,the ,secretary may extend the ,,drm coverage period for an additional #ab months4 ,any reference to the term ,,drm coverage period in this section shall include any extension under this subparagraph4 7#c7 ,,drm-eligible ,maria survivor defined 7,a7 ,in general ,the term ,,drm-eligible ,maria ,survivor means a ,maria ,survivor whose family income does not exceed the income eligibility standard which would apply to the ,survivor under the ,state ,medicaid plan of the ,state in which the ,survivor applies for medical assistance4 7,b7 ,no resources1 residency1 or categorical eligibility requirements ,eligibility under subparagraph 7,a7 shall be determined without application of any resources test1 ,state residency1 or categorical eligibility requirements4 7,c7 ,definition of child ,for purposes of subparagraph 7,a71 a ,,drm-eligible ,maria ,survivor shall be determined to be a child in accordance with the definition of child under the ,state ,medicaid plan4 7#d7 ,maria ,survivor 7,a7 ,in general ,the term ,maria ,survivor means an individual who1 on any day during the week preceding ,september #ag1 #bjag1 had a primary residence in ,puerto ,rico or the ,virgin ,islands4 7,b7 ,treatment of current ,medicaid beneficiaries ,nothing in this section shall be construed as preventing an individual who is otherwise entitled to medical assistance under a ,state ,medicaid plan from being treated as a ,maria ,survivor under this section4 7,c7 ,treatment of homeless persons ,for purposes of this section1 in the case of an individual who was homeless on any day during the week described in subparagraph 7,a71 the individual's residence shall be deemed to be the place of residence as otherwise determined for such an individual under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#e7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7#f7 ,state ,the term ,state has the meaning given that term for purposes of title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#g7 ,state ,medicaid plan ,the term ,state ,medicaid plan means a ,state plan under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 7or a waiver of such plan74 #aji4 ,delay of ,bipartisan ,budget ,act of #bjac third-party liability provisions 7a7 ,in general ,section #bjb7;c7 of the ,bipartisan ,budget ,act of #bjac 7,public ,law #aac-fg2 #abg ,stat4 #aagg2 #db ,u4,s4,c4 #acif;a note71 as amended by section #baa of the ,protecting ,access to ,medicare ,act of #bjad 7,public ,law #aac-ic2 #abh ,stat4 #ajdg2 #db ,u4,s4,c4 #acif;a note7 and section #bbj of the ,medicare ,access and ,,chip ,reauthorization ,act of #bjae 7,public ,law #aad-aj71 is amended by striking #bjag and inserting #bjai4 7b7 ,effective date2 treatment ,the amendment made by subparagraph 7,a7 shall take effect on ,september #cj1 #bjag1 and shall apply with respect to claims pending1 generated1 or filed after such date4 ,,ii ,,chip #bja4 ,five-year funding extension of the ,children's ,health ,insurance ,program 7a7 ,appropriation2 total allotment ,section #bajd7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7a77 is amended-- 7#a7 in paragraph 7#ai71 by striking and2 7#b7 in paragraph 7#bj71 by striking the period at the end and inserting a semicolon2 and 7#c7 by adding at the end the following new paragraphs3 7#ba7 for fiscal year #bjah1 #ba1ejj1jjj1jjj2 7#bb7 for fiscal year #bjai1 #bb1fjj1jjj1jjj2 7#bc7 for fiscal year #bjbj1 #bc1gjj1jjj1jjj2 7#bd7 for fiscal year #bjba1 #bd1hjj1jjj1jjj2 and 7#be7 for fiscal year #bjbb1 for purposes of making #b semi-annual allotments-- 7,a7 #b1hej1jjj1jjj for the period beginning on ,october #a1 #bjba1 and ending on ,march #ca1 #bjbb2 and 7,b7 #b1hej1jjj1jjj for the period beginning on ,april #a1 #bjbb1 and ending on ,september #cj1 #bjbb4 4 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 paragraph 7#b7-- 7i7 in the heading1 by striking through #bjaf and inserting through #bjbb2 and 7ii7 in subparagraph 7,b7-- 7,i7 in the matter preceding clause 7i71 by striking 7#ai7 and inserting 7#bd72 7,,ii7 in clause 7ii71 in the matter preceding subclause 7,i71 by inserting 7other than fiscal year #bjbb7 after even-numbered fiscal year2 and 7,,iii7 in clause 7ii77,i71 by inserting 7or1 in the case of fiscal year #bjah1 under paragraph 7#d77 after clause 7i72 7,b7 in paragraph 7#e7-- 7i7 by striking or 7#d7 and inserting 7#d71 or 7#aj72 and 7ii7 by striking or #bjag and inserting 1 #bjag1 or #bjbb2 7,c7 in paragraph 7#g7-- 7i7 in subparagraph 7,a71 by striking #bjag and inserting #bjbb2 7ii7 in subparagraph 7,b71 in the matter preceding clause 7i71 by inserting 7or1 in the case of fiscal year #bjah1 by not later than the date that is #fj days after the date of the enactment of the ,,champion ,,kids ,act of #bjag7 after before the ,august #ca preceding the beginning of the fiscal year2 and 7iii7 in the matter following subparagraph 7,b71 by striking or fiscal year #bjaf and inserting fiscal year #bjaf1 fiscal year #bjah1 fiscal year #bjbj1 or fiscal year #bjbb2 7,d7 in paragraph 7#i7-- 7i7 in the heading1 by striking fiscal years #bjae and #bjag and inserting certain fiscal years2 7ii7 by striking or 7#d7 and inserting 1 7#d71 or 7#aj72 and 7iii7 by striking or fiscal year #bjag and inserting 1 #bjag1 or #bjbb2 and 7,e7 by adding at the end the following new paragraph3 7#aj7 ,for fiscal year #bjbb 7,a7 ,first half ,subject to paragraphs 7#e7 and 7#g71 from the amount made available under subparagraph 7,a7 of paragraph 7#be7 of subsection 7a7 for the semi-annual period described in such subparagraph1 increased by the amount of the appropriation for such period under section #bja7;b77#c7 of the ,,champion ,,kids ,act of #bjag1 the ,secretary shall compute a ,state allotment for each ,state 7including the ,district of ,columbia and each commonwealth and territory7 for such semi-annual period in an amount equal to the first half ratio 7described in subparagraph 7,d77 of the amount described in subparagraph 7,c74 7,b7 ,second half ,subject to paragraphs 7#e7 and 7#g71 from the amount made available under subparagraph 7,b7 of paragraph 7#be7 of subsection 7a7 for the semi-annual period described in such subparagraph1 the ,secretary shall compute a ,state allotment for each ,state 7including the ,district of ,columbia and each commonwealth and territory7 for such semi-annual period in an amount equal to the amount made available under such subparagraph1 multiplied by the ratio of-- 7i7 the amount of the allotment to such ,state under subparagraph 7,a71 to 7ii7 the total of the amount of all of the allotments made available under such subparagraph4 7,c7 ,full year amount based on growth factor updated amount ,the amount described in this subparagraph for a ,state is equal to the sum of-- 7i7 the amount of the ,state allotment for fiscal year #bjba determined under paragraph 7#b77;,b77i72 and 7ii7 the amount of any payments made to the ,state under subsection 7n7 for fiscal year #bjba1 multiplied by the allotment increase factor under paragraph 7#f7 for fiscal year #bjbb4 7,d7 ,first half ratio ,the first half ratio described in this subparagraph is the ratio of-- 7i7 the sum of-- 7,i7 the amount made available under subsection 7a77#be77;,a72 and 7,,ii7 the amount of the appropriation for such period under section #bja7;b77#c7 of the ,,champion ,,kids ,act of #bjag1 to 7ii7 the sum of-- 7,i7 the amount described in clause 7i72 and 7,,ii7 the amount made available under subsection 7a77#be77;,b74 4 7#b7 ,technical amendment ,section #bajd7m77#b77;,a7 of such ,act 7#db ,u4,s4,c4 #acig;dd7m77#b77;,a77 is amended by striking the allotment increase factor under paragraph 7#e7 each place it appears and inserting the allotment increase factor under paragraph 7#f74 7#c7 ,one-time appropriation for fiscal year #bjbb ,there is appropriated to the ,secretary of ,health and ,human ,services1 out of any money in the ,treasury not otherwise appropriated1 #bj1bjj1jjj1jjj to accompany the allotment made for the period beginning on ,october #a1 #bjba1 and ending on ,march #ca1 #bjbb1 under paragraph 7#be77;,a7 of section #bajd7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7a77 7as added by subsection 7a77#c771 to remain available until expended4 ,such amount shall be used to provide allotments to ,states under paragraph 7#aj7 of section #bajd7m7 of such ,act 7as added by subsection 7b77#a77;,e77 for the first #f months of fiscal year #bjbb in the same manner as allotments are provided under subsection 7a77#be77;,a7 of such section #bajd and subject to the same terms and conditions as apply to the allotments provided from such subsection 7a77#be77;,a74 7c7 ,extension of the ,child ,enrollment ,contingency ,fund ,section #bajd7n7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7n77 is amended-- 7#a7 in paragraph 7#b7-- 7,a7 in subparagraph 7,a77ii7-- 7i7 by striking #bjaj1 #bjaa1 #bjab1 #bjac1 #bjad1 and #bjaf and inserting #bjaj through #bjad1 #bjaf1 and #bjah through #bjba2 and 7ii7 by striking fiscal year #bjae and fiscal year #bjag and inserting fiscal years #bjae1 #bjag1 and #bjbb2 and 7,b7 in subparagraph 7,b7-- 7i7 by striking #bjaj1 #bjaa1 #bjab1 #bjac1 #bjad1 and #bjaf and inserting #bjaj through #bjad1 #bjaf1 and #bjah through #bjba2 and 7ii7 by striking fiscal year #bjae and fiscal year #bjag and inserting fiscal year #bjae1 #bjag1 and #bjbb2 and 7#b7 in paragraph 7#c77;,a71 in the matter preceding clause 7i71 by striking or a semi-annual allotment period for fiscal year #bjae or #bjag and inserting or in any of fiscal years #bjah through #bjba 7or a semi-annual allotment period for fiscal year #bjae1 #bjag1 or #bjbb74 7d7 ,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 heading1 by striking through #bjag and inserting through #bjbb2 and 7#b7 in subparagraph 7,a71 by striking #bjag and inserting #bjbb4 7e7 ,extension of express lane eligibility option ,section #aijb7;e77#ac77;,i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7e77#ac77;,i77 is amended by striking #bjag and inserting #bjbb4 7f7 ,assurance of affordability standard for children and families 7#a7 ,in general ,section #baje7;d77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;ee7d77#c77 is amended-- 7,a7 in the paragraph heading1 by striking until ,october #a1 #bjai and inserting through ,september #cj1 #bjbb2 and 7,b7 in subparagraph 7,a71 in the matter preceding clause 7i7-- 7i7 by striking #bjai and inserting #bjbb2 and 7ii7 by striking ,the preceding sentence shall not be construed as preventing a ,state during such period and inserting ,during the period that begins on ,october #a1 #bjai1 and ends on ,september #cj1 #bjbb1 the preceding sentence shall only apply with respect to children in families whose income does not exceed #cjj percent of the poverty line 7as defined in section #baaj7;c77#e77 applicable to a family of the size involved4 ,the preceding sentences shall not be construed as preventing a ,state during any such periods4 7#b7 ,conforming amendments ,section #aijb7;gg77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7gg77#b77 is amended-- 7,a7 in the paragraph heading1 by striking until ,october #a1 #bjai and inserting through ,september #cj1 #bjbb2 and 7,b7 by striking ,september #cj1 #bjai1 and inserting ,september #cj1 #bjbb 7but during the period that begins on ,october #a1 #bjai1 and ends on ,september #cj1 #bjbb1 only with respect to children in families whose income does not exceed #cjj percent of the poverty line 7as defined in section #baaj7;c77#e77 applicable to a family of the size involved74 #bjb4 ,extension of certain programs and demonstration projects 7a7 ,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-- 7#a7 by striking and #aj1jjj1jjj and inserting 1 #aj1jjj1jjj2 and 7#b7 by inserting after #bjag the following3 1 and #be1jjj1jjj for the period of fiscal years #bjah through #bjbb4 7b7 ,pediatric quality measures program ,section #aaci;,a7i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#i;a7i77 is amended-- 7#a7 by striking ,out of any and inserting the following3 7#a7 ,in general ,out of any 2 7#b7 by striking there is appropriated for each and inserting 8there is appropriated-- 7,a7 for each 2 7#c7 by striking 1 and there is appropriated for the period and inserting 82 7,b7 for the period 2 7#d7 by striking 4 ,funds appropriated under this subsection shall remain available until expended and inserting 2 and2 and 7#e7 by adding at the end the following3 7,c7 for the period of fiscal years #bjah through #bjbb1 #ge1jjj1jjj for the purpose of carrying out this section 7other than subsections 7e71 7f71 and 7g774 7#b7 ,availability ,funds appropriated under this subsection shall remain available until expended4 4 #bjc4 ,extension of outreach and enrollment program 7a7 ,extension and reauthorization ,section #baac of the ,social ,security ,act 7#db ,u4,s4,c4 #acigmm7 is amended-- 7#a7 in subsection 7a77#a71 by striking #bjag and inserting #bjbb2 and 7#b7 in subsection 7g7-- 7,a7 by striking and #dj1jjj1jjj and inserting 1 #dj1jjj1jjj2 and 7,b7 by inserting after #bjag the following3 1 and #ajj1jjj1jjj for the period of fiscal years #bjah through #bjbb4 7b7 ,making organizations that use parent mentors eligible ,to receive grants ,section #baac7;f7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acigmm7f77 is amended-- 7#a7 in paragraph 7#a77;,e71 by striking or community-based doula programs and inserting 1 community-based doula programs1 or parent mentors2 and 7#b7 by adding at the end the following new paragraph3 7#e7 ,parent mentor ,the term parent mentor means an individual who-- 7,a7 is a parent or guardian of at least one child who is an eligible child under this title or title ,,xix2 and 7,b7 is trained to assist families with children who have no health insurance coverage with respect to improving the social determinants of the health of such children1 including by providing-- 7i7 education about health insurance coverage1 including1 with respect to obtaining such coverage1 eligibility criteria and application and renewal processes2 7ii7 assistance with completing and submitting applications for health insurance coverage and renewal2 7iii7 a liaison between families and representatives of ,state plans under title ,,xix or ,state child health plans under this title2 7iv7 guidance on identifying medical and dental homes and community pharmacies for children2 and 7v7 assistance and referrals to successfully address social determinants of children's health1 including poverty1 food insufficiency1 housing1 and environmental hazards4 4 7c7 ,exclusion from modified adjusted gross income ,section #aijb of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is amended-- 7#a7 in subsection 7a77#ag71 by striking 7e77#ad71 7e77#ad7 and inserting 7e77#ad71 7e77#ae72 7#b7 in subsection 7e71 in the first paragraph 7#ad71 relating to income determined using modified adjusted gross income1 by adding at the end the following new subparagraph3 7,j7 ,exclusion of parent mentor compensation from income determination ,any nominal amount received by an individual as compensation1 including a stipend1 for participation as a parent mentor 7as defined in paragraph 7#e7 of section #baac7;f77 in an activity or program funded through a grant under such section shall be disregarded for purposes of determining the income eligibility of such individual for medical assistance under the ,state plan or any waiver of such plan4 2 and 7#c7 in subsection 7e71 by striking 7#ad7 ,exclusion and inserting 7#ae7 ,exclusion4 #bjd4 ,extension of additional ,federal financial participation for ,,chip ,section #baje7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;ee7b77 is amended in the second sentence by inserting and during the period that begins on ,october #a1 #bjai1 and ends on ,september #cj1 #bjbj1 the enhanced ,,fmap determined for a ,state for a fiscal year 7or for any portion of a fiscal year occurring during such period7 shall be increased by #aa4e percentage points after #bc percentage points14 ,,iii ,offset #cja4 ,implementation of ,office of ,inspector ,general recommendation to delay certain ,medicare plan prepayments 7a7 ,medicare ,advantage payments ,section #ahec7;a77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bc7;a77#a77 is amended-- 7#a7 in subparagraph 7,a71 in the matter preceding clause 7i7-- 7,a7 by striking subsections 7e71 7g71 7i71 and 7l7 and inserting subparagraph 7,j71 subsections 7e71 7g71 7i71 and 7l712 and 7,b7 by inserting 7or1 for months beginning with ,january #bjai1 on the date specified in subparagraph 7,j77 after in advance2 and 7#b7 by adding at the end the following new subparagraph3 7,j7 ,timing of payments 7i7 ,in general ,with respect to monthly payments under this section for months in a year 7beginning with #bjai71 the date specified in this subparagraph with respect to a payment for a month is the first business day occurring on or after the applicable date defined in clause 7ii74 7ii7 ,applicable date ,for purposes of clause 7i71 with respect to a year 7beginning with #bjai71 the term applicable date means1 with respect to a payment for-- 7,i7 ,january of such year1 ,january #bnd2 7,,ii7 ,february of such year1 ,february #eth2 7,,iii7 ,march of such year1 ,march #ajth2 7,,iv7 ,april of such year1 ,april #aeth2 7,v7 ,may of such year1 ,may #bjth2 7,,vi7 ,june of such year1 ,june #beth2 7,,vii7 ,july and each succeeding month 7other than ,december7 of such year1 the first day of the next month2 and 7,,viii7 ,december of such year1 ,december #bdth4 4 7b7 ,conforming amendment to part ,d ,section #ahfj;,d-#ae7;d77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aae7;d77#a77 is amended by inserting and shall be made consistent with the timing of monthly payments to ,,ma organizations under section #ahec7;a77#a77;,j7 after as the ,secretary determines4