,,ii #aaeth ,,congress #ast ,session ,s4 #ahbg ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #ah1 #bjag ,mr4 ,hatch 7for himself1 ,mr4 ,wyden1 ,mr4 ,brown1 ,ms4 ,stabenow1 ,mr4 ,casey1 and ,mr4 ,menendez7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to extend funding for the ,children's ,health ,insurance ,program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,keep ,kids' ,insurance ,dependable and ,secure ,act of #bjag or the ,,kids ,act of #bjag4 #b4 ,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 and 7ii7 in the matter following subparagraph 7,b77ii71 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 #b7;b77#c7 of the ,,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,a72 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 #b7;b77#c7 of the ,,kids ,act of #bjag2 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 #c4 ,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 #d4 ,extension of outreach and enrollment program ,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 #e4 ,extension and reduction 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