,,ii  #aae? ,,congress  #a/ ,session    
,s4 #ahbg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #ah1 #bjag   
,mr4 ,hat* 7= himself1 ,mr4 ,wyd51 ,mr4 
,br[n1 ,ms4 ,/ab5[1 ,mr4 ,casey1 & ,mr4 
,m55dez7 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to ext5d fund+ = ! 
,*ildr5's ,heal? ,insurance ,program1 & 
= o!r purposes4  #a4 ,%ort title  ,?is  
,act may be cit$ z ! ,keep ,kids'       
,insurance ,dep5dable & ,secure ,act (  
#bjag or ! ,,kids ,act ( #bjag4  #b4    
,five-ye> fund+ ext5sion ( ! ,*ildr5's  
,heal? ,insurance ,program  7a7         
,appropriation2 total allotm5t ,section 
#bajd7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acig;dd7a77 is am5d$--  
7#a7 9 p>agraph 7#ai71 by /rik+ &2  7#b7
 9 p>agraph 7#bj71 by /rik+ ! p]iod at !
 end & ins]t+ a semicolon2 &  7#c7 by   
add+ at ! end ! foll[+ new p>agraphs3   
7#ba7 = fiscal ye> #bjah1               
#ba1ejj1jjj1jjj2  7#bb7 = fiscal ye>    
#bjai1 #bb1fjj1jjj1jjj2  7#bc7 = fiscal 

ye> #bjbj1 #bc1gjj1jjj1jjj2  7#bd7 =    
fiscal ye> #bjba1 #bd1hjj1jjj1jjj2 &    
7#be7 = fiscal ye> #bjbb1 = purposes (  
mak+ #b semi-annual allotm5ts-- 7,a7    
#b1hej1jjj1jjj = ! p]iod beg9n+ on      
,octob] #a1 #bjba1 & end+ on ,m>* #ca1  
#bjbb2 &  7,b7 #b1hej1jjj1jjj = ! p]iod 
beg9n+ on ,april #a1 #bjbb1 & end+ on   
,septemb] #cj1 #bjbb4  4  7b7 ,allotm5ts
  7#a7 ,9 g5]al ,section #bajd7m7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acig;dd7m77 is am5d$--  7,a7 9 p>agraph
 7#b7-- 7i7 9 ! head+1 by /rik+ ?r\gh   
#bjaf & ins]t+ ?r\gh #bjbb2 &  7ii7 9   
subp>agraph 7,b7-- 7,i7 9 ! matt] prec$+
 clause 7i71 by /rik+ 7#ai7 & ins]t+    
7#bd72  7,,ii7 9 clause 7ii71 9 ! matt] 
prec$+ subclause 7,i71 by ins]t+ 7o!r   
?an fiscal ye> #bjbb7 aft] ev5-numb]$   
fiscal ye>2 &  7,,iii7 9 clause         
7ii77,i71 by ins]t+ 7or1 9 ! case (     
fiscal ye> #bjah1 "u p>agraph 7#d77 aft]
 clause 7i72  7,b7 9 p>agraph 7#e7-- 7i7
 by /rik+ or 7#d7 & ins]t+ 7#d71 or     
7#aj72 &  7ii7 by /rik+ or #bjag &      

ins]t+ 1 #bjag1 or #bjbb2  7,c7 9       
p>agraph 7#g7--  7i7 9 subp>agraph 7,a71
 by /rik+ #bjag & ins]t+ #bjbb2 &  7ii7 
9 ! matt] foll[+ subp>agraph 7,b77ii71  
by /rik+ or fiscal ye> #bjaf & ins]t+   
fiscal ye> #bjaf1 fiscal ye> #bjah1     
fiscal ye> #bjbj1 or fiscal ye> #bjbb2  
7,d7 9 p>agraph 7#i7-- 7i7 9 ! head+1 by
 /rik+ fiscal ye>s #bjae & #bjag &      
ins]t+ c]ta9 fiscal ye>s2  7ii7 by /rik+
 or 7#d7 & ins]t+ 1 7#d71 or 7#aj72 &   
7iii7 by /rik+ or fiscal ye> #bjag &    
ins]t+ 1 #bjag1 or #bjbb2 &  7,e7 by    
add+ at ! end ! foll[+ new p>agraph3    
7#aj7 ,= fiscal ye> #bjbb  7,a7 ,fir/   
half ,subject to p>agraphs 7#e7 & 7#g71 
f ! am\nt made available "u subp>agraph 
7,a7 ( p>agraph 7#be7 ( subsection 7a7 =
 ! semi-annual p]iod describ$ 9 su*     
subp>agraph1 increas$ by ! am\nt ( !    
appropriation = su* p]iod "u section    
#b7;b77#c7 ( ! ,,kids ,act ( #bjag1 !   
,secret>y %all compute a ,/ate allotm5t 
= ea* ,/ate 7includ+ ! ,di/rict (       
,columbia & ea* commonweal? & t]ritory7 

= su* semi-annual p]iod 9 an am\nt equal
 to ! fir/ half ratio 7describ$ 9       
subp>agraph 7,d77 ( ! am\nt describ$ 9  
subp>agraph 7,c74  7,b7 ,second half    
,subject to p>agraphs 7#e7 & 7#g71 f !  
am\nt made available "u subp>agraph 7,b7
 ( p>agraph 7#be7 ( subsection 7a7 = !  
semi-annual p]iod describ$ 9 su*        
subp>agraph1 ! ,secret>y %all compute a 
,/ate allotm5t = ea* ,/ate 7includ+ !   
,di/rict ( ,columbia & ea* commonweal? &
 t]ritory7 = su* semi-annual p]iod 9 an 
am\nt equal to ! am\nt made available "u
 su* subp>agraph1 multipli$ by ! ratio  
(--  7i7 ! am\nt ( ! allotm5t to su*    
,/ate "u subp>agraph 7,a72 to  7ii7 !   
total ( ! am\nt ( all ( ! allotm5ts made
 available "u su* subp>agraph4  7,c7    
,full ye> am\nt bas$ on gr[? factor     
updat$ am\nt ,! am\nt describ$ 9 ?is    
subp>agraph = a ,/ate is equal to ! sum 
(--  7i7 ! am\nt ( ! ,/ate allotm5t =   
fiscal ye> #bjba det]m9$ "u p>agraph    
7#b77;,b77i72 &  7ii7 ! am\nt ( any     
paym5ts made to ! ,/ate "u subsection   

7n7 = fiscal ye> #bjba1  multipli$ by ! 
allotm5t increase factor "u p>agraph    
7#f7 = fiscal ye> #bjbb4  7,d7 ,fir/    
half ratio ,! fir/ half ratio describ$ 9
 ?is subp>agraph is ! ratio (-- 7i7 !   
sum (--  7,i7 ! am\nt made available "u 
subsection 7a77#be77;,a72 &  7,,ii7 !   
am\nt ( ! appropriation = su* p]iod "u  
section #b7;b77#c7 ( ! ,,kids ,act (    
#bjag2 to  7ii7 ! sum (-- 7,i7 ! am\nt  
describ$ 9 clause 7i72 &  7,,ii7 ! am\nt
 made available "u subsection           
7a77#be77;,b74  4  7#b7 ,te*nical       
am5dm5t ,section #bajd7m77#b77;,a7 ( su*
 ,act 7#db ,u4,s4,c4                    
#acig;dd7m77#b77;,a77 is am5d$ by /rik+ 
! allotm5t increase factor "u p>agraph  
7#e7 ea* place x appe>s & ins]t+ !      
allotm5t increase factor "u p>agraph    
7#f74  7#c7 ,"o-"t appropriation =      
fiscal ye> #bjbb ,!re is appropriat$ to 
! ,secret>y ( ,heal? & ,human ,s]vices1 
out ( any money 9 ! ,treasury n o!rwise 
appropriat$1 #bj1bjj1jjj1jjj to         
accompany ! allotm5t made = ! p]iod     

beg9n+ on ,octob] #a1 #bjba1 & end+ on  
,m>* #ca1 #bjbb1 "u p>agraph 7#be77;,a7 
( section #bajd7;a7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acig;dd7a77 7z add$ by subsection      
7a77#c771 to rema9 available until      
exp5d$4 ,su* am\nt %all be us$ to       
provide allotm5ts to ,/ates "u p>agraph 
7#aj7 ( section #bajd7m7 ( su* ,act 7z  
add$ by subsection 7b77#a77;,e77 = !    
fir/ #f mon?s ( fiscal ye> #bjbb 9 !    
same mann] z allotm5ts are provid$ "u   
subsection 7a77#be77;,a7 ( su* section  
#bajd & subject to ! same t]ms &        
conditions z apply to ! allotm5ts       
provid$ f su* subsection 7a77#be77;,a74 
7c7 ,ext5sion ( ! ,*ild ,enrollm5t      
,cont+5cy ,fund ,section #bajd7n7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acig;dd7n77 is am5d$-- 7#a7 9 p>agraph 
7#b7--  7,a7 9 subp>agraph 7,a77ii7--   
7i7 by /rik+ #bjaj1 #bjaa1 #bjab1 #bjac1
 #bjad1 & #bjaf & ins]t+ #bjaj ?r\gh    
#bjad1 #bjaf1 & #bjah ?r\gh #bjba2 &    
7ii7 by /rik+ fiscal ye> #bjae & fiscal 

ye> #bjag & ins]t+ fiscal ye>s #bjae1   
#bjag1 & #bjbb2 &  7,b7 9 subp>agraph   
7,b7--  7i7 by /rik+ #bjaj1 #bjaa1      
#bjab1 #bjac1 #bjad1 & #bjaf & ins]t+   
#bjaj ?r\gh #bjad1 #bjaf1 & #bjah ?r\gh 
#bjba2 &  7ii7 by /rik+ fiscal ye> #bjae
 & fiscal ye> #bjag & ins]t+ fiscal ye> 
#bjae1 #bjag1 & #bjbb2 &  7#b7 9        
p>agraph 7#c77;,a71 9 ! matt] prec$+    
clause 7i71 by /rik+ or a semi-annual   
allotm5t p]iod = fiscal ye> #bjae or    
#bjag & ins]t+ or 9 any ( fiscal ye>s   
#bjah ?r\gh #bjba 7or a semi-annual     
allotm5t p]iod = fiscal ye> #bjae1      
#bjag1 or #bjbb74  7d7 ,ext5sion (      
qualify+ /ates option ,section          
#baje7;g77#d7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acig;ee7g77#d77 is     
am5d$-- 7#a7 9 ! head+1 by /rik+ ?r\gh  
#bjag & ins]t+ ?r\gh #bjbb2 &  7#b7 9   
subp>agraph 7,a71 by /rik+ #bjag &      
ins]t+ #bjbb4  7e7 ,ext5sion ( express  
lane eligibility option ,section        
#aijb7;e77#ac77;,i7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           

#acif;a7e77#ac77;,i77 is am5d$ by /rik+ 
#bjag & ins]t+ #bjbb4  7f7 ,assurance ( 
af=dability /&>d = *ildr5 & families    
7#a7 ,9 g5]al ,section #baje7;d77#c7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acig;ee7d77#c77 is am5d$-- 7,a7 9 !    
p>agraph head+1 by /rik+ until ,octob]  
#a1 #bjai & ins]t+ ?r\gh ,septemb] #cj1 
#bjbb2 &  7,b7 9 subp>agraph 7,a71 9 !  
matt] prec$+ clause 7i7-- 7i7 by /rik+  
#bjai & ins]t+ #bjbb2 &  7ii7 by /rik+  
,! prec$+ s5t5ce %all n be con/ru$ z    
prev5t+ a ,/ate dur+ su* p]iod & ins]t+ 
,dur+ ! p]iod t beg9s on ,octob] #a1    
#bjai1 & ends on ,septemb] #cj1 #bjbb1 !
 prec$+ s5t5ce %all only apply ) respect
 to *ildr5 9 families ^: income does n  
exce$ #cjj p]c5t ( ! pov]ty l9e 7z def9$
 9 section #baaj7;c77#e77 applicable to 
a family ( ! size involv$4 ,! prec$+    
s5t5ces %all n be con/ru$ z prev5t+ a   
,/ate dur+ any su* p]iods4  7#b7 ,con=m+
 am5dm5ts ,section #aijb7;gg77#b7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7gg77#b77 is am5d$-- 7,a7 9 !    

p>agraph head+1 by /rik+ until ,octob]  
#a1 #bjai & ins]t+ ?r\gh ,septemb] #cj1 
#bjbb2 &  7,b7 by /rik+ ,septemb] #cj1  
#bjai1 & ins]t+ ,septemb] #cj1 #bjbb 7b 
dur+ ! p]iod t beg9s on ,octob] #a1     
#bjai1 & ends on ,septemb] #cj1 #bjbb1  
only ) respect to *ildr5 9 families ^:  
income does n exce$ #cjj p]c5t ( !      
pov]ty l9e 7z def9$ 9 section           
#baaj7;c77#e77 applicable to a family ( 
! size involv$74  #c4 ,ext5sion ( c]ta9 
programs & demon/ration projects  7a7   
,*ildhood obesity demon/ration project  
,section #aaci;,a7e77#h7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#i;a7e77#h77 is am5d$-- 7#a7 by 
/rik+ & #aj1jjj1jjj & ins]t+ 1          
#aj1jjj1jjj2 &  7#b7 by ins]t+ aft]     
#bjag ! foll[+3 1 & #be1jjj1jjj = !     
p]iod ( fiscal ye>s #bjah ?r\gh #bjbb4  
7b7 ,p$iatric quality measures program  
,section #aaci;,a7i7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#i;a7i77 is am5d$--  7#a7 by    
/rik+ ,out ( any & ins]t+ ! foll[+3     

7#a7 ,9 g5]al ,out ( any  2  7#b7 by    
/rik+ !re is appropriat$ = ea* & ins]t+ 
8!re is appropriat$--  7,a7 = ea*  2    
7#c7 by /rik+ 1 & !re is appropriat$ = !
 p]iod & ins]t+ 82  7,b7 = ! p]iod  2   
7#d7 by /rik+ 4 ,funds appropriat$ "u   
?is subsection %all rema9 available     
until exp5d$ & ins]t+ 2 &2 &  7#e7 by   
add+ at ! end ! foll[+3  7,c7 = ! p]iod 
( fiscal ye>s #bjah ?r\gh #bjbb1        
#ge1jjj1jjj = ! purpose ( c>ry+ out ?is 
section 7o!r ?an subsections 7e71 7f71 &
 7g774  7#b7 ,availability ,funds       
appropriat$ "u ?is subsection %all rema9
 available until exp5d$4  4  #d4        
,ext5sion ( outrea* & enrollm5t program 
,section #baac ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acigmm7 is am5d$-- 
7#a7 9 subsection 7a77#a71 by /rik+     
#bjag & ins]t+ #bjbb2 &  7#b7 9         
subsection 7g7-- 7,a7 by /rik+ &        
#dj1jjj1jjj & ins]t+ 1 #dj1jjj1jjj2 &   
7,b7 by ins]t+ aft] #bjag ! foll[+3 1 & 
#ajj1jjj1jjj = ! p]iod ( fiscal ye>s    
#bjah ?r\gh #bjbb4  #e4 ,ext5sion &     

r$uction ( additional ,f$]al f9ancial   
p>ticipation = ,,*ip ,section #baje7;b7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acig;ee7b77 is am5d$ 9 !     
second s5t5ce by ins]t+ & dur+ ! p]iod t
 beg9s on ,octob] #a1 #bjai1 & ends on  
,septemb] #cj1 #bjbj1 ! enhanc$ ,,fmap  
det]m9$ = a ,/ate = a fiscal ye> 7or =  
any portion ( a fiscal ye> occurr+ dur+ 
su* p]iod7 %all be increas$ by #aa4e    
p]c5tage po9ts aft] #bc p]c5tage po9ts14