,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #afih  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #c1 #bjai,mr4    
,casey introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act & !         
,,support = ,pati5ts & ,communities ,act
 to ensure heal? insurance cov]age      
cont9uity = =m] fo/] y\?4  #a4 ,%ort    
title ,?is ,act may be cit$ z ! ,exp&$  
,cov]age = ,=m] ,fo/] ,y\? ,act4  #b4   
,cov]age cont9uity = =m] fo/] c>e *ildr5
 up to age #bf  7a7 ,9 g5]al ,section   
#ajjb7;a77#a77;,b7 ( ! ,,support =      
,pati5ts & ,communities ,act 7,public   
,law #aae-bga7 is am5d$ by /rik+ all t  
foll[s aft] item 7cc71 & ins]t+ !       
foll[+3 by /rik+ responsibility ( !     
,/ate & all t foll[s ?r\gh              
#dge7h77;,b77iii72 & & ins]t+           
responsibility ( a ,/ate on ! date (    
atta9+ #ah ye>s ( age 7or su* high] age 
z su* ,/ate has elect$ "u section       
#dge7h77;,b77iii771 or :o 7 9 su* c>e at

 any age b subsequ5tly left su* c>e to  
ent] into a legal gu>dian%ip ) a k9%ip  
c>egiv] 7)\t reg>d to :e!r k9%ip        
gu>dian%ip paym5ts are be+ made on      
behalf ( ! *ild "u ?is "p7 or 7         
emancipat$ f su* c>e prior to atta9+ age
 #ah24  7b7 ,am5dm5ts to ,social        
,security ,act  7#a7 ,9 g5]al ,section  
#aijb7;a77#aj77;,a77i77,,ix7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acif;a7a77#aj77;,a77i77,,ix771 z am5d$ 
by section #ajjb7;a7 ( ! ,,support =    
,pati5ts & ,communities ,act 7,public   
,law #aae-bga71 is am5d$-- 7,a7 9 item  
7bb71 by /rik+ ! semicolon at ! end &   
ins]t+ 2 &2 &  7,b7 by /rik+ item 7dd74 
7#b7 ,effective date ,! am5dm5ts made by
 ?is subsection %all take effect on     
,janu>y #a1 #bjbc4  #c4 ,outrea* ef=ts =
 enrollm5t ( =m] fo/] *ildr5 ,section   
#aijb7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;a7a77 is am5d$--   
7#a7 9 p>agraph 7#he71 by /rik+ 2 & &   
ins]t+ a semicolon2  7#b7 9 p>agraph    
7#hf71 by /rik+ ! p]iod at ! end &      

ins]t+ 2 &2 &  7#c7 by ins]t+ aft]      
p>agraph 7#hf7 ! foll[+ new p>agraph3   
7#hg7 n lat] ?an ,janu>y #a1 #bjbj1     
e/abli% an outrea* & enrollm5t program1 
9 coord9ation ) ! ,/ate ag5cy           
responsible = adm9i/]+ ! ,/ate plan "u  
"p ,e ( title ,,iv & any o!r appropriate
 or int]e/$ ag5cies1 design$ to increase
 ! enrollm5t ( individuals :o are       
eligible = m$ical assi/ance "u ! ,/ate  
plan "u p>agraph 7#aj77;,a77i77,,ix7 9  
accordance ) be/ practices e/abli%$ by !
 ,secret>y4  4