,,ii  #aahth ,,congress  #ast ,session  
,s4 #bhaf  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #ad1
 #bjbc,mr4 ,casey introduced the        
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to amend title ,,xix of the 
,social ,security ,act to make all      
children eligible for ,medicaid from    
birth until age #ai1 to require ,states 
to automatically enroll children under  
age #ai in the ,state ,medicaid program1
 and for other purposes4  #a4 ,short    
title ,this ,act may be cited as the    
,medicaid for ,every ,child ,act4  #b4  
,medicaid for every child from birth to 
age #ai  7a7 ,in general ,section       
#aijb7;a77#aj77;,a77i7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#aj77;,a77i77 is amended--   
7#a7 by striking or at the end of       
subclause 7,,viii72  7#b7 in subclause  
7,,ix77dd71 by inserting or at the end2 
and  7#c7 by adding at the end the      
following new subclause3  7,x7 beginning

 on the date that is #b years after the 
date of enactment of this subclause1 who
 are individuals who have not attained  
#ai years of age2  4  7b7 ,automatic    
enrollment  7#a7 ,in general ,section   
#aijb7;e7 of the ,social ,security ,act 
is amended by striking paragraph 7#d7   
and inserting the following3  7#d7      
,automatic enrollment of children  7,a7 
,in general ,any child born in a ,state 
on or after the date that is #b years   
after the date of enactment of the      
,medicaid for ,every ,child ,act shall  
be considered to have applied for       
medical assistance under the ,state plan
 and shall be automatically enrolled for
 such assistance on the date of their   
birth4  7,b7 ,notification requirement  
,the ,state shall inform the parent1    
guardian1 or custodial relative of a    
child who is automatically enrolled in  
the ,state plan under subparagraph 7,a7 
of the services that will be covered1   
appropriate methods for using such      
services1 medical support obligations   

7under section #aiab7;a77 created by    
enrollment 7if applicable71 the actions 
the parent1 guardian1 or relative must  
take 7if any7 to maintain enrollment1   
and the actions the parent1 guardian or 
relative may take to disenroll the      
child4  7,c7 ,opt-out if other coverage 
is available ,the ,state shall establish
 a process to allow the parent1         
guardian1 or custodial relative of a    
child who is automatically enrolled in  
the ,state plan under subparagraph 7,a7 
to disenroll the child from the ,state  
plan through affirmation in writing if  
the child is enrolled in other health   
benefits coverage that-- 7i7 at a       
minimum1 provides the essential health  
benefits defined by the ,secretary under
 section #acjb7;b7 of the ,patient      
,protection and ,affordable ,care ,act2 
and  7ii7 meets such other requirements 
as the ,secretary determines            
appropriate4  4  7#b7 ,effective date   
,the amendment made by this section     
shall take effect on the date that is #b

 years after the date of enactment of   
this ,act4  7c7 ,continuous eligibility 
7#a7 ,in general ,section #aijb7;e77#ab7
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acif;a7e77#ab771 as amended  
by section #eaab7;a7 of division ,,ff of
 ,public ,law #aag-cbh1 is amended--    
7,a7 by striking subparagraph 7,a72 and 
7,b7 by redesignating subparagraphs 7,b7
 and 7,c7 as subparagraphs 7,a7 and     
7,b74  7#b7 ,effective date ,the        
amendments made by this section shall   
take effect on the date that is #b years
 after the date of enactment of this    
,act4  7d7 ,exclusion from definition of
 minimum essential coverage ,section    
#cf;,b7c77#b7 of the ,internal ,revenue 
,code of #aihf is amended by adding at  
the end the following new subparagraph3 
7,d7 ,treatment of certain coverage     
under the ,medicaid program ,for        
purposes of subparagraph 7,b71 an       
individual shall not be treated as      
eligible for minimum essential coverage 
if-- 7i7 such coverage consists of      

eligibility for medical assistance under
 a ,state ,medicaid program under       
section #aijb7;a77#aj77;,a77i77,x7 of   
the ,social ,security ,act2 and  7ii7   
the individual is not enrolled in such a
 program for such medical assistance4  4
  7e7 ,coverage of children without     
regard to immigration status  7#a7 ,in  
general ,section #aijc7v7 of the ,social
 ,security ,act 7#db ,u4,s4,c4          
#acif;b7v77 is amended-- 7,a7 in        
paragraph 7#a71 by striking and 7#d7 and
 inserting 1 7#d71 and 7#e72  7,b7 in   
paragraph 7#d77;,a77ii7-- 7i7 in the    
clause header1 by inserting aged #ai to 
#bj after ,children2 and  7ii7 by       
inserting who have attained #ai years of
 age but are before under #ba years of  
age2 and  7,c7 by adding at the end the 
following paragraph3  7#e7 7,a7         
,notwithstanding any other provision of 
law1 on and after the date that is #b   
years after the date of enactment of    
this paragraph1 a ,state shall provide  
medical assistance under this title to  

any individual residing or present in   
the ,united ,states who is eligible for 
medical assistance under section        
#aijb7;a77#aj77;,a77i77,x71 without     
regard to whether the individual is     
lawfully residing or lawfully present in
 the ,united ,states4  7,b7 ,no debt    
shall accrue under an affidavit of      
support against any sponsor of an       
individual provided medical assistance  
in accordance with subparagraph 7,a7 and
 the cost of such assistance shall not  
be considered as an unreimbursed cost4  
4  7#b7 ,conforming amendments  7,a7    
,section #aacg7;f7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#g7;f77 is amended by inserting 
or to individuals who are eligible for  
medical assistance under section        
#aijb7;a77#aj77;,a77i77,x7 and are      
provided such assistance in accordance  
with section #aijc7v77#e7 before the    
period4  7,b7 ,section #bajg7;e77#a77,o7
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acig;gg7e77#a77,o77 is       

amended by inserting who have attained  
age #ai or #bj after immigrant children4
  7,c7 ,section #djb7;b77#b7 of the     
,personal ,responsibility and ,work     
,opportunity ,reconciliation ,act of    
#aiif 7#h ,u4,s4,c4 #afab7;b77#b77 is   
amended by adding at the end the        
following3  7,h7 ,medicaid exception for
 children ,with respect to eligibility  
for benefits for the program defined in 
paragraph 7#c77;,c7 7relating to the    
,medicaid program71 section #dja7;a7 and
 paragraph 7#a7 shall not apply to any  
individual who has not attained #ai     
years of age4  4  7,d7 ,section #djc7;d7
 of the ,personal ,responsibility and   
,work ,opportunity ,reconciliation ,act 
of #aiif 7#h ,u4,s4,c4 #afac7;d77 is    
amended-- 7i7 by striking or at the end 
of paragraph 7#a72  7ii7 by striking the
 period at the end of paragraph 7#b7 and
 inserting 2 or2 and  7iii7 by adding at
 the end the following3  7#c7 an        
individual described in section         
#djb7;a77#b77;,h71 but only with respect

 to the program specified in subsection 
7b77#c77;,c7 of section #djb4  4  7,e7  
,section #dca7;b7 of the ,personal      
,responsibility and ,work ,opportunity  
,reconciliation ,act of #aiif 7#h       
,u4,s4,c4 #afda7;b77 is amended-- 7i7 by
 striking or at the end of paragraph    
7#g72  7ii7 by striking the period at   
the end of paragraph 7#h7 and inserting 
1 or2 and  7iii7 by adding at the end   
the following3  7#i7 an individual who  
has not attained #ai years of age1 but  
only with respect to the designated     
,federal program defined in section     
#djb7;b77#c77;,c7 7relating to the      
,medicaid program74  4  7f7 #ajj percent
 ,federal matching payments for medical 
assistance for children  7#a7 ,in       
general ,section #aije of the ,social   
,security ,act 7#db ,u4,s4,c4 #acif;d7  
is amended-- 7,a7 in subsection 7b71 by 
striking and 7ii7 and inserting 7ii71   
and 7jj72 and  7,b7 by adding at the end
 the following new subsection3  7jj7    
,enhanced ,,fmap for certain children   

,notwithstanding subsection 7b71        
beginning on the date that is #b years  
after the date of enactment of this     
subsection1 the ,federal medical        
assistance percentage shall be #ajj     
percent with respect to amounts expended
 by a ,state for medical assistance for 
individuals-- 7#a7 who are eligible for 
medical assistance under section        
#aijb7;a77#aj77;,a77i77,x72 and  7#b7   
who would not have been eligible for    
medical assistance for full benefits 7as
 defined in subsection 7y77#b77;,b77    
under the ,state plan under this title  
or a waiver of such plan as such plan or
 waiver was in effect on ,january #a1   
#bjbc4  4  7#b7 ,conforming amendment   
,section #ihag7;a77#a7 of the ,american 
,rescue ,plan ,act of #bjba 7,public    
,law #aag-b7 is amended by striking or  
7ii7 of section #aije and inserting     
7ii71 or 7jj7 of section #aije4  7g7    
,effective date ,except as otherwise    
provided1 the amendments made by this   
section shall take effect on the date of

 enactment of this ,act4