,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bhaf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #ad1         
#bjbc,mr4 ,casey introduc$ ! foll[+     
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xix ( ! ,social ,security  
,act to make all *ildr5 eligible =      
,m$icaid f bir? until age #ai1 to       
require ,/ates to automatically enroll  
*ildr5 "u age #ai 9 ! ,/ate ,m$icaid    
program1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,m$icaid
 = ,e ,*ild ,act4  #b4 ,m$icaid = e *ild
 f bir? to age #ai  7a7 ,9 g5]al        
,section #aijb7;a77#aj77;,a77i7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#aj77;,a77i77 is am5d$-- 7#a7
 by /rik+ or at ! end ( subclause       
7,,viii72  7#b7 9 subclause 7,,ix77dd71 
by ins]t+ or at ! end2 &  7#c7 by add+  
at ! end ! foll[+ new subclause3  7,x7  
beg9n+ on ! date t is #b ye>s aft] !    
date ( enactm5t ( ?is subclause1 :o are 
individuals :o h n atta9$ #ai ye>s (    

age2  4  7b7 ,automatic enrollm5t  7#a7 
,9 g5]al ,section #aijb7;e7 ( ! ,social 
,security ,act is am5d$ by /rik+        
p>agraph 7#d7 & ins]t+ ! foll[+3  7#d7  
,automatic enrollm5t ( *ildr5  7,a7 ,9  
g5]al ,any *ild born 9 a ,/ate on or    
aft] ! date t is #b ye>s aft] ! date (  
enactm5t ( ! ,m$icaid = ,e ,*ild ,act   
%all be consid]$ to h appli$ = m$ical   
assi/ance "u ! ,/ate plan & %all be     
automatically enroll$ = su* assi/ance on
 ! date ( _! bir?4  7,b7 ,notification  
requirem5t ,! ,/ate %all in=m ! p>5t1   
gu>dian1 or cu/odial relative ( a *ild  
:o is automatically enroll$ 9 ! ,/ate   
plan "u subp>agraph 7,a7 ( ! s]vices t w
 be cov]$1 appropriate me?ods = us+ su* 
s]vices1 m$ical support obligations 7"u 
section #aiab7;a77 creat$ by enrollm5t  
7if applicable71 ! actions ! p>5t1      
gu>dian1 or relative mu/ take 7if any7  
to ma9ta9 enrollm5t1 & ! actions ! p>5t1
 gu>dian or relative may take to        
dis5roll ! *ild4  7,c7 ,opt-out if o!r  
cov]age is available ,! ,/ate %all      

e/abli% a process to all[ ! p>5t1       
gu>dian1 or cu/odial relative ( a *ild  
:o is automatically enroll$ 9 ! ,/ate   
plan "u subp>agraph 7,a7 to dis5roll !  
*ild f ! ,/ate plan ?r\gh affirmation 9 
writ+ if ! *ild is enroll$ 9 o!r heal?  
b5efits cov]age t-- 7i7 at a m9imum1    
provides ! ess5tial heal? b5efits def9$ 
by ! ,secret>y "u section #acjb7;b7 ( ! 
,pati5t ,protection & ,af=dable ,c>e    
,act2 &  7ii7 meets su* o!r requirem5ts 
z ! ,secret>y det]m9es appropriate4  4  
7#b7 ,effective date ,! am5dm5t made by 
?is section %all take effect on ! date t
 is #b ye>s aft] ! date ( enactm5t ( ?is
 ,act4  7c7 ,cont9u\s eligibility  7#a7 
,9 g5]al ,section #aijb7;e77#ab7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7e77#ab771 z am5d$ by section    
#eaab7;a7 ( division ,,ff ( ,public ,law
 #aag-cbh1 is am5d$-- 7,a7 by /rik+     
subp>agraph 7,a72 &  7,b7 by r$esignat+ 
subp>agraphs 7,b7 & 7,c7 z subp>agraphs 
7,a7 & 7,b74  7#b7 ,effective date ,!   
am5dm5ts made by ?is section %all take  

effect on ! date t is #b ye>s aft] !    
date ( enactm5t ( ?is ,act4  7d7        
,exclusion f def9ition ( m9imum ess5tial
 cov]age ,section #cf;,b7c77#b7 ( !     
,int]nal ,rev5ue ,code ( #aihf is am5d$ 
by add+ at ! end ! foll[+ new           
subp>agraph3  7,d7 ,treatm5t ( c]ta9    
cov]age "u ! ,m$icaid program ,=        
purposes ( subp>agraph 7,b71 an         
individual %all n be treat$ z eligible =
 m9imum ess5tial cov]age if-- 7i7 su*   
cov]age consi/s ( eligibility = m$ical  
assi/ance "u a ,/ate ,m$icaid program "u
 section #aijb7;a77#aj77;,a77i77,x7 ( ! 
,social ,security ,act2 &  7ii7 !       
individual is n enroll$ 9 su* a program 
= su* m$ical assi/ance4  4  7e7 ,cov]age
 ( *ildr5 )\t reg>d to immigration /atus
  7#a7 ,9 g5]al ,section #aijc7v7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7v77 is am5d$-- 7,a7 9 p>agraph  
7#a71 by /rik+ & 7#d7 & ins]t+ 1 7#d71 &
 7#e72  7,b7 9 p>agraph 7#d77;,a77ii7-- 
7i7 9 ! clause head]1 by ins]t+ ag$ #ai 
to #bj aft] ,*ildr52 &  7ii7 by ins]t+  

:o h atta9$ #ai ye>s ( age b are be=e "u
 #ba ye>s ( age2 &  7,c7 by add+ at !   
end ! foll[+ p>agraph3  7#e7 7,a7       
,not)/&+ any o!r provision ( law1 on &  
aft] ! date t is #b ye>s aft] ! date (  
enactm5t ( ?is p>agraph1 a ,/ate %all   
provide m$ical assi/ance "u ?is title to
 any individual resid+ or pres5t 9 !    
,unit$ ,/ates :o is eligible = m$ical   
assi/ance "u section                    
#aijb7;a77#aj77;,a77i77,x71 )\t reg>d to
 :e!r ! individual is lawfully resid+ or
 lawfully pres5t 9 ! ,unit$ ,/ates4     
7,b7 ,no debt %all accrue "u an         
affidavit ( support aga9/ any sponsor ( 
an individual provid$ m$ical assi/ance 9
 accordance ) subp>agraph 7,a7 & ! co/ (
 su* assi/ance %all n be consid]$ z an  
unreimburs$ co/4  4  7#b7 ,con=m+       
am5dm5ts  7,a7 ,section #aacg7;f7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;b-#g7;f77 is am5d$ by ins]t+ or to
 individuals :o are eligible = m$ical   
assi/ance "u section                    
#aijb7;a77#aj77;,a77i77,x7 & are provid$

 su* assi/ance 9 accordance ) section   
#aijc7v77#e7 be=e ! p]iod4  7,b7        
,section #bajg7;e77#a77,o7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acig;gg7e77#a77,o77 is am5d$ by ins]t+ 
:o h atta9$ age #ai or #bj aft]         
immigrant *ildr54  7,c7 ,section        
#djb7;b77#b7 ( ! ,p]sonal               
,responsibility & ,"w ,opportunity      
,reconciliation ,act ( #aiif 7#h        
,u4,s4,c4 #afab7;b77#b77 is am5d$ by    
add+ at ! end ! foll[+3  7,h7 ,m$icaid  
exception = *ildr5 ,) respect to        
eligibility = b5efits = ! program def9$ 
9 p>agraph 7#c77;,c7 7relat+ to !       
,m$icaid program71 section #dja7;a7 &   
p>agraph 7#a7 %all n apply to any       
individual :o has n atta9$ #ai ye>s (   
age4  4  7,d7 ,section #djc7;d7 ( !     
,p]sonal ,responsibility & ,"w          
,opportunity ,reconciliation ,act (     
#aiif 7#h ,u4,s4,c4 #afac7;d77 is       
am5d$-- 7i7 by /rik+ or at ! end (      
p>agraph 7#a72  7ii7 by /rik+ ! p]iod at
 ! end ( p>agraph 7#b7 & ins]t+ 2 or2 & 

7iii7 by add+ at ! end ! foll[+3  7#c7  
an individual describ$ 9 section        
#djb7;a77#b77;,h71 b only ) respect to !
 program specifi$ 9 subsection          
7b77#c77;,c7 ( section #djb4  4  7,e7   
,section #dca7;b7 ( ! ,p]sonal          
,responsibility & ,"w ,opportunity      
,reconciliation ,act ( #aiif 7#h        
,u4,s4,c4 #afda7;b77 is am5d$-- 7i7 by  
/rik+ or at ! end ( p>agraph 7#g72  7ii7
 by /rik+ ! p]iod at ! end ( p>agraph   
7#h7 & ins]t+ 1 or2 &  7iii7 by add+ at 
! end ! foll[+3  7#i7 an individual :o  
has n atta9$ #ai ye>s ( age1 b only )   
respect to ! designat$ ,f$]al program   
def9$ 9 section #djb7;b77#c77;,c7       
7relat+ to ! ,m$icaid program74  4  7f7 
#ajj p]c5t ,f$]al mat*+ paym5ts = m$ical
 assi/ance = *ildr5  7#a7 ,9 g5]al      
,section #aije ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 
7,a7 9 subsection 7b71 by /rik+ & 7ii7 &
 ins]t+ 7ii71 & 7jj72 &  7,b7 by add+ at
 ! end ! foll[+ new subsection3  7jj7   
,enhanc$ ,,fmap = c]ta9 *ildr5 ,not)/&+ 

subsection 7b71 beg9n+ on ! date t is #b
 ye>s aft] ! date ( enactm5t ( ?is      
subsection1 ! ,f$]al m$ical assi/ance   
p]c5tage %all be #ajj p]c5t ) respect to
 am\nts exp5d$ by a ,/ate = m$ical      
assi/ance = individuals-- 7#a7 :o are   
eligible = m$ical assi/ance "u section  
#aijb7;a77#aj77;,a77i77,x72 &  7#b7 :o  
w\ld n h be5 eligible = m$ical assi/ance
 = full b5efits 7z def9$ 9 subsection   
7y77#b77;,b77 "u ! ,/ate plan "u ?is    
title or a waiv] ( su* plan z su* plan  
or waiv] 0 9 effect on ,janu>y #a1      
#bjbc4  4  7#b7 ,con=m+ am5dm5t ,section
 #ihag7;a77#a7 ( ! ,am]ican ,rescue     
,plan ,act ( #bjba 7,public ,law #aag-b7
 is am5d$ by /rik+ or 7ii7 ( section    
#aije & ins]t+ 7ii71 or 7jj7 ( section  
#aije4  7g7 ,effective date ,except z   
o!rwise provid$1 ! am5dm5ts made by ?is 
section %all take effect on ! date (    
enactm5t ( ?is ,act4