Summary

Makes enhanced federal funding for the Children’s Health Insurance Program (CHIP) permanent beginning in fiscal year 2029, converts several time-limited CHIP and Medicaid provisions into ongoing authorities, and creates a CPI-indexed annual appropriation for the pediatric quality measures program beginning in FY2030. The bill also removes one express‑lane eligibility option and gives states an explicit option to cover children whose family income exceeds the State plan’s existing maximum income level.

Key Points

• Permanently authorizes enhanced federal funding for CHIP starting in fiscal year 2029.
• Revises allotment formulas and removes 2029‑terminal references so CHIP rules continue past 2029.
• Establishes $15 million for FY2030 for the pediatric quality measures program, then CPI‑indexed annual increases.
• Converts multiple time-limited CHIP and Medicaid provisions into ongoing authorities.
• Removes one express lane eligibility provision from Medicaid law.
• Allows states, at their option, to cover children with family incomes above the State plan’s existing maximum.
• Updates outreach, enrollment, and child enrollment contingency fund timing to be ongoing beginning FY2024 or earlier as specified.
• Makes technical and cross‑reference fixes across Title XIX and Title XXI to reflect permanent changes.

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