H.R. 1901

119th CONGRESS 1st Session

To amend title XXI of the Social Security Act to permanently extend the Children’s Health Insurance Program, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES · March 6, 2025 · Sponsor: Ms. Barragán · Committee: Committee on Energy and Commerce

H.R. 1901

SEC. 1. Short title

This Act may be cited as the or the .

SEC. 2. Permanent extension of children’s health insurance program

(a) In general
- Section 2104(a)(28) of the Social Security Act () is amended to read as follows: 42 U.S.C. 1397dd(a)(28)
  - for fiscal year 2029 and each subsequent year, such sums as are necessary to fund allotments to States under subsections (c) and (m).
(b) Allotments
- (1) In general
  - Section 2104(m) of the Social Security Act () is amended— 42 U.S.C. 1397dd(m)
    - in paragraph (2)(B)(i), by striking , 2023, and 2029and inserting and 2023;
    - in paragraph (5)—
      - (i) by striking for a fiscal yearand inserting for a fiscal year before 2029; and
      - (ii) by striking 2023, or 2029and inserting or 2023;
    - in paragraph (7)—
      - (i) in subparagraph (A), by striking ; and
      - (ii) in the flush left matter at the end, by striking or fiscal year 2028and inserting fiscal year 2028, or a subsequent even-numbered fiscal year;
    - in paragraph (9)—
      - (i) by striking (10), or (11)and inserting or (10); and
      - (ii) by striking 2023, or 2029,and inserting or 2023; and
    - by striking paragraph (11).
- (2) Conforming amendment
  - Section 50101(b)(2) of the Bipartisan Budget Act of 2018 () is repealed. Public Law 115–123

SEC. 3. Permanent extensions of other programs and demonstration projects

(a) Pediatric quality measures program
- Section 1139A(i)(1) of the Social Security Act (42 U.S.C. 1320b–9a(i)(1)) is amended—
  - in subparagraph (D), by striking and at the end ;
  - in subparagraph (E), by striking the period at the end and insert a semicolon; and
    - for fiscal year 2030, $15,000,000 for the purpose of carrying out this section (other than subsections (e), (f), and (g)); and
    - for a subsequent fiscal year, the amount appropriated under this paragraph for the previous fiscal year, increased by the percentage increase in the consumer price index for all urban consumers (all items; United States city average) over such previous fiscal year, for the purpose of carrying out this section (other than subsections (e), (f), and (g)).
  - by adding at the end the following new subparagraphs:
(b) Express lane eligibility option
- Section 1902(e)(13) of the Social Security Act () is amended by striking subparagraph (I). 42 U.S.C. 1396a(e)(13)
(c) Assurance of affordability standard for children and families
- (1) In general
  - Section 2105(d)(3) of the Social Security Act () is amended— 42 U.S.C. 1397ee(d)(3)
    - in the paragraph heading, by striking ; and
    - in subparagraph (A), in the matter preceding clause (i)—
      - (i) by striking During the period that begins on the date of enactment of the Patient Protection and Affordable Care Act and ends on September 30, 2029and inserting Beginning on the date of the enactment of the Patient Protection and Affordable Care Act;
      - (ii) by striking During the period that begins on October 1, 2019, and ends on September 30, 2029and inserting Beginning on October 1, 2019; and
      - (iii) by striking The preceding sentences shall not be construed as preventing a State during any such periods fromand inserting The preceding sentences shall not be construed as preventing a State from.
- (2) Conforming amendments
  - Section 1902(gg)(2) of the Social Security Act () is amended— 42 U.S.C. 1396a(gg)(2)
    - in the paragraph heading, by striking ; and
    - by striking through September 30and all that follows through and inserting ends on September 30, 2029.
(d) Qualifying States option
- Section 2105(g)(4) of the Social Security Act () is amended— 42 U.S.C. 1397ee(g)(4)
  - in the paragraph heading, by striking and inserting ; and
  - in subparagraph (A), by striking for any of fiscal years 2009 through 2029and inserting for any fiscal year after fiscal year 2008.
(e) Outreach and enrollment program
- Section 2113 of the Social Security Act () is amended— 42 U.S.C. 1397mm
  - in subsection (a)—
    - in paragraph (1), by striking during the period of fiscal years 2009 through 2029and inserting , beginning with fiscal year 2009,;
    - in paragraph (2)—
      - (i) by striking 10 percent of such amountsand inserting 10 percent of such amounts for the period or the fiscal year for which such amounts are appropriated; and
      - (ii) by striking during such periodand inserting , during such period or such fiscal year,; and
    - in paragraph (3), by striking For the period of fiscal years 2024 through 2029, an amount equal to 10 percent of such amountsand inserting Beginning with fiscal year 2024, an amount equal to 10 percent of such amounts for the period or the fiscal year for which such amounts are appropriated; and
  - in subsection (g)—
    - by striking and $40,000,000and inserting $40,000,000; and
    - by inserting after the following: .
(f) Child enrollment contingency fund
- Section 2104(n) of the Social Security Act () is amended— 42 U.S.C. 1397dd(n)
  - in paragraph (2)—
    - in subparagraph (A)(ii)—
      - (i) by striking and 2024 through 2028and inserting beginning with fiscal year 2024; and
      - (ii) by striking 2023, and 2029and inserting , and 2023; and
    - in subparagraph (B)—
      - (i) by striking 2024 through 2028and inserting beginning with fiscal year 2024; and
      - (ii) by striking 2023, and 2029and inserting , and 2023; and
  - in paragraph (3)(A)—
    - by striking fiscal years 2024 through 2028and inserting fiscal year 2024 or any subsequent fiscal year; and
    - by striking 2023, or 2029and inserting , or 2023.

SEC. 4. State option to increase children’s eligibility for medicaid and chip

Section 2110(b)(1)(B)(ii) of the Social Security Act () is amended— 42 U.S.C. 1397jj(b)(1)(B)(ii)
- in subclause (II), by striking or at the end;
- in subclause (III), by striking at the end and inserting or; and
  - at the option of the State, whose family income exceeds the maximum income level otherwise established for children under the State child health plan as of the date of the enactment of this subclause; and
- by inserting after subclause (III) the following new subclause:

H.R. 1901

Table of contents

SEC. 1. Short title

SEC. 2. Permanent extension of children’s health insurance program

SEC. 3. Permanent extensions of other programs and demonstration projects

SEC. 4. State option to increase children’s eligibility for medicaid and chip