As revised by section 10203(d) of the Senate Manager’s Amendment, extends the current CHIP authorization through September 30, 2015.
As revised by section 10203(c)(1) of the Senate Manager’s Amendment, for the period beginning October 1, 2015 through September 30, 2019 (FYs 2016-2019), provides for an increased FMAP to states under CHIP (increased by 23% relative to the state’s applicable FMAP but not to exceed 100%).
Also delineates certain MOE requirements, which were subject to revisions at section 10203(c)(2)(A) of the Senate Manager’s Amendment, such that, effective March 23, 2010 through September 30, 2019, states must maintain income eligibility standards for children. Includes some nuances to the application of the MOE requirements such that, beginning after September 30, 2015, states may transition eligible children to the Exchange provided such plan has been certified by the Secretary of HHS. Towards this end, the provision outlines certain assurances of Exchange coverage for targeted low-income children unable to be provided CHIP coverage as a result of funding shortfalls such that these children would be enrolled in a Secretarial-approved QHP, which as revised by section 10203(c)(2)(C) of the Senate Manager’s Amendment, must provide pediatric services (and cost-sharing protections) that are comparable with the respective state’s CHIP.
As revised by section 1004(b)(2)(A) of the HCERA, applies the transition to the MAGI-based income eligibility criteria under Medicaid also to CHIP. Provides that children determined ineligible under Medicaid or a waiver thereof as a result of the elimination of the application of an income disregard (i.e., under the shift to MAGI) be deemed eligible for CHIP, subject to certain requirements.
Applies the provision pertaining to streamlined enrollment system requirements (at section 1413 for the Exchange and section 2201 for Medicaid) to CHIP.
Provides for no enrollment bonus payments for increased enrollment of children in CHIP after October 1, 2013.
As revised by section 10203(d) of the Senate Manager’s Amendment, appropriates funding for CHIP for FY 2013-2015 ($17.4 billion in FY 2013; $19.1 billion in FY 2014; and 2 semiannual allotments of $2.85 billion each plus a separate $15.3 billion appropriation in FY 2015), along re-basing requirements for certain specified FYs. Also increases CHIPRA outreach and enrollment performance bonuses by $40 million over the FY 2009-2014 period