United States HR 4641: Keep Kids Covered Act

Bill Text

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119TH CONGRESS
1ST SESSION H. R. 4641
To amend titles XIX and XXI of the Social Security Act to provide for
continuous eligibility for certain children under the Medicaid program
and the Children’s Health Insurance Program.
IN THE HOUSE OF REPRESENTATIVES
JULY 23, 2025
Ms. CASTOR of Florida (for herself, Mr. TRAN, Ms. SCHRIER, Mr. RUIZ, Mr.
VEASEY, Ms. BARRAGA ́N, Mrs. FLETCHER, Mr. LANDSMAN, Ms. SCHA-
KOWSKY, Ms. MCCLELLAN, Mr. SOTO, Mr. CARTER of Louisiana, Ms.
MATSUI, and Mrs. TRAHAN) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce
A BILL
To amend titles XIX and XXI of the Social Security Act
to provide for continuous eligibility for certain children
under the Medicaid program and the Children’s Health
Insurance Program.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be cited as the ‘‘Keep Kids Covered 4
Act’’. 5
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SEC. 2. REQUIRING STATES TO PROVIDE FOR CONTINUOUS 1
ELIGIBILITY FOR CHILDREN UNDER MED-2
ICAID AND CHIP. 3
(a) CONTINUOUS ELIGIBILITY FOR DEEMED 4
NEWBORNS UNTIL AGE 6.— 5
(1) MEDICAID.—Section 1902(e)(4) of the So-6
cial Security Act (42 U.S.C. 1396a(e)(4)) is amend-7
ed by striking ‘‘one year’’ and inserting ‘‘6 years’’. 8
(2) CHIP.—Section 2112(e) of the Social Secu-9
rity Act (42 U.S.C. 1397ll(e)) is amended by strik-10
ing ‘‘1 year of age’’ and inserting ‘‘6 years of age 11
(except that such a child who is enrolled under the 12
State child health plan or waiver may be transferred 13
to the Medicaid program under title XIX for the re-14
maining duration of the 6-year continuous eligibility 15
period, if the child becomes eligible for full benefits 16
under title XIX during such period)’’. 17
(b) CONTINUOUS ELIGIBILITY FOR CHILDREN 18
UNDER AGE 19 AND FORMER FOSTER YOUTH.— 19
(1) MEDICAID.—Section 1902(e)(12) of the So-20
cial Security Act (42 U.S.C. 1396a(e)(12)) is 21
amended— 22
(A) in the paragraph heading, by striking 23
‘‘1 YEAR OF CONTINUOUS’’ and inserting ‘‘CON-24
TINUOUS’’; 25
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(B) in the text preceding subparagraph 1
(A), by inserting ‘‘has attained the age of 6 2
and’’ after ‘‘an individual who’’; 3
(C) in subparagraph (A), by striking ‘‘the 4
12-month period’’ and inserting ‘‘the 24-month 5
period’’; 6
(D) by redesignating subparagraphs (A) 7
through (C) as clauses (i) through (iii), respec-8
tively, and adjusting the margins accordingly; 9
(E) by striking ‘‘The State plan’’ and in-10
serting: 11
‘‘(A) CHILDREN UNDER AGE 6.—The State 12
plan (or waiver of such State plan) shall pro-13
vide that an individual who is under the age of 14
6 and who is determined to be eligible for bene-15
fits under a State plan (or waiver of such plan) 16
approved under this title under subsection 17
(a)(10)(A) shall remain eligible for such bene-18
fits until the earlier of— 19
‘‘(i) the time that such individual at-20
tains the age of 6; or 21
‘‘(ii) the date that such individual 22
ceases to be a resident of such State. 23
‘‘(B) CHILDREN AGES 6 THROUGH 18.— 24
The State plan’’; and 25
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(F) by adding at the end the following new 1
subparagraph: 2
‘‘(C) FORMER FOSTER YOUTH.—The State 3
plan (or waiver of such State plan) shall pro-4
vide that an individual who is determined to be 5
eligible for benefits under a State plan (or waiv-6
er of such plan) approved under this title under 7
subsection (a)(10)(A)(i)(IX) shall remain eligi-8
ble for such benefits until the earlier of— 9
‘‘(i) the time that such individual at-10
tains the age of 26; or 11
‘‘(ii) the date that such individual 12
ceases to be a resident of such State.’’. 13
(2) CHIP.—Section 2107(e)(1)(L) of the Social 14
Security Act (42 U.S.C. 1397gg(e)(1)(L)), as redes-15
ignated by section 71103(b)(1) of Public Law 119– 16
21, is amended— 17
(A) by striking ‘‘1 year of’’; and 18
(B) by striking ‘‘12-month’’ and inserting 19
‘‘applicable’’. 20
(c) UPDATING CONTACT INFORMATION DURING 21
CONTINUOUS ELIGIBILITY PERIOD.— 22
(1) MEDICAID.—Section 1902(a) of the Social 23
Security Act (42 U.S.C. 1396a(a)), as amended by 24
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sections 71103(a)(1) and 71104 of Public Law 119– 1
21, is amended— 2
(A) in paragraph (88), by striking ‘‘and’’ 3
at the end; 4
(B) in paragraph (89), by striking the pe-5
riod at the end and inserting ‘‘; and’’; and 6
(C) by inserting a