H.R. 1901 — CHIPP Act

This section permanently extends mandatory funding for state allotments under the Children's Health Insurance Program (CHIP)—which provides federal matching funds to states for health coverage of uninsured children in families with incomes above Medicaid eligibility limits—for FY2029 and each subsequent fiscal year at such sums as are necessary (from $15.3 billion for FY2029 via two semi-annual allotments of $7.65 billion each). It also revises CHIP allotment redistribution rules under subsection (m) to apply indefinitely by (1) removing all FY2029 expiration references, (2) extending even-numbered fiscal year provisions permanently, and (3) deleting paragraph (11) and repealing a conforming amendment from the Bipartisan Budget Act of 2018.

This section permanently extends several Medicaid and Children's Health Insurance Program (CHIP) provisions and programs, including the following: (1) Pediatric quality measures program by authorizing $15 million for FY2030 and, for subsequent fiscal years, the prior year's amount increased by the consumer price index for all urban consumers (all items; U.S. city average) (adds new subparagraphs to prior funding authorization); (2) Express Lane eligibility option by striking its expiration provision (subparagraph (I)); (3) Assurance of affordability standards for CHIP premiums by removing the September 30, 2029, expiration date (previously through September 30, 2029, for periods beginning October 1, 2019); (4) Qualifying States option by extending eligibility for fiscal years after FY2008 (previously FY2009 through FY2029); (5) Outreach and enrollment grants by removing the FY2029 end date, adjusting funding allocation language, and authorizing $12 million for FY2030 and, for subsequent fiscal years, the prior year's amount increased by the consumer price index for all urban consumers (all items; U.S. city average) (previously through FY2029); and (6) Child enrollment contingency fund by extending availability beginning with FY2024 (previously FY2024 through FY2028) and for subsequent fiscal years.

This section expands the definition of targeted low-income child under the Children's Health Insurance Program (CHIP) to include, at state option, children whose family income exceeds the maximum income level otherwise established for children under the state child health plan as of enactment. (Thus, states may elect to provide CHIP coverage to children above their current income eligibility threshold.)