[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 195 Enrolled Bill (ENR)]
H.R.195
One Hundred Fifteenth Congress
of the
United States of America
AT THE SECOND SESSION
Begun and held at the City of Washington on Wednesday,
the third day of January, two thousand and eighteen
An Act
Making further continuing appropriations for the fiscal year ending
September 30, 2018, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
DIVISION A--FEDERAL REGISTER PRINTING SAVINGS ACT OF 2017
SECTION 1. SHORT TITLE.
This division may be cited as the ``Federal Register Printing
Savings Act of 2017''.
SEC. 2. RESTRICTIONS ON DISTRIBUTION OF FREE PRINTED COPIES OF FEDERAL
REGISTER TO MEMBERS OF CONGRESS AND FEDERAL EMPLOYEES.
(a) Restrictions.--Section 1506 of title 44, United States Code, is
amended--
(1) by striking ``The Administrative Committee'' and inserting
``(a) Composition; Duties.--The Administrative Committee'';
(2) in subsection (a)(4), by striking ``the number of copies''
and inserting ``subject to subsection (b), the number of copies'';
and
(3) by adding at the end the following new subsection:
``(b) Restrictions on Distribution of Free Printed Copies to
Members of Congress and Officers and Employees of the United States.--
``(1) Prohibiting subscription to printed copies without
request.--Under the regulations prescribed to carry out subsection
(a)(4), the Director of the Government Publishing Office may not
provide a printed copy of the Federal Register without charge to
any Member of Congress or any other office of the United States
during a year unless--
``(A) the Member or office requests a printed copy of a
specific issue of the Federal Register; or
``(B) during that year or during the previous year, the
Member or office requested a subscription to printed copies of
the Federal Register for that year, as described in paragraph
(2).
``(2) Administration of subscriptions.--The regulations
prescribed to carry out subsection (a)(4) shall include--
``(A) provisions regarding notifications to offices of
Members of Congress and other offices of the United States of
the restrictions of paragraph (1);
``(B) provisions describing the process by which Members
and other offices may request a specific issue of the Federal
Register for purposes of paragraph (1)(A); and
``(C) provisions describing the process by which Members
and other offices may request a subscription to the Federal
Register for purposes of paragraph (1)(B), except that such
regulations shall limit the period for such a subscription to
not longer than 1 year.''.
(b) Effective Date.--The amendment made by subsection (a) shall
take effect January 1, 2018.
DIVISION B--EXTENSION OF CONTINUING APPROPRIATIONS ACT, 2018
Sec. 2001. The Continuing Appropriations Act, 2018 (division D of
Public Law 115-56) is amended--
(1) by striking the date specified in section 106(3) and
inserting ``February 8, 2018''; and
(2) by adding after section 147 the following:
``Sec. 148. Funds appropriated by the Department of Defense
Missile Defeat and Defense Enhancements Appropriations Act, 2018
(division B of Public Law 115-96) may be obligated and expended
notwithstanding section 504(a)(1) of the National Security Act of 1947
(50 U.S.C. 3094(a)(1)).
``Sec. 149. Amounts made available by section 101 for `Department
of Agriculture--Food and Nutrition Service--Child Nutrition Programs'
to carry out section 749(g) of the Agriculture Appropriations Act of
2010 (Public Law 111-80) may be apportioned up to the rate for
operations necessary to ensure that the program can be fully
operational by May 2018.
``Sec. 150. Amounts made available by section 101 for `National
Aeronautics and Space Administration--Exploration' may be apportioned
up to the rate for operations necessary to maintain the planned launch
capability schedules for the Space Launch System launch vehicle,
Exploration Ground Systems, and Orion Multi-Purpose Crew Vehicle
programs.
``Sec. 151. Amounts made available by section 101 for `Department
of Energy--Energy Programs--Office of the Inspector General' may be
apportioned up to the rate for operations necessary to sustain staffing
levels achieved on June 30, 2017.
``Sec. 152. Amounts made available by section 101 for `Small
Business Administration--Business Loans Program Account' may be
apportioned up to the rate for operations necessary to accommodate
increased demand for commitments for general business loans authorized
under section 7(a) of the Small Business Act (15 U.S.C. 636(a)).
``Sec. 153. For 2018, the Secretary of Housing and Urban
Development may make temporary adjustments to the Section 8 housing
choice voucher annual renewal funding allocations and administrative
fee eligibility determinations for public housing agencies in an area
for which the President declared a disaster in 2017 or 2018 under title
IV of the Robert T. Stafford Disaster Relief and Emergency Assistance
Act (42 U.S.C. 5170 et seq.), to avoid significant adverse funding
impacts that would otherwise result from the disaster and that would
otherwise prevent a public housing agency from leasing up to its
authorized level of units under contract (but not to exceed such
level), upon request by and in consultation with a public housing
agency and supported by documentation as required by the Secretary that
demonstrates the need for the adjustment.
``Sec. 154. (a) Employees furloughed as a result of any lapse in
appropriations which begins on or about January 20, 2018, shall be
compensated at their standard rate of compensation, for the period of
such lapse in appropriations, as soon as practicable after such lapse
in appropriations ends.
``(b) For purposes of this section, `employee' means:
``(1) a federal employee;
``(2) an employee of the District of Columbia Courts;
``(3) an employee of the Public Defender Service for the
District of Columbia; or
``(4) a District of Columbia Government employee.
``(c) All obligations incurred in anticipation of the
appropriations made and authority granted by this division for the
purposes of maintaining the essential level of activity to protect life
and property and bringing about orderly termination of Government
functions, and for purposes as otherwise authorized by law, are hereby
ratified and approved if otherwise in accord with the provisions of
this division.
``Sec. 155. (a) If a State (or another Federal grantee) used State
funds (or the grantee's non-Federal funds) to continue carrying out a
Federal program or furloughed State employees (or the grantee's
employees) whose compensation is advanced or reimbursed in whole or in
part by the Federal Government--
``(1) such furloughed employees shall be compensated at their
standard rate of compensation for such period;
``(2) the State (or such other grantee) shall be reimbursed for
expenses that would have been paid by the Federal Government during
such period had appropriations been available, including the cost
of compensating such furloughed employees, together with interest
thereon calculated under section 6503(d) of title 31, United States
Code; and
``(3) the State (or such other grantee) may use funds available
to the State (or the grantee) under such Federal program to
reimburse such State (or the grantee), together with interest
thereon calculated under section 6503(d) of title 31, United States
Code.
``(b) For purposes of this section, the term `State' and the term
`grantee' shall have the meaning as such term is defined under the
applicable Federal program under subsection (a). In addition, `to
continue carrying out a Federal program' means the continued
performance by a State or other Federal grantee, during the period of a
lapse in appropriations, of a Federal program that the State or such
other grantee had been carrying out prior to the period of the lapse in
appropriations.
``(c) The authority under this section applies with respect to any
period in fiscal year 2018 (not limited to periods beginning or ending
after the date of the enactment of this division) during which there
occurs a lapse in appropriations with respect to any department or
agency of the Federal Government which, but for such lapse in
appropriations, would have paid, or made reimbursement relating to, any
of the expenses referred to in this section with respect to the program
involved. Payments and reimbursements under this authority shall be
made only to the extent and in amounts provided in advance in
appropriations Acts.''.
Sec. 2002. The Further Additional Continuing Appropriations Act,
2018 (division A of Public Law 115-96) is amended by striking section
1002.
Sec. 2003. For the purposes of division D of Public Law 115-56,
the time covered by such division shall be considered to include the
period which began on or about January 20, 2018, during which there
occurred a lapse in appropriations.
This division may be cited as the ``Extension of Continuing
Appropriations Act, 2018''.
DIVISION C--HEALTHY KIDS ACT
SEC. 3001. SHORT TITLE.
This division may be cited as the ``Helping Ensure Access for
Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery
Stable Act'' or the ``HEALTHY KIDS Act''.
SEC. 3002. SIX-YEAR FUNDING EXTENSION OF THE CHILDREN'S HEALTH
INSURANCE PROGRAM.
(a) Funding.--
(1) In general.--Section 2104(a) of the Social Security Act (42
U.S.C. 1397dd(a)), as amended by section 3201(a) of the CHIP and
Public Health Funding Extension Act (division C of Public Law 115-
96), is amended--
(A) in paragraph (20)(B), by striking ``; and'' and
inserting a semicolon;
(B) by striking paragraph (21) and inserting the following
new paragraphs:
``(21) for fiscal year 2018, $21,500,000,000;
``(22) for fiscal year 2019, $22,600,000,000;
``(23) for fiscal year 2020, $23,700,000,000;
``(24) for fiscal year 2021, $24,800,000,000;
``(25) for fiscal year 2022, $25,900,000,000; and
``(26) for fiscal year 2023, for purposes of making two semi-
annual allotments--
``(A) $2,850,000,000 for the period beginning on October 1,
2022, and ending on March 31, 2023; and
``(B) $2,850,000,000 for the period beginning on April 1,
2023, and ending on September 30, 2023.''.
(2) Prevention of duplicate appropriations for fiscal year
2018.--Notwithstanding any other provision of law, insofar as funds
have been appropriated under subsection (a)(21) of section 2104 of
the Social Security Act (42 U.S.C. 1397dd), as such subsection is
in effect on the day before the date of the enactment of this Act,
to provide allotments to States under the State Children's Health
Insurance Program established under title XXI of the Social
Security Act (42 U.S.C. 1397aa et seq.) (whether implemented under
title XIX, XXI, or both, of the Social Security Act) for fiscal
year 2018--
(A) any amounts that are so appropriated that are not so
allotted and obligated before the date of the enactment of this
Act, are rescinded; and
(B) any amount provided for CHIP allotments to a State
under this section (and the amendments made by this section)
for such fiscal year shall be reduced by the amount of such
appropriations so allotted and obligated before such date.
(b) Allotments.--
(1) In general.--Section 2104(m) of the Social Security Act (42
U.S.C. 1397dd(m)), as amended by section 3201(b) of the CHIP and
Public Health Funding Extension Act (division C of Public Law 115-
96), is amended--
(A) in paragraph (2)(B)--
(i) in the matter preceding clause (i), by striking
``(19)'' and inserting ``(25)'';
(ii) in clause (i), by striking ``and 2017'' and
inserting ``, 2017, and 2023''; and
(iii) in clause (ii)--
(I) in the matter preceding subclause (I), by
striking ``and paragraph (10)''; and
(II) in subclause (I), by inserting ``(or, in the
case of fiscal year 2018, under paragraph (4))'' after
``clause (i)'';
(B) in paragraph (5), by striking ``2018'' and inserting
``2023'';
(C) in paragraph (7)--
(i) in subparagraph (A), by striking ``2017'' and
inserting ``2023'';
(ii) in subparagraph (B), in the matter preceding
clause (i), by inserting ``(or, in the case of fiscal year
2018, by not later than the date that is 60 days after the
date of the enactment of the HEALTHY KIDS Act)'' after
``before the August 31 preceding the beginning of the
fiscal year''; and
(iii) in the matter following subparagraph (B), by
striking ``or fiscal year 2016'' and inserting ``fiscal
year 2016, fiscal year 2018, fiscal year 2020, or fiscal
year 2022'';
(D) in paragraph (9), by striking ``2018'' and inserting
``2023''; and
(E) by amending paragraph (10) to read as follows:
``(10) For fiscal year 2023.--
``(A) First half.--Subject to paragraphs (5) and (7), from
the amount made available under subparagraph (A) of paragraph
(26) of subsection (a) for the semi-annual period described in
such subparagraph, increased by the amount of the appropriation
for such period under section 3002(b)(2) of the HEALTHY KIDS
Act, the Secretary shall compute a State allotment for each
State (including the District of Columbia and each commonwealth
and territory) for such semi-annual period in an amount equal
to the first half ratio (described in subparagraph (D)) of the
amount described in subparagraph (C).
``(B) Second half.--Subject to paragraphs (5) and (7), from
the amount made available under subparagraph (B) of paragraph
(26) of subsection (a) for the semi-annual period described in
such subparagraph, the Secretary shall compute a State
allotment for each State (including the District of Columbia
and each commonwealth and territory) for such semi-annual
period in an amount equal to the amount made available under
such subparagraph, multiplied by the ratio of--
``(i) the amount of the allotment to such State under
subparagraph (A); to
``(ii) the total of the amount of all of the allotments
made available under such subparagraph.
``(C) Full year amount based on rebased amount.--The amount
described in this subparagraph for a State is equal to the
Federal payments to the State that are attributable to (and
countable towards) the total amount of allotments available
under this section to the State in fiscal year 2022 (including
payments made to the State under subsection (n) for fiscal year
2022 as well as amounts redistributed to the State in fiscal
year 2022), multiplied by the allotment increase factor under
paragraph (6) for fiscal year 2023.
``(D) First half ratio.--The first half ratio described in
this subparagraph is the ratio of--
``(i) the sum of--
``(I) the amount made available under subsection
(a)(26)(A); and
``(II) the amount of the appropriation for such
period under section 3002(b)(2) of the HEALTHY KIDS
Act; to
``(ii) the sum of--
``(I) the amount described in clause (i); and
``(II) the amount made available under subsection
(a)(26)(B).''.
(2) One-time appropriation for fiscal year 2023.--There is
appropriated to the Secretary of Health and Human Services, out of
any money in the Treasury not otherwise appropriated,
$20,200,000,000 to accompany the allotment made for the period
beginning on October 1, 2022, and ending on March 31, 2023, under
paragraph (26)(A) of section 2104(a) of the Social Security Act (42
U.S.C. 1397dd(a)) (as added by subsection (a)), to remain available
until expended. Such amount shall be used to provide allotments to
States under paragraph (10) of section 2104(m) of such Act (as
added by paragraph (1)) for the first 6 months of fiscal year 2023
in the same manner as allotments are provided under subsection
(a)(26)(A) of such section 2104 and subject to the same terms and
conditions as apply to the allotments provided from such subsection
(a)(26)(A).
(c) Extension of the Child Enrollment Contingency Fund.--Section
2104(n) of the Social Security Act (42 U.S.C. 1397dd(n)) is amended--
(1) in paragraph (2)--
(A) in subparagraph (A)(ii)--
(i) by striking ``2010, 2011, 2012, 2013, 2014, and
2016'' and inserting ``2010 through 2014, 2016, and 2018
through 2022''; and
(ii) by striking ``fiscal year 2015 and fiscal year
2017'' and inserting ``fiscal years 2015, 2017, and 2023'';
and
(B) in subparagraph (B)--
(i) by striking ``2010, 2011, 2012, 2013, 2014, and
2016'' and inserting ``2010 through 2014, 2016, and 2018
through 2022''; and
(ii) by striking ``fiscal year 2015 and fiscal year
2017'' and inserting ``fiscal years 2015, 2017, and 2023'';
and
(2) in paragraph (3)(A), in the matter preceding clause (i), by
striking ``or a semi-annual allotment period for fiscal year 2015
or 2017'' and inserting ``or in any of fiscal years 2018 through
2022 (or a semi-annual allotment period for fiscal year 2015, 2017,
or 2023)''.
(d) Extension of Qualifying States Option.--
(1) In general.--Section 2105(g)(4) of the Social Security Act
(42 U.S.C. 1397ee(g)(4)) is amended--
(A) in the heading, by striking ``through 2017'' and
inserting ``through 2023''; and
(B) in subparagraph (A), by striking ``2017'' and inserting
``2023''.
(2) Technical amendments.--Section 2104(f)(2)(B)(ii) of the
Social Security Act (42 U.S.C. 1397dd(f)(2)(B)(ii)), as amended by
section 3201(c) of the CHIP and Public Health Funding Extension Act
(division C of Public Law 115-96), is amended--
(A) in subclause (I), by striking ``for the month (as
defined in subclause (II))'' and inserting ``(as defined in
subclause (II)) for the month'';
(B) in subclause (II), by inserting ``, as in effect on the
day before the date of the enactment of the HEALTHY KIDS Act,''
after ``section 2105(g)(4)(A)''; and
(C) in subclause (VI)--
(i) by inserting ``, as in effect on the day before the
date of the enactment of the HEALTHY KIDS Act'' after ``,
section 2105(g)(4)''; and
(ii) by inserting ``, as so in effect'' after ``under
section 2105(g)(4)''.
(e) Extension of Express Lane Eligibility Option.--Section
1902(e)(13)(I) of the Social Security Act (42 U.S.C. 1396a(e)(13)(I))
is amended by striking ``2017'' and inserting ``2023''.
(f) Assurance of Affordability Standard for Children and
Families.--
(1) In general.--Section 2105(d)(3) of the Social Security Act
(42 U.S.C. 1397ee(d)(3)) is amended--
(A) in the paragraph heading, by striking ``until october
1, 2019'' and inserting ``through september 30, 2023''; and
(B) in subparagraph (A), in the matter preceding clause
(i)--
(i) by striking ``2019'' and inserting ``2023''; and
(ii) by striking ``The preceding sentence shall not be
construed as preventing a State during such period'' and
inserting ``During the period that begins on October 1,
2019, and ends on September 30, 2023, the preceding
sentence shall only apply with respect to children in
families whose income does not exceed 300 percent of the
poverty line (as defined in section 2110(c)(5)) applicable
to a family of the size involved. The preceding sentences
shall not be construed as preventing a State during any
such periods''.
(2) Conforming amendments.--Section 1902(gg)(2) of the Social
Security Act (42 U.S.C. 1396a(gg)(2)) is amended--
(A) in the paragraph heading, by striking ``until october
1, 2019'' and inserting ``through september 30, 2023''; and
(B) by striking ``September 30, 2019,'' and inserting
``September 30, 2023 (but during the period that begins on
October 1, 2019, and ends on September 30, 2023, only with
respect to children in families whose income does not exceed
300 percent of the poverty line (as defined in section
2110(c)(5)) applicable to a family of the size involved)''.
(g) CHIP Look-Alike Plans.--
(1) Blending risk pools.--Section 2107 of the Social Security
Act (42 U.S.C. 1397gg) is amended by adding at the end the
following:
``(g) Use of Blended Risk Pools.--
``(1) In general.--Nothing in this title (or any other
provision of Federal law) shall be construed as preventing a State
from considering children enrolled in a qualified CHIP look-alike
program and children enrolled in a State child health plan under
this title (or a waiver of such plan) as members of a single risk
pool.
``(2) Qualified chip look-alike program.--In this subsection,
the term `qualified CHIP look-alike program' means a State
program--
``(A) under which children who are under the age of 19 and
are not eligible to receive medical assistance under title XIX
or child health assistance under this title may purchase
coverage through the State that provides benefits that are at
least identical to the benefits provided under the State child
health plan under this title (or a waiver of such plan); and
``(B) that is funded exclusively through non-Federal funds,
including funds received by the State in the form of premiums
for the purchase of such coverage.''.
(2) Coverage rule.--
(A) In general.--Section 5000A(f)(1) of the Internal
Revenue Code of 1986 is amended in subparagraph (A)(iii), by
inserting ``or under a qualified CHIP look-alike program (as
defined in section 2107(g) of the Social Security Act)'' before
the comma at the end.
(B) Effective date.--The amendment made by subparagraph (A)
shall apply with respect to taxable years beginning after
December 31, 2017.
(h) Availability of Unused Fiscal Year 2018 Redistribution
Amounts.--Any amounts that have been redistributed to States under
subsection (f) of section 2104 of the Social Security Act (42 U.S.C.
1397dd) for fiscal year 2018 that are not, or will not be, expended by
the end of that fiscal year shall be--
(1) adjusted by the Secretary before the end of fiscal year
2018 to reflect an updated estimate of shortfalls under subsection
(f)(2)(A) of such section; and
(2) available for redistribution under subsection (f) of such
section for subsequent fiscal years.
SEC. 3003. EXTENSION OF CERTAIN PROGRAMS AND DEMONSTRATION PROJECTS.
(a) Childhood Obesity Demonstration Project.--Section 1139A(e)(8)
of the Social Security Act (42 U.S.C. 1320b-9a(e)(8)) is amended--
(1) by striking ``and $10,000,000'' and inserting ``,
$10,000,000''; and
(2) by inserting after ``2017'' the following: ``, and
$30,000,000 for the period of fiscal years 2018 through 2023''.
(b) Pediatric Quality Measures Program.--Section 1139A(i) of the
Social Security Act (42 U.S.C. 1320b-9a(i)) is amended--
(1) by striking ``Out of any'' and inserting the following:
``(1) In general.--Out of any'';
(2) by striking ``there is appropriated for each'' and
inserting ``there is appropriated--
``(A) for each'';
(3) by striking ``, and there is appropriated for the period''
and inserting ``;
``(B) for the period'';
(4) by striking ``. Funds appropriated under this subsection
shall remain available until expended.'' and inserting ``; and'';
and
(5) by adding at the end the following:
``(C) for the period of fiscal years 2018 through 2023,
$90,000,000 for the purpose of carrying out this section (other
than subsections (e), (f), and (g)).
``(2) Availability.--Funds appropriated under this subsection
shall remain available until expended.''.
SEC. 3004. EXTENSION OF OUTREACH AND ENROLLMENT PROGRAM.
(a) In General.--Section 2113 of the Social Security Act (42 U.S.C.
1397mm) is amended--
(1) in subsection (a)(1), by striking ``2017'' and inserting
``2023''; and
(2) in subsection (g)--
(A) by striking ``and $40,000,000'' and inserting ``,
$40,000,000''; and
(B) by inserting after ``2017'' the following: ``, and
$120,000,000 for the period of fiscal years 2018 through
2023''.
(b) Making Organizations That Use Parent Mentors Eligible To
Receive Grants.--Section 2113(f) of the Social Security Act (42 U.S.C.
1397mm(f)) is amended--
(1) in paragraph (1)(E), by striking ``or community-based doula
programs'' and inserting ``, community-based doula programs, or
parent mentors''; and
(2) by adding at the end the following new paragraph:
``(5) Parent mentor.--The term `parent mentor' means an
individual who--
``(A) is a parent or guardian of at least one child who is
an eligible child under this title or title XIX; and
``(B) is trained to assist families with children who have
no health insurance coverage with respect to improving the
social determinants of the health of such children, including
by providing--
``(i) education about health insurance coverage,
including, with respect to obtaining such coverage,
eligibility criteria and application and renewal processes;
``(ii) assistance with completing and submitting
applications for health insurance coverage;
``(iii) a liaison between families and representatives
of State plans under title XIX or State child health plans
under this title;
``(iv) guidance on identifying medical and dental homes
and community pharmacies for children; and
``(v) assistance and referrals to successfully address
social determinants of children's health, including
poverty, food insufficiency, and housing.''.
(c) Exclusion From Modified Adjusted Gross Income.--Section 1902(e)
of the Social Security Act (42 U.S.C. 1396a(e)) is amended--
(1) in the first paragraph (14), relating to income determined
using modified adjusted gross income, by adding at the end the
following new subparagraph:
``(J) Exclusion of parent mentor compensation from income
determination.--Any nominal amount received by an individual as
compensation, including a stipend, for participation as a
parent mentor (as defined in paragraph (5) of section 2113(f))
in an activity or program funded through a grant under such
section shall be disregarded for purposes of determining the
income eligibility of such individual for medical assistance
under the State plan or any waiver of such plan.''; and
(2) by striking ``(14) Exclusion'' and inserting ``(15)
Exclusion''.
SEC. 3005. EXTENSION AND REDUCTION OF ADDITIONAL FEDERAL FINANCIAL
PARTICIPATION FOR CHIP.
Section 2105(b) of the Social Security Act (42 U.S.C. 1397ee(b)) is
amended in the second sentence by inserting ``and during the period
that begins on October 1, 2019, and ends on September 30, 2020, the
enhanced FMAP determined for a State for a fiscal year (or for any
portion of a fiscal year occurring during such period) shall be
increased by 11.5 percentage points'' after ``23 percentage points,''.
SEC. 3006. MEDICAID IMPROVEMENT FUND.
Section 1941 of the Social Security Act (42 U.S.C. 1396w-1) is
amended--
(1) in subsection (a), in the first sentence, by inserting
before the period at the end the following: ``, and, in accordance
with subsection (b)(3), for the purposes of subparagraph (B) of
such subsection''; and
(2) in subsection (b)--
(A) in paragraph (2)--
(i) in the first sentence, by inserting ``pursuant to
paragraph (1)'' after ``in the Fund'';
(ii) by inserting after the first sentence the
following sentence: ``Amounts in the Fund pursuant to
paragraph (3) shall be available in advance of
appropriations but only if the total amount obligated from
the Fund does not exceed the amount available to the Fund
under such paragraph (3).''; and
(iii) in the last sentence, by striking ``sentence''
and inserting ``sentences''; and
(B) by adding at the end the following new paragraph:
``(3) Additional funding for state activities relating to
mechanized claims systems.--
``(A) In general.--In addition to the amount made available
under paragraph (1), there shall be available to the Fund, for
expenditures from the Fund in accordance with subparagraph (B),
for fiscal year 2023 and thereafter, $980,000,000, to remain
available until expended.
``(B) Purposes.--The Secretary shall use amounts made
available to the Fund under subparagraph (A) to pay to each
State which has a plan approved under this title, for each
quarter beginning during or after fiscal year 2023 an amount
equal to--
``(i) 100 percent minus the percent specified in clause
(i) of section 1903(a)(3)(A) of so much of the sums
expended by the State during such quarter as are
attributable to the activities described in such clause;
``(ii) 100 percent minus the Federal medical assistance
percentage applied under clause (iii) of such section of so
much of the sums expended during such quarter (as found
necessary by the Secretary under such clause) by the State
as are attributable to the activities described in such
clause; and
``(iii) 100 percent minus the percent specified in
section 1903(a)(3)(B) of so much of the sums expended by
the State during such quarter as are attributable to the
activities described in such section.''.
DIVISION D--SUSPENSION OF CERTAIN HEALTH-RELATED TAXES
SEC. 4001. EXTENSION OF MORATORIUM ON MEDICAL DEVICE EXCISE TAX.
(a) In General.--Section 4191(c) of the Internal Revenue Code of
1986 is amended by striking ``December 31, 2017'' and inserting
``December 31, 2019''.
(b) Effective Date.--The amendment made by this section shall apply
to sales after December 31, 2017.
SEC. 4002. DELAY IN IMPLEMENTATION OF EXCISE TAX ON HIGH COST EMPLOYER-
SPONSORED HEALTH COVERAGE.
Section 9001(c) of the Patient Protection and Affordable Care Act
is amended by striking ``December 31, 2019'' and inserting ``December
31, 2021''.
SEC. 4003. SUSPENSION OF ANNUAL FEE ON HEALTH INSURANCE PROVIDERS.
(b) In General.--Section 9010(j) of the Patient Protection and
Affordable Care Act is amended--
(1) by striking ``and'' at the end of paragraph (1),
(2) by striking the period at the end of paragraph (2) and
inserting ``, and ending before January 1, 2019, and'', and
(3) by adding at the end the following new paragraph:
``(3) beginning after December 31, 2019.''.
(c) Effective Date.--The amendments made by this section shall
apply to calendar years beginning after December 31, 2018.
DIVISION E--BUDGETARY EFFECTS
SEC. 5001. BUDGETARY EFFECTS.
(a) In General.--The budgetary effects of division C and each
succeeding division shall not be entered on either PAYGO scorecard
maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act
of 2010.
(b) Senate Paygo Scorecards.--The budgetary effects of division C
and each succeeding division shall not be entered on any PAYGO
scorecard maintained for purposes of section 4106 of H. Con. Res. 71
(115th Congress).
(c) Classification of Budgetary Effects.--Notwithstanding Rule 3 of
the Budget Scorekeeping Guidelines set forth in the joint explanatory
statement of the committee of conference accompanying Conference Report
105-217 and section 250(c)(8) of the Balanced Budget and Emergency
Deficit Control Act of 1985, the budgetary effects of division C and
each succeeding division shall not be estimated--
(1) for purposes of section 251 of such Act; and
(2) for purposes of paragraph (4)(C) of section 3 of the
Statutory Pay-As-You-Go Act of 2010 as being included in an
appropriation Act.
Speaker of the House of Representatives.
Vice President of the United States and
President of the Senate.