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42 U.S.C. § 1397mm — Grants to improve outreach and enrollment
Federal law — U.S. Code and appendices · legal_authorities
**(a) Outreach and enrollment grants; national campaign**
(1) **In general** — From the amounts appropriated under subsection (g), subject to paragraphs (2) and (3), the Secretary shall award grants to eligible entities during the period of fiscal years 2009 through 2029 to conduct outreach and enrollment efforts that are designed to increase the enrollment and participation of eligible children under this subchapter and subchapter XIX.
(2) **Ten percent set aside for national enrollment campaign** — An amount equal to 10 percent of such amounts shall be used by the Secretary for expenditures during such period to carry out a national enrollment campaign in accordance with subsection (h).
(3) **Ten percent set aside for evaluating and providing technical assistance to grantees** — For the period of fiscal years 2024 through 2029, an amount equal to 10 percent of such amounts shall be used by the Secretary for the purpose of evaluating and providing technical assistance to eligible entities awarded grants under this section.
**(b) Priority for award of grants**
(1) **In general** — In awarding grants under subsection (a), the Secretary shall give priority to eligible entities that—
(A) propose to target geographic areas with high rates of—
(i) eligible but unenrolled children, including such children who reside in rural areas; or
(ii) racial and ethnic minorities and health disparity populations, including those proposals that address cultural and linguistic barriers to enrollment; and
(B) submit the most demonstrable evidence required under paragraphs (1) and (2) of subsection (c).
(2) **Ten percent set aside for outreach to Indian children** — An amount equal to 10 percent of the funds appropriated under subsection (g) shall be used by the Secreta
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Source file: Laws/federal/codes/united-states-code/title-42/section-1397mm-grants-to-improve-outreach-and-enrollment--66d26073fb.md
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Source location: Title 42, Chapter 7, § 1397mm; chapter-007-social-security.md
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**(a) Outreach and enrollment grants; national campaign**
(1) **In general** — From the amounts appropriated under subsection (g), subject to paragraphs (2) and (3), the Secretary shall award grants to eligible entities during the period of fiscal years 2009 through 2029 to conduct outreach and enrollment efforts that are designed to increase the enrollment and participation of eligible children under this subchapter and subchapter XIX.
(2) **Ten percent set aside for national enrollment campaign** — An amount equal to 10 percent of such amounts shall be used by the Secretary for expenditures during such period to carry out a national enrollment campaign in accordance with subsection (h).
(3) **Ten percent set aside for evaluating and providing technical assistance to grantees** — For the period of fiscal years 2024 through 2029, an amount equal to 10 percent of such amounts shall be used by the Secretary for the purpose of evaluating and providing technical assistance to eligible entities awarded grants under this section.
**(b) Priority for award of grants**
(1) **In general** — In awarding grants under subsection (a), the Secretary shall give priority to eligible entities that—
(A) propose to target geographic areas with high rates of—
(i) eligible but unenrolled children, including such children who reside in rural areas; or
(ii) racial and ethnic minorities and health disparity populations, including those proposals that address cultural and linguistic barriers to enrollment; and
(B) submit the most demonstrable evidence required under paragraphs (1) and (2) of subsection (c).
(2) **Ten percent set aside for outreach to Indian children** — An amount equal to 10 percent of the funds appropriated under subsection (g) shall be used by the Secretary to award grants to Indian Health Service providers and urban Indian organizations receiving funds under title V of the Indian Health Care Improvement Act ([25 U.S.C. 1651](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1651&num=0&edition=prelim) et seq.) for outreach to, and enrollment of, children who are Indians.
**(c) Application** An eligible entity that desires to receive a grant under subsection (a) shall submit an application to the Secretary in such form and manner, and containing such information, as the Secretary may decide. Such application shall include—
(1) evidence demonstrating that the entity includes members who have access to, and credibility with, ethnic or low-income populations in the communities in which activities funded under the grant are to be conducted;
(2) evidence demonstrating that the entity has the ability to address barriers to enrollment, such as lack of awareness of eligibility, stigma concerns and punitive fears associated with receipt of benefits, and other cultural barriers to applying for and receiving child health assistance or medical assistance;
(3) specific quality or outcomes performance measures to evaluate the effectiveness of activities funded by a grant awarded under this section; and
(4) an assurance that the eligible entity shall—
(A) conduct an assessment of the effectiveness of such activities against the performance measures;
(B) cooperate with the collection and reporting of enrollment data and other information in order for the Secretary to conduct such assessments; and
(C) in the case of an eligible entity that is not the State, provide the State with enrollment data and other information as necessary for the State to make necessary projections of eligible children and pregnant women.
**(d) Dissemination of enrollment data and information determined from effectiveness assessments; annual report** The Secretary shall—
(1) make publicly available the enrollment data and information collected and reported in accordance with subsection (c)(4)(B); and
(2) submit an annual report to Congress on the outreach and enrollment activities conducted with funds appropriated under this section.
**(e) Maintenance of effort for States awarded grants; no match required for any eligible entity awarded a grant**
(1) **State maintenance of effort** — In the case of a State that is awarded a grant under this section, the State share of funds expended for outreach and enrollment activities under the State child health plan shall not be less than the State share of such funds expended in the fiscal year preceding the first fiscal year for which the grant is awarded.
(2) **No matching requirement** — No eligible entity awarded a grant under subsection (a) shall be required to provide any matching funds as a condition for receiving the grant.
**(f) Definitions** In this section:
(1) **Eligible entity** — The term “eligible entity” means any of the following:
(A) A State with an approved child health plan under this subchapter.
(B) A local government.
(C) An Indian tribe or tribal consortium, a tribal organization, an urban Indian organization receiving funds under title V of the Indian Health Care Improvement Act ([25 U.S.C. 1651](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1651&num=0&edition=prelim) et seq.), or an Indian Health Service provider.
(D) A Federal health safety net organization.
(E) A national, State, local, or community-based public or nonprofit private organization, including organizations that use community health workers, community-based doula programs, or parent mentors.
(F) A faith-based organization or consortia, to the extent that a grant awarded to such an entity is consistent with the requirements of [section 300x–65 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300x-65&num=0&edition=prelim) relating to a grant award to nongovernmental entities.
(G) An elementary or secondary school.
(2) **Federal health safety net organization** — The term “Federal health safety net organization” means—
(A) a Federally-qualified health center (as defined in section 1396d(l)(2)(B) of this title);
(B) a hospital defined as a disproportionate share hospital for purposes of [section 1396r–4 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1396r-4&num=0&edition=prelim);
(C) a covered entity described in [section 256b(a)(4) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section256b/a/4&num=0&edition=prelim); and
(D) any other entity or consortium that serves children under a federally funded program, including the special supplemental nutrition program for women, infants, and children (WIC) established under [section 1786 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1786&num=0&edition=prelim), the Head Start and Early Head Start programs under the Head Start Act ([42 U.S.C. 9801](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section9801&num=0&edition=prelim) et seq.),11 See References in Text note below. the school lunch program established under the Richard B. Russell National School Lunch Act [[42 U.S.C. 1751](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1751&num=0&edition=prelim) et seq.], and an elementary or secondary school.
(3) **Indians; Indian tribe; tribal organization; urban Indian organization** — The terms “Indian”, “Indian tribe”, “tribal organization”, and “urban Indian organization” have the meanings given such terms in section 4 of the Indian Health Care Improvement Act ([25 U.S.C. 1603](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1603&num=0&edition=prelim)).
(4) **Community health worker** — The term “community health worker” means an individual who promotes health or nutrition within the community in which the individual resides—
(A) by serving as a liaison between communities and health care agencies;
(B) by providing guidance and social assistance to community residents;
(C) by enhancing community residents’ ability to effectively communicate with health care providers;
(D) by providing culturally and linguistically appropriate health or nutrition education;
(E) by advocating for individual and community health or nutrition needs; and
(F) by providing referral and followup services.
(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 subchapter or subchapter 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 subchapter XIX or State child health plans under this subchapter;
(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.
**(g) Appropriation** There is appropriated, out of any money in the Treasury not otherwise appropriated, $140,000,000 for the period of fiscal years 2009 through 2015, $40,000,000 for the period of fiscal years 2016 and 2017, $120,000,000 for the period of fiscal years 2018 through 2023, $48,000,000 for the period of fiscal years 2024 through 2027, and $40,000,000 for the period of fiscal years 2028 and 2029, for the purpose of awarding grants under this section. Amounts appropriated and paid under the authority of this section shall be in addition to amounts appropriated under [section 1397dd of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1397dd&num=0&edition=prelim) and paid to States in accordance with [section 1397ee of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1397ee&num=0&edition=prelim), including with respect to expenditures for outreach activities in accordance with subsections (a)(1)(D)(iii) and (c)(2)(C) of that section.
**(h) National enrollment campaign** From the amounts made available under subsection (a)(2), the Secretary shall develop and implement a national enrollment campaign to improve the enrollment of underserved child populations in the programs established under this subchapter and subchapter XIX. Such campaign may include—
(1) the establishment of partnerships with the Secretary of Education and the Secretary of Agriculture to develop national campaigns to link the eligibility and enrollment systems for the assistance programs each Secretary administers that often serve the same children;
(2) the integration of information about the programs established under this subchapter and subchapter XIX in public health awareness campaigns administered by the Secretary;
(3) increased financial and technical support for enrollment hotlines maintained by the Secretary to ensure that all States participate in such hotlines;
(4) the establishment of joint public awareness outreach initiatives with the Secretary of Education and the Secretary of Labor regarding the importance of health insurance to building strong communities and the economy;
(5) the development of special outreach materials for Native Americans or for individuals with limited English proficiency;
(6) the development of materials and toolkits and the provision of technical assistance to States regarding enrollment and retention strategies for eligible children under this subchapter and subchapter XIX; and
(7) such other outreach initiatives as the Secretary determines would increase public awareness of the programs under this subchapter and subchapter XIX.
Cross-references
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Federal law — U.S. Code and appendices · legal_authorities
**(a)** Each program for which grants are made under this subchapter shall provide for a thorough evaluation of the effectiveness of the program in achieving its purposes, which evaluation shall be conducted by such public or private organizations as the Secretary in consultation with existing grantees familiar with programs carried out under the Community Services Block Grant Act [[42 U.S.C. 9901](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section9901&num=0&edition=prelim) et seq.] may designate, and all or part of the costs of evaluation may be paid from funds appropriated to carry out this part. In evaluating the performance of any community development corporation funded under part A, the criteria for evaluation shall be based upon such program objectives, goals, and priorities as are consistent with the purposes of this subchapter and were set forth by such community development corporation in its proposal for funding as approved and agreed upon by or as subsequently modified from time to time by mutual agreement between the Secretary and such community development corporation.
**(b)** The Secretary shall conduct, either directly or through grants or other arrangements, research and demonstration projects designed to suggest new programs and policies to achieve the purposes of this subchapter in such ways as to provide opportunities for employment, ownership, and a better quality of life for low-income residents.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 9801
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Congressional findings and declaration of purpose** Congress finds that substantial numbers of pregnant, postpartum, and breastfeeding women, infants, and young children from families with inadequate income are at special risk with respect to their physical and mental health by reason of inadequate nutrition or health care, or both. It is, therefore, the purpose of the program authorized by this section to provide, up to the authorization levels set forth in subsection (g) of this section, supplemental foods and nutrition education, including breastfeeding promotion and support, through any eligible local agency that applies for participation in the program. The program shall serve as an adjunct to good health care, during critical times of growth and development, to prevent the occurrence of health problems, including drug abuse, and improve the health status of these persons.
**(b) Definitions** As used in this section—
(1) “Breastfeeding women” means women up to one year postpartum who are breastfeeding their infants.
(2) “Children” means persons who have had their first birthday but have not yet attained their fifth birthday.
(3) “Competent professional authority” means physicians, nutritionists, registered nurses, dietitians, or State or local medically trained health officials, or persons designated by physicians or State or local medically trained health officials, in accordance with standards prescribed by the Secretary, as being competent professionally to evaluate nutritional risk.
(4) “Costs of nutrition services and administration” or “nutrition services and administration” means costs that shall include, but not be limited to, costs for certification of eligibility of persons for participation in the program (including centrifuges, measuring boar
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1786
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Purposes** The purposes of this section are—
(1) to provide access to traditional foods in food service programs;
(2) to encourage increased consumption of traditional foods to decrease health disparities among Indians, particularly Alaska Natives; and
(3) to provide alternative food options for food service programs.
**(b) Definitions** In this section:
(1) **Alaska Native** — The term “Alaska Native” means a person who is a member of any Native village, Village Corporation, or Regional Corporation (as those terms are defined in [section 1602 of title 43](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title43-section1602&num=0&edition=prelim)).
(2) **Commissioner** — The term “Commissioner” means the Commissioner of Food and Drugs.
(3) **Food service program** — The term “food service program” includes—
(A) food service at residential child care facilities that have a license from an appropriate State agency;
(B) any child nutrition program (as that term is defined in [section 1769f(b) of title 42](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1769f/b&num=0&edition=prelim));
(C) food service at hospitals, clinics, and long-term care facilities; and
(D) senior meal programs.
(4) **Indian; Indian tribe** — The terms “Indian” and “Indian tribe” have the meanings given those terms in section 4 of the Indian Self-Determination and Education Assistance Act ([25 U.S.C. 450b](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section450b&num=0&edition=prelim)).11 See References in Text note below.
(5) **Traditional food**
(A) *In general* — The term “traditional food” means food that has traditionally been prepared and consumed by an Indian tribe.
(B) *Inclusions* — The term “traditi
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1603
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Payments**
(1) **In general** — Subject to the succeeding provisions of this section, the Secretary shall pay to each State with a plan approved under this subchapter, from its allotment under [section 1397dd of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1397dd&num=0&edition=prelim), an amount for each quarter equal to the enhanced FMAP (or, in the case of expenditures described in subparagraph (D)(iv), the higher of 75 percent or the sum of the enhanced FMAP plus 5 percentage points) of expenditures in the quarter—
(A) for child health assistance under the plan for targeted low-income children in the form of providing medical assistance for which payment is made on the basis of an enhanced FMAP under the fourth sentence of [section 1396d(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1396d/b&num=0&edition=prelim);
(B) [reserved]
(C) for child health assistance under the plan for targeted low-income children in the form of providing health benefits coverage that meets the requirements of [section 1397cc of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1397cc&num=0&edition=prelim); and
(D) only to the extent permitted consistent with subsection (c)—
(i) for payment for other child health assistance for targeted low-income children;
(ii) for expenditures for health services initiatives under the plan for improving the health of children (including targeted low-income children and other low-income children);
(iii) for expenditures for outreach activities as provided in [section 1397bb(c)(1) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1397bb/c/1&num=0&edition=pre
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1397ee
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment** There is hereby established the Medicaid and CHIP Payment and Access Commission (in this section referred to as “MACPAC”).
**(b) Duties**
(1) **Review of access policies for all States and annual reports** — MACPAC shall—
(A) review policies of the Medicaid program established under this subchapter (in this section referred to as “Medicaid”) and the State Children’s Health Insurance Program established under subchapter XXI (in this section referred to as “CHIP”) affecting access to covered items and services, including topics described in paragraph (2);
(B) make recommendations to Congress, the Secretary, and States concerning such access policies;
(C) by not later than March 15 of each year (beginning with 2010), submit a report to Congress containing the results of such reviews and MACPAC’s recommendations concerning such policies; and
(D) by not later than June 15 of each year (beginning with 2010), submit a report to Congress containing an examination of issues affecting Medicaid and CHIP, including the implications of changes in health care delivery in the United States and in the market for health care services on such programs.
(2) **Specific topics to be reviewed** — Specifically, MACPAC shall review and assess the following:
(A) *Medicaid and CHIP payment policies* — Payment policies under Medicaid and CHIP, including—
(i) the factors affecting expenditures for the efficient provision of items and services in different sectors, including the process for updating payments to medical, dental, and health professionals, hospitals, residential and long-term care providers, providers of home and community based services, Federally-qualified health centers and rural health clinics, managed care entities, and providers of ot
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1396
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Federal law — U.S. Code and appendices · legal_authorities
It is declared to be the policy of Congress, as a measure of national security, to safeguard the health and well-being of the Nation’s children and to encourage the domestic consumption of nutritious agricultural commodities and other food, by assisting the States, through grants-in-aid and other means, in providing an adequate supply of foods and other facilities for the establishment, maintenance, operation, and expansion of nonprofit school lunch programs.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1751
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Federal law — U.S. Code and appendices · legal_authorities
$10,000,000 shall remain available until expended, for the establishment of an Indian Catastrophic Health Emergency Fund (hereinafter referred to as the “Fund”). On and after October 18, 1986, the Fund is to cover the Indian Health Service portion of the medical expenses of catastrophic illness falling within the responsibility of the Service and shall be administered by the Secretary of Health and Human Services, acting through the central office of the Indian Health Service. No part of the Fund or its administration shall be subject to contract or grant under the Indian Self-Determination and Education Assistance Act (Public Law 93–638) [[25 U.S.C. 5301](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section5301&num=0&edition=prelim) et seq.]. There shall be deposited into the Fund all amounts recovered under the authority of the Federal Medical Care Recovery Act ([42 U.S.C. 2651](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section2651&num=0&edition=prelim) et seq.), which shall become available for obligation upon receipt and which shall remain available for obligation until expended. The Fund shall not be used to pay for health services provided to eligible Indians to the extent that alternate Federal, State, local, or private insurance resources for payment: (1) are available and accessible to the beneficiary; or (2) would be available and accessible if the beneficiary were to apply for them; or (3) would be available and accessible to other citizens similarly situated under Federal, State, or local law or regulation or private insurance program notwithstanding Indian Health Service eligibility or residency on or off a Federal Indian reservation.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1601
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Federal law — U.S. Code and appendices · legal_authorities
Notwithstanding the provisions of title 5, Executive order, or administrative regulation, an Indian tribe or tribal organization carrying out programs under the Indian Self-Determination and Education Assistance Act ([25 U.S.C. 5301](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section5301&num=0&edition=prelim) et seq.) or the Tribally Controlled Schools Act of 1988 ([25 U.S.C. 2501](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section2501&num=0&edition=prelim) et seq.) or an urban Indian organization carrying out programs under subchapter IV of this chapter shall be entitled to purchase coverage, rights, and benefits for the employees of such Indian tribe or tribal organization, or urban Indian organization, under chapter 89 of title 5 and chapter 87 of such title if necessary employee deductions and agency contributions in payment for the coverage, rights, and benefits for the period of employment with such Indian tribe or tribal organization, or urban Indian organization, are currently deposited in the applicable Employee’s Fund under such title.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1651
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Appropriation; total allotment** For the purpose of providing allotments to States under this section, subject to subsection (d), there is appropriated, out of any money in the Treasury not otherwise appropriated—
(1) for fiscal year 1998, $4,295,000,000;
(2) for fiscal year 1999, $4,275,000,000;
(3) for fiscal year 2000, $4,275,000,000;
(4) for fiscal year 2001, $4,275,000,000;
(5) for fiscal year 2002, $3,150,000,000;
(6) for fiscal year 2003, $3,150,000,000;
(7) for fiscal year 2004, $3,150,000,000;
(8) for fiscal year 2005, $4,050,000,000;
(9) for fiscal year 2006, $4,050,000,000;
(10) for fiscal year 2007, $5,000,000,000;
(11) for fiscal year 2008, $5,000,000,000.11 So in original. The period probably should be a semicolon.
(12) for fiscal year 2009, $10,562,000,000;
(13) for fiscal year 2010, $12,520,000,000;
(14) for fiscal year 2011, $13,459,000,000;
(15) for fiscal year 2012, $14,982,000,000;
(16) for fiscal year 2013, $17,406,000,000;
(17) for fiscal year 2014, $19,147,000,000;
(18) for fiscal year 2015, for purposes of making 2 semi-annual allotments—
(A) $2,850,000,000 for the period beginning on October 1, 2014, and ending on March 31, 2015, and
(B) $2,850,000,000 for the period beginning on April 1, 2015, and ending on September 30, 2015;
(19) for fiscal year 2016, $19,300,000,000;
(20) for fiscal year 2017, for purposes of making 2 semi-annual allotments—
(A) $2,850,000,000 for the period beginning on October 1, 2016, and ending on March 31, 2017; and
(B) $2,850,000,000 for the period beginning on April 1, 2017, and ending on September 30, 2017;
(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,
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1397dd
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Termination of coverage for nonpregnant childless adults**
(1) **No new CHIP waivers; automatic extensions at State option through 2009** — Notwithstanding [section 1315 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1315&num=0&edition=prelim) or any other provision of this subchapter, except as provided in this subsection—
(A) the Secretary shall not on or after February 4, 2009, approve or renew a waiver, experimental, pilot, or demonstration project that would allow funds made available under this subchapter to be used to provide child health assistance or other health benefits coverage to a nonpregnant childless adult; and
(B) notwithstanding the terms and conditions of an applicable existing waiver, the provisions of paragraph (2) shall apply for purposes of any period beginning on or after January 1, 2010, in determining the period to which the waiver applies, the individuals eligible to be covered by the waiver, and the amount of the Federal payment under this subchapter.
(2) **Termination of CHIP coverage under applicable existing waivers at the end of 2009**
(A) *In general* — No funds shall be available under this subchapter for child health assistance or other health benefits coverage that is provided to a nonpregnant childless adult under an applicable existing waiver after December 31, 2009.
(B) *Extension upon State request* — If an applicable existing waiver described in subparagraph (A) would otherwise expire before January 1, 2010, notwithstanding the requirements of subsections (e) and (f) of [section 1315 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1315&num=0&edition=prelim), a State may submit, not later than September 30, 2009, a request to
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1397kk
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