42 U.S.C. § 1397aa — Purpose; State child health plans

Page 4452 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 1397n–13 (5) Social impact partnership model The term ‘‘social impact partnership model’’ means a method of financing social services in which— (A) Federal funds are awarded to a State or local government only if a State or local government achieves certain outcomes agreed on by the State or local government and the Secretary; and (B) the State or local government coordi- nates with service providers, investors (if ap- plicable to the project), and (if necessary) an intermediary to identify— (i) an intervention expected to produce the outcome; (ii) a service provider to deliver the intervention to the target population; and (iii) investors to fund the delivery of the intervention. (6) State The term ‘‘State’’ means each State of the United States, the District of Columbia, each commonwealth, territory or possession of the United States, and each federally recognized Indian tribe. (Aug. 14, 1935, ch. 531, title XX, § 2063, as added Pub. L. 115–123, div. E, title VIII, § 50802(2), Feb. 9, 2018, 132 Stat. 282.) § 1397n–13. Funding Out of any money in the Treasury of the United States not otherwise appropriated, there is hereby appropriated $100,000,000 for fiscal year 2018 to carry out this division. (Aug. 14, 1935, ch. 531, title XX, § 2064, as added Pub. L. 115–123, div. E, title VIII, § 50802(2), Feb. 9, 2018, 132 Stat. 282.) SUBCHAPTER XXI—STATE CHILDREN’S HEALTH INSURANCE PROGRAM § 1397aa. Purpose; State child health plans (a) Purpose The purpose of this subchapter is to provide funds to States to enable them to initiate and expand the provision of child health assistance to uninsured, low-income children in an effec- tive and efficient manner that is coordinated with other sources of health benefits coverage for children. Such assistance shall be provided primarily for obtaining health benefits coverage through— (1) obtaining coverage that meets the re- quirements of section 1397cc of this title, or (2) providing benefits under the State’s med- icaid plan under subchapter XIX, or a combination of both. (b) State child health plan required A State is not eligible for payment under sec- tion 1397ee of this title unless the State has sub- mitted to the Secretary under section 1397ff of this title a plan that— (1) sets forth how the State intends to use the funds provided under this subchapter to provide child health assistance to needy chil- dren consistent with the provisions of this subchapter, and (2) has been approved under section 1397ff of this title. (c) State entitlement This subchapter constitutes budget authority in advance of appropriations Acts and represents the obligation of the Federal Government to provide for the payment to States of amounts provided under section 1397dd of this title. (d) Effective date No State is eligible for payments under sec- tion 1397ee of this title for child health assist- ance for coverage provided for periods beginning before October 1, 1997. (Aug. 14, 1935, ch. 531, title XXI, § 2101, as added Pub. L. 105–33, title IV, § 4901(a), Aug. 5, 1997, 111 Stat. 552.) Statutory Notes and Related Subsidiaries REFERENCES TO SCHIP AND STATE CHILDREN’S HEALTH INSURANCE PROGRAM Pub. L. 106–113, div. B, § 1000(a)(6) [title VII, § 704], Nov. 29, 1999, 113 Stat. 1536, 1501A–402, which provided that, in official communications concerning this sub- chapter, the terms ‘‘SCHIP’’ and ‘‘State children’s health insurance program’’ were to be used instead of ‘‘CHIP’’ and ‘‘children’s health insurance program’’, re- spectively, was repealed by Pub. L. 111–3, title VI, § 612, Feb. 4, 2009, 123 Stat. 101. § 1397bb. General contents of State child health plan; eligibility; outreach (a) General background and description A State child health plan shall include a de- scription, consistent with the requirements of this subchapter, of— (1) the extent to which, and manner in which, children in the State, including tar- geted low-income children and other classes of children classified by income and other rel- evant factors, currently have creditable health coverage (as defined in section 1397jj(c)(2) of this title); (2) current State efforts to provide or obtain creditable health coverage for uncovered chil- dren, including the steps the State is taking to identify and enroll all uncovered children who are eligible to participate in public health in- surance programs and health insurance pro- grams that involve public-private partner- ships; (3) how the plan is designed to be coordi- nated with such efforts to increase coverage of children under creditable health coverage; (4) the child health assistance provided under the plan for targeted low-income chil- dren, including the proposed methods of deliv- ery, and utilization control systems; (5) eligibility standards consistent with sub- section (b); (6) outreach activities consistent with sub- section (c); and (7) methods (including monitoring) used— (A) to assure the quality and appropriate- ness of care, particularly with respect to well-baby care, well-child care, and immuni- zations provided under the plan; (B) to assure access to covered services, in- cluding emergency services and services de- scribed in paragraphs (5) and (6) of section 1397cc(c) of this title; and