republic-os/legal/us/code/title-42/chapter-7/section-1397aa.md

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LegalText	42 U.S.C. § 1397aa	Purpose; State child health plans	us	united_states_code	code_section	42	THE PUBLIC HEALTH AND WELFARE	7	SOCIAL SECURITY	1397aa	42 U.S.C. § 1397aa	current	119-100	2026-06-26	official	https://uscode.house.gov/download/releasepoints/us/pl/119/100/xml_usc42@119-100.zip	/us/usc/t42/s1397aa	data/legal/raw/us/code/title-42/usc42.xml	efd20ffad4fd28536180e288576e9a155994493ce070ced35d251422ca20dc61	644321055a08eb1f260a6a3e31ac157fa024756abf612a9fd6857e7e400cf24e	f665382cdde53ecbbb28b2100550656994e1bc29d9e91c7e5bf2c27847675ae4	2026-07-04	official	legal us-code

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

Text

(a) Purpose Except with respect to the rural health transformation program established in section 1397ee(h) of this title, 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 effective 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 requirements of section 1397cc of this title, or

(2) providing benefits under the State’s medicaid plan under subchapter XIX,

or a combination of both.

(b) State child health plan required A State is not eligible for payment under subsection (a) or (g) of section 1397ee of this title unless the State has submitted 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 children 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 section 1397ee of this title for child health assistance 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; amended Pub. L. 119–21, title VII, § 71401(b)(1), July 4, 2025, 139 Stat. 331.)

Notes

Editorial Notes

Amendments2025—Subsec. (a). Pub. L. 119–21, § 71401(b)(1)(A), substituted “Except with respect to the rural health transformation program established in section 1397ee(h) of this title, the purpose” for “The purpose” in introductory provisions. Subsec. (b). Pub. L. 119–21, § 71401(b)(1)(B), inserted “subsection (a) or (g) of” before “section 1397ee of this title” in introductory provisions.

Statutory Notes and Related Subsidiaries

ImplementationPub. L. 119–21, title VII, § 71401(c), July 4, 2025, 139 Stat. 332, provided that: “The Administrator of the Centers for Medicare & Medicaid Services shall implement this section, including the amendments made by this section [amending this section and sections 1397ee and 1397ff of this title], by program instruction or other forms of program guidance.”

References to SCHIP and State Children’s Health Insurance ProgramPub. 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 subchapter, the terms “SCHIP” and “State children’s health insurance program” were to be used instead of “CHIP” and “children’s health insurance program”, respectively, was repealed by Pub. L. 111–3, title VI, § 612, Feb. 4, 2009, 123 Stat. 101.