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Full Text of this Amendment

SA 3498. Mr. VITTER submitted an amendment intended to be proposed by him to the bill H.R. 3963, to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes; which was ordered to lie on the table; as follows:

At the end of subtitle A of title I, add the following:
SEC. 110. REQUIREMENT THAT INDIVIDUALS WHO ARE ELIGIBLE FOR CHIP AND EMPLOYER-SPONSORED COVERAGE USE THE EMPLOYER-SPONSORED COVERAGE INSTEAD OF CHIP.
Section 2105(c) (42 U.S.C. 1397ee(c)), as amended by section 601(a)(1), is amended by adding at the end the following new paragraph:
``(13) REQUIREMENT REGARDING EMPLOYER-SPONSORED COVERAGE.--
``(A) IN GENERAL.--Subject to subparagraph (B), on and after the date of enactment of the Children's Health Insurance Program Reauthorization Act of 2007, no payment may be made under this title with respect to an individual who is eligible for coverage under a group health plan or health insurance coverage offered through an employer, either as an individual or as part of family coverage.
``(B) STATE OPTION TO OFFER PREMIUM ASSISTANCE FOR HIGH-COST PLANS.--
``(i) IN GENERAL.--In the case of an individual who is otherwise eligible for coverage under this title but for the application of subparagraph (A) and who is eligible for high-cost heath insurance coverage, a State may elect to offer a premium assistance subsidy for such coverage.
``(ii) AMOUNT.--The amount of a premium assistance subsidy under this paragraph shall be determined by the State but in no case shall exceed the lesser of--
``(I) an amount equal to the value of the coverage under this title that would otherwise apply with respect to the individual but for the application of subparagraph (A); or
``(II) an amount equal to the difference between--
``(aa) the amount of the employee's share of the premium costs for the high-cost health insurance coverage (for the family or the individual, as the case may be); and
``(bb) an amount equal to 20 percent of the total premium costs for such coverage, including both the employer and employee share, (for the family or the individual, as the case may be).
``(C) HIGH-COST HEALTH INSURANCE COVERAGE.--For purposes of this paragraph, the term `high cost health insurance coverage' means a group health plan or health insurance coverage offered through an employer in which the employee is required to pay more than 20 percent of the premium costs.
``(D) TREATMENT AS CHILD HEALTH ASSISTANCE.--Expenditures for the provision of premium assistance subsidies under this paragraph shall be considered child health assistance described in paragraph (1)(C) of subsection (a) for purposes of making payments under that subsection.''.
(As printed in the Congressional Record for the Senate on Nov 1, 2007.)