; and (C) provides greater coordination of palliative and curative services for children throughout the course of their illness or condition, which may begin at the time of diagnosis; (6) some States have opted to provide services targeted to this population through waivers under subsections (b) and (c) of section 1915 of the Social Security Act ( 42 U.S.C. 1396n ), each of which requires the approval of the Centers for Medicare & Medicaid Services of the initial waiver application and any subsequent renewal of such waiver; (7) since 2005, the Secretary of Health and Human Services has approved home and community-based service waivers under section 1915(c) of such Act ( 42 U.S.C. 1396n(c) ) to operate ChiPACC in five States; (8) in States operating ChiPACC under such a waiver— (A) the respective State’s Medicaid program achieved significant cost savings through a reduction in inpatient care and an increase in less expensive outpatient care; (B) access to such services in such States reduced more costly utilizations of other services; and (C) services provided through ChiPACC are less costly to the State’s Medicaid program because ChiPACC facilitates children receiving palliative care at home rather than receiving such services in an inpatient hospital setting; and (9) allowing States the option to implement ChiPACC through a State plan amendment would— (A) give States the ability to make such program a part of a State’s Medicaid program while avoiding the lengthy waiver process