I 118th CONGRESS 1st Session H. R. 4056 IN THE HOUSE OF REPRESENTATIVES June 13, 2023 Mr. Bilirakis (for himself, Ms. Castor of Florida , and Ms. Chu ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title XIX of the Social Security Act to ensure that medical assistance is available to children in foster care who are placed in a qualified residential treatment program under the Medicaid program.

1. Short title This Act may be cited as the Ensuring Medicaid Continuity for Children in Foster Care Act of 2023 . 2. Ensuring that medical assistance is available to children in foster care who are placed in a qualified residential treatment program under the Medicaid program (a) In general Section 1905(a)(31)(B) of the Social Security Act ( 42 U.S.C. 1396d(a)(31)(B) ) is amended by inserting and care and services provided to any individual who is a child in foster care under the responsibility of a State who has been placed, in accordance with the requirements of section 475A(c), in a child care institution that is a qualified residential treatment program (as defined in section 472(k)(4)), but only if payments are being made on behalf of such child under section 472 with respect to which Federal payments may be made under section 474(a)(1) and only if the child continues to be in foster care under the responsibility of a State after section 1915(l) . (b) Effective date The amendment made by subsection (a) shall apply with respect to medical assistance furnished in calendar quarters beginning on or after October 1, 2023.