H.R. 10677

Expanded Coverage for Former Foster Youth Act

Official summary

Written by the Congressional Research Service.

Expanded Coverage for Former Foster Youth Act

This bill modifies provisions relating to the coverage of former foster youths under Medicaid.

Under current law, a state Medicaid program must cover former foster youths until the age of 26 if the youths were in a state's foster care system at the age of 18 and were enrolled in a state's Medicaid program while in foster care. The bill requires state Medicaid programs to also cover former foster youths who were placed in a legal guardianship with a kinship caregiver or were emancipated from foster care before the age of 18. The bill repeals the provision that requires former foster youths to have been enrolled in a state Medicaid program while in foster care in order to qualify for Medicaid coverage until the age of 26.

The bill also requires states to establish Medicaid outreach and enrollment programs for former foster youths.

Text of the bill

Expand all
Sec. 2. Coverage continuity for former foster care children up to age 26

(a) In general. Section 1902(a)(10)(A)(i)(IX) of the Social Security Act (42 U.S.C. 1396a(a)(10)(A)(i)(IX)) is amended to read as follows:

Text this section adds to the law

(IX) who—

(aa) are under 26 years of age;

(bb) are not described in and are not enrolled under any of subclauses (I) through (VII) of this clause or are described in any of such subclauses but have income that exceeds the level of income applicable under the State plan for eligibility to enroll for medical assistance under such subclause; and

(cc) were in foster care under the responsibility of a State on the date of attaining 18 years of age (or such higher age as such State has elected under section 475(8)(B)(iii)), or were in such care at any age but subsequently left such care to enter into a legal guardianship with a kinship caregiver (without regard to whether kinship guardianship payments are being made on behalf of the child under this part), or were emancipated from such care prior to attaining age 18; and

(b) Effective date. The amendment made by subsection (a) shall take effect on January 1, 2027, and shall apply with respect to individuals who attain 18 years of age on or after that date.