US Federal 2025-2026 Regular Session

US Federal House Bill HB4641

Introduced
 
Introduced
7/23/25  

Caption

Keep Kids Covered Act

Summary

The Keep Kids Covered Act would amend the Social Security Act to require states to provide longer continuous eligibility periods for certain children enrolled in Medicaid and the Children’s Health Insurance Program (CHIP). For children deemed newborns, the bill extends continuous eligibility from one year to age 6. For children ages 6 through 18, it expands continuous eligibility from 12 months to 24 months, and it also preserves continuous eligibility for former foster youth under Medicaid until age 26, subject to residency requirements. The bill also adds administrative requirements for states to periodically update contact information for individuals covered under a continuous eligibility provision and to notify families about ongoing enrollment and the remaining eligibility period. In addition, it revises the effective date for the former foster youth coverage provision in the SUPPORT for Patients and Communities Act so that it applies more broadly and more quickly to certain foster youth. The bill would amend multiple sections of titles XIX and XXI of the Social Security Act, affecting both Medicaid and CHIP state plan requirements.

Impact

If enacted, the bill would require state Medicaid and CHIP programs to maintain coverage for eligible children for longer uninterrupted periods, reducing disenrollment caused by routine eligibility redeterminations or paperwork gaps. It would change state plan obligations under the Social Security Act, including continuous eligibility rules for newborns, young children, older children, and former foster youth, and would impose new state duties to track and verify contact information during the coverage period. The bill would primarily affect state Medicaid agencies, CHIP administrators, eligible children and families, and former foster youth transitioning out of foster care.

Sentiment

Based on the bill text and available context, the measure appears to have a broadly supportive, child-focused policy framing. The title, sponsor list, and structure of the bill suggest an emphasis on maintaining health coverage for children and former foster youth, with no recorded committee debate or votes in the provided materials. The overall sentiment is therefore best characterized as favorable toward expanding and stabilizing coverage for children in public health insurance programs.

Contention

No committee transcript or vote record was provided, so there is no documented floor or committee controversy in the available materials. Potential points of contention, if raised in future debate, would likely center on the administrative and fiscal effects on states, including longer enrollment periods, updated contact-information requirements, and the operational burden of maintaining continuous eligibility. Another possible issue is the interaction between federal mandates and state flexibility in Medicaid and CHIP program administration.

Companion Bills

US SB2496

Related Keep Kids Covered Act

Previously Filed As

US SB2496

Keep Kids Covered Act

US SB2059

Keeping Obstetrics Local Act

US HB1224

MS Keeping Kids Safe Online Act;

US HB1433

Kids’ Access to Primary Care Act of 2025

US SB752

Accelerating Kids’ Access to Care Act

US HB3942

Keeping Obstetrics Local Act

US HB6617

Keeping All Students Safe Act

US S683

Keeping Kids and Parents Together Act

US SB2740

Mississippi Keeping Kids Safe Online Act; enact.

US SB2069

Stabilize Medicaid and CHIP Coverage Act

Similar Bills

No similar bills found.