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H.R. 4362 114th Congress House

State Health Flexibility Act of 2016

Official title: To amend the Social Security Act to replace the Medicaid program and the Children's Health Insurance program with a block grant to the States, and for other purposes.

Introduced: January 11, 2016 See on congress.gov
Health AbortionAccounting and auditingBorder security and unlawful immigrationChild health
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Comprehensive health careDisability and health-based discriminationEmergency medical services and trauma careHealth care costs and insuranceHealth care coverage and accessHealth programs administration and fundingImmigrant health and welfareMedicaidPoverty and welfare assistancePublic contracts and procurement
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This bill died when the 114th Congress ended
It never became law before the 114th Congress (2015–2016) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 5 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jan 19, 2016
Referred to the Subcommittee on Indian, Insular and Alaska Native Affairs.
Jan 15, 2016
Referred to the Subcommittee on Health.
Jan 11, 2016
Referred to the Subcommittee on Health.
Jan 11, 2016
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and the Workforce, the Judiciary, Natural Resources, House Administration, Rules, and Appropriations, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Jan 11, 2016
Introduced in House
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 Latest action January 19, 2016

Referred to the Subcommittee on Indian, Insular and Alaska Native Affairs.

 Plain-English summary Congressional Research Service

State Health Flexibility Act of 2016

This bill amends the Social Security Act (SSAct) to replace federal requirements for Medicaid and the Children's Health Insurance Program (CHIP) with health care block grants to states. A state may use block grant funds to: (1) provide health care services to indigent individuals; (2) fund risk adjustment mechanisms for the purpose of subsidizing the cost of private health insurance for the high-risk population; and (3) support other welfare-related programs, as specified by the bill.

In addition to repealing titles XIX (Medicaid) and XXI (CHIP) of the SSAct, the bill repeals: (1) the Patient Protection and Affordable Care Act, and (2) the Health Care and Educational Reconciliation Act of 2010.

With respect to an alien not lawfully admitted for permanent residence in the United States, a state may use grant funds to provide only emergency health care services, as specified by the bill.

A state shall contract with an approved auditing entity for annual audits of its grant fund expenditures.

The bill limits the authority of any federal agency to supervise a state's use of funds received under the block grant program.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 11
 Cosponsors 19
All 19 Republican 12
R
Westerman, Bruce
Arkansas · Jun 21, 2016
 R
Loudermilk, Barry
Georgia · Feb 29, 2016
Trott, David
· Feb 9, 2016
Brat, Dave
· Feb 2, 2016
 R
Allen, Rick W.
Georgia · Jan 11, 2016
 R
Blackburn, Marsha
Tennessee · Jan 11, 2016
Bridenstine, Jim
· Jan 11, 2016
 R
Cole, Tom
Oklahoma · Jan 11, 2016
 R
Cramer, Kevin
North Dakota · Jan 11, 2016
CULBERSON, JOHN
· Jan 11, 2016
Harper, Gregg
· Jan 11, 2016
 R
Huizenga, Bill
Michigan · Jan 11, 2016
 R
Jordan, Jim
Ohio · Jan 11, 2016
Messer, Luke
· Jan 11, 2016
 R
Moolenaar, John R.
Michigan · Jan 11, 2016
Pittenger, Robert
· Jan 11, 2016
 R
Schweikert, David
Arizona · Jan 11, 2016
 R
Stutzman, Marlin A.
Indiana · Jan 11, 2016
 R
Walberg, Tim
Michigan · Jan 11, 2016
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4362: State Health Flexibility Act of 2016. 114th Congress. Open America. https://openamerica.io/bill/114-HR-4362/
MLA
"H.R. 4362: State Health Flexibility Act of 2016." 114th Congress, 2026, Open America, https://openamerica.io/bill/114-HR-4362/.
Bluebook (legal)
H.R. 4362, 114th Cong. (2026), https://openamerica.io/bill/114-HR-4362/.
Markdown link
[H.R. 4362: State Health Flexibility Act of 2016](https://openamerica.io/bill/114-HR-4362/)
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