This amendment in the nature of a substitute combines provisions from H.R. 3921 and H.R. 3922. Division A, from H.R. 3922, would extend funding for Community Health Centers and several other public health programs for two years, through 2019. It also would shorten the grace period for repaying delinquent premiums for people receiving subsidies for nongroup health insurance coverage and reduce funding available for the Prevention and Public Health Fund. Division B, from H.R. 3921, would extend federal funding for the Children’s Health Insurance Program for five years, increase Medicaid funding for Puerto Rico and the Virgin Islands, and change policies that require other sources of health insurance coverage, or third parties, to pay claims before the Medicaid program. It also would modify payments to hospitals that treat a disproportionate share of uninsured and Medicaid patients and require states to count lottery winnings as income for purposes of determining Medicaid eligibility.