Medicaid Services Investment and Accountability Act of 2019
Latest action · Apr 18, 2019 Became Public Law No: 116-16.
Progress
Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.
- IntroducedMar 21, 2019
- Passed HouseMar 25, 2019
- Passed SenateApr 2, 2019
- To the PresidentApr 10, 2019
- Became lawApr 18, 2019Public Law 116-16
Summary
Medicaid Services Investment and Accountability Act of 2019
This bill alters several Medicaid programs and funding provisions.
(Sec. 2) The bill temporarily extends the applicability of Medicaid eligibility criteria that protect against spousal impoverishment for recipients of home- and community-based services.
(Sec. 3) The bill also establishes a state Medicaid option to provide for medical assistance with respect to coordinated care provided through a health home (i.e., a designated provider or team of health-care professionals) for children with medically complex conditions. States must determine payment methodologies in accordance with specified requirements; payments also temporarily qualify for an enhanced federal matching rate.
(Sec. 4) The bill also temporarily extends the Medicaid demonstration program for certified community behavioral health clinics.
(Sec. 5) The bill increases funding available to the Money Follows the Person Rebalancing Demonstration Program. (Under this program, the Centers for Medicare & Medicaid Services may award grants to state Medicaid programs to assist states in increasing the use of home and community care for long-term care and decreasing the use of institutional care.)
(Sec. 6) Further, drug manufacturers with Medicaid rebate agreements for covered outpatient drugs must disclose drug product information. Manufacturers are subject to civil penalties for knowingly misclassifying drugs. Manufacturers are also required to compensate for rebates that were initially underpaid as a result of misclassification (whether or not such misclassification was committed knowingly).
Cosponsors 8
Members who signed on, in the order they did. Signatures ran from Mar 21, 2019 to Mar 25, 2019; 3 are original cosponsors, there from the day it was introduced.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| R-MI | Fred Upton | Original | Mar 21, 2019 |
| D-OR | Kurt Schrader | Original | Mar 21, 2019 |
| R-OK | Markwayne Mullin | Original | Mar 21, 2019 |
| R-KY | Brett Guthrie | Mar 25, 2019 | |
| D-MI | Debbie Dingell | Mar 25, 2019 | |
| R-FL | Gus M. Bilirakis | Mar 25, 2019 | |
| D-FL | Kathy Castor | Mar 25, 2019 | |
| R-TX | Van Taylor | Mar 25, 2019 |
Committees 1
Where it was sent and what each committee and subcommittee did with it, in order.
| Chamber | Committee | What it did |
|---|---|---|
| House | Energy and Commerce Committee | Referred Mar 21, 2019 |
| Health Subcommittee | Referred Mar 22, 2019 |
Actions 17
Everything that happened, newest first.
- Apr 18, 2019Signed by President.
- Apr 18, 2019Became Public Law No: 116-16.
- Apr 10, 2019Sponsor introductory remarks on measure. (CR H3224)
- Apr 10, 2019Presented to President.
- Apr 3, 2019Message on Senate action sent to the House.
- Apr 2, 2019Passed/agreed to in Senate: Passed Senate without amendment by Voice Vote. (consideration: CR S2203)
- Mar 26, 2019Received in the Senate, read twice.
- Mar 25, 2019Mr. Ruiz moved to suspend the rules and pass the bill, as amended.
- Mar 25, 2019Considered under suspension of the rules. (consideration: CR H2773-2780)
- Mar 25, 2019DEBATE - The House proceeded with forty minutes of debate on H.R. 1839.
- Mar 25, 2019At the conclusion of debate, the chair put the question on the motion to suspend the rules. Mr. Burgess objected to the vote on the grounds that a quorum was not present. Further proceedings on the motion were postponed. The point of no quorum was considered as withdrawn.
- Mar 25, 2019Considered as unfinished business. (consideration: CR H2781)
- Mar 25, 2019Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H2773-2776)
- Mar 25, 2019Motion to reconsider laid on the table Agreed to without objection.
- Mar 22, 2019Referred to the Subcommittee on Health.
- Mar 21, 2019Introduced in House
- Mar 21, 2019Referred to the House Committee on Energy and Commerce.
In the Congressional Record 4
Days the Record’s own index lists this bill, newest first, with the pages and the members it names. Pages starting H are the House, S the Senate, E Extensions of Remarks.
| Where | In the Record | Members | Date |
|---|---|---|---|
| House | Debate and remarks H3224 | Raul Ruiz D-CA | Apr 10, 2019 |
| Senate | Debate and remarks S2203 | Mitch McConnell R-KY | Apr 2, 2019 |
| Extensions | Debate and remarks E354 | Anna G. Eshoo D-CA | Mar 26, 2019 |
| House | Debate and remarks H2773–H2780, H2781Text printed H2773–H2776Notices H2793Estimated budget effects of H.R. 1839, Medicaid Services Investment and Accountability ActTables H2793Estimated pay-as-you-go effects of H.R. 1839, Medicaid Services Investment and Accountability Act | Brett Guthrie R-KY, Debbie Dingell D-MI, Doris O. Matsui D-CA, Eddie Bernice Johnson D-TX, Fred Upton R-MI, Greg Walden R-OR, John A. Yarmuth D-KY, Kathy Castor D-FL, Michael C. Burgess R-TX, Raul Ruiz D-CA | Mar 25, 2019 |
Research
What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.
Congressional Budget Office cost estimate
- Mar 22, 2019H.R. 1839, Medicaid Services Investment and Accountability Act of 2019As introduced in the House of Representatives on March 21, 2019
Constitutional authority
The sponsor’s statement, as printed in the Congressional Record, vol. 165, no. 50, March 21, 2019, page H2762.
CRS reports 11
Congressional Research Service work that CRS links to this bill or the law it became, newest first.
Cite it 11
Products on other subjects that cite it, usually among other measures.
| Product | Title | Kind | Published |
|---|---|---|---|
| RL34619 | Use of the Capitol Rotunda, Capitol Grounds, and Emancipation Hall: Concurrent Resolutions, 101st to 119th Congresses | Report | Feb 6, 2026 |
| R43847 | Medicaid’s Federal Medical Assistance Percentage (FMAP) | Report | Apr 2, 2025 |
| R46818 | Health Care-Related Expiring Provisions of the 117th Congress, First Session Archived | Report | Jun 14, 2021 |
| IF11839 | Medicaid’s Money Follows the Person Rebalancing Demonstration Program | Resource | May 26, 2021 |
| R46653 | Major Agricultural Trade Issues in the 117th Congress Archived | Report | Jan 8, 2021 |
Related bills 4
Companion bills and other measures the record links to this one.
| Bill | Title | Relationship | Latest action |
|---|---|---|---|
| S 205 | Right Rebate Act of 2019 | Related bill | Jan 24, 2019 |
| S 317 | ACE Kids Act of 2019 | Related bill | Feb 4, 2019 |
| HR 937 | Right Rebate Act of 2019 | Related bill | Jan 31, 2019 |
| HR 1226 | ACE Kids Act of 2019 | Related bill | Feb 15, 2019 |
Titles 6
Every title it has carried, official and short, at each stage.
- Official Title as Introduced
- To amend title XIX to extend protection for Medicaid recipients of home and community-based services against spousal impoverishment, establish a State Medicaid option to provide coordinated care to children with complex medical conditions through health homes, prevent the misclassification of drugs for purposes of the Medicaid drug rebate program, and for other purposes.
- Short Titles as Passed Senate
- Medicaid Services Investment and Accountability Act of 2019
- Short Titles as Enacted
- Medicaid Services Investment and Accountability Act of 2019
- Short Title(s) as Introduced
- Medicaid Services Investment and Accountability Act of 2019
- Short Title(s) as Passed House
- Medicaid Services Investment and Accountability Act of 2019
- Short Titles from ENR (Enrolled) bill text
- Medicaid Services Investment and Accountability Act of 2019
Subjects
Assigned by the Library of Congress. Policy area: Health.
- Birth defects
- Blood and blood diseases
- Business records
- Cardiovascular and respiratory health
- Child health
- Civil actions and liability
- Disability and paralysis
- Emergency medical services and trauma care
- Family services
- Health
- Health care costs and insurance
- Health care coverage and access
- Health care quality
- Health personnel
- Health programs administration and funding
- Health promotion and preventive care
- Health technology, devices, supplies
- Hereditary and development disorders
- HIV/AIDS
- Home and outpatient care
- Hospital care
- Inflation and prices
- Long-term, rehabilitative, and terminal care
- Marriage and family status
- Medicaid
- Medical education
- Mental health
- Musculoskeletal and skin diseases
- Neurological disorders
- Prescription drugs
- Sex and reproductive health
- State and local courts
- State and local finance
Text 4
Each version as it was printed, newest first.
- —Enrolled Bill
- Mar 26, 2019Received in Senate
- Mar 25, 2019Engrossed in House
- Mar 21, 2019Introduced in House
Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.