I 

112TH CONGRESS 

1ST SESSION H. R. 3542 

To amend section 5001 of division B of the American Recovery and Reinvestment Act of 2009 to extend the temporary increase in Medicaid FMAP 

through the end of fiscal year 2012. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 1, 2011 

Mr. GRIJALVA introduced the following bill; which was referred to the 

Committee on Energy and Commerce 

A BILL 

To amend section 5001 of division B of the American Recovery and Reinvestment Act of 2009 to extend the temporary increase in Medicaid FMAP through the end of 

fiscal year 2012. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Medicaid Enhancement 

5 and Emergency Job Creation Act of 2011’’. 


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1 SEC. 2. EXTENSION OF ARRA INCREASE IN FMAP THROUGH 

2 FISCAL YEAR 2012. 

3 (a) IN GENERAL.—Section 5001 of division B of the 

4 American Recovery and Reinvestment Act of 2009 (Public 

5 Law 111–5), as amended by section 201 of Public Law 

6 111–226, is amended— 

7 (1) in subsection (a)— 

8 (A) by striking ‘‘and’’ at the end of para9 graph (2); 

10 (B) in paragraph (3), by striking ‘‘, but 

11 only for the first 3 calendar quarters in fiscal 

12 year 2011.’’ and inserting ‘‘; and’’; and 

13 (C) by adding at the end the following new 

14 paragraph: 

15 ‘‘(4) fiscal year 2011 is less than the FMAP as 

16 so determines for fiscal year 2008, fiscal year 2009 

17 (after the application of paragraph (1)), fiscal year 

18 2010 (after the application of paragraph (2), or fis19 cal year 2011 (after the application of paragraph 

20 (3)), the greatest of such FMAP for the State for 

21 fiscal year 2008, fiscal year 2009, fiscal year 2010, 

22 or fiscal year 2011, shall be substituted for the 

23 State’s FMAP for fiscal year 2012 before the appli24 cation of this section.’’; 

25 (2) in subsection (b)(3), by adding at the end 

26 the following: 


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1 ‘‘(C) FOURTH QUARTER OF FISCAL YEAR

2 2011 AND FIRST AND SECOND QUARTERS OF

3 FISCAL YEAR 2012.—For each State, for the 

4 fourth quarter of fiscal year 2011 and the first 

5 and second quarters of fiscal year 2012, the 

6 FMAP percentage increase for the State under 

7 paragraph (1) or (2) (as applicable) shall be 6.2 

8 percentage points. 

9 ‘‘(D) THIRD QUARTER OF FISCAL YEAR

10 2012.—For each State, for the third quarter of 

11 fiscal year 2012, the FMAP percentage increase 

12 for the State under paragraph (1) or (2) (as 

13 applicable) shall be 3.2 percentage points. 

14 ‘‘(E) FOURTH QUARTER OF FISCAL YEAR

15 2011.—For each State, for the fourth quarter of 

16 fiscal year 2012, the FMAP percentage increase 

17 for the State under paragraph (1) or (2) (as 

18 applicable) shall be 1.2 percentage points.’’; 

19 (3) in subsection (c)— 

20 (A) in paragraph (2)(B), by striking ‘‘Jan21 uary 1, 2011’’ and inserting ‘‘April 1, 2012’’; 

22 (B) in paragraph (3)(B)(i), by striking 

23 ‘‘January 1, 2011’’ and inserting ‘‘April 1, 

24 2012’’ each place it appears; and 


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1 (C) in paragraph (4)(C)(ii), by striking 

2 ‘‘January 2011’’ and inserting ‘‘April 2012’’; 

3 (4) in subsection (f)(1)(A), by adding at the 

4 end the following: ‘‘The previous sentence shall 

5 apply for quarters beginning after the date of the 

6 enactment of this sentence in the case of a State op7 erating under a Statewide waiver as of such date re8 gardless of whether the waiver in effect on July 1, 

9 2008, was renewed or extended after such date’’; 

10 (5) in subsection (g)(1), by striking ‘‘March 31, 

11 2012’’ and inserting ‘‘September 30, 2013’’; and 

12 (6) in subsection (h)(3), by striking ‘‘June 30, 

13 2011’’ and inserting ‘‘September 30, 2012’’. 

14 (b) PAYMENT ADJUSTMENT.—The Secretary of 

15 Health and Human Services shall provide, not later than 

16 30 days after the date of the enactment of this Act, for 

17 such adjustments of payments to States under title XIX 

18 of the Social Security Act as may be necessary for cal19 endar quarters ending before such date to reflect the 

20 amendments made by subsection (a). 

Æ 


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