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[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3253 Enrolled Bill (ENR)]

        H.R.3253

                     One Hundred Sixteenth Congress

                                 of the

                        United States of America

                          AT THE FIRST SESSION

          Begun and held at the City of Washington on Thursday,
           the third day of January, two thousand and nineteen

                                 An Act

 
 To provide for certain extensions with respect to the Medicaid program 
   under title XIX of the Social Security Act, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
    This Act may be cited as the ``Sustaining Excellence in Medicaid 
Act of 2019''.
SEC. 2. EXTENSION OF THE COMMUNITY MENTAL HEALTH SERVICES DEMONSTRATION 
PROGRAM.
    Section 223(d)(3) of the Protecting Access to Medicare Act of 2014 
(42 U.S.C. 1396a note), as amended by Public Law 116-29, is amended by 
striking ``July 14, 2019'' and inserting ``September 13, 2019''.
SEC. 3. EXTENSION OF PROTECTION FOR MEDICAID RECIPIENTS OF HOME AND 
COMMUNITY-BASED SERVICES AGAINST SPOUSAL IMPOVERISHMENT.
    (a) In General.--Section 2404 of Public Law 111-148 (42 U.S.C. 
1396r-5 note) is amended by striking ``September 30, 2019'' and 
inserting ``December 31, 2019''.
    (b) Rule of Construction.--Nothing in section 2404 of Public Law 
111-148 (42 U.S.C. 1396r-5 note) or section 1902(a)(17) or 1924 of the 
Social Security Act (42 U.S.C. 1396a(a)(17), 1396r-5) shall be 
construed as prohibiting a State from applying an income or resource 
disregard under a methodology authorized under section 1902(r)(2) of 
such Act (42 U.S.C. 1396a(r)(2))--
        (1) to the income or resources of an individual described in 
    section 1902(a)(10)(A)(ii)(VI) of such Act (42 U.S.C. 
    1396a(a)(10)(A)(ii)(VI)) (including a disregard of the income or 
    resources of such individual's spouse); or
        (2) on the basis of an individual's need for home and 
    community-based services authorized under subsection (c), (d), (i), 
    or (k) of section 1915 of such Act (42 U.S.C. 1396n) or under 
    section 1115 of such Act (42 U.S.C. 1315).
SEC. 4. EXTENSION OF MONEY FOLLOWS THE PERSON REBALANCING 
DEMONSTRATION.
    Section 6071(h)(1)(F) of the Deficit Reduction Act of 2005 (42 
U.S.C. 1396a note) is amended by striking ``$132,000,000'' and 
inserting ``$254,500,000''.
SEC. 5. EXTENSION FOR FAMILY-TO-FAMILY HEALTH INFORMATION CENTERS.
    Section 501(c) of the Social Security Act (42 U.S.C. 701(c)) is 
amended--
        (1) in paragraph (1)(A)(vii), by striking ``and 2019'' and 
    inserting ``through 2024''; and
        (2) in paragraph (3)(C), by striking ``fiscal years 2018 and 
    2019'' and inserting ``fiscal year 2018 and each fiscal year 
    thereafter''.
SEC. 6. REDUCED WHOLESALE ACQUISITION COST (WAC)-BASED PAYMENTS FOR NEW 
DRUGS AND BIOLOGICALS.
    Section 1847A(c)(4) of the Social Security Act (42 U.S.C. 1395w-
3a(c)(4)) is amended by striking ``payable under this section for the 
drug or biological based on--'' and all that follows through the period 
at the end and inserting the following: ``payable under this section--
            ``(A) in the case of a drug or biological furnished prior 
        to January 1, 2019, based on--
                ``(i) the wholesale acquisition cost; or
                ``(ii) the methodologies in effect under this part on 
            November 1, 2003, to determine payment amounts for drugs or 
            biologicals; and
            ``(B) in the case of a drug or biological furnished on or 
        after January 1, 2019--
                ``(i) at an amount not to exceed 103 percent of the 
            wholesale acquisition cost; or
                ``(ii) based on the methodologies in effect under this 
            part on November 1, 2003, to determine payment amounts for 
            drugs or biologicals.''.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.
```