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[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3253 Engrossed Amendment Senate (EAS)]

<DOC>
  
  
  
  
  
  
  
  
  
  

                  In the Senate of the United States,

                                                         July 25, 2019.
    Resolved, That the bill from the House of Representatives (H.R. 
3253) entitled ``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.'', do pass with the following

                               AMENDMENT:

            Strike all after the enacting clause and insert the 
      following:

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.''.

            Attest:

                                                             Secretary.
116th CONGRESS

  1st Session

                               H.R. 3253

_______________________________________________________________________

                               AMENDMENT
```