I 

111TH CONGRESS 

2D SESSION H. R. 5471 

To amend the American Recovery and Reinvestment Act of 2009 to extend 

for 6 months the increase provided under that Act in the Medicaid 

Federal medical assistance percentage (FMAP). 

IN THE HOUSE OF REPRESENTATIVES 

MAY 28, 2010 

Ms. PINGREE of Maine (for herself, Mrs. CAPPS, Mr. GENE GREEN of Texas, 

and Mr. WEINER) introduced the following bill; which was referred to the 

Committee on Energy and Commerce 

A BILL 

To amend the American Recovery and Reinvestment Act 

of 2009 to extend for 6 months the increase provided 

under that Act in the Medicaid Federal medical assistance percentage (FMAP). 

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

3 SECTION 1. EXTENSION OF ARRA INCREASE IN FMAP. 

4 Section 5001 of the American Recovery and Reinvest5 ment Act of 2009 (Public Law 111–5) is amended— 

6 (1) in subsection (a)(3), by striking ‘‘first cal7 endar quarter’’ and inserting ‘‘first 3 calendar quar8 ters’’; 


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1 (2) in subsection (c)— 

2 (A) in paragraph (2)(B), by striking ‘‘July 

3 1, 2010’’ and inserting ‘‘January 1, 2011’’; 

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

5 ‘‘July 1, 2010’’ and inserting ‘‘January 1, 

6 2011’’ each place it appears; and 

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

8 ‘‘the 3-consecutive-month period beginning with 

9 January 2010’’ and inserting ‘‘any 3-consecu10 tive-month period that begins after December 

11 2009 and ends before January 2011’’; 

12 (3) in subsection (e), by adding at the end the 

13 following: 

14 ‘‘Notwithstanding paragraph (5), the increases in the 

15 FMAP for a State under this section shall apply to pay16 ments under title XIX of such Act that are attributable 

17 to expenditures for medical assistance provided to non18 pregnant childless adults made eligible under a State plan 

19 under such title (including under any waiver under such 

20 title or under section 1115 of such Act (42 U.S.C. 1315)) 

21 who would have been eligible for child health assistance 

22 or other health benefits under eligibility standards in ef23 fect as of December 31, 2009, of a waiver of the State 

24 child health plan under the title XXI of such Act.’’; 

25 (4) in subsection (g)— 


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1 (A) in paragraph (1), by striking ‘‘Sep2 tember 30, 2011’’ and inserting ‘‘March 31, 

3 2012’’; 

4 (B) in paragraph (2), by inserting ‘‘of such 

5 Act’’ after ‘‘1923’’; and 

6 (C) by adding at the end the following: 

7 ‘‘(3) CERTIFICATION BY CHIEF EXECUTIVE

8 OFFICER.—No additional Federal funds shall be 

9 paid to a State as a result of this section with 

10 respect to a calendar quarter occurring during 

11 the period beginning on January 1, 2011, and 

12 ending on June 30, 2011, unless, not later than 

13 45 days after the date of enactment of this 

14 paragraph, the chief executive officer of the 

15 State certifies that the State will request and 

16 use such additional Federal funds.’’; and 

17 (5) in subsection (h)(3), by striking ‘‘December 

18 31, 2010’’ and inserting ‘‘June 30, 2011’’. 

Æ 


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