I 
116TH CONGRESS 
1ST SESSION H. R. 1920 
To amend title XIX of the Social Security Act to provide a higher Federal 
matching rate for increased expenditures under Medicaid for mental 
and behavioral health services, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 27, 2019 
Mr. KENNEDY (for himself, Mr. LUJA´N, Mr. TONKO, Mr. CA´RDENAS, and Ms. 
MATSUI) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to provide 
a higher Federal matching rate for increased expendi-
tures under Medicaid for mental and behavioral health 
services, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medicaid Bump Act’’. 
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SEC. 2. HIGHER FMAP FOR INCREASED EXPENDITURES 
UNDER MEDICAID FOR MENTAL AND BEHAV-
IORAL HEALTH SERVICES. 
(a) IN GENERAL.—Section 1903(a)(5) of the Social 
Security Act (42 U.S.C. 1396b(a)(5)) is amended— 
(1) by striking ‘‘an amount equal’’ and insert-
ing ‘‘(A) an amount equal’’; and 
(2) by adding at the end the following: ‘‘and 
‘‘(B) an amount equal to 90 percent of the 
amounts by which— 
‘‘(i) the sum of the amounts expended 
which are attributable to the offering, arrang-
ing, and furnishing (directly or on a contract 
basis) under the State plan of mental and be-
havioral health services (including those related 
to substance use) for such quarter, exceeds 
‘‘(ii) the sum of the amounts expended 
which are attributable to the offering, arrang-
ing, and furnishing (directly or on a contract 
basis) under the State plan of such services for 
the corresponding quarter in the four-quarter 
period ending on March 31, 2019, plus’’. 
(b) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to calendar quarters 
beginning on or after January 1 of the year beginning 
after one year after the date of the enactment of this Act. 
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SEC. 3. MACPAC REPORT REGARDING MENTAL AND BEHAV-
IORAL HEALTH SERVICES. 
Section 1900(b)(6) of the Social Security Act (42 
U.S.C. 1396(b)(6)) is amended by adding at the end the 
following new subparagraph: 
‘‘(C) ANNUAL REPORTS REGARDING MEN-
TAL AND BEHAVIORAL HEALTH SERVICES.— 
‘‘(i) IN GENERAL.—For each year (be-
ginning with the first year of enactment), 
MACPAC shall submit to Congress a re-
port on mental and behavioral health serv-
ices under this title in each State selected 
under clause (iii) for such year. Such re-
port shall include information on the fol-
lowing under this title for each such State: 
‘‘(I) Payment rates for such serv-
ices. 
‘‘(II) The rationale for deriving 
such payment rates. 
‘‘(III) Utilization of such serv-
ices. 
‘‘(ii) AVAILABILITY OF DHHS INFOR-
MATION.—The Secretary shall periodically 
provide to MACPAC such information on 
mental and behavioral health services fur-
nished to individuals receiving benefits 
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under this title as MACPAC may request 
for purposes of preparing a report required 
under this subparagraph. 
‘‘(iii) SELECTION OF STATES.— 
‘‘(I) IN
GENERAL.—For each 
year (beginning with the first year be-
ginning after the date of the enact-
ment 
of 
this 
subparagraph), 
MACPAC shall select, subject to sub-
clause (II), for purposes of the report 
required under clause (i) for such year 
not fewer than five States that, to the 
greatest extent possible, vary with re-
spect to geography, demography, and 
the manner in which mental and be-
havioral health services are furnished 
under this title. 
‘‘(II) ENSURING
EVENTUAL
SE-
LECTION
OF
ALL
STATES.—A State 
that has been selected for a year may 
not be selected for a subsequent year 
unless all other States have been se-
lected during the period beginning 
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