I 
116TH CONGRESS 
1ST SESSION H. R. 3253 
To provide for certain extensions with respect to the Medicaid program 
under title XIX of the Social Security Act, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 13, 2019 
Mrs. DINGELL (for herself, Mr. GUTHRIE, Mr. PALLONE, Mr. WALDEN, Ms. 
ESHOO, Mr. BURGESS, Mr. UPTON, Mr. WELCH, Mr. WALBERG, and Mr. 
KENNEDY) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To provide for certain extensions with respect to the Med-
icaid program under title XIX of the Social Security 
Act, 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; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Empowering 
Beneficiaries, 
Ensuring 
Access, 
and 
Strengthening Accountability Act of 2019’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
VerDate Sep 11 2014 
18:46 Jun 14, 2019
Jkt 089200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6211
E:\BILLS\H3253.IH
H3253
pamtmann on DSKBFK8HB2PROD with BILLS
Sec. 2. Extension of Money Follows the Person Rebalancing Demonstration. 
Sec. 3. Clarifying authority of State Medicaid fraud and abuse control units to 
investigate and prosecute cases of Medicaid patient abuse and 
neglect in any setting. 
Sec. 4. Extension of protection for Medicaid recipients of home and community- 
based services against spousal impoverishment. 
Sec. 5. Extension of the Community Mental Health Services Demonstration 
Program. 
Sec. 6. Preventing inappropriately low rebates under Medicaid drug rebate pro-
gram. 
Sec. 7. Medicaid Improvement Fund. 
SEC. 2. EXTENSION OF MONEY FOLLOWS THE PERSON RE-
BALANCING DEMONSTRATION. 
(a) IN GENERAL.— 
(1) FUNDING.—Section 6071(h) of the Deficit 
Reduction Act of 2005 (42 U.S.C. 1396a note) is 
amended— 
(A) in paragraph (1)— 
(i) in subparagraph (E), by striking 
‘‘and’’ at the end; 
(ii) in subparagraph (F)— 
(I) by striking ‘‘subject to para-
graph (3), 132,000,000’’ and insert-
ing ‘‘$132,000,000’’; and 
(II) by striking the period at the 
end and inserting a semicolon; and 
(iii) by adding at the end the fol-
lowing new subparagraphs: 
‘‘(G) $417,000,000 for fiscal year 2020; 
‘‘(H) $450,000,000 for each of fiscal years 
2021 through 2023; and 
VerDate Sep 11 2014 
18:46 Jun 14, 2019
Jkt 089200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H3253.IH
H3253
pamtmann on DSKBFK8HB2PROD with BILLS
‘‘(I) $225,000,000 for fiscal year 2024.’’; 
(B) in paragraph (2)— 
(i) by striking ‘‘Subject to paragraph 
(3), amounts’’ and inserting ‘‘Amounts’’; 
and 
(ii) by striking ‘‘2021’’ and inserting 
‘‘2024’’; and 
(C) by striking paragraph (3). 
(2) RESEARCH
AND
EVALUATION.—Section 
6071(g) of the Deficit Reduction Act of 2005 (42 
U.S.C. 1396a note) is amended— 
(A) in paragraph (2), by striking ‘‘2016’’ 
and inserting ‘‘2024’’; and 
(B) in paragraph (3), by inserting ‘‘and 
for each of fiscal years 2019 through 2024,’’ 
after ‘‘2016,’’. 
(b) CHANGES TO INSTITUTIONAL RESIDENCY PE-
RIOD REQUIREMENT.— 
(1) IN GENERAL.—Section 6071(b)(2) of the 
Deficit Reduction Act of 2005 (42 U.S.C. 1396a 
note) is amended— 
(A) in subparagraph (A)(i), by striking 
‘‘90’’ and inserting ‘‘60’’; and 
(B) by striking the flush sentence after 
subparagraph (B). 
VerDate Sep 11 2014 
18:46 Jun 14, 2019
Jkt 089200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H3253.IH
H3253
pamtmann on DSKBFK8HB2PROD with BILLS
(2) EFFECTIVE DATE.—The amendments made 
by paragraph (1) shall take effect on the date that 
is 30 days after the date of the enactment of this 
Act. 
(c) UPDATES
TO STATE APPLICATION REQUIRE-
MENTS.—Section 6071(c) of the Deficit Reduction Act of 
2005 (42 U.S.C. 1396a note) is amended— 
(1) in paragraph (3), by striking ‘‘, which shall 
include’’ and all that follows through ‘‘2007’’; 
(2) in paragraph (7)— 
(A) in the paragraph heading, by striking 
‘‘REBALANCING’’ 
and 
inserting 
‘‘EXPENDI-
TURES’’; 
(B) in subparagraph (A), by adding ‘‘and’’ 
at the end; and 
(C) in subparagraph (B)— 
(i) in clause (i), by striking ‘‘and’’ at 
the end; 
(ii) in clause (ii), by striking the pe-
riod at the end and inserting a semicolon; 
and 
(iii) by adding at the end the fol-
lowing: 
VerDate Sep 11 2014 
18:46 Jun 14, 2019
Jkt 089200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H3253.IH
H3253
pamtmann on DSKBFK8HB2PROD with BILLS
‘‘(iii) include a work plan that describes 
for each Federal fiscal year that occurs during 
the proposed MFP demonstration project— 
‘‘(I) the use of grant funds for each 
proposed initiative that is designed to ac-
complish the objective described in sub-
section (a)(1), including a funding source 
for each activity that is part of each such 
proposed initiative; 
‘‘(II) an evaluation plan that identi-
fies expected results for each such pro-
posed initiative; and 
‘‘(III) a sustainability plan for compo-
nents of such proposed initiatives that are 
intended to improve transitions, which 
shall be updated with actual expenditure 
information for each Federal fiscal year 
that occurs during the MFP demonstration 
project; and 
‘‘(iv) contain assurances that grant funds 
used to accomplish the objective described in 
subsection (a)(1) shall be obligated not later 
than 24 months after the date on which the 
funds are awarded and shall be expended not 
later than 60 months after the date on which 
VerDate Sep 11 2014 
18:46 Jun 14, 2019
Jkt 089200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H3253.IH
H3253
pamtmann on DSKBFK8HB2PROD with BILLS