I 
116TH CONGRESS 
2D SESSION 
H. R. 6658 
To amend the Families First Coronavirus Response Act to adjust the tem-
porary increase in the Medicaid Federal medical assistance percentage 
provided for territories during the COVID–19 emergency period, and 
for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 1, 2020 
Mr. SABLAN introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend the Families First Coronavirus Response Act to 
adjust the temporary increase in the Medicaid Federal 
medical assistance percentage provided for territories 
during the COVID–19 emergency period, 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 ‘‘Insular Area Medicaid 
Coronavirus Recovery Act’’. 
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SEC. 2. AMENDMENT TO TEMPORARY INCREASE IN MED-
ICAID FMAP PROVIDED DURING COVID–19 
EMERGENCY PERIOD. 
(a) IN GENERAL.—Subsection (a) of section 6008 of 
the Families First Coronavirus Response Act (Public Law 
116–127) is amended to read as follows: 
‘‘(a) TEMPORARY INCREASE IN MEDICAID FMAP.— 
‘‘(1) 50 STATES AND DISTRICT OF COLUMBIA.— 
Subject to subsection (b), for each calendar quarter 
occurring during the period beginning on the first 
day of the emergency period defined in paragraph 
(1)(B) of section 1135(g) of the Social Security Act 
(42 U.S.C. 1320b–5(g)) and ending on the last day 
of the calendar quarter in which the last day of such 
emergency period occurs, the Federal medical assist-
ance percentage determined under section 1905(b) 
of such Act (42 U.S.C. 1396d(b)) for a State that 
is one of the 50 States or the District of Columbia 
shall be increased by 6.2 percentage points. 
‘‘(2) TERRITORIES.—Subject to subsection (b), 
for each calendar quarter occurring during the pe-
riod beginning on the first day of the emergency pe-
riod described in paragraph (1) and ending on the 
later of the last day of the calendar quarter in which 
the last day of such emergency period occurs or Sep-
tember 30, 2021, the Federal medical assistance 
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percentage determined under section 1905(b) of the 
Social Security Act (42 U.S.C. 1396d(b)) for a State 
that is American Samoa, Guam, the Commonwealth 
of the Northern Mariana Islands, Puerto Rico, or 
the United States Virgin Islands shall be 100 per-
cent.’’. 
(b) STATE DEFINED.—Section 6008 of the Families 
First Coronavirus Response Act (Public Law 116–127) is 
amended by adding at the end the following new sub-
section: 
‘‘(e) STATE DEFINED.—In this section, the term 
‘State’ has the meaning given such term in section 
1101(a)(1) of the Social Security Act (42 U.S.C. 
1301(a)(1)) for purposes of title XIX of such Act (42 
U.S.C. 1396 et seq.).’’. 
(c) CONFORMING AMENDMENTS.— 
(1) Section 6008 of the Families First 
Coronavirus Response Act (Public Law 116–127), as 
amended by subsection (b), is further amended— 
(A) in subsection (b)— 
(i) in the matter preceding paragraph 
(1), by striking ‘‘A State described in sub-
section (a) may not receive the increase de-
scribed in such subsection in the Federal 
medical assistance percentage for such 
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State’’ and inserting ‘‘A State may not re-
ceive the increase to the Federal medical 
assistance percentage of the State de-
scribed in subsection (a)(1) or the Federal 
medical assistance percentage described in 
subsection (a)(2), as applicable’’; and 
(ii) in paragraph (3), by striking ‘‘de-
scribed in subsection (a)’’ and inserting 
‘‘described in subsection (a)(1)’’; and 
(B) in subsection (d), by striking ‘‘a State 
shall not be ineligible for the increase to the 
Federal medical assistance percentage of the 
State described in subsection (a)’’ and inserting 
‘‘a State shall not be ineligible for the increase 
to the Federal medical assistance percentage of 
the State described in subsection (a)(1) or the 
Federal medical assistance percentage described 
in subsection (a)(2), as applicable,’’. 
(2) Section 1905(ff) of the Social Security Act 
(42 U.S.C. 1396d(ff)) is amended— 
(A) in paragraph (2), by inserting after 
‘‘subject to section 1108(g)(7)(C)’’ the fol-
lowing: ‘‘and section 6008(a)(2) of the Families 
First Coronavirus Response Act’’; and 
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(B) in paragraph (3), by inserting after 
‘‘subject to section 1108(g)(8)(B)’’ the fol-
lowing: ‘‘and such section 6008(a)(2)’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply as if included in the enactment 
of the Families First Coronavirus Response Act (Public 
Law 116–127). 
Æ 
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