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 assist-
ance percentage (FMAP). 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. EXTENSION OF ARRA INCREASE IN FMAP. 
Section 5001 of the American Recovery and Reinvest-
ment Act of 2009 (Public Law 111–5) is amended— 
(1) in subsection (a)(3), by striking ‘‘first cal-
endar quarter’’ and inserting ‘‘first 3 calendar quar-
ters’’; 
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(2) in subsection (c)— 
(A) in paragraph (2)(B), by striking ‘‘July 
1, 2010’’ and inserting ‘‘January 1, 2011’’; 
(B) in paragraph (3)(B)(i), by striking 
‘‘July 1, 2010’’ and inserting ‘‘January 1, 
2011’’ each place it appears; and 
(C) in paragraph (4)(C)(ii), by striking 
‘‘the 3-consecutive-month period beginning with 
January 2010’’ and inserting ‘‘any 3-consecu-
tive-month period that begins after December 
2009 and ends before January 2011’’; 
(3) in subsection (e), by adding at the end the 
following: 
‘‘Notwithstanding paragraph (5), the increases in the 
FMAP for a State under this section shall apply to pay-
ments under title XIX of such Act that are attributable 
to expenditures for medical assistance provided to non-
pregnant childless adults made eligible under a State plan 
under such title (including under any waiver under such 
title or under section 1115 of such Act (42 U.S.C. 1315)) 
who would have been eligible for child health assistance 
or other health benefits under eligibility standards in ef-
fect as of December 31, 2009, of a waiver of the State 
child health plan under the title XXI of such Act.’’; 
(4) in subsection (g)— 
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(A) in paragraph (1), by striking ‘‘Sep-
tember 30, 2011’’ and inserting ‘‘March 31, 
2012’’; 
(B) in paragraph (2), by inserting ‘‘of such 
Act’’ after ‘‘1923’’; and 
(C) by adding at the end the following: 
‘‘(3) CERTIFICATION BY CHIEF EXECUTIVE 
OFFICER.—No additional Federal funds shall be 
paid to a State as a result of this section with 
respect to a calendar quarter occurring during 
the period beginning on January 1, 2011, and 
ending on June 30, 2011, unless, not later than 
45 days after the date of enactment of this 
paragraph, the chief executive officer of the 
State certifies that the State will request and 
use such additional Federal funds.’’; and 
(5) in subsection (h)(3), by striking ‘‘December 
31, 2010’’ and inserting ‘‘June 30, 2011’’. 
Æ 
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