I 
112TH CONGRESS 
1ST SESSION H. R. 3542 
To amend section 5001 of division B of the American Recovery and Reinvest-
ment Act of 2009 to extend the temporary increase in Medicaid FMAP 
through the end of fiscal year 2012. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 1, 2011 
Mr. GRIJALVA introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend section 5001 of division B of the American Recov-
ery and Reinvestment Act of 2009 to extend the tem-
porary increase in Medicaid FMAP through the end of 
fiscal year 2012. 
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 Enhancement 
and Emergency Job Creation Act of 2011’’. 
VerDate Mar 15 2010 
04:44 Dec 02, 2011
Jkt 019200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H3542.IH
H3542
tjames on DSK6SPTVN1PROD with BILLS
SEC. 2. EXTENSION OF ARRA INCREASE IN FMAP THROUGH 
FISCAL YEAR 2012. 
(a) IN GENERAL.—Section 5001 of division B of the 
American Recovery and Reinvestment Act of 2009 (Public 
Law 111–5), as amended by section 201 of Public Law 
111–226, is amended— 
(1) in subsection (a)— 
(A) by striking ‘‘and’’ at the end of para-
graph (2); 
(B) in paragraph (3), by striking ‘‘, but 
only for the first 3 calendar quarters in fiscal 
year 2011.’’ and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
paragraph: 
‘‘(4) fiscal year 2011 is less than the FMAP as 
so determines for fiscal year 2008, fiscal year 2009 
(after the application of paragraph (1)), fiscal year 
2010 (after the application of paragraph (2), or fis-
cal year 2011 (after the application of paragraph 
(3)), the greatest of such FMAP for the State for 
fiscal year 2008, fiscal year 2009, fiscal year 2010, 
or fiscal year 2011, shall be substituted for the 
State’s FMAP for fiscal year 2012 before the appli-
cation of this section.’’; 
(2) in subsection (b)(3), by adding at the end 
the following: 
VerDate Mar 15 2010 
04:44 Dec 02, 2011
Jkt 019200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H3542.IH
H3542
tjames on DSK6SPTVN1PROD with BILLS
‘‘(C) FOURTH QUARTER OF FISCAL YEAR 
2011
AND
FIRST
AND
SECOND
QUARTERS
OF 
FISCAL
YEAR
2012.—For each State, for the 
fourth quarter of fiscal year 2011 and the first 
and second quarters of fiscal year 2012, the 
FMAP percentage increase for the State under 
paragraph (1) or (2) (as applicable) shall be 6.2 
percentage points. 
‘‘(D) THIRD
QUARTER
OF
FISCAL
YEAR 
2012.—For each State, for the third quarter of 
fiscal year 2012, the FMAP percentage increase 
for the State under paragraph (1) or (2) (as 
applicable) shall be 3.2 percentage points. 
‘‘(E) FOURTH QUARTER OF FISCAL YEAR 
2011.—For each State, for the fourth quarter of 
fiscal year 2012, the FMAP percentage increase 
for the State under paragraph (1) or (2) (as 
applicable) shall be 1.2 percentage points.’’; 
(3) in subsection (c)— 
(A) in paragraph (2)(B), by striking ‘‘Jan-
uary 1, 2011’’ and inserting ‘‘April 1, 2012’’; 
(B) in paragraph (3)(B)(i), by striking 
‘‘January 1, 2011’’ and inserting ‘‘April 1, 
2012’’ each place it appears; and 
VerDate Mar 15 2010 
04:44 Dec 02, 2011
Jkt 019200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H3542.IH
H3542
tjames on DSK6SPTVN1PROD with BILLS
(C) in paragraph (4)(C)(ii), by striking 
‘‘January 2011’’ and inserting ‘‘April 2012’’; 
(4) in subsection (f)(1)(A), by adding at the 
end the following: ‘‘The previous sentence shall 
apply for quarters beginning after the date of the 
enactment of this sentence in the case of a State op-
erating under a Statewide waiver as of such date re-
gardless of whether the waiver in effect on July 1, 
2008, was renewed or extended after such date’’; 
(5) in subsection (g)(1), by striking ‘‘March 31, 
2012’’ and inserting ‘‘September 30, 2013’’; and 
(6) in subsection (h)(3), by striking ‘‘June 30, 
2011’’ and inserting ‘‘September 30, 2012’’. 
(b) PAYMENT
ADJUSTMENT.—The Secretary of 
Health and Human Services shall provide, not later than 
30 days after the date of the enactment of this Act, for 
such adjustments of payments to States under title XIX 
of the Social Security Act as may be necessary for cal-
endar quarters ending before such date to reflect the 
amendments made by subsection (a). 
Æ 
VerDate Mar 15 2010 
04:44 Dec 02, 2011
Jkt 019200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6301
E:\BILLS\H3542.IH
H3542
tjames on DSK6SPTVN1PROD with BILLS