I 
116TH CONGRESS 
2D SESSION 
H. R. 6273 
To amend title XI of the Social Security Act to increase allotments under 
the Medicaid program for territories of the United States, to provide 
for a temporary increase in the Federal medical assistance percentage 
for States under the Medicaid program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 13, 2020 
Mr. BUTTERFIELD introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend title XI of the Social Security Act to increase 
allotments under the Medicaid program for territories 
of the United States, to provide for a temporary increase 
in the Federal medical assistance percentage for States 
under the Medicaid program, 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 ‘‘Protecting Vulnerable 
Americans in Times of Crisis Act of 2020’’. 
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SEC. 2. TEMPORARY INCREASE OF MEDICAID FMAP. 
(a) IN GENERAL.—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 cal-
endar quarter in which the last day of such emergency 
period occurs, the Federal medical assistance percentage 
determined for each State, including the District of Co-
lumbia, American Samoa, Guam, the Commonwealth of 
the Northern Mariana Islands, Puerto Rico, and the 
United States Virgin Islands, under section 1905(b) of the 
Social Security Act (42 U.S.C. 1396d(b)) shall be in-
creased by 8 percentage points. 
(b) REQUIREMENT FOR ALL STATES.—A State de-
scribed in subsection (a) may not receive the increase de-
scribed in such subsection in the Federal medical assist-
ance percentage for such State, with respect to a quarter, 
if— 
(1) eligibility standards, methodologies, or pro-
cedures under the State plan of such State under 
title XIX of the Social Security Act (42 U.S.C. 1396 
et seq.) (including any waiver under such title or 
section 1115 of such Act (42 U.S.C. 1315)) are 
more restrictive during such quarter than the eligi-
bility standards methodologies, or procedures, re-
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spectively, under such plan (or waiver) as in effect 
on January 1, 2020; 
(2) the amount of any premium imposed by the 
State pursuant to section 1916 or 1916A of such 
Act (42 U.S.C. 1396o, 1396o–1) during such quar-
ter, with respect to an individual enrolled under such 
plan (or waiver), exceeds the amount of such pre-
mium as of January 1, 2020; 
(3) the State terminates or denies the enroll-
ment of any individual under such plan (or waiver) 
during such quarter for a reason other than a fail-
ure to satisfy financial, categorical, and State resi-
dency requirements (as applicable) under such plan 
(or waiver); 
(4) the State does not provide coverage under 
such plan (or waiver), without the imposition of cost 
sharing, during such quarter for any testing services 
and treatments for COVID-19, including vaccines, 
specialized equipment, and therapies; or 
(5) the State conducts during such quarter 
periodic income checks, including automated income 
checks, or eligibility redeterminations under such 
plan (or waiver) at a rate more frequent than once 
every 12 months. 
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