Legis Daily

Sustaining Excellence in Medicaid Act of 2019

USA116th CongressHR-3253| House 
| Updated: 8/6/2019
Debbie Dingell

Debbie Dingell

Democratic Representative

Michigan

Cosponsors (9)
Michael C. Burgess (Republican)Joseph P. Kennedy (Democratic)Brett Guthrie (Republican)Greg Walden (Republican)Tim Walberg (Republican)Fred Upton (Republican)Anna G. Eshoo (Democratic)Peter Welch (Democratic)Frank Pallone (Democratic)

Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Sustaining Excellence in Medicaid Act of 2019 This bill extends several health care programs and requirements and revises certain Medicare drug payment methodologies. (Sec. 2) The bill temporarily extends the Medicaid demonstration program for certified community behavioral health clinics. (Sec. 3) The bill also temporarily extends the applicability of Medicaid eligibility criteria that protect against spousal impoverishment for recipients of home- and community-based services. (Sec. 4) The bill increases appropriations for FY2019 for the Money Follows the Person Rebalancing Demonstration Program. (Under this program, the Centers for Medicare & Medicaid Services (CMS) may award grants to state Medicaid programs to assist states in increasing the use of home and community care for long-term care and decreasing the use of institutional care.) (Sec. 5) Additionally, the bill extends the Family-to-Family Health Information Centers Program, which is administered by the Health Resources and Services Administration. The program awards grants to family-run organizations to support the provision of information and peer support to families of children with special health care needs. (Sec. 6) Finally, the bill provides statutory authority for a Medicare payment methodology that applies an add-on payment of up to 3% for new drugs or biologics (furnished on or after January 1, 2019) when the average sales price is unavailable and payment is instead based on the wholesale acquisition cost (WAC). (Effective January 1, 2019, the CMS reduced the WAC add-on payment in such situations from 6% to 3%.)

Bill Text Versions

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6 versions available

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Timeline
Jun 13, 2019
Introduced in House
Jun 13, 2019
Referred to the House Committee on Energy and Commerce.
Jun 18, 2019
Mrs. Dingell moved to suspend the rules and pass the bill, as amended.
Jun 18, 2019
Considered under suspension of the rules. (consideration: CR H4706-4710)
Jun 18, 2019
DEBATE - The House proceeded with forty minutes of debate on H.R. 3253.
Jun 18, 2019
At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
Jun 19, 2019
Considered as unfinished business. (consideration: CR H4751)
Jun 19, 2019
On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 371 - 46 (Roll no. 333). (text: CR H4706-4707)
View Vote
Jun 19, 2019
Motion to reconsider laid on the table Agreed to without objection.
Jun 19, 2019
Received in the Senate, read twice.
Jul 25, 2019
Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.
Jul 25, 2019
Passed Senate with an amendment by Voice Vote.
Jul 25, 2019
Message on Senate action sent to the House.
Jul 25, 2019
Measure laid before Senate by unanimous consent. (consideration: CR S5114)
Jul 30, 2019
Resolving differences -- House actions: On motion that the House agree to the Senate amendment Agreed to without objection.(text: CR H7477-7478)
Jul 30, 2019
Ms. Norton asked unanimous consent to take from the Speaker's Table and agree to the Senate amendment. (consideration: CR H7477-7478)
Jul 30, 2019
On motion that the House agree to the Senate amendment Agreed to without objection. (text: CR H7477-7478)
Jul 30, 2019
Motion to reconsider laid on the table Agreed to without objection.
Aug 1, 2019
Presented to President.
Aug 6, 2019
Signed by President.
Aug 6, 2019
Became Public Law No: 116-39.
  • June 13, 2019
    Introduced in House


  • June 13, 2019
    Referred to the House Committee on Energy and Commerce.


  • June 18, 2019
    Mrs. Dingell moved to suspend the rules and pass the bill, as amended.


  • June 18, 2019
    Considered under suspension of the rules. (consideration: CR H4706-4710)


  • June 18, 2019
    DEBATE - The House proceeded with forty minutes of debate on H.R. 3253.


  • June 18, 2019
    At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.


  • June 19, 2019
    Considered as unfinished business. (consideration: CR H4751)


  • June 19, 2019
    On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 371 - 46 (Roll no. 333). (text: CR H4706-4707)
    View Vote


  • June 19, 2019
    Motion to reconsider laid on the table Agreed to without objection.


  • June 19, 2019
    Received in the Senate, read twice.


  • July 25, 2019
    Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.


  • July 25, 2019
    Passed Senate with an amendment by Voice Vote.


  • July 25, 2019
    Message on Senate action sent to the House.


  • July 25, 2019
    Measure laid before Senate by unanimous consent. (consideration: CR S5114)


  • July 30, 2019
    Resolving differences -- House actions: On motion that the House agree to the Senate amendment Agreed to without objection.(text: CR H7477-7478)


  • July 30, 2019
    Ms. Norton asked unanimous consent to take from the Speaker's Table and agree to the Senate amendment. (consideration: CR H7477-7478)


  • July 30, 2019
    On motion that the House agree to the Senate amendment Agreed to without objection. (text: CR H7477-7478)


  • July 30, 2019
    Motion to reconsider laid on the table Agreed to without objection.


  • August 1, 2019
    Presented to President.


  • August 6, 2019
    Signed by President.


  • August 6, 2019
    Became Public Law No: 116-39.

Health

Related Bills

  • S 116-548: EMPOWER Care Act
  • HR 116-3276: Fair AMP Act
  • HR 116-233: Medicaid Patient Abuse Prevention Act
  • HR 116-1342: EMPOWER Care Act
  • S 116-2379: Medicaid Patient Abuse Prevention Act
Administrative law and regulatory proceduresChild healthCongressional oversightCriminal investigation, prosecution, interrogationDepartment of Health and Human ServicesFraud offenses and financial crimesGovernment studies and investigationsHealth care costs and insuranceHealth care qualityHealth programs administration and fundingHealth promotion and preventive careHome and outpatient careLong-term, rehabilitative, and terminal careMarriage and family statusMedicaidMental healthPrescription drugsState and local financeState and local government operations

Sustaining Excellence in Medicaid Act of 2019

USA116th CongressHR-3253| House 
| Updated: 8/6/2019
Sustaining Excellence in Medicaid Act of 2019 This bill extends several health care programs and requirements and revises certain Medicare drug payment methodologies. (Sec. 2) The bill temporarily extends the Medicaid demonstration program for certified community behavioral health clinics. (Sec. 3) The bill also temporarily extends the applicability of Medicaid eligibility criteria that protect against spousal impoverishment for recipients of home- and community-based services. (Sec. 4) The bill increases appropriations for FY2019 for the Money Follows the Person Rebalancing Demonstration Program. (Under this program, the Centers for Medicare & Medicaid Services (CMS) may award grants to state Medicaid programs to assist states in increasing the use of home and community care for long-term care and decreasing the use of institutional care.) (Sec. 5) Additionally, the bill extends the Family-to-Family Health Information Centers Program, which is administered by the Health Resources and Services Administration. The program awards grants to family-run organizations to support the provision of information and peer support to families of children with special health care needs. (Sec. 6) Finally, the bill provides statutory authority for a Medicare payment methodology that applies an add-on payment of up to 3% for new drugs or biologics (furnished on or after January 1, 2019) when the average sales price is unavailable and payment is instead based on the wholesale acquisition cost (WAC). (Effective January 1, 2019, the CMS reduced the WAC add-on payment in such situations from 6% to 3%.)

Bill Text Versions

View Text
6 versions available

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Jun 13, 2019
Introduced in House
Jun 13, 2019
Referred to the House Committee on Energy and Commerce.
Jun 18, 2019
Mrs. Dingell moved to suspend the rules and pass the bill, as amended.
Jun 18, 2019
Considered under suspension of the rules. (consideration: CR H4706-4710)
Jun 18, 2019
DEBATE - The House proceeded with forty minutes of debate on H.R. 3253.
Jun 18, 2019
At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
Jun 19, 2019
Considered as unfinished business. (consideration: CR H4751)
Jun 19, 2019
On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 371 - 46 (Roll no. 333). (text: CR H4706-4707)
View Vote
Jun 19, 2019
Motion to reconsider laid on the table Agreed to without objection.
Jun 19, 2019
Received in the Senate, read twice.
Jul 25, 2019
Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.
Jul 25, 2019
Passed Senate with an amendment by Voice Vote.
Jul 25, 2019
Message on Senate action sent to the House.
Jul 25, 2019
Measure laid before Senate by unanimous consent. (consideration: CR S5114)
Jul 30, 2019
Resolving differences -- House actions: On motion that the House agree to the Senate amendment Agreed to without objection.(text: CR H7477-7478)
Jul 30, 2019
Ms. Norton asked unanimous consent to take from the Speaker's Table and agree to the Senate amendment. (consideration: CR H7477-7478)
Jul 30, 2019
On motion that the House agree to the Senate amendment Agreed to without objection. (text: CR H7477-7478)
Jul 30, 2019
Motion to reconsider laid on the table Agreed to without objection.
Aug 1, 2019
Presented to President.
Aug 6, 2019
Signed by President.
Aug 6, 2019
Became Public Law No: 116-39.
  • June 13, 2019
    Introduced in House


  • June 13, 2019
    Referred to the House Committee on Energy and Commerce.


  • June 18, 2019
    Mrs. Dingell moved to suspend the rules and pass the bill, as amended.


  • June 18, 2019
    Considered under suspension of the rules. (consideration: CR H4706-4710)


  • June 18, 2019
    DEBATE - The House proceeded with forty minutes of debate on H.R. 3253.


  • June 18, 2019
    At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.


  • June 19, 2019
    Considered as unfinished business. (consideration: CR H4751)


  • June 19, 2019
    On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 371 - 46 (Roll no. 333). (text: CR H4706-4707)
    View Vote


  • June 19, 2019
    Motion to reconsider laid on the table Agreed to without objection.


  • June 19, 2019
    Received in the Senate, read twice.


  • July 25, 2019
    Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.


  • July 25, 2019
    Passed Senate with an amendment by Voice Vote.


  • July 25, 2019
    Message on Senate action sent to the House.


  • July 25, 2019
    Measure laid before Senate by unanimous consent. (consideration: CR S5114)


  • July 30, 2019
    Resolving differences -- House actions: On motion that the House agree to the Senate amendment Agreed to without objection.(text: CR H7477-7478)


  • July 30, 2019
    Ms. Norton asked unanimous consent to take from the Speaker's Table and agree to the Senate amendment. (consideration: CR H7477-7478)


  • July 30, 2019
    On motion that the House agree to the Senate amendment Agreed to without objection. (text: CR H7477-7478)


  • July 30, 2019
    Motion to reconsider laid on the table Agreed to without objection.


  • August 1, 2019
    Presented to President.


  • August 6, 2019
    Signed by President.


  • August 6, 2019
    Became Public Law No: 116-39.
Debbie Dingell

Debbie Dingell

Democratic Representative

Michigan

Cosponsors (9)
Michael C. Burgess (Republican)Joseph P. Kennedy (Democratic)Brett Guthrie (Republican)Greg Walden (Republican)Tim Walberg (Republican)Fred Upton (Republican)Anna G. Eshoo (Democratic)Peter Welch (Democratic)Frank Pallone (Democratic)

Energy and Commerce Committee

Health

Related Bills

  • S 116-548: EMPOWER Care Act
  • HR 116-3276: Fair AMP Act
  • HR 116-233: Medicaid Patient Abuse Prevention Act
  • HR 116-1342: EMPOWER Care Act
  • S 116-2379: Medicaid Patient Abuse Prevention Act
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Administrative law and regulatory proceduresChild healthCongressional oversightCriminal investigation, prosecution, interrogationDepartment of Health and Human ServicesFraud offenses and financial crimesGovernment studies and investigationsHealth care costs and insuranceHealth care qualityHealth programs administration and fundingHealth promotion and preventive careHome and outpatient careLong-term, rehabilitative, and terminal careMarriage and family statusMedicaidMental healthPrescription drugsState and local financeState and local government operations