United States 116th Congress Status: Died 40 D cosponsors

HR 584 — Incentivizing Medicaid Expansion Act of 2019

Last action — Referred to the Subcommittee on Health.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. Died in session

This bill died with 116th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Incentivizing Medicaid Expansion Act of 2019 This bill provides the enhanced federal medical assistance percentage (FMAP) to every state that expands Medicaid coverage for individuals who are newly eligible under the Patient Protection and Affordable Care Act, regardless of when such expansion takes place. Under current law, the enhanced FMAP is equivalent to 100% in 2014 through 2016, 95% in 2017, 94% in 2018, 93% in 2019, and 90% thereafter. The bill retains this enhanced FMAP, but bases it on a term of years rather than on specific dates. The bill applies retroactively.

Bill Text

Sections of law this bill changes

1 section in 1 law

From the bill's own amending language, matched to the official United States Code (current through Public Law 119-124).

Social security · 42 U.S.C. ch. 7 1 section
  • § 1396d Definitions Amends

    42 U.S.C. § 1396d — at 1396d(y)(1)

    The law today

    For purposes of this subchapter— (a) Medical assistance The term “medical assistance” means payment of part or all of the cost of the following care and services or the care and services themselves, or both (if provided in or after the third month before the month in which the recipient makes application for assistance or, in the case of medicare cost-sharing with respect to a qualified medicare beneficiary described in subsection (p)(1), if provided after the month in which the individual becomes such a beneficiary) for individuals, and, with respect to physicians’ or dentists’ services, at the option of the State, to individuals (other than individuals with respect to whom there is being paid, or who are eligible, or would be eligible if they were not in a medical institution, to have paid with respect to them a State supplementary payment and are eligible for medical assistance equal in amount, duration, and scope to the medical assistance made available to individuals described in section 1396a(a)(10)(A) of this title) not receiving aid or assistance under any plan of the State approved under subchapter I, X, XIV, or XVI, or part A of subchapter IV, and with respect to whom supplemental security income benefits are not being paid under subchapter XVI, who are— (i) under the age of 21, or, at the option of the State, under the age of 20, 19, or 18 as the State may choose, (ii) relatives specified in section 606(b)(1) 1 of this title with whom a child is living if such child is (or would, if needy, be) a dependent child under part A of subchapter IV, (iii) 65 years of age or older, (iv) blind, with respect to States eligible to participate in the State plan program established under subchapter XVI, (v) 18 years of age or older and permanently and totally disabled, with respect to States eligible to participate in the State plan program established under subchapter XVI, (vi) persons essential (as described in the second sentence of this subsection) to individuals receiving aid or assistance under State plans approved under subchapter I, X, XIV, or XVI, (vii) blind or disabled as defined in section 1382c of this title, with respect to States not eligible to participate in the State plan program established under subchapter XVI, (viii) pregnant women, (ix) individuals provided extended benefits under section 1396r–6 of this title, (x) individuals described in section 1396a(u)(1) of this title, (xi) individuals described in section 1396a(z)(1) of this title, (xii) employed individuals with a medically improved disability (as defined in subsection (v)), (xiii) individuals described in section 1396a(aa) of this title, (xiv) individuals described in section 1396a(a)(10)(A)(i)(VIII) or 1396a(a)(10)(A)(i)(IX) of this title, (xv) individuals described in section 1396a(a)(10)(A)(ii)(XX) of this title, (xvi) individuals described in section 1396a(ii) of this title, (xvii) individuals who are eligible for home and community-based services under needs-based criteria established under paragraph (1)(A) of section 1396n(i) of this title, or who are eligible for home and community-based services under paragraph (6) of such section, and who will receive home and community-based services pursuant to a State plan amendment under such subsection, or (xviii) individuals who, but for earnings in excess of the limit established under subsection (q)(2)(B), would be considered to be receiving supplemental security income, and who are at least 16 years of age, but whose income and resources are insufficient to meet all of such cost— (1) inpatient hospital services (other than services in an institution for mental diseases); (2) (A) outpatient hospital services, (B) consistent with State law permitting such services, rural health clinic services (as defined in subsection (l)(1)) and any other ambulatory services which are offered by a rural health clinic (as defined in subsection (l)(1)) and which are otherwise included in the plan, and (C) Federally...

    434 other bills also change this section · Follow it → Official text at uscode.house.gov ↗

How this bill changes current law

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Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill amends the Social Security Act to standardize federal matching assistance for newly eligible Medicaid individuals based on consecutive 12-month periods rather than specific years.

  • 42 U.S.C. 1396d(y)(1)

    2014, 2015, and 2016 → each of the first 3 consecutive 12-month periods in which the State provides medical assistance to newly eligible individuals

    This change allows states to receive the same federal matching assistance for the first three years of Medicaid expansion regardless of when they implement it.

  • 42 U.S.C. 1396d(y)(1)

    2017 → the fourth consecutive 12-month period in which the State provides medical assistance to newly eligible individuals

    This change ensures that federal matching assistance is standardized for the fourth year in accordance with the state's expansion period.

  • 42 U.S.C. 1396d(y)(1)

    2018 → the fifth consecutive 12-month period in which the State provides medical assistance to newly eligible individuals

    This amendment standardizes federal matching assistance for the fifth year of expansion based on state implementation rather than a specific calendar year.

  • 42 U.S.C. 1396d(y)(1)

    2019 → the sixth consecutive 12-month period in which the State provides medical assistance to newly eligible individuals

    This ensures California and other states can receive consistent federal support during the sixth year of Medicaid expansion.

  • 42 U.S.C. 1396d(y)(1)

    2020 and each year thereafter → the seventh consecutive 12-month period in which the State provides medical assistance to newly eligible individuals and each such period thereafter

    This change provides ongoing and consistent federal matching assistance for states that continue to offer coverage under Medicaid expansion.

Action History

  1. Referred to the Subcommittee on Health.

  2. Introduced in House

  3. Introduced in House

  4. Referred to the House Committee on Energy and Commerce.

Sponsors

Sponsorship breakdown

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1 sponsors · 39 co-sponsors · 507 not signed on

Sponsors (1)

Co-sponsors (39)

Not signed on (507)

507 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HR 584 do?
Incentivizing Medicaid Expansion Act of 2019 This bill provides the enhanced federal medical assistance percentage (FMAP) to every state that expands Medicaid coverage for individuals who are newly eligible under the Patient Protection and Affordable Care Act, regardless of when such expansion takes place. Under current law, the enhanced FMAP is equivalent to 100% in 2014 through 2016, 95% in 2017, 94% in 2018, 93% in 2019, and 90% thereafter. The bill retains this enhanced FMAP, but bases it on a term of years rather than on specific dates. The bill applies retroactively.
Who sponsors HR 584?
HR 584 is sponsored by Veasey, Marc A. (Democratic), Sewell, Terri A. (Democratic), Cohen, Steve (Democratic), Hastings, Alcee L. (Democratic), Pocan, Mark (Democratic), Allred, Colin Z. (Democratic), Johnson, Eddie Bernice (Democratic), Thompson, Bennie G. (Democratic), Lee, Barbara (Democratic), Espaillat, Adriano (Democratic), Serrano, Jose E. (Democratic), Carson, André (Democratic), Wilson, Frederica S. (Democratic), Hill, Katie (Democratic), Wild, Susan (Democratic), Pingree, Chellie (Democratic), Green, Al (Democratic), Cooper, Jim (Democratic), Castor, Kathy (Democratic), Golden, Jared F. (Democratic), Davids, Sharice (Democratic), Kind, Ron (Democratic), Khanna, Ro (Democratic), Soto, Darren (Democratic), Mucarsel-Powell, Debbie (Democratic), Schakowsky, Janice D. (Democratic), Fletcher, Lizzie (Democratic), Shalala, Donna E. (Democratic), Clay, Wm. Lacy (Democratic), Scanlon, Mary Gay (Democratic), Lipinski, Daniel (Democratic), Neguse, Joe (Democratic), Escobar, Veronica (Democratic), Panetta, Jimmy (Democratic), Kuster, Ann M. (Democratic), Wasserman Schultz, Debbie (Democratic), Lawson, Al, Jr. (Democratic), Blunt Rochester, Lisa (Democratic), Houlahan, Chrissy (Democratic), and Levin, Mike (Democratic).
What is the current status of HR 584?
This bill died with 116th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HR 584?
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