Medal of Honor Surviving Spouses Recognition Act of 2018 This bill requires the payment of a Medal of Honor special pension to the surviving spouse of a deceased Medal of Honor recipient if that person was married to the recipient for: (1) at least one year prior to the veteran's death; or (2) any period of time if a child was born of the marriage, or was born to them before the marriage. The special pension for a living Medal of Honor recipient is increased to $1329.58 per month.