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%.)
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Timeline
Introduced in House
Referred to the House Committee on Energy and Commerce.
Mrs. Dingell moved to suspend the rules and pass the bill, as amended.
Considered under suspension of the rules. (consideration: CR H4706-4710)
DEBATE - The House proceeded with forty minutes of debate on H.R. 3253.
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.
Considered as unfinished business. (consideration: CR H4751)
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)
Motion to reconsider laid on the table Agreed to without objection.
Received in the Senate, read twice.
Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.
Passed Senate with an amendment by Voice Vote.
Message on Senate action sent to the House.
Measure laid before Senate by unanimous consent. (consideration: CR S5114)
Resolving differences -- House actions: On motion that the House agree to the Senate amendment Agreed to without objection.(text: CR H7477-7478)
Ms. Norton asked unanimous consent to take from the Speaker's Table and agree to the Senate amendment. (consideration: CR H7477-7478)
On motion that the House agree to the Senate amendment Agreed to without objection. (text: CR H7477-7478)
Motion to reconsider laid on the table Agreed to without objection.
Presented to President.
Signed by President.
Became Public Law No: 116-39.
Introduced in House
Referred to the House Committee on Energy and Commerce.
Mrs. Dingell moved to suspend the rules and pass the bill, as amended.
Considered under suspension of the rules. (consideration: CR H4706-4710)
DEBATE - The House proceeded with forty minutes of debate on H.R. 3253.
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.
Considered as unfinished business. (consideration: CR H4751)
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)
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%.)
Get AI-generated questions to help you understand this bill better
Timeline
Introduced in House
Referred to the House Committee on Energy and Commerce.
Mrs. Dingell moved to suspend the rules and pass the bill, as amended.
Considered under suspension of the rules. (consideration: CR H4706-4710)
DEBATE - The House proceeded with forty minutes of debate on H.R. 3253.
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.
Considered as unfinished business. (consideration: CR H4751)
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)
Motion to reconsider laid on the table Agreed to without objection.
Received in the Senate, read twice.
Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.
Passed Senate with an amendment by Voice Vote.
Message on Senate action sent to the House.
Measure laid before Senate by unanimous consent. (consideration: CR S5114)
Resolving differences -- House actions: On motion that the House agree to the Senate amendment Agreed to without objection.(text: CR H7477-7478)
Ms. Norton asked unanimous consent to take from the Speaker's Table and agree to the Senate amendment. (consideration: CR H7477-7478)
On motion that the House agree to the Senate amendment Agreed to without objection. (text: CR H7477-7478)
Motion to reconsider laid on the table Agreed to without objection.
Presented to President.
Signed by President.
Became Public Law No: 116-39.
Introduced in House
Referred to the House Committee on Energy and Commerce.
Mrs. Dingell moved to suspend the rules and pass the bill, as amended.
Considered under suspension of the rules. (consideration: CR H4706-4710)
DEBATE - The House proceeded with forty minutes of debate on H.R. 3253.
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.
Considered as unfinished business. (consideration: CR H4751)
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)
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