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[Page S5113]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
TEXT OF AMENDMENTS
SA 930. Mr. SCOTT of Florida (for Mr. Blunt) proposed an amendment to
the bill H.R. 3253, to provide for certain extensions with respect to
the Medicaid program under title XIX of the Social Security Act, and
for other purposes; as follows:
Strike all after the enacting clause and insert the
following:
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Sustaining Excellence in
Medicaid Act of 2019''.
SEC. 2. EXTENSION OF THE COMMUNITY MENTAL HEALTH SERVICES
DEMONSTRATION PROGRAM.
Section 223(d)(3) of the Protecting Access to Medicare Act
of 2014 (42 U.S.C. 1396a note), as amended by Public Law 116-
29, is amended by striking ``July 14, 2019'' and inserting
``September 13, 2019''.
SEC. 3. EXTENSION OF PROTECTION FOR MEDICAID RECIPIENTS OF
HOME AND COMMUNITY-BASED SERVICES AGAINST
SPOUSAL IMPOVERISHMENT.
(a) In General.--Section 2404 of Public Law 111-148 (42
U.S.C. 1396r-5 note) is amended by striking ``September 30,
2019'' and inserting ``December 31, 2019''.
(b) Rule of Construction.--Nothing in section 2404 of
Public Law 111-148 (42 U.S.C. 1396r-5 note) or section
1902(a)(17) or 1924 of the Social Security Act (42 U.S.C.
1396a(a)(17), 1396r-5) shall be construed as prohibiting a
State from applying an income or resource disregard under a
methodology authorized under section 1902(r)(2) of such Act
(42 U.S.C. 1396a(r)(2))--
(1) to the income or resources of an individual described
in section 1902(a)(10)(A)(ii)(VI) of such Act (42 U.S.C.
1396a(a)(10)(A)(ii)(VI)) (including a disregard of the income
or resources of such individual's spouse); or
(2) on the basis of an individual's need for home and
community-based services authorized under subsection (c),
(d), (i), or (k) of section 1915 of such Act (42 U.S.C.
1396n) or under section 1115 of such Act (42 U.S.C. 1315).
SEC. 4. EXTENSION OF MONEY FOLLOWS THE PERSON REBALANCING
DEMONSTRATION.
Section 6071(h)(1)(F) of the Deficit Reduction Act of 2005
(42 U.S.C. 1396a note) is amended by striking
``$132,000,000'' and inserting ``$254,500,000''.
SEC. 5. EXTENSION FOR FAMILY-TO-FAMILY HEALTH INFORMATION
CENTERS.
Section 501(c) of the Social Security Act (42 U.S.C.
701(c)) is amended--
(1) in paragraph (1)(A)(vii), by striking ``and 2019'' and
inserting ``through 2024''; and
(2) in paragraph (3)(C), by striking ``fiscal years 2018
and 2019'' and inserting ``fiscal year 2018 and each fiscal
year thereafter''.
SEC. 6. REDUCED WHOLESALE ACQUISITION COST (WAC)-BASED
PAYMENTS FOR NEW DRUGS AND BIOLOGICALS.
Section 1847A(c)(4) of the Social Security Act (42 U.S.C.
1395w-3a(c)(4)) is amended by striking ``payable under this
section for the drug or biological based on--'' and all that
follows through the period at the end and inserting the
following: ``payable under this section--
``(A) in the case of a drug or biological furnished prior
to January 1, 2019, based on--
``(i) the wholesale acquisition cost; or
``(ii) the methodologies in effect under this part on
November 1, 2003, to determine payment amounts for drugs or
biologicals; and
``(B) in the case of a drug or biological furnished on or
after January 1, 2019--
``(i) at an amount not to exceed 103 percent of the
wholesale acquisition cost; or
``(ii) based on the methodologies in effect under this part
on November 1, 2003, to determine payment amounts for drugs
or biologicals.''.
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