Medicaid Extenders Act of 2019
Public Law 116-3 · H.R. 259 · 116th Congress · began in the House
Signed by Donald Trump (R) on Jan 24, 2019 · Health
Sponsor: Rep. Frank Pallone (D-NJ-6)
Cosponsors (1): Rep. Greg Walden
Passage votes
- HouseVoice vote
- SenateVoice vote
Data notes
The final version of the law, as each chamber passed it. A chamber that passed it by voice vote or unanimous consent has no count. “Method not stated” means the record does not say how the chamber voted. Where the record has a member-by-member vote, the “Who voted for it” section shows who voted yea.
Summary
The Congressional Research Service’s plain-language summary of what the law does.
Medicaid Extenders Act of 2019
This bill alters several Medicaid programs and funding mechanisms.
(Sec. 2) The bill makes appropriations for FY2019 for, and otherwise revises, the Money Follows the Person Rebalancing Demonstration Program. (Under this program, the Centers for Medicare & Medicaid Services 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. 3) Additionally, the bill 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 reduces the federal medical assistance percentage (i.e., federal matching rate) for states that have not implemented asset-verification programs for determining Medicaid eligibility.
(Sec. 5) The bill also reduces funding available to the Medicaid Improvement Fund beginning in FY2021.
Committees
The committees the bill was sent to, and what each did with it.
Data notes
A committee links to its page only where it exists in the current Congress; older and renamed committees are named without a link.
Related bills
3 bills the Library of Congress relates to this one.
H.R. 21Related bill
Consolidated Appropriations Act, 2019
H.R. 260Related bill
Medicaid Provisions and TANF Extenders Act of 2019
H.R. 648Related bill
Consolidated Appropriations Act, 2019
Data notes
Related bills are identified by the Congressional Research Service, the House and the Senate: companion and identical bills, bills with similar text, bills that were folded into this law, and rules that brought it to the floor. A bill that is itself a public law in this site’s data links here; the others link to Congress.gov.
Timeline
From introduction to signing, newest first: the committees, the floor and the president. 13 actions.
- Jan 24, 2019Became lawBecame law · Became Public Law No: 116-3.
- Became lawBecame law · Signed by President.
- Jan 23, 2019FloorFloor · Presented to President.
- Jan 18, 2019FloorFloor · Message on Senate action sent to the House.
- Jan 17, 2019FloorFloor · Passed Senate without amendment by Voice Vote.
- Jan 9, 2019CommitteeCommittee · Received in the Senate, read twice.
- Jan 8, 2019FloorFloor · Motion to reconsider laid on the table Agreed to without objection.
- FloorFloor · On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.
- FloorFloor · DEBATE - The House proceeded with forty minutes of debate on H.R. 259.
- FloorFloor · Considered under suspension of the rules.
- FloorFloor · Mr. Pallone moved to suspend the rules and pass the bill, as amended.
- Jan 4, 2019CommitteeCommittee · Referred to the Committee on Energy and Commerce, and in addition to the Committee on the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- IntroducedIntroduced · Introduced in House
Data notes
Every action the Library of Congress lists for the bill, from introduction to signing, plus the dated committee hearings. The source lists many steps twice (the chamber’s own entry and the Library of Congress copy, or a presidential and a became-law entry with the same words); those are shown once. Amendments are listed in their own section.
Amendments
No amendments to this bill are on record.
Data notes
Amendments offered to this bill in either chamber, as the Library of Congress records them: each with a status read from its last recorded step: agreed to, rejected, withdrawn, ruled out of order, fell with another amendment, or offered with no vote recorded (most Senate amendments are only ever offered). The wording of each amendment is the source’s. Amendments to amendments and amendments to other bills are not listed.
Official record
The bill’s full text is on Congress.gov. Data through Oct 7, 2026.