Skip to main content
HR 1839 116th Congress House

Medicaid Services Investment and Accountability Act of 2019

Official title: To amend title XIX to extend protection for Medicaid recipients of home and community-based services against spousal impoverishment, establish a State Medicaid… Show full official titleShow less

Official title: To amend title XIX to extend protection for Medicaid recipients of home and community-based services against spousal impoverishment, establish a State Medicaid option to provide coordinated care to children with complex medical conditions through health homes, prevent the misclassification of drugs for purposes of the Medicaid drug rebate program, and for other purposes.

Introduced: March 21, 2019 Introduced by: Ruiz, Raul Democratic · California See on congress.gov
Health Birth defectsBlood and blood diseasesBusiness recordsCardiovascular and respiratory health
More subjectsShow fewer subjects
Child healthCivil actions and liabilityDisability and paralysisEmergency medical services and trauma careFamily servicesHIV/AIDSHealth care costs and insuranceHealth care coverage and accessHealth care qualityHealth personnelHealth programs administration and fundingHealth promotion and preventive careHealth technology, devices, suppliesHereditary and development disordersHome and outpatient care
 Everywhere this bill has been 19 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Apr 18, 2019
Signed by President.
Apr 18, 2019
Became Public Law No: 116-16.
Apr 10, 2019
Presented to President.
Apr 10, 2019
Sponsor introductory remarks on measure. (CR H3224)
Apr 3, 2019
Message on Senate action sent to the House.
Apr 2, 2019
Passed Senate without amendment by Voice Vote. (consideration: CR S2203)
Apr 2, 2019
Passed/agreed to in Senate: Passed Senate without amendment by Voice Vote.(consideration: CR S2203)
Mar 26, 2019
Received in the Senate, read twice.
Mar 25, 2019
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H2773-2776)
Mar 25, 2019
Motion to reconsider laid on the table Agreed to without objection.
Mar 25, 2019
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H2773-2776)
Mar 25, 2019
Considered as unfinished business. (consideration: CR H2781)
Mar 25, 2019
DEBATE - The House proceeded with forty minutes of debate on H.R. 1839.
Mar 25, 2019
Considered under suspension of the rules. (consideration: CR H2773-2780)
Mar 25, 2019
Mr. Ruiz moved to suspend the rules and pass the bill, as amended.
Mar 25, 2019
At the conclusion of debate, the chair put the question on the motion to suspend the rules. Mr. Burgess objected to the vote on the grounds that a quorum was not present. Further proceedings on the motion were postponed. The point of no quorum was considered as withdrawn.
Mar 22, 2019
Referred to the Subcommittee on Health.
Mar 21, 2019
Referred to the House Committee on Energy and Commerce.
Mar 21, 2019
Introduced in House
 Ask about this bill AI · grounded in the bill text

Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.

AI answers can be imperfect; always confirm against the full bill text.

 Latest action April 18, 2019

Became Public Law No: 116-16.

 Plain-English summary Congressional Research Service

Medicaid Services Investment and Accountability Act of 2019

This bill alters several Medicaid programs and funding provisions.

(Sec. 2) The bill temporarily extends the applicability of Medicaid eligibility criteria that protect against spousal impoverishment for recipients of home- and community-based services.

(Sec. 3) The bill also establishes a state Medicaid option to provide for medical assistance with respect to coordinated care provided through a health home (i.e., a designated provider or team of health-care professionals) for children with medically complex conditions. States must determine payment methodologies in accordance with specified requirements; payments also temporarily qualify for an enhanced federal matching rate.

(Sec. 4) The bill also temporarily extends the Medicaid demonstration program for certified community behavioral health clinics.

(Sec. 5) The bill increases funding available to 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. 6) Further, drug manufacturers with Medicaid rebate agreements for covered outpatient drugs must disclose drug product information. Manufacturers are subject to civil penalties for knowingly misclassifying drugs. Manufacturers are also required to compensate for rebates that were initially underpaid as a result of misclassification (whether or not such misclassification was committed knowingly).

 Related & companion bills 4
 Bill text 5 versions
 Committees of jurisdiction 2
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 1839: Medicaid Services Investment and Accountability Act of 2019. 116th Congress. Open America. https://openamerica.io/bill/116-HR-1839/
MLA
"H.R. 1839: Medicaid Services Investment and Accountability Act of 2019." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-HR-1839/.
Bluebook (legal)
H.R. 1839, 116th Cong. (2026), https://openamerica.io/bill/116-HR-1839/.
Markdown link
[H.R. 1839: Medicaid Services Investment and Accountability Act of 2019](https://openamerica.io/bill/116-HR-1839/)
Report a problem