H.R. 3253Sustaining Excellence in Medicaid Act of 2019

1 recorded action192 of these members are on the 2026 ballotWhat the measure does Read on Congress.gov

Sponsor: Debbie Dingell [D-MI-12]
Cosponsors: 9 · 5 Republicans · 4 Democrats
Policy area: Health
Committee: Energy and Commerce Committee
Latest action: Aug 6, 2019 · Became Public Law No: 116-39.

IntroducedJun 13, 2019
Passed the HouseJun 18, 2019
Passed the SenateJul 25, 2019
Sent to the PresidentAug 1, 2019
Became lawAug 6, 2019

What the measure doesCRS summary

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%.)

Written by the nonpartisan Congressional Research Service, describing H.R. 3253 as public Law on Aug 6, 2019. It is not the text of the measure; a later amendment may have changed what it does.

How every member votedHouse roll call 333

House Jun 18, 2019

On Motion to Suspend the Rules and Pass, as Amended

Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act

Passed · Two-thirds required

371 Yea 46 Nay 15 not voting

Crossed both parties 46 of 417 voting members broke with their own party: 46 Republicans.

Open the official roll call

How the chamber split

One dot per member. Select a seat or a bar to filter the list.

DemocratsRepublicansFilled: YeaRing: NayGrey: not voting or present

By party select a segment to filter

All members432 members

Democratic234 members

Republican198 members

marks half of the votes cast. A party’s majority is the side most of its voting members took.

Cosponsors9 · 5 Republicans · 4 Democrats

Signing on is not a vote: a member can cosponsor H.R. 3253 and vote against it. 9 signed when it was filed.

Who lobbied on H.R. 325323 organizations

Organizations that named H.R. 3253 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.

HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)

Health Issues · Medicare/Medicaid14 filings · 2nd Quarter (Apr 1 - June 30) 2020Filing

KAISER FOUNDATION HEALTH PLAN INCfiled by KAISER FOUNDATION HEALTH PLAN INC.

Defense · Taxation/Internal Revenue Code · Health Issues · Medicare/Medicaid +1 more10 filings · 2nd Quarter (Apr 1 - June 30) 2020Filing

AMERICAN PSYCHIATRIC ASSOCIATIONIts PAC: American Psychiatric Association PAC

Health Issues · Law Enforcement/Crime/Criminal Justice · Defense · Veterans +7 more8 filings · 4th Quarter (Oct 1 - Dec 31) 2020Filing

CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES

Disaster Planning/Emergencies · Health Issues · Medicare/Medicaid · Firearms/Guns/Ammunition +10 more7 filings · 4th Quarter (Oct 1 - Dec 31) 2020Filing

NATIONAL ACADEMY OF ELDER LAW ATTORNEYS, INC.filed by NATIONAL ACADEMY OF ELDER LAW ATTORNEYS, INC., CHAMBER HILL STRATEGIES

Welfare · Taxation/Internal Revenue Code · Medicare/Medicaid7 filings · 2nd Quarter (Apr 1 - June 30) 2020Filing

NATIONAL COUNCIL FOR MENTAL WELLBEING FKA NATIONAL COUNCIL FOR BEHAVIORAL HEALTHfiled by GUIDE CONSULTING SERVICES, INC.

Health Issues6 filings · 4th Quarter (Oct 1 - Dec 31) 2020Filing

PARALYZED VETERANS OF AMERICA

Defense · Minting/Money/Gold Standard · Medical/Disease Research/Clinical Labs · Civil Rights/Civil Liberties +11 more6 filings · 4th Quarter (Oct 1 - Dec 31) 2020Filing

CENTENE CORPORATIONIts PAC: Centene Corp. PAC

Health Issues · Medicare/Medicaid4 filings · 1st Quarter (Jan 1 - Mar 31) 2020Filing

HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIAfiled by THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIAIts PAC: The Hospital & Healthsystem Association of Pennsylvania- Federal PAC

Immigration · Health Issues · Medicare/Medicaid · Budget/Appropriations4 filings · 1st Quarter (Jan 1 - Mar 31) 2020Filing

AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)filed by AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)Its PAC: America's Health Insurance Plans, Inc. PAC

Insurance · Taxation/Internal Revenue Code · Health Issues · Medicare/Medicaid +1 more3 filings · 4th Quarter (Oct 1 - Dec 31) 2019Filing

93 disclosures name this measure. Retrieved from LDA.gov on 2026-10-05. Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.