# Public Law 116–39 116th Congress 

To provide for certain extensions with respect to the Medicaid program under title XIX of the Social Security Act, and for other purposes. 

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, 

## 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’’. 

# An Act 

Aug. 6, 2019 

[H.R. 3253] 

42 USC 1305 note. Sustaining Excellence in Medicaid Act of 2019. 

42 USC 1396a note. 

