PSI Sci
New here? Follow the money and the votes · Not sure of your district? Find your U.S. House member · Find your state legislators

H.R. 1839: Medicaid Services Investment and Accountability Act of 2019

Before you vote › Federal bills

H.R. 1839: Medicaid Services Investment and Accountability Act of 2019

116th Congress · introduced 2019-03-21 · Health · Latest: Became Public Law No: 116-16.

federal

Follow this bill, step by step

  1. Where it came from: introduced 2019-03-21 · official record
  2. Who proposed it: Rep. Ruiz, Raul [D-CA-36] · what a sponsor is
  3. What happened next: no floor votes in our records yet. Why?
  4. Where it stands now: Became Public Law No: 116-16. (final step reached)
  5. If it becomes law and spends money: follow the money to money laws, then agencies and contracts and grants.

What does this mean?

Official title

Medicaid Services Investment and Accountability Act of 2019

Plain summary

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).

Congressional Research Service summary (Public Law), quoted unchanged (nonpartisan). Read the source.

What a vote does

A “Yea” vote

If it passes both chambers and is signed, it becomes law.

A “Nay” vote

If it is not passed, current law stays as it is.

PSI Sci description of the legislative step (not an opinion).

What does this mean? (plain words)

Official text

Medicaid Services Investment and Accountability Act of 2019

Source: Congressional Research Service summary (Public Law)

AI explanation – may be wrong, check the official text

No AI explanation yet. It takes up to a minute to write and is then saved for everyone.

Limited to a few requests an hour per person.

The strongest published arguments

Arguments for (supporters)

Needs sources: no published arguments on this side yet. We only show items backed by a published source. Suggest one.

Arguments against (opponents)

Needs sources: no published arguments on this side yet. We only show items backed by a published source. Suggest one.

Alternatives

Needs sources: no published alternatives yet (for example a different bill, a law instead of an amendment, or keeping current law). We only show items backed by a published source. Suggest one.

How did my representative vote? · This bill's floor votes

Officials and money

Sponsor: Rep. Ruiz, Raul [D-CA-36] · 8 cosponsors

Cost estimate: CBO cost estimate: H.R. 1839, Medicaid Services Investment and Accountability Act of 2019 (2019-03-22)

Cosponsors on this site

Debbie Dingell (D-MI), Brett Guthrie (R-KY), Kathy Castor (D-FL), Gus M. Bilirakis (R-FL)

Sponsor's campaign money: Rep. Ruiz, Raul [D-CA-36] reported raising $2.5 million (2025–2026). Details. Shown for context only; it does not mean any donor supported this bill.

No linked floor roll calls in our collected records yet. This does not mean the bill has never had a vote. Check the official bill history.

Words on this page, explained (1)
Bill
A proposed law. It becomes law only if it passes the legislature and is signed by the president or governor (or a veto is overridden).

Plain meanings written from linked sources. All words.

Sources

Record fed-us-cong116-hr1839 · catalog fed-us-congress-bills-cong116 · updated 2026-11-15 by psicol fed-bills-cong116