; and (ii) by striking the period at the end and inserting a semicolon; and (C) by adding at the end the following: (iii) for fiscal year 2019, $2,650,000,000; and (iv) subject to the availability of appropriations under section 18(a), for fiscal year 2019 and each fiscal year thereafter, the amount determined under clause (iii), as adjusted by the percentage by which the low-cost food plan has been adjusted under section 3(n)(4) between June 30, 2019, and June 30 of the immediately preceding fiscal year. . (b) Standard medical expense deduction Section 5(e)(5) of the Food and Nutrition Act of 2008 ( 7 U.S.C. 2014(e)(5) ) is amended— (1) in subparagraph (A) by striking an excess medical and all that follows through the period at the end, and inserting a standard medical deduction or to a medical expense deduction of actual costs for the allowable medical expenses incurred by the elderly or disabled member, exclusive of special diets. ; and (2) by adding at the end the following: (D) The standard medical expense deduction shall be equal to $140 for fiscal year 2019, and for each subsequent fiscal year shall be equal to the applicable amount for the preceding fiscal year as adjusted to reflect changes for the 12-month period ending the preceding June 30 in the Consumer Price Index for All Urban Consumers: Medical Care published by the Bureau of Labor Statistics of the Department of Labor, except that for any such fiscal year the State agency may establish a greater standard medical expense deduction that satisfies cost neutrality standards established by the Secretary for such fiscal year. . (c) Elimination of cap of excess shelter expenses Section 5(e)(6) of the Food and Nutrition Act of 2008 ( 7 U.S.C. 2014(e)(6) ) is amended— (1) by striking subparagraph (B); and (2) by redesignating subparagraphs (C) and (D) as subparagraphs (B) and (C), respectively. (d) Work requirement Section 6(o)(3) of the Food and Nutrition Act of 2008 ( 7 U.S.C. 2015(o)(3) ) is amended— (1) in subparagraph (D) by striking or at the end