I 115th CONGRESS 1st Session H. R. 3291 IN THE HOUSE OF REPRESENTATIVES July 18, 2017 Mr. Ryan of Ohio (for himself and Mr. Ben Ray Luján of New Mexico ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title XIX of the Social Security Act to provide for a State option to provide for maternal, infant, and early childhood home visiting programs, and for other purposes.