1. Short title This Act may be cited as the Healthcare Expenditures for Low-income Populations in Puerto Rico Act or the HELP Puerto Rico Act . 2. Puerto Rico Medicaid payments (a) Increased cap Section 1108(g) of the Social Security Act ( 42 U.S.C. 1308(g) ) is amended— (1) in paragraph (2)(A), by inserting (or, with respect to fiscal years 2018 and 2019, increased by such percentage increase plus one percentage point) after beginning of the fiscal year ; and (2) in paragraph (5)— (A) in subparagraph (A), by striking subparagraph (B) and inserting subparagraphs (B), (C), (D), and (E) ; and (B) by adding at the end the following new subparagraphs: (C) The amount of the increase otherwise provided under subparagraph (A) for Puerto Rico shall be further increased by $880,000,000. (D) (i) For the period beginning October 1, 2017, and ending December 31, 2019, the amount of the increase otherwise provided under subparagraph (A) for Puerto Rico shall be further increased by $120,000,000 if the Financial Oversight and Management Board for Puerto Rico established under section 101 of the Puerto Rico Oversight, Management, and Economic Stability Act ( 48 U.S.C. 2121 ) certifies by a majority vote that Puerto Rico has taken reasonable and appropriate steps during such period to— (I) reduce fraud, waste, and abuse under the program under title XIX; (II) implement strategies to reduce unnecessary, inefficient, or excessive spending under title XIX; (III) improve the use and availability of Medicaid data for program operation and oversight