1. Short title This Act may be cited as the Medicare Extra Rx Higher Eligibility Limits in Part D Act of 2019 or the Medicare Extra Rx HELP Act of 2019 . 2. Enhancing prescription drug affordability by expanding access to assistance with out-of-pocket costs under Medicare part D for low-income seniors and individuals with disabilities (a) In general Section 1860D–14 of the Social Security Act ( 42 U.S.C. 1395w–114 ) is amended— (1) in subsection (a)— (A) in the heading, by striking 150 percent and inserting 200 percent ; (B) in paragraph (1)— (i) in the heading, by striking 135 percent and inserting 200 percent ; and (ii) in the matter preceding subparagraph (A)— (I) by striking 135 percent and inserting 200 percent ; and (II) by striking and who meets the resources requirement described in paragraph (3)(D) or who is covered under this paragraph under paragraph (3)(B)(i) and inserting or who is covered under this paragraph under paragraph (3)(B)(v) ; (C) by striking paragraph (2); (D) in paragraph (3)— (i) in subparagraph (A)— (I) in clause (i), by adding and at the end; (II) in clause (ii)— (aa) by striking 150 percent and inserting 200 percent ; and (bb) by striking ; and at the end and inserting a period; and (III) by striking clause (iii); and (ii) by striking subparagraphs (D), (E), and (G); and (E) in paragraph (4), by striking subparagraph (B)