; and (4) by adding at the end the following: (D) Standard medical expense deduction amount (i) In general Except as provided in clause (ii), the standard medical expense deduction shall be— (I) for fiscal year 2020, $140; and (II) for each subsequent fiscal year, equal to the applicable amount for the immediately 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. (ii) Exception For any fiscal year, a State agency may establish a greater standard medical expense deduction than described in clause (i) if the greater deduction satisfies cost neutrality standards established by the Secretary for that fiscal year. . (b) Elimination of cap of excess shelter expenses (1) In general Section 5(e)(6) of the Food and Nutrition Act of 2008 ( 7 U.S.C. 2014(e)(6) ) is amended— (A) by striking subparagraph (B); and (B) by redesignating subparagraphs (C) and (D) as subparagraphs (B) and (C), respectively. (2) Conforming amendment Section 2605(f)(2)(A) of the Low-Income Home Energy Assistance Act of 1981 ( 42 U.S.C. 8624(f)(2)(A) ) is amended by striking 5(e)(6)(C)(iv)(I) of that Act ( 7 U.S.C. 2014(e)(6)(C)(iv)(I) ) and inserting 5(e)(6)(B)(iv)(I) of that Act ( 7 U.S.C. 2014(e)(6)(B)(iv)(I) ) . 4. Elimination of time limit (a) In general Section 6 of the Food and Nutrition Act of 2008 ( 7 U.S.C. 2015 ) is amended— (1) by striking subsection (o); and (2) by redesignating subsections (p) through (s) as subsections (o) through (r), respectively. (b) Additional allocations for States that ensure availability of work opportunities Section 16(h) of the Food and Nutrition Act of 2008 ( 7 U.S.C. 2025(h) ) is amended— (1) in paragraph (1)— (A) in subparagraph (C)(iv)(I)— (i) by striking (F)(viii) each place it appears and inserting (E)(viii) ; (ii) by striking (F)(vii)(I) each place it appears and inserting (E)(vii)(I)