I 116th CONGRESS 1st Session H. R. 2306 IN THE HOUSE OF REPRESENTATIVES April 12, 2019 Miss González-Colón of Puerto Rico introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend titles XI and XIX of the Social Security Act to strengthen the Medicaid program in Puerto Rico, and for other purposes.

1. Short title This Act may be cited as the Puerto Rico Medicaid Act of 2019 . 2. Removal of statutory FMAP limitation for Puerto Rico (a) In general Section 1905(b)(2) of the Social Security Act ( 42 U.S.C. 1396d(b)(2) ) is amended by striking Puerto Rico, . (b) Effective date The amendment made by subsection (a) shall apply with respect to medical assistance furnished in calendar quarters beginning on or after October 1, 2019. 3. Increase to cap on amounts recognized under title XIX for Puerto Rico Section 1108(g)(2)(A) of the Social Security Act ( 42 U.S.C. 1308(g)(2)(A) ) is amended— (1) by striking shall not exceed and inserting shall not exceed— (i) for a fiscal year before fiscal year 2020, and for fiscal year 2022 and each subsequent fiscal year, ; (2) by striking the semicolon at the end and inserting ; and ; and (3) by adding at the end the following new clause: (ii) for each of fiscal years 2020 and 2021, $2,650,000,000; .