; table of contents. TITLE I—Miscellaneous Sec. 101. Repeal of medical device excise tax. Sec. 102. Permanent extension of reduction in medical expense deduction floor. Sec. 103. Moratorium on annual fee on health insurance providers. TITLE II—Medicare Extenders Sec. 201. Extension of the work geographic index floor under the Medicare program. Sec. 202. Authorization of additional funding for quality measure endorsement, input, and selection. Sec. 203. Authorization of additional funding for outreach and assistance for low-income programs. Sec. 204. Extension and authorization of additional funding to the Patient-Centered Outcomes Research Trust Fund. TITLE III—Medicaid Extenders Sec. 301. Delay of DSH reductions. Sec. 302. Extension of spousal impoverishment protections. Sec. 303. Extension of Community Mental Health Services demonstration program. TITLE IV—Human Services Extenders Sec. 401. Extension of sexual risk avoidance education program. Sec. 402. Jobs and Opportunity with Benefits and Services for Success Act. I Miscellaneous 101. Repeal of medical device excise tax (a) In general Chapter 32 of the Internal Revenue Code of 1986 is amended by striking subchapter E. (b) Conforming amendments (1) Subsection (a) of section 4221 of the Internal Revenue Code of 1986 is amended by striking the last sentence. (2) Paragraph (2) of section 6416(b) of such Code is amended by striking the last sentence. (c) Clerical amendment The table of subchapters for chapter 32 of the Internal Revenue Code of 1986 is amended by striking the item relating to subchapter E. (d) Effective date The amendments made by this section shall apply to sales after December 31, 2019. 102. Permanent extension of reduction in medical expense deduction floor (a) Reduction (1) In general Section 213(a) of the Internal Revenue Code of 1986 is amended by striking 10 percent and inserting 7.5 percent . (2) Conforming amendment Section 213 of such Code is amended by striking subsection (f). (b) Repeal of minimum tax preference Section 56(b)(1) of the