H.R. 584House116th Congress (2019-2021)In Committee

Incentivizing Medicaid Expansion Act of 2019

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Updated April 14, 2026 at 12:36 AM UTC

The Incentivizing Medicaid Expansion Act of 2019 would change the federal Medicaid matching formula so that any state that chooses to expand Medicaid receives the same higher level of federal funding, no matter when the expansion occurs. By removing the current year‑specific limits, the bill aims to give states a consistent financial incentive to broaden coverage for newly eligible people.

Key Provisions

Amends Section 1905(y)(1) of the Social Security Act to replace references to specific calendar years (2014‑2020) with language that ties the increased federal matching assistance to the first three, fourth, fifth, sixth, seventh, and each subsequent 12‑month period a state provides Medicaid to newly eligible individuals.
Ensures that the higher matching rate applies continuously for any state that expands Medicaid, rather than only during the originally designated years.
Sets the effective date of these changes to be as if they were included in the original Affordable Care Act legislation.

Legislative Activity

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2 earlier actions

HouseCommittee Latest Action

Referred to the Subcommittee on Health.

Health Subcommittee

January 25, 2019

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HouseIntro Referral

Introduced in House

January 16, 2019

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

January 16, 2019

HouseCommittee

Referred to the Subcommittee on Health.

Health Subcommittee

January 25, 2019

Bill Text

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Introduced in HouseIssued January 16, 2019

116th CONGRESS

1st Session

H. R. 584

IN THE HOUSE OF REPRESENTATIVES

January 16, 2019

Mr. Veasey (for himself, Ms. Sewell of Alabama, Mr. Cohen, Mr. Hastings, Mr. Pocan, Mr. Allred, Ms. Johnson of Texas, Mr. Thompson of Mississippi, Ms. Lee of California, Mr. Espaillat, Mr. Serrano, Mr. Carson of Indiana, Ms. Wilson of Florida, Ms. Hill of California, Ms. Wild, and Ms. Pingree) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend title XIX of the Social Security Act to provide the same level of Federal matching assistance for every State that chooses to expand Medicaid coverage to newly eligible individuals, regardless of when such expansion takes place.

Short title

This Act may be cited as the Incentivizing Medicaid Expansion Act of 2019.

Increased FMAP for medical assistance to newly eligible individuals

(a)

In general

Section 1905(y)(1) of the Social Security Act (42 U.S.C. 1396d(y)(1)) is amended—

(1)

in subparagraph (A), by striking 2014, 2015, and 2016 and inserting each of the first 3 consecutive 12-month periods in which the State provides medical assistance to newly eligible individuals;

(2)

in subparagraph (B), by striking 2017 and inserting the fourth consecutive 12-month period in which the State provides medical assistance to newly eligible individuals;

(3)

in subparagraph (C), by striking 2018 and inserting the fifth consecutive 12-month period in which the State provides medical assistance to newly eligible individuals;

(4)

in subparagraph (D), by striking 2019 and inserting the sixth consecutive 12-month period in which the State provides medical assistance to newly eligible individuals; and

(5)

in subparagraph (E), by striking 2020 and each year thereafter and inserting the seventh consecutive 12-month period in which the State provides medical assistance to newly eligible individuals and each such period thereafter.

(b)

Effective date

The amendments made by subsection (a) shall take effect as if included in the enactment of the Patient Protection and Affordable Care Act.