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H.R. 1839 (116th): Medicaid Services Investment and Accountability Act of 2019

To amend title XIX to extend protection for Medicaid recipients of home and community-based services against spousal impoverishment, establish a State Medicaid option to provide coordinated care to children with complex medical conditions through health homes, prevent the misclassification of drugs for purposes of the Medicaid drug rebate program, and for other purposes.

Sponsor and status

Raul Ruiz

Sponsor. Representative for California's 36th congressional district. Democrat.

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Last Updated: Apr 5, 2019
Length: 14 pages
Mar 21, 2019
116th Congress (2019–2021)

Enacted — Signed by the President on Apr 18, 2019

This bill was enacted after being signed by the President on April 18, 2019.

Pub.L. 116-16

Position statements

What legislators are saying

President Trump Signs Three of Dr. Ruizs Major Legislative Priorities into Law
    — Rep. Raul Ruiz [D-CA36] (Sponsor) on Dec 23, 2019

Ernst, Grassley Introduce Bill to Lower Prescription Drug Costs for Iowans
    — Sen. Joni Ernst [R-IA] on Jul 7, 2020

icymi: Carter, energy and commerce republicans criticize speaker pelosi for putting \"politics over progress\"
    — Rep. Earl “Buddy” Carter [R-GA1] on Sep 19, 2019

More statements at ProPublica Represent...

What stakeholders are saying

R Street Institute estimates H.R. 1839 will add $1 million in new spending through 2029.

Incorporated legislation

This bill incorporates provisions from:

H.R. 1226: ACE Kids Act of 2019

Introduced on Feb 14, 2019. 100% incorporated. (compare text)

S. 317: ACE Kids Act of 2019

Introduced on Feb 4, 2019. 100% incorporated. (compare text)

S. 205: Right Rebate Act of 2019

Introduced on Jan 24, 2019. 97% incorporated. (compare text)

H.R. 937: Right Rebate Act of 2019

Introduced on Jan 31, 2019. 97% incorporated. (compare text)


Mar 21, 2019

Bills and resolutions are referred to committees which debate the bill before possibly sending it on to the whole chamber.

Mar 25, 2019
Passed House (Senate next)

The bill was passed in a vote in the House. It goes to the Senate next. The vote was by voice vote so no record of individual votes was made.

Apr 2, 2019
Passed Senate

The bill was passed by both chambers in identical form. It goes to the President next who may sign or veto the bill. The vote was by Voice Vote so no record of individual votes was made.

Apr 18, 2019
Enacted — Signed by the President

The President signed the bill and it became law.

H.R. 1839 (116th) was a bill in the United States Congress.

A bill must be passed by both the House and Senate in identical form and then be signed by the President to become law.

Bills numbers restart every two years. That means there are other bills with the number H.R. 1839. This is the one from the 116th Congress.

This bill was introduced in the 116th Congress, which met from Jan 3, 2019 to Jan 3, 2021. Legislation not passed by the end of a Congress is cleared from the books.

How to cite this information.

We recommend the following MLA-formatted citation when using the information you see here in academic work:

“H.R. 1839 — 116th Congress: Medicaid Services Investment and Accountability Act of 2019.” 2019. June 15, 2021 <>

Where is this information from?

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