,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #cicb  ,,in ,,the ,,house ,,of  
,,representatives  ,october #c1         
#bjag,mr4 ,lance 7for himself and ,miss 
,gonzlez-,coln of ,puerto ,rico7        
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,a ,,bill  ,to amend     
title ,,xi of the ,social ,security ,act
 to provide for increased ,puerto ,rico 
,medicaid payments1 and for other       
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,healthcare         
,expenditures for ,low-income           
,populations in ,puerto ,rico ,act or   
the ,,help ,puerto ,rico ,act4  #b4     
,puerto ,rico ,medicaid payments  7a7   
,increased cap ,section #aajh7;g7 of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#acjh7;g77 is amended--  7#a7 in        
paragraph 7#b77;,a71 by inserting 7or1  
with respect to fiscal years #bjah and  
#bjai1 increased by such percentage     
increase plus one percentage point7     
after beginning of the fiscal year2 and 

7#b7 in paragraph 7#e7-- 7,a7 in        
subparagraph 7,a71 by striking          
subparagraph 7,b7 and inserting         
subparagraphs 7,b71 7,c71 7,d71 and     
7,e72 and  7,b7 by adding at the end the
 following new subparagraphs3  7,c7 ,the
 amount of the increase otherwise       
provided under subparagraph 7,a7 for    
,puerto ,rico shall be further increased
 by #hhj1jjj1jjj4  7,d7  7i7 ,for the   
period beginning ,october #a1 #bjag1 and
 ending ,december #ca1 #bjai1 the amount
 of the increase otherwise provided     
under subparagraph 7,a7 for ,puerto     
,rico shall be further increased by     
#abj1jjj1jjj if the ,financial          
,oversight and ,management ,board for   
,puerto ,rico established under section 
#aja of the ,puerto ,rico ,oversight1   
,management1 and ,economic ,stability   
,act 7#dh ,u4,s4,c4 #baba7 certifies by 
a majority vote that ,puerto ,rico has  
taken reasonable and appropriate steps  
during such period to--  7,i7 reduce    
fraud1 waste1 and abuse under the       

program under title ,,xix2  7,,ii7      
implement strategies to reduce          
unnecessary1 inefficient1 or excessive  
spending under title ,,xix2  7,,iii7    
improve the use and availability of     
,medicaid data for program operation and
 oversight2 and  7,,iv7 improve the     
quality of care and patient experience  
for individuals enrolled under the      
program under title ,,xix4  7ii7 ,as a  
condition of any additional increase    
pursuant to clause 7i71 not later than  
,october #a1 #bjah1 ,puerto ,rico shall 
submit to the ,financial ,oversight and 
,management ,board for ,puerto ,rico a  
report regarding steps taken to achieve 
each of the goals described in          
subclauses 7,i7 through 7,,iv7 of clause
 7i74  7,e7 ,payments under section     
#aijc7;a77#h7 for a quarter of a fiscal 
year shall not be taken into account in 
applying subsection 7f7 7as increased in
 accordance with this paragraph and     
paragraphs 7#a71 7#b71 7#c71 and 7#d77  
to ,puerto ,rico for such fiscal year4  

4  7b7 ,federal match for medical       
personnel and fraud reduction ,section  
#aijc7;a7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #acif;b7a77 is amended-- 
7#a7 in paragraph 7#b77;,a71 by         
inserting subject to paragraph 7#h71    
before an amount2  7#b7 in paragraph    
7#f7-- 7,a7 in subparagraph 7,b71 by    
inserting subject to paragraph 7#h71    
before #ge per centum2 and  7,b7 by     
striking at the end plus2  7#c7 in      
paragraph 7#g71 by striking at the end  
the period and inserting 2 plus2 and    
7#d7 by adding at the end the following 
new paragraph3  7#h7 for quarters during
 the period beginning ,january #a1      
#bjah1 and ending ,december #ca1 #bjai1 
paragraphs 7#b77;,a7 and 7#f7 shall     
apply with respect to ,puerto ,rico as  
if--  7,a7 the reference to #ge per     
centum in paragraph 7#b77;,a7 were a    
reference to #ij per centum2 and  7,b7  
the reference to #ge per centum in      
paragraph 7#f77;,b7 were a reference to 
#ij per centum4  4