,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #bcjf  ,,in ,,the ,,house ,,of  
,,representatives  ,april #ab1          
#bjai,miss ,gonzlez-,coln of ,puerto    
,rico introduced the following bill2    
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 ,rico1 and
 for other purposes4  #a4 ,short title  
,this ,act may be cited as the ,puerto  
,rico ,medicaid ,act of #bjai4  #b4     
,removal of statutory ,,fmap limitation 
for ,puerto ,rico  7a7 ,in general      
,section #aije7;b77#b7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#acif;d7b77#b77 is amended by striking  
,puerto ,rico14  7b7 ,effective date    
,the amendment made by subsection 7a7   
shall apply with respect to medical     
assistance furnished in calendar        
quarters beginning on or after ,october 
#a1 #bjai4  #c4 ,increase to cap on     
amounts recognized under title ,,xix for

 ,puerto ,rico ,section                 
#aajh7;g77#b77;,a7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acjh7;g77#b77;,a77 is amended-- 7#a7 by
 striking shall not exceed and inserting
  shall not exceed-- 7i7 for a fiscal   
year before fiscal year #bjbj1 and for  
fiscal year #bjbb and each subsequent   
fiscal year1  2  7#b7 by striking the   
semicolon at the end and inserting 2    
and2 and  7#c7 by adding at the end the 
following new clause3  7ii7 for each of 
fiscal years #bjbj and #bjba1           
#b1fej1jjj1jjj2  4