H.R. 1839 · 116th Congress · enacted
Medicaid Services Investment and Accountability Act of 2019
Became Public Law No: 116-16.
Latest official action 2019-04-18 · Enacted
The bill, briefly
Medicaid Services Investment and Accountability Act of 2019 This bill alters several Medicaid programs and funding provisions. (Sec. 2) The bill temporarily extends the applicability of Medicaid eligibility criteria that protect against spousal impoverishment for recipients of home- and community-based services. (Sec. 3) The bill also establishes a state Medicaid option to provide for medical assistance with respect to coordinated care provided through a health home (i.e., a designated provider or team of health-care professionals) for children with medically complex conditions. States must determine payment methodologies in accordance with specified requirements; payments also temporarily qualify for an enhanced federal matching rate. (Sec. 4) The bill also temporarily extends the Medicaid demonstration program for certified community behavioral health clinics. (Sec. 5) The bill increases funding available to the Money Follows the Person Rebalancing Demonstration Program. (Under this program, the Centers for Medicare & Medicaid Services may award grants to state Medicaid programs to assist states in increasing the use of home and community care for long-term care and decreasing the use of institutional care.) (Sec. 6) Further, drug manufacturers with Medicaid rebate agreements for covered outpatient drugs must disclose drug product information. Manufacturers are subject to civ…
Congressional Research Service · 2019-04-18
Who reported lobbying on this bill?
Amount spent specifically on this bill: not disclosed
The reports below name this bill and disclose an organization’s overall lobbying expenses or a firm’s client income for the period. They can cover many bills and issues. These amounts are not payments to the bill or its politicians.
No matching lobbying report is imported yet. This is not evidence that no lobbying occurred.
2,409 latest lobbying reports imported. Some source imports are still in progress.
Politicians behind the bill
Sponsors and cosponsors from the official source, limited to members currently in office. Campaign amounts are cycle-wide and are not payments for this bill.
Sponsor
Raul Ruiz
House · CA District 25 · Democratic
$1,026,599PAC receipts · 2025–2026
Cosponsor
Debbie Dingell
House · MI District 6 · Democratic
$754,050PAC receipts · 2025–2026
Cosponsor
Brett Guthrie
House · KY District 2 · Republican
$3,173,896PAC receipts · 2025–2026
Cosponsor
Kathy Castor
House · FL District 14 · Democratic
$981,194PAC receipts · 2025–2026
Cosponsor
Gus M. Bilirakis
House · FL District 12 · Republican
$935,244PAC receipts · 2025–2026
8 of 8 source cosponsor records retrieved; only current officials and unwithdrawn sponsorships appear.
PAC donors to the listed sponsors
These are all-cycle contributions to the listed sponsors’ and cosponsors’ campaigns. FEC does not attribute them to this bill. A donation plus sponsorship does not establish why a politician acted.
AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION POLITICAL ACTION COMMITTEE (SKINPAC)$42,500
Raul Ruiz · Sponsor · $10,000
Debbie Dingell · Cosponsor · $7,500
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $5,000
Gus M. Bilirakis · Cosponsor · $10,000
Official PAC recordCHARTER COMMUNICATIONS INC. POLITICAL ACTION COMMITTEE$42,500
Raul Ruiz · Sponsor · $10,000
Debbie Dingell · Cosponsor · $2,500
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $10,000
Gus M. Bilirakis · Cosponsor · $10,000
Official PAC recordVERIZON COMMUNICATIONS, INC. POLITICAL ACTION COMMITTEE (VERIZON PAC)$39,000
Raul Ruiz · Sponsor · $7,000
Debbie Dingell · Cosponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $10,000
Gus M. Bilirakis · Cosponsor · $7,000
Official PAC recordAMERICAN OPTOMETRIC ASSOCIATION POLITICAL ACTION COMMITTEE$37,500
Raul Ruiz · Sponsor · $7,500
Debbie Dingell · Cosponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $10,000
Gus M. Bilirakis · Cosponsor · $5,000
Official PAC recordNATIONAL EMERGENCY MEDICINE POLITICAL ACTION COMMITTEE / AMERICAN COLLEGE OF EMERGENCY PHYSICIANS$37,000
Raul Ruiz · Sponsor · $10,000
Debbie Dingell · Cosponsor · $5,000
Brett Guthrie · Cosponsor · $7,500
Kathy Castor · Cosponsor · $7,500
Gus M. Bilirakis · Cosponsor · $7,000
Official PAC recordNATIONAL BEER WHOLESALERS ASSOCIATION POLITICAL ACTION COMMITTEE$36,500
Raul Ruiz · Sponsor · $10,000
Debbie Dingell · Cosponsor · $10,000
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $3,500
Gus M. Bilirakis · Cosponsor · $3,000
Official PAC recordNATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION AMERICA'S ELECTRIC COOPERATIVES PAC$36,500
Raul Ruiz · Sponsor · $8,000
Debbie Dingell · Cosponsor · $7,500
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $3,500
Gus M. Bilirakis · Cosponsor · $7,500
Official PAC recordSOCIETY OF THORACIC SURGEONS POLITICAL ACTION COMMITTEE$36,500
Raul Ruiz · Sponsor · $10,000
Debbie Dingell · Cosponsor · $3,000
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $7,500
Gus M. Bilirakis · Cosponsor · $6,000
Official PAC recordHONEYWELL INTERNATIONAL INC. TECHNOLOGIES PUBLIC AFFAIRS COUNCIL (HONPAC)$36,000
Raul Ruiz · Sponsor · $7,500
Debbie Dingell · Cosponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $5,000
Gus M. Bilirakis · Cosponsor · $8,500
Official PAC recordNATIONAL ASSOCIATION OF BROADCASTERS POLITICAL ACTION COMMITTEE (NABPAC)$35,850
Raul Ruiz · Sponsor · $7,500
Debbie Dingell · Cosponsor · $5,000
Brett Guthrie · Cosponsor · $1,000
Kathy Castor · Cosponsor · $10,500
Gus M. Bilirakis · Cosponsor · $11,850
Official PAC recordAMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS POLITICAL ACTION COMMITTEE$33,000
Raul Ruiz · Sponsor · $5,000
Brett Guthrie · Cosponsor · $8,000
Kathy Castor · Cosponsor · $10,000
Gus M. Bilirakis · Cosponsor · $10,000
Official PAC recordPOLITICAL ACTION COMMITTEE OF THE AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS--PAC OF AAOS$32,000
Raul Ruiz · Sponsor · $10,000
Debbie Dingell · Cosponsor · $2,000
Brett Guthrie · Cosponsor · $8,500
Kathy Castor · Cosponsor · $7,000
Gus M. Bilirakis · Cosponsor · $4,500
Official PAC recordAMERICAN COLLEGE OF CARDIOLOGY PAC (HEARTPAC)$31,500
Raul Ruiz · Sponsor · $7,500
Debbie Dingell · Cosponsor · $4,500
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $4,500
Gus M. Bilirakis · Cosponsor · $5,000
Official PAC recordAT&T INC. EMPLOYEE FEDERAL POLITICAL ACTION COMMITTEE (AT&T EMPLOYEE FEDERAL PAC)$31,500
Raul Ruiz · Sponsor · $6,000
Debbie Dingell · Cosponsor · $2,000
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $6,000
Gus M. Bilirakis · Cosponsor · $7,500
Official PAC recordAMERICAN PODIATRIC MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEE$30,500
Raul Ruiz · Sponsor · $7,500
Debbie Dingell · Cosponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Gus M. Bilirakis · Cosponsor · $8,000
Official PAC recordAMERICAN COLLEGE OF RADIOLOGY ASSOCIATION PAC$30,000
Raul Ruiz · Sponsor · $10,000
Debbie Dingell · Cosponsor · $1,500
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $3,500
Gus M. Bilirakis · Cosponsor · $5,000
Official PAC recordHALL RENDER KILLIAN HEATH & LYMAN PC EMPLOYEE PAC AKA HALLWAY PAC FEDERAL$30,000
Raul Ruiz · Sponsor · $5,000
Brett Guthrie · Cosponsor · $15,000
Gus M. Bilirakis · Cosponsor · $10,000
Official PAC recordMACHINISTS NON PARTISAN POLITICAL LEAGUE OF THE INTERNATIONAL ASSOCIATION OF MACHINISTS & AEROSPACE WORKERS$30,000
Raul Ruiz · Sponsor · $10,000
Debbie Dingell · Cosponsor · $10,000
Kathy Castor · Cosponsor · $10,000
Official PAC recordNATIONAL ASSOCIATION OF REALTORS POLITICAL ACTION COMMITTEE$30,000
Raul Ruiz · Sponsor · $5,000
Debbie Dingell · Cosponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $5,000
Gus M. Bilirakis · Cosponsor · $5,000
Official PAC recordAMERICAN ASSOCIATION OF ORAL & MAXILLOFACIAL SURGEONS POLITICAL ACTION COMMITTEE$29,500
Raul Ruiz · Sponsor · $10,000
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $5,000
Gus M. Bilirakis · Cosponsor · $4,500
Official PAC recordAMERICAN PHYSICAL THERAPY ASSOCIATION PHYSICAL THERAPY POLITICAL ACTION COMMITTEE (PT-PAC)$29,500
Raul Ruiz · Sponsor · $5,500
Debbie Dingell · Cosponsor · $3,000
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $1,000
Gus M. Bilirakis · Cosponsor · $10,000
Official PAC recordAFLAC POLITICAL ACTION COMMITTEE (AFLAC PAC)$29,000
Raul Ruiz · Sponsor · $5,000
Debbie Dingell · Cosponsor · $2,500
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $10,000
Gus M. Bilirakis · Cosponsor · $1,500
Official PAC recordNCTA - THE INTERNET & TELEVISION ASSOCIATION POLITICAL ACTION COMMITTEE (NCTAPAC)$29,000
Raul Ruiz · Sponsor · $5,000
Debbie Dingell · Cosponsor · $2,500
Brett Guthrie · Cosponsor · $6,500
Kathy Castor · Cosponsor · $10,000
Gus M. Bilirakis · Cosponsor · $5,000
Official PAC recordT-MOBILE US, INC. POLITICAL ACTION COMMITTEE (T-PAC)$28,500
Raul Ruiz · Sponsor · $6,000
Debbie Dingell · Cosponsor · $1,000
Brett Guthrie · Cosponsor · $9,000
Kathy Castor · Cosponsor · $9,000
Gus M. Bilirakis · Cosponsor · $3,500
Official PAC recordCOMCAST CORPORATION & NBCUNIVERSAL POLITICAL ACTION COMMITTEE - FEDERAL$28,000
Raul Ruiz · Sponsor · $2,500
Debbie Dingell · Cosponsor · $2,500
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $5,000
Gus M. Bilirakis · Cosponsor · $8,000
Official PAC recordAMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION PAC$27,500
Raul Ruiz · Sponsor · $10,000
Debbie Dingell · Cosponsor · $3,500
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $2,000
Gus M. Bilirakis · Cosponsor · $2,000
Official PAC recordNATIONAL AUTOMOBILE DEALERS ASSOCIATION POLITICAL ACTION COMMITTEE$27,500
Debbie Dingell · Cosponsor · $10,000
Brett Guthrie · Cosponsor · $5,000
Kathy Castor · Cosponsor · $2,500
Gus M. Bilirakis · Cosponsor · $10,000
Official PAC recordMOLINA HEALTHCARE, INC. PAC$26,500
Raul Ruiz · Sponsor · $5,000
Debbie Dingell · Cosponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $2,000
Gus M. Bilirakis · Cosponsor · $4,500
Official PAC recordAMERICA'S CREDIT UNIONS PAC$26,000
Raul Ruiz · Sponsor · $6,000
Debbie Dingell · Cosponsor · $5,000
Brett Guthrie · Cosponsor · $5,000
Kathy Castor · Cosponsor · $5,000
Gus M. Bilirakis · Cosponsor · $5,000
Official PAC recordAMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY ENT PAC$26,000
Raul Ruiz · Sponsor · $10,000
Debbie Dingell · Cosponsor · $6,000
Brett Guthrie · Cosponsor · $2,500
Kathy Castor · Cosponsor · $7,500
Official PAC recordAMERICAN PSYCHIATRIC ASSOCIATION POLITICAL ACTION COMMITTEE$25,500
Raul Ruiz · Sponsor · $4,500
Debbie Dingell · Cosponsor · $3,500
Brett Guthrie · Cosponsor · $7,000
Kathy Castor · Cosponsor · $2,000
Gus M. Bilirakis · Cosponsor · $8,500
Official PAC recordNATIONAL MARINE MANUFACTURERS ASSOCIATION AND MARINE RETAILERS ASSOCIATION BOAT PAC$25,500
Raul Ruiz · Sponsor · $1,000
Debbie Dingell · Cosponsor · $10,000
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $2,500
Gus M. Bilirakis · Cosponsor · $2,000
Official PAC recordNUCLEAR ENERGY INSTITUTE FEDERAL POLITICAL ACTION COMMITTEE$25,500
Raul Ruiz · Sponsor · $1,000
Debbie Dingell · Cosponsor · $2,500
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $10,000
Gus M. Bilirakis · Cosponsor · $2,000
Official PAC recordPFIZER INC. PAC$25,500
Raul Ruiz · Sponsor · $6,000
Brett Guthrie · Cosponsor · $7,500
Kathy Castor · Cosponsor · $2,000
Gus M. Bilirakis · Cosponsor · $10,000
Official PAC recordAIR LINE PILOTS ASSOCIATION PAC$25,000
Raul Ruiz · Sponsor · $5,000
Debbie Dingell · Cosponsor · $8,000
Brett Guthrie · Cosponsor · $2,000
Kathy Castor · Cosponsor · $10,000
Official PAC recordAMERICAN ASSOCIATION FOR JUSTICE POLITICAL ACTION COMMITTEE (AAJ PAC)$25,000
Raul Ruiz · Sponsor · $9,000
Debbie Dingell · Cosponsor · $6,000
Kathy Castor · Cosponsor · $10,000
Official PAC recordAMERICAN FEDERATION OF STATE COUNTY & MUNICIPAL EMPLOYEES P E O P L E$25,000
Raul Ruiz · Sponsor · $7,500
Debbie Dingell · Cosponsor · $10,000
Kathy Castor · Cosponsor · $7,500
Official PAC recordCOX ENTERPRISES PAC (COXPAC) INC.$25,000
Raul Ruiz · Sponsor · $2,500
Debbie Dingell · Cosponsor · $2,500
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $10,000
Official PAC recordFEDERATION OF AMERICAN HOSPITALS PAC$24,500
Raul Ruiz · Sponsor · $3,500
Debbie Dingell · Cosponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Kathy Castor · Cosponsor · $2,500
Gus M. Bilirakis · Cosponsor · $3,500
Official PAC recordIHEARTMEDIA, INC. PAC$24,500
Debbie Dingell · Cosponsor · $2,000
Brett Guthrie · Cosponsor · $5,500
Kathy Castor · Cosponsor · $10,000
Gus M. Bilirakis · Cosponsor · $7,000
Official PAC recordThe largest 40 donor totals appear here. Open each politician for their complete, paginated PAC donor list.
What happened after enactment?
Dated agency-reported implementation and uptake measures are shown with their scope. They do not by themselves establish causal success. If no evidence is listed, the outcome is not established.
Measured outcome: not established
Enactment alone does not show whether a law improved its intended outcome. We need a dated evaluation, observed result or verified implementation record before claiming success or failure.