H.R. 3253 · 116th Congress · enacted
Sustaining Excellence in Medicaid Act of 2019
Became Public Law No: 116-39.
Latest official action 2019-08-06 · Enacted
The bill, briefly
Sustaining Excellence in Medicaid Act of 2019 This bill extends several health care programs and requirements and revises certain Medicare drug payment methodologies. (Sec. 2) The bill temporarily extends the Medicaid demonstration program for certified community behavioral health clinics. (Sec. 3) The bill also temporarily extends the applicability of Medicaid eligibility criteria that protect against spousal impoverishment for recipients of home- and community-based services. (Sec. 4) The bill increases appropriations for FY2019 for the Money Follows the Person Rebalancing Demonstration Program. (Under this program, the Centers for Medicare & Medicaid Services (CMS) 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. 5) Additionally, the bill extends the Family-to-Family Health Information Centers Program, which is administered by the Health Resources and Services Administration. The program awards grants to family-run organizations to support the provision of information and peer support to families of children with special health care needs. (Sec. 6) Finally, the bill provides statutory authority for a Medicare payment methodology that applies an add-on payment of up to 3% for new drugs or biologics (furnished on or after January 1, 2019) when th…
Congressional Research Service · 2019-08-06
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
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
Frank Pallone, Jr.
House · NJ District 6 · Democratic
$1,619,699PAC receipts · 2025–2026
Cosponsor
Peter Welch
Senate · VT · Democratic
$44,000PAC receipts · 2025–2026
Cosponsor
Tim Walberg
House · MI District 5 · Republican
$841,142PAC receipts · 2025–2026
9 of 9 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.
NATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION AMERICA'S ELECTRIC COOPERATIVES PAC$36,000
Debbie Dingell · Sponsor · $7,500
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Tim Walberg · Cosponsor · $8,500
Official PAC recordGENERAL MOTORS COMPANY POLITICAL ACTION COMMITTEE (GM PAC)$34,000
Debbie Dingell · Sponsor · $10,000
Brett Guthrie · Cosponsor · $9,000
Frank Pallone, Jr. · Cosponsor · $10,000
Tim Walberg · Cosponsor · $5,000
Official PAC recordTOYOTA MOTOR NORTH AMERICA, INC POLITICAL ACTION COMMITTEE (TOYOTA/LEXUS PAC)$32,500
Debbie Dingell · Sponsor · $10,000
Brett Guthrie · Cosponsor · $8,500
Frank Pallone, Jr. · Cosponsor · $10,000
Tim Walberg · Cosponsor · $4,000
Official PAC recordNATIONAL BEER WHOLESALERS ASSOCIATION POLITICAL ACTION COMMITTEE$30,500
Debbie Dingell · Sponsor · $10,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $5,000
Tim Walberg · Cosponsor · $5,500
Official PAC recordNATIONAL ASSOCIATION OF REALTORS POLITICAL ACTION COMMITTEE$30,000
Debbie Dingell · Sponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Tim Walberg · Cosponsor · $5,000
Official PAC recordAMERICAN OPTOMETRIC ASSOCIATION POLITICAL ACTION COMMITTEE$29,500
Debbie Dingell · Sponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $7,500
Tim Walberg · Cosponsor · $7,000
Official PAC recordAMAZON.COM SERVICES LLC SEPARATE SEGREGATED FUND (AMAZON PAC)$28,500
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Tim Walberg · Cosponsor · $8,500
Official PAC recordCTIA - THE WIRELESS ASSOCIATION POLITICAL ACTION COMMITTEE$28,000
Debbie Dingell · Sponsor · $4,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Peter Welch · Cosponsor · $4,000
Official PAC recordAMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION POLITICAL ACTION COMMITTEE (SKINPAC)$27,500
Debbie Dingell · Sponsor · $7,500
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordNATIONAL COMMUNITY PHARMACISTS ASSOCIATION - PAC$27,500
Debbie Dingell · Sponsor · $7,500
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordTHE CIGNA GROUP EMPLOYEE POLITICAL ACTION COMMITTEE$27,500
Brett Guthrie · Cosponsor · $7,500
Frank Pallone, Jr. · Cosponsor · $10,000
Tim Walberg · Cosponsor · $10,000
Official PAC recordNORPAC$27,450
Tim Walberg · Cosponsor · $27,450
Official PAC recordVERIZON COMMUNICATIONS, INC. POLITICAL ACTION COMMITTEE (VERIZON PAC)$27,000
Debbie Dingell · Sponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Tim Walberg · Cosponsor · $2,000
Official PAC recordDELTA DENTAL PLANS ASSOCIATION PAC$26,500
Debbie Dingell · Sponsor · $10,000
Brett Guthrie · Cosponsor · $6,500
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordMOLINA HEALTHCARE, INC. PAC$26,000
Debbie Dingell · Sponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Tim Walberg · Cosponsor · $1,000
Official PAC recordNATIONAL MARINE MANUFACTURERS ASSOCIATION AND MARINE RETAILERS ASSOCIATION BOAT PAC$26,000
Debbie Dingell · Sponsor · $10,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $6,000
Official PAC recordAMERICAN PHYSICAL THERAPY ASSOCIATION PHYSICAL THERAPY POLITICAL ACTION COMMITTEE (PT-PAC)$25,000
Debbie Dingell · Sponsor · $3,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Tim Walberg · Cosponsor · $2,000
Official PAC recordAMERICAN PODIATRIC MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEE$25,000
Debbie Dingell · Sponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordFEDERATION OF AMERICAN HOSPITALS PAC$25,000
Debbie Dingell · Sponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordHALL RENDER KILLIAN HEATH & LYMAN PC EMPLOYEE PAC AKA HALLWAY PAC FEDERAL$25,000
HONEYWELL INTERNATIONAL INC. TECHNOLOGIES PUBLIC AFFAIRS COUNCIL (HONPAC)$24,500
Debbie Dingell · Sponsor · $5,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $9,500
Official PAC recordINTERNATIONAL ASSOCIATION OF FIREFIGHTERS INTERESTED IN REGISTRATION AND EDUCATION PAC$24,000
Debbie Dingell · Sponsor · $10,000
Brett Guthrie · Cosponsor · $4,000
Frank Pallone, Jr. · Cosponsor · $7,500
Peter Welch · Cosponsor · $2,500
Official PAC recordTHE AMERICAN ELECTRIC POWER COMMITTEE FOR RESPONSIBLE GOVERNMENT$23,500
Debbie Dingell · Sponsor · $1,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Tim Walberg · Cosponsor · $2,500
Official PAC recordAT&T INC. EMPLOYEE FEDERAL POLITICAL ACTION COMMITTEE (AT&T EMPLOYEE FEDERAL PAC)$23,000
Debbie Dingell · Sponsor · $2,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Tim Walberg · Cosponsor · $1,000
Official PAC recordDTE ENERGY COMPANY POLITICAL ACTION COMMITTEE$23,000
Debbie Dingell · Sponsor · $10,000
Brett Guthrie · Cosponsor · $4,000
Frank Pallone, Jr. · Cosponsor · $2,500
Tim Walberg · Cosponsor · $6,500
Official PAC recordAFLAC POLITICAL ACTION COMMITTEE (AFLAC PAC)$22,500
Debbie Dingell · Sponsor · $2,500
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordAMERICAN ASSOCIATION OF NURSE ANESTHETISTS SEPARATE SEGREGATED FUND (CRNA-PAC)$22,500
Debbie Dingell · Sponsor · $5,000
Brett Guthrie · Cosponsor · $7,500
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordCHARTER COMMUNICATIONS INC. POLITICAL ACTION COMMITTEE$22,500
Debbie Dingell · Sponsor · $2,500
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordCOMCAST CORPORATION & NBCUNIVERSAL POLITICAL ACTION COMMITTEE - FEDERAL$22,500
Debbie Dingell · Sponsor · $2,500
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordCOX ENTERPRISES PAC (COXPAC) INC.$22,500
Debbie Dingell · Sponsor · $2,500
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordFOX CORPORATION POLITICAL ACTION COMMITTEE (FOX PAC)$22,500
Debbie Dingell · Sponsor · $5,000
Brett Guthrie · Cosponsor · $7,500
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordNUCLEAR ENERGY INSTITUTE FEDERAL POLITICAL ACTION COMMITTEE$22,500
Debbie Dingell · Sponsor · $2,500
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordROCKET LIMITED PARTNERSHIP PAC (ROCKET PAC)$22,500
Debbie Dingell · Sponsor · $6,000
Brett Guthrie · Cosponsor · $6,500
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordAMERICAN BANKERS ASSOCIATION PAC (BANKPAC)$22,000
Debbie Dingell · Sponsor · $6,000
Brett Guthrie · Cosponsor · $7,500
Tim Walberg · Cosponsor · $8,500
Official PAC recordPOWERPAC OF THE EDISON ELECTRIC INSTITUTE$22,000
Debbie Dingell · Sponsor · $7,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $5,000
Official PAC recordAMERICAN NURSES ASSOCIATION PAC$21,500
Debbie Dingell · Sponsor · $1,500
Brett Guthrie · Cosponsor · $5,000
Frank Pallone, Jr. · Cosponsor · $10,000
Tim Walberg · Cosponsor · $5,000
Official PAC recordDOMINION ENERGY, INC. POLITICAL ACTION COMMITTEE - DOMINION PAC$21,500
Debbie Dingell · Sponsor · $1,500
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $10,000
Official PAC recordGOOGLE LLC NETPAC$21,500
Debbie Dingell · Sponsor · $4,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $7,500
Official PAC recordUNITEDHEALTH GROUP INCORPORATED PAC (UNITEDHEALTH GROUP PAC)$21,500
Debbie Dingell · Sponsor · $1,500
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $7,500
Tim Walberg · Cosponsor · $2,500
Official PAC recordAMERICAN ASSOCIATION OF ORAL & MAXILLOFACIAL SURGEONS POLITICAL ACTION COMMITTEE$21,000
Brett Guthrie · Cosponsor · $10,000
Frank Pallone, Jr. · Cosponsor · $7,500
Tim Walberg · Cosponsor · $3,500
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.