District of Columbia Medicaid Fairness Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5815 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 5815

To amend title XIX of the Social Security Act to bring fairness to the 
  Medicaid Federal medical assistance percentage for the District of 
                               Columbia.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 24, 2025

Mr. Cloud (for himself, Mr. Arrington, Ms. Van Duyne, Mr. Tiffany, Mr. 
 Clyde, Mr. Brecheen, Mr. Steube, Mr. Roy, and Mr. Harris of Maryland) 
 introduced the following bill; which was referred to the Committee on 
                          Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
To amend title XIX of the Social Security Act to bring fairness to the 
  Medicaid Federal medical assistance percentage for the District of 
                               Columbia.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``District of Columbia Medicaid 
Fairness Act''.

SEC. 2. ADJUSTMENT OF FMAP FOR DISTRICT OF COLUMBIA.

    Section 1905 of the Social Security Act (42 U.S.C. 1396d) is 
amended--
            (1) in the first sentence of subsection (b), by striking 
        ``this title'' and everything that follows through ``shall be 
        70 percent'' and inserting ``title XXI, the Federal medical 
        assistance percentage for the District of Columbia shall be 70 
        percent, and for purposes of this title, for fiscal years 
        before 2030, the Federal medical assistance percentage for the 
        District of Columbia shall be equal to the percentage that 
        would otherwise be determined under this subsection without 
        application of this clause or the percentage specified in 
        subsection (ll) for such fiscal year (whichever is greater), 
        and for fiscal year 2030 and each subsequent fiscal year, the 
        Federal medical assistance percentage for the District of 
        Columbia shall be equal to the percentage that would otherwise 
        be determined under this subsection without application of this 
        clause''; and
            (2) by adding at the end the following new subsection:
    ``(ll) Federal Medical Assistance Percentage for the District of 
Columbia.--For purposes of clause (3) of the first sentence of 
subsection (b), the percentage specified in this subsection for a 
fiscal year is--
            ``(1) for a fiscal year before fiscal year 2027, 70 
        percent;
            ``(2) for fiscal year 2027, 65 percent;
            ``(3) for fiscal year 2028, 60 percent; and
            ``(4) for fiscal year 2029, 55 percent.''.
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