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Local Medical Aid for Vulnerable in Non-Expansion States

This bill allows local governments, like counties or cities, to independently provide medical assistance to low-income individuals who lack Medicaid access in their states. The federal government will cover most of the costs, aiming to ensure more people have access to essential healthcare, even if their state has not expanded Medicaid.
Key points
Local governments can launch their own medical assistance programs for individuals not eligible for state-level Medicaid.
The federal government will cover 90% to 100% of these local program costs, depending on duration and location (rural areas receive higher support).
States cannot block or penalize local governments for participating in these programs, nor can they shift costs to them.
Programs can last up to 7 years, with potential for extension, or until the state decides to expand Medicaid.
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Additional Information
Print number: 117_HR_3961
Sponsor: Rep. Doggett, Lloyd [D-TX-35]
Process start date: 2021-06-17