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D.C. Medicaid Funding Changes: Federal Share Reduced Over Time

This bill gradually lowers the federal government's share of funding for the Medicaid health program in the District of Columbia (D.C.). Currently, D.C. receives a higher federal contribution percentage than most states. This change means the D.C. government must allocate more local funds to maintain current healthcare services for low-income residents, potentially straining the local budget.
Key points
The federal funding share (FMAP) for D.C. Medicaid will gradually decrease from 70% to 55% between fiscal years 2027 and 2029.
Starting in fiscal year 2030, D.C. will receive federal funding based on standard state formulas, ending the special, higher federal contribution rate.
The D.C. government will face increased pressure to find additional local funds to cover healthcare costs for its low-income population.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_HR_5815
Sponsor: Rep. Cloud, Michael [R-TX-27]
Process start date: 2025-10-24
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Summarized by: gemini-2.5-flash-preview-09-2025
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

District of Columbia Medicaid Fairness Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 119_HR_5815.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2025-10-24.

What are the main provisions?

Key points include:

  • The federal funding share (FMAP) for D.C. Medicaid will gradually decrease from 70% to 55% between fiscal years 2027 and 2029.
  • Starting in fiscal year 2030, D.C. will receive federal funding based on standard state formulas, ending the special, higher federal contribution rate.
  • The D.C. government will face increased pressure to find additional local funds to cover healthcare costs for its low-income population.
What is the specific legal status?

The current status is Introduced.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Cloud, Michael [R-TX-27].

What is the latest detailed status?

The latest detailed status is: Referred to the House Committee on Energy and Commerce.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-23.

CATEGORIES

Health Benefits