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.
Status:
Introduced
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