District of Columbia Medicaid Fairness Act

This bill changes how much the federal government pays toward the District of Columbia's Medicaid costs, known as the Federal medical assistance percentage (FMAP). Under the bill, D.C.'s Medicaid FMAP would be the greater of the standard formula rate or a set floor that steps down over time: 70 percent before fiscal year 2027, 65 percent in 2027, 60 percent in 2028, and 55 percent in 2029. Starting in fiscal year 2030, D.C.'s Medicaid FMAP would be set by the standard formula used for other states, with no special floor. The 70 percent rate for D.C. would remain in place for the Children's Health Insurance Program (title XXI).

Full text and official record on Congress.gov

Sponsors

• Michael Cloud Republican sponsor
• 18 cosponsors