H.R. 5815

[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.

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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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