H.R. 9139

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9139 Introduced in House (IH)]

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119th CONGRESS
2d Session
H. R. 9139

To amend title XIX of the Social Security Act to clarify the intent of 
Congress with regards to Medicaid financing policies.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

June 4, 2026

Mrs. Cammack (for herself, Mr. Crenshaw, Mr. Buchanan, and Mr. Moran) 
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 clarify the intent of 
Congress with regards to Medicaid financing policies.

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 ``Medicaid Financing Clarification Act 
of 2026''.

SEC. 2. CLARIFYING THE INTENT OF CONGRESS WITH REGARDS TO MEDICAID 
FINANCING POLICIES.

(a) State Plans for Medical Assistance.--Section 1902(a) of the 
Social Security Act (42 U.S.C. 1396a(a)) is amended in paragraph (2) by 
inserting ``, including public funds transferred from or certified by 
political subdivisions,'' after ``from local sources''.
(b) Definitions.--Section 1905 of the Social Security Act (42 
U.S.C. 1396d) is amended by adding at the end the following new 
subsections:
``(ll) Public Funds.--For purposes of sections 1902(a)(2) and 
1903(w), `public funds' means State and local funds in the possession 
of a political subdivision or public agency, including tax revenues, 
appropriations, fees, grants, earned interest, fines, sale or lease of 
public resources, legal settlements and judgments, revenue from bond 
issuances, tobacco settlement funds, and patient care revenues. Federal 
funds may not be used as public funds unless authorized by Federal law 
to be used as matching funds for other Federal funds.
``(mm) Political Subdivision.--For purposes of subsections (cc) and 
(ll) of this section and subsection 1902(a)(2), a `political 
subdivision' is a separate legal entity of a State which has specific 
governmental functions. A political subdivision may include a county, 
city, town, village, district, non-State governmental entity, or other 
unit of local government in a State.
``(nn) Public Agency.--For purposes of subsection (ll) of this 
section and subsections 1902(a)(2) and 1903(w), a `public agency' is a 
unit of government, including a State or any political subdivision 
thereof.''.
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