H.R. 5815: District of Columbia Medicaid Fairness Act

This bill is titled the "District of Columbia Medicaid Fairness Act." It aims to change the way federal funding for Medicaid is calculated specifically for the District of Columbia. Here are the main points of the bill:

Adjustment of Federal Medical Assistance Percentage (FMAP)

The bill proposes amendments to Title XIX of the Social Security Act, which governs Medicaid funding. The specific adjustments include:

• The Federal Medical Assistance Percentage (FMAP) for the District of Columbia would be set at 70 percent for fiscal years leading up to 2030.
• For fiscal year 2030 and beyond, the FMAP would be based on what it would normally be without applying a reduction clause.

Future FMAP Rates

Additionally, the bill specifies a gradual decrease in the FMAP for the District of Columbia over the next several years:

• For fiscal years before 2027, the FMAP will be 70 percent.
• For fiscal year 2027, it decreases to 65 percent.
• For fiscal year 2028, it further decreases to 60 percent.
• For fiscal year 2029, it will be 55 percent.

Overall, this bill intends to create a more equitable method for calculating federal Medicaid funding for the District of Columbia, impacting the level of financial assistance available for Medicaid services in the area.

Relevant Companies

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