# 119-hr-3321: Ending Medicaid Discrimination Against the Most Vulnerable Act

119-hr-3321, Ending Medicaid Discrimination Against the Most Vulnerable Act, is a 119th Congress bill sponsored by Rep. Roy, Chip [R-TX-21] (R-TX); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-hr-3321
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-3321
- Congress: 119
- Title: Ending Medicaid Discrimination Against the Most Vulnerable Act
- Status: introduced
- Introduced: 2025-05-09
- Sponsor: Rep. Roy, Chip [R-TX-21] (R-TX)
- Cosponsors: 19
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2025-12-21

## Summary

**Phases out the enhanced federal matching rate for Medicaid coverage of low-income adults.** This bill would replace the ongoing enhanced Federal Medical Assistance Percentage with a state-specific, calendar-quarter phase-down from 2027 through 2034 and then return to the standard FMAP in 2035. - Low-income adults and families: Would lower the enhanced federal share for medical assistance to low-income adults during 2027–2034, changing the federal match rate states receive for that population. - States: Non-expansion States are not subject to the phase-down and get alternative FMAP rules if they spend on these adults. Expansion States may elect to cover only newly eligible adults with income up to 100% of the federal poverty line and keep the higher FMAP for that group. - Formula and timing: The bill sets the annual reduction as the difference between 90 percent and the State's FY2026 FMAP divided by 8. That state-specific percentage point amount is subtracted from the enhanced rate each calendar quarter in 2027–2034.

## Cosponsors (19)

- Rep. Gill, Brandon [R-TX-26] (R-TX), 2025-05-09T00:00:00.000Z
- Rep. Higgins, Clay [R-LA-3] (R-LA), 2025-05-09T00:00:00.000Z
- Rep. Brecheen, Josh [R-OK-2] (R-OK), 2025-05-09T00:00:00.000Z
- Rep. Perry, Scott [R-PA-10] (R-PA), 2025-05-09T00:00:00.000Z
- Rep. Gosar, Paul A. [R-AZ-9] (R-AZ), 2025-05-09T00:00:00.000Z
- Rep. Tiffany, Thomas P. [R-WI-7] (R-WI), 2025-05-09T00:00:00.000Z
- Rep. Biggs, Andy [R-AZ-5] (R-AZ), 2025-05-09T00:00:00.000Z
- Rep. Burlison, Eric [R-MO-7] (R-MO), 2025-05-13T00:00:00.000Z
- Rep. Miller, Mary E. [R-IL-15] (R-IL), 2025-06-17T00:00:00.000Z
- Rep. Fitzgerald, Scott [R-WI-5] (R-WI), 2025-05-09T00:00:00.000Z
- Rep. Ogles, Andrew [R-TN-5] (R-TN), 2025-05-09T00:00:00.000Z
- Rep. Spartz, Victoria [R-IN-5] (R-IN), 2025-05-09T00:00:00.000Z
- Rep. Donalds, Byron [R-FL-19] (R-FL), 2025-05-09T00:00:00.000Z
- Rep. Cloud, Michael [R-TX-27] (R-TX), 2025-05-09T00:00:00.000Z
- Rep. Harris, Andy [R-MD-1] (R-MD), 2025-05-09T00:00:00.000Z
- Rep. Boebert, Lauren [R-CO-4] (R-CO), 2025-05-09T00:00:00.000Z
- Rep. Self, Keith [R-TX-3] (R-TX), 2025-05-09T00:00:00.000Z
- Rep. Clyde, Andrew S. [R-GA-9] (R-GA), 2025-05-13T00:00:00.000Z
- Rep. Norman, Ralph [R-SC-5] (R-SC), 2025-05-19T00:00:00.000Z

## Provisions PRIA read

- Lower federal match for expansion adults: cost, high. This bill would phase down the extra federal Medicaid match for expansion adults. From 2027 to 2034, a state’s rate would drop each year by equal steps: (90% minus the state’s FY2026 regular FMAP) divided by 8. If the state’s normal FMAP is higher than the phased amount, the higher normal rate woul…

## Related bills

- 119-hr-7678: Gun Owner Registration Information Protection Act
- 119-hr-1301: Death Tax Repeal Act
- 119-hr-425: Repealing Big Brother Overreach Act
- 119-hr-645: National Constitutional Carry Act
- 119-hr-569: Birthright Citizenship Act of 2025
- 119-hr-5005: Sanctuary Penalty and Public Protection Act of 2025

## Sources
- [119-hr-3321 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/3321)

## Related
- [119-hr-7678: Gun Owner Registration Information Protection Act](https://policyrisk.com/legislation/119-hr-7678)
- [119-hr-1301: Death Tax Repeal Act](https://policyrisk.com/legislation/119-hr-1301)
- [119-hr-425: Repealing Big Brother Overreach Act](https://policyrisk.com/legislation/119-hr-425)
- [119-hr-645: National Constitutional Carry Act](https://policyrisk.com/legislation/119-hr-645)
- [119-hr-569: Birthright Citizenship Act of 2025](https://policyrisk.com/legislation/119-hr-569)
- [119-hr-5005: Sanctuary Penalty and Public Protection Act of 2025](https://policyrisk.com/legislation/119-hr-5005)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-3321 (as of 2025-12-21).