# 119-hr-5815: District of Columbia Medicaid Fairness Act

119-hr-5815, District of Columbia Medicaid Fairness Act, is a 119th Congress bill sponsored by Rep. Cloud, Michael [R-TX-27] (R-TX); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-5815
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-5815
- Congress: 119
- Title: District of Columbia Medicaid Fairness Act
- Status: introduced
- Introduced: 2025-10-24
- Sponsor: Rep. Cloud, Michael [R-TX-27] (R-TX)
- Cosponsors: 18
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**This bill would set a time-limited, higher federal Medicaid matching rate for the District of Columbia.** It creates a D.C.-specific Federal Medical Assistance Percentage floor that applies through 2029 and then reverts to the standard calculation in 2030.

## Cosponsors (18)

- Rep. Arrington, Jodey C. [R-TX-19] (R-TX), 2025-10-24T00:00:00.000Z
- Rep. Van Duyne, Beth [R-TX-24] (R-TX), 2025-10-24T00:00:00.000Z
- Rep. Tiffany, Thomas P. [R-WI-7] (R-WI), 2025-10-24T00:00:00.000Z
- Rep. Clyde, Andrew S. [R-GA-9] (R-GA), 2025-10-24T00:00:00.000Z
- Rep. Brecheen, Josh [R-OK-2] (R-OK), 2025-10-24T00:00:00.000Z
- Rep. Steube, W. Gregory [R-FL-17] (R-FL), 2025-10-24T00:00:00.000Z
- Rep. Roy, Chip [R-TX-21] (R-TX), 2025-10-24T00:00:00.000Z
- Rep. Harris, Andy [R-MD-1] (R-MD), 2025-10-24T00:00:00.000Z
- Rep. Higgins, Clay [R-LA-3] (R-LA), 2025-10-31T00:00:00.000Z
- Rep. Hageman, Harriet M. [R-WY-At Large] (R-WY), 2025-11-04T00:00:00.000Z
- Rep. Biggs, Sheri [R-SC-3] (R-SC), 2025-11-04T00:00:00.000Z
- Rep. Cline, Ben [R-VA-6] (R-VA), 2025-11-12T00:00:00.000Z
- Rep. Gill, Brandon [R-TX-26] (R-TX), 2025-11-18T00:00:00.000Z
- Rep. Pfluger, August [R-TX-11] (R-TX), 2025-12-01T00:00:00.000Z
- Rep. Fallon, Pat [R-TX-4] (R-TX), 2025-12-03T00:00:00.000Z
- Rep. Kennedy, Mike [R-UT-3] (R-UT), 2026-01-06T00:00:00.000Z
- Rep. Allen, Rick W. [R-GA-12] (R-GA), 2026-01-06T00:00:00.000Z
- Rep. Rose, John W. [R-TN-6] (R-TN), 2026-01-13T00:00:00.000Z

## Provisions PRIA read

- Higher federal Medicaid match for DC: benefit, medium. If enacted, DC Medicaid would get a higher federal match through 2029. For fiscal years before 2027, the match would be at least 70%. In 2027 it would be at least 65%, in 2028 at least 60%, and in 2029 at least 55%. For each year before 2030, DC would get the higher of the normal formula or these s…

## Related bills

- 119-hr-425: Repealing Big Brother Overreach Act
- 119-hr-38: Constitutional Concealed Carry Reciprocity Act of 2025
- 119-hres-719: Honoring the life and legacy of Charles Charlie James Kirk.
- 119-hr-404: Hearing Protection Act
- 119-hr-569: Birthright Citizenship Act of 2025
- 119-hr-7296: SAVE America Act

## Sources
- [119-hr-5815 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/5815)

## Related
- [119-hr-425: Repealing Big Brother Overreach Act](https://policyrisk.com/legislation/119-hr-425)
- [119-hr-38: Constitutional Concealed Carry Reciprocity Act of 2025](https://policyrisk.com/legislation/119-hr-38)
- [119-hres-719: Honoring the life and legacy of Charles Charlie James Kirk.](https://policyrisk.com/legislation/119-hres-719)
- [119-hr-404: Hearing Protection Act](https://policyrisk.com/legislation/119-hr-404)
- [119-hr-569: Birthright Citizenship Act of 2025](https://policyrisk.com/legislation/119-hr-569)
- [119-hr-7296: SAVE America Act](https://policyrisk.com/legislation/119-hr-7296)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-5815 (as of 2026-04-21).