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HR5815119th CongressWALLET

District of Columbia Medicaid Fairness Act

Sponsored By: Representative Cloud, Michael [R-TX-27]

Introduced

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.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Higher federal Medicaid match for DC

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 set percentages. Starting in 2030, the match would return to the normal formula.

Sponsors & CoSponsors

Sponsor

Cloud, Michael [R-TX-27]

TX • R

Cosponsors

  • Rep. Arrington, Jodey C. [R-TX-19]

    TX • R

    Sponsored 10/24/2025

  • Rep. Van Duyne, Beth [R-TX-24]

    TX • R

    Sponsored 10/24/2025

  • Rep. Tiffany, Thomas P. [R-WI-7]

    WI • R

    Sponsored 10/24/2025

  • Rep. Clyde, Andrew S. [R-GA-9]

    GA • R

    Sponsored 10/24/2025

  • Brecheen

    OK • R

    Sponsored 10/24/2025

  • Rep. Steube, W. Gregory [R-FL-17]

    FL • R

    Sponsored 10/24/2025

  • Rep. Roy, Chip [R-TX-21]

    TX • R

    Sponsored 10/24/2025

  • Rep. Harris, Andy [R-MD-1]

    MD • R

    Sponsored 10/24/2025

  • Rep. Higgins, Clay [R-LA-3]

    LA • R

    Sponsored 10/31/2025

  • Rep. Hageman, Harriet M. [R-WY-At Large]

    WY • R

    Sponsored 11/4/2025

  • Rep. Biggs, Sheri [R-SC-3]

    SC • R

    Sponsored 11/4/2025

  • Rep. Cline, Ben [R-VA-6]

    VA • R

    Sponsored 11/12/2025

  • Rep. Gill, Brandon [R-TX-26]

    TX • R

    Sponsored 11/18/2025

  • Rep. Pfluger, August [R-TX-11]

    TX • R

    Sponsored 12/1/2025

  • Rep. Fallon, Pat [R-TX-4]

    TX • R

    Sponsored 12/3/2025

  • Rep. Kennedy, Mike [R-UT-3]

    UT • R

    Sponsored 1/6/2026

  • Rep. Allen, Rick W. [R-GA-12]

    GA • R

    Sponsored 1/6/2026

  • Rep. Rose, John W. [R-TN-6]

    TN • R

    Sponsored 1/13/2026

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov
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