Medicaid Financing Clarification Act of 2026
Sponsored By: Representative Cammack, Kat [R-FL-3]
Introduced
Summary
public funds are the focus of this bill. It would clarify that money transferred from or certified by counties, cities, and other local units can be treated as public funds for Medicaid financing and would add clear legal definitions for "political subdivision" and "public agency" in the Social Security Act.
Show full summary
- States and Medicaid programs would be able to count funds held by local governments as public funds when calculating Medicaid financing and federal matching.
- Counties, cities, districts, and other defined political subdivisions would have clearer authority to transfer or certify funds for Medicaid purposes.
- The bill would bar using federal dollars as public funds for matching unless a federal law specifically allows that use, clarifying limits on federal funds as state or local match.
- It would add explicit definitions to sections 1902(a)(2) and 1903(w) of the Social Security Act to reduce legal disputes over what qualifies as public funds.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More local money for Medicaid
This bill would define key terms so state and local funds can count as "public funds" for Medicaid financing. It would list examples such as local tax revenue, appropriations, fees, grants, earned interest, fines, sales or leases, legal settlements, bond revenue, tobacco settlement money, and patient care revenue. The bill would clarify that funds transferred from or certified by counties, cities, districts, or other local governments may count as local public funds for State Medicaid plans. It would also say federal money cannot be treated as public funds unless Federal law allows it to be used as matching money. If enacted, this could make it easier for states and local governments to use local money to support Medicaid programs and beneficiaries.
Sponsors & CoSponsors
Sponsor
Cammack, Kat [R-FL-3]
FL • R
Cosponsors
Crenshaw
TX • R
Sponsored 6/4/2026
Rep. Buchanan, Vern [R-FL-16]
FL • R
Sponsored 6/4/2026
Rep. Moran, Nathaniel [R-TX-1]
TX • R
Sponsored 6/4/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov