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HR 5815
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District of Columbia Medicaid Fairness Act

To amend title XIX of the Social Security Act to bring fairness to the Medicaid Federal medical assistance percentage for the District of Columbia.

Introduced Oct 24, 2025

Latest action (Oct 24, 2025) Referred to the House Committee on Energy and Commerce.

Referred to
Energy and Commerce Committee
Policy area
Health
Issues
Healthcare

Summary
  • Adjusts the Federal Medical Assistance Percentage (FMAP) for the District of Columbia's Medicaid program, which determines the federal government's share of Medicaid costs.
  • Maintains the current 70 percent FMAP for the District through fiscal year 2026.
  • Reduces the FMAP to 65 percent in fiscal year 2027, 60 percent in 2028, and 55 percent in 2029.
  • After fiscal year 2029, the District's FMAP reverts to the percentage that would normally be calculated under existing law.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)
18 cosponsors

Money behind the sponsor

Top reported contributors to Michael Cloud’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.

  • Employer not reported $165,527
  • SAULSBURY INDUSTRIES $9,900
  • ULINE $6,600
  • MAGIC INDUSTRIES INC $6,600
  • REPCON INC. $6,600

Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Michael Cloud → · Outside spending →

Actions (2)
  1. Oct 24, 2025 Referred to the House Committee on Energy and Commerce. · house
  2. Oct 24, 2025 Introduced in House

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

  • HR 8650 — Medicaid Outreach and Assistance for Communities Act of 2026 · Introduced May 4, 2026 · Cong. 119 72%
  • HR 9940 — Disability Community Act of 2026 · Introduced Jul 23, 2026 · Cong. 119 68%
  • HR 4029 — To provide for an emergency increase in Federal funding to State Medicaid programs for expenditures on home and community-based services. · Introduced Jun 17, 2025 · Cong. 119 68%
  • HR 8765 — Prioritizing Primary Care Act of 2026 · Introduced May 12, 2026 · Cong. 119 66%
  • HRES 1403 — Expressing the sense of Congress that Medicaid is an important lifeline for the health care of millions of Americans. · Introduced Jun 30, 2026 · Cong. 119 66%
  • HR 9139 — Medicaid Financing Clarification Act of 2026 · Introduced Jun 4, 2026 · Cong. 119 66%

Text versions (1)
  • Introduced in House · Oct 24, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

Full text

IN THE HOUSE OF REPRESENTATIVES

October 24, 2025

Mr. Cloud (for himself, Mr. Arrington, Ms. Van Duyne, Mr. Tiffany, Mr. Clyde, Mr. Brecheen, Mr. Steube, Mr. Roy, and Mr. Harris of Maryland) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend title XIX of the Social Security Act to bring fairness to the Medicaid Federal medical assistance percentage for the District of Columbia.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “District of Columbia Medicaid Fairness Act”.

SEC. 2. ADJUSTMENT OF FMAP FOR DISTRICT OF COLUMBIA.

Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended—

(1) in the first sentence of subsection (b), by striking “this title” and everything that follows through “shall be 70 percent” and inserting “title XXI, the Federal medical assistance percentage for the District of Columbia shall be 70 percent, and for purposes of this title, for fiscal years before 2030, the Federal medical assistance percentage for the District of Columbia shall be equal to the percentage that would otherwise be determined under this subsection without application of this clause or the percentage specified in subsection (ll) for such fiscal year (whichever is greater), and for fiscal year 2030 and each subsequent fiscal year, the Federal medical assistance percentage for the District of Columbia shall be equal to the percentage that would otherwise be determined under this subsection without application of this clause”; and

(2) by adding at the end the following new subsection:

“(ll) Federal Medical Assistance Percentage for the District of Columbia.—For purposes of clause (3) of the first sentence of subsection (b), the percentage specified in this subsection for a fiscal year is—

“(1) for a fiscal year before fiscal year 2027, 70 percent;

“(2) for fiscal year 2027, 65 percent;

“(3) for fiscal year 2028, 60 percent; and

“(4) for fiscal year 2029, 55 percent.”. <all>

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