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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.
Summary
This bill amends the Medicaid program to adjust how the federal government calculates its share of funding for the District of Columbia's Medicaid program. Through fiscal year 2029, the bill guarantees the District receives the higher of either the federal medical assistance percentage normally calculated under existing Medicaid rules or a specified percentage set by this bill. The bill establishes a phase-down schedule for the specified percentages: 70 percent before fiscal year 2027, 65 percent in fiscal year 2027, 60 percent in fiscal year 2028, and 55 percent in fiscal year 2029. Starting in fiscal year 2030, the District's federal medical assistance percentage would revert to the percentage determined under standard Medicaid formulas. The bill also sets the federal medical assistance percentage for the District under the State Children's Health Insurance Program (Title XXI) at 70 percent.
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
- Rep. Allen, Rick W. [R-GA-12] (R-GA)
- Rep. Arrington, Jodey C. [R-TX-19] (R-TX)
- Rep. Biggs, Sheri [R-SC-3] (R-SC)
- Rep. Brecheen, Josh [R-OK-2] (R-OK)
- Rep. Cline, Ben [R-VA-6] (R-VA)
- Rep. Clyde, Andrew S. [R-GA-9] (R-GA)
- Rep. Fallon, Pat [R-TX-4] (R-TX)
- Rep. Gill, Brandon [R-TX-26] (R-TX)
- Rep. Hageman, Harriet M. [R-WY-At Large] (R-WY)
- Rep. Harris, Andy [R-MD-1] (R-MD)
- Rep. Higgins, Clay [R-LA-3] (R-LA)
- Rep. Kennedy, Mike [R-UT-3] (R-UT)
- Rep. Pfluger, August [R-TX-11] (R-TX)
- Rep. Rose, John W. [R-TN-6] (R-TN)
- Rep. Roy, Chip [R-TX-21] (R-TX)
- Rep. Steube, W. Gregory [R-FL-17] (R-FL)
- Rep. Tiffany, Thomas P. [R-WI-7] (R-WI)
- Rep. Van Duyne, Beth [R-TX-24] (R-TX)
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.
- NULL $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)
- Oct 24, 2025 Referred to the House Committee on Energy and Commerce. · house
- 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.
Text versions (1)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
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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