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HR 9139
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Medicaid Financing Clarification Act of 2026

To amend title XIX of the Social Security Act to clarify the intent of Congress with regards to Medicaid financing policies.

Introduced Jun 4, 2026

Latest action (Jun 4, 2026) Referred to the House Committee on Energy and Commerce.

Policy area
Issues
Healthcare

Summary

This bill amends the Medicaid program under the Social Security Act to clarify congressional intent regarding how states can finance Medicaid. The bill allows state Medicaid plans to receive public funds transferred from or certified by political subdivisions. It also provides specific definitions for key terms: "public funds" includes state and local tax revenues, fees, grants, and other sources but excludes federal funds unless specifically authorized as matching funds; "political subdivision" refers to local government units like counties and cities; and "public agency" refers to any governmental unit. These clarifications are intended to specify which funding sources can be used to support state Medicaid programs.

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)

Money behind the sponsor

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

  • NULL $148,814
  • ANDREESSEN HOROWITZ $19,800
  • GLEIM PUBLICATIONS $18,600
  • UF $10,436
  • FREY FARMS $10,306

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

Actions (2)

  1. Jun 4, 2026 Referred to the House Committee on Energy and Commerce. · house
  2. Jun 4, 2026 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.

Committee action

What happened to this bill in committee — the meetings where it was considered and every recorded vote taken on it.

Full text

IN THE HOUSE OF REPRESENTATIVES

June 4, 2026

Mrs. Cammack (for herself, Mr. Crenshaw, Mr. Buchanan, and Mr. Moran) 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 clarify the intent of Congress with regards to Medicaid financing policies.

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 “Medicaid Financing Clarification Act of 2026”.

SEC. 2. CLARIFYING THE INTENT OF CONGRESS WITH REGARDS TO MEDICAID FINANCING POLICIES.

(a) State Plans for Medical Assistance.—Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is amended in paragraph (2) by inserting “, including public funds transferred from or certified by political subdivisions,” after “from local sources”.

(b) Definitions.—Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended by adding at the end the following new subsections:

“(ll) Public Funds.—For purposes of sections 1902(a)(2) and 1903(w), ‘public funds’ means State and local funds in the possession of a political subdivision or public agency, including tax revenues, appropriations, fees, grants, earned interest, fines, sale or lease of public resources, legal settlements and judgments, revenue from bond issuances, tobacco settlement funds, and patient care revenues. Federal funds may not be used as public funds unless authorized by Federal law to be used as matching funds for other Federal funds.

“(mm) Political Subdivision.—For purposes of subsections (cc) and

(ll) of this section and subsection 1902(a)(2), a ‘political subdivision’ is a separate legal entity of a State which has specific governmental functions. A political subdivision may include a county, city, town, village, district, non-State governmental entity, or other unit of local government in a State. “(nn) Public Agency.—For purposes of subsection (ll) of this section and subsections 1902(a)(2) and 1903(w), a ‘public agency’ is a unit of government, including a State or any political subdivision thereof.”. <all>

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