Sponsors (19)
The bill provides DC officials predictable, multi-year Medicaid funding rules and incentives to control costs but shifts more fiscal burden to the District, risking cuts or reduced access for beneficiaries and financial strain on taxpayers and local health providers.
District government officials gain a clear, predictable federal Medicaid matching (FMAP) schedule through FY2029, making multi-year budgeting and planning easier.
The gradual reduction in DC's federal Medicaid matching rate increases local fiscal responsibility and creates stronger incentives for the District to control Medicaid program costs.
Medicaid beneficiaries in DC could face reduced services or tightened eligibility if the District cuts benefits to offset lower federal funding.
District taxpayers and other local budgets may face higher taxes or cuts to other services because DC must cover a larger share of Medicaid costs.
Health providers and hospitals that serve Medicaid patients in DC could experience financial strain if reimbursement, enrollment, or services change due to lower federal support.
Based on analysis of 2 sections of legislative text.
Phases down the federal Medicaid match for the District of Columbia from 70% (pre-FY2027) to 65% in FY2027, 60% in FY2028, and 55% in FY2029.
Introduced October 24, 2025 by Michael Cloud · Last progress October 24, 2025
Changes how much the federal government pays toward Medicaid in the District of Columbia by setting a fixed, declining Federal Medical Assistance Percentage (FMAP) over several years. The federal share is set at 70% for fiscal years before FY2027, then phased down to 65% in FY2027, 60% in FY2028, and 55% in FY2029. This amendment alters the Social Security Act's FMAP language for DC and adds a new clause that specifies the percentage for each listed fiscal year. The change reduces federal matching funds specifically for the District of Columbia and shifts a larger share of Medicaid costs to local authorities over time.