Ending Medicaid Discrimination Against the Most Vulnerable Act

This bill changes how much the federal government helps states pay for Medicaid coverage for low‑income adults. It keeps the extra federal help through 2026. From 2027 to 2034, that extra help shrinks each year. Starting in 2035, states go back to their normal funding rate with no extra boost.

After 2024, if a state that has not been covering this group decides to start, it will get the normal funding rate, not the extra one. States that already cover this group may choose to cover only adults with incomes up to 100% of the federal poverty line and keep using the rate described for this group for those costs. The bill also ends a temporary bonus increase in federal funding for states that newly start covering these adults .

• Who is affected: State Medicaid programs and low‑income adults who rely on Medicaid.
• What changes: The extra federal share is phased out (2027–2034) and replaced by the normal rate in 2035; new expansions after 2024 get only the normal rate; current expansion states can limit coverage to up to 100% of poverty and keep using the group’s specified rate; the temporary bonus for new expansions is removed .
• When: Extra help lasts through 2026; phase‑down runs 2027–2034; normal rates start in 2035; the new‑expansion rules apply after 2024 .