District of Columbia Medicaid Fairness Act

Sponsor: Michael Cloud (Republican-TX)October 24, 2025

AI-generated ?

Report an error

Introduced

In Committee

Passed One Chamber

Passed Both Chambers

Signed into Law

Referred to the House Committee on Energy and Commerce.

District of Columbia's share of Medicaid costs would gradually increase.

This bill would change how the federal government helps pay for Medicaid in the District of Columbia. Currently, the federal government pays 70% of the costs. This bill would gradually lower that guaranteed federal payment rate over several years.

What Would Change

Today, the federal government pays a guaranteed 70% of the costs for Medicaid in the District of Columbia. After this bill, the federal share would gradually decrease. It would be 65% for the government's budget year 2027. It would then be 60% for budget year 2028, and 55% for budget year 2029. Starting in budget year 2030, the federal share would no longer be a guaranteed percentage. Instead, it would be calculated the same way it is for most states.

Key Provisions

Changes the rules for how the federal government helps pay for Medicaid in the District of Columbia.
Gradually lowers the federal share of Medicaid costs for the District of Columbia from 70% to 55% by the government's budget year 2029.
Ends a specific guaranteed federal funding rate for the District of Columbia's Medicaid program starting in the government's budget year 2030.

View on Congress.gov

HR 5815 · 119th Congress · October 24, 2025 · AI Summary by gemini-2.5-flash · 10/10

District of Columbia Medicaid Fairness Act

What Would Change

Key Provisions

Lobbying Activity