CONGRESS FOR VOTERS

RepublicanBill · H.R. 5815· House(119-HR-5815)

District of Columbia Medicaid Fairness Act

Rep. Cloud
Age: 51 years
Texas
Introduced
10/24/2025
Last activity
10/24/2025 — Referred to the House Committee on Energy and Commerce.
Sponsored by
Michael Cloud
Cosponsors
Republican - 18Democrat - 0
Health
  1. Introduced
  2. In Committee

What this bill would do

This bill is called the District of Columbia Medicaid Fairness Act. It aims to change how the federal government helps fund Medicaid in the District of Columbia. Right now, the federal medical assistance percentage for the District is set at 70 percent. This bill adjusts that percentage downward over several fiscal years. For fiscal year 2027, the percentage becomes 65 percent, for fiscal year 2028 it drops to 60 percent, and for fiscal year 2029 it drops to 55 percent. Starting in fiscal year 2030, the percentage will be determined without the special clause or the specific percentages listed for those earlier years.

Yes

  • Does this reduce what the federal government spends?+4

    Lowering federal Medicaid matching rates for D.C. directly decreases federal expenditures in the healthcare sector.

  • Does this reduce what the federal government owes?+3

    By reducing the Federal medical assistance percentage (FMAP) for the District of Columbia over time, the bill decreases federal spending on Medicaid.

  • Does this make the government pay for what it commits to?+3

    The legislation reduces federal outlays by stepping down the special Medicaid match rate for the District of Columbia.

The opposite· 3 of 16

  • Does this put more money into Medicaid, the health coverage for people on low incomes?-6

    The bill explicitly reduces the federal Medicaid matching rate (FMAP) for the District of Columbia from 70 percent down to 55 percent by fiscal year 2029.

  • Would households on low incomes be better off under this?-5

    Low-income households in the District of Columbia rely heavily on Medicaid, which will see reduced federal matching funds under this bill.

  • Does this make health care easier to get in general?-5

    Lowering federal Medicaid support for the District of Columbia could strain local healthcare resources and reduce access for low-income residents.