Recognizing it is the congressional intent of the Affordable Care Act that enhanced Federal medical assistance percentage funds are to be directly shared with the counties in States with a Medicaid local share requirement.

Subjects: Health, Health care costs and insurance, Intergovernmental relations, Medicaid, State and local finance, State and local government operations

Summary:  <p>This resolution recognizes that states that require local governments to contribute funds to Medicaid should not withhold federal Medicaid matching funds from these local governments to make up for state budget shortfalls.</p>

<html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H. Res. 170 Introduced in House (IH)]

&lt;DOC&gt;






118th CONGRESS
  1st Session
H. RES. 170

 Recognizing it is the congressional intent of the Affordable Care Act 
  that enhanced Federal medical assistance percentage funds are to be 
directly shared with the counties in States with a Medicaid local share 
                              requirement.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           February 27, 2023

 Mr. Molinaro (for himself, Ms. Tenney, and Mr. Langworthy) submitted 
the following resolution; which was referred to the Committee on Energy 
                              and Commerce

_______________________________________________________________________

                               RESOLUTION


 
 Recognizing it is the congressional intent of the Affordable Care Act 
  that enhanced Federal medical assistance percentage funds are to be 
directly shared with the counties in States with a Medicaid local share 
                              requirement.

Whereas county governments that receive enhanced Federal medical assistance 
        percentage (eFMAP) funds use such funds to deliver critical services 
        through Medicaid to vulnerable and underserved populations, such as 
        mental health services, home health services, long-term care services, 
        and other necessary support services;
Whereas, since the inception of the eFMAP, States have been sharing such funds 
        with the counties to deliver such care to underserved communities;
Whereas New York State Governor Kathy Hochul's latest budget withholds a 
        percentage of funds that are supposed to be given directly to the 
        counties and absorbs such amount into the State budget;
Whereas 18 States mandate counties contribute to the non-Federal share of 
        Medicaid costs, such as California, Nevada, Utah, Colorado, Arizona, New 
        Mexico, Minnesota, Michigan, Illinois, Ohio, Pennsylvania, New Jersey, 
        New York, Vermont, Virginia, North Carolina, South Carolina, and 
        Florida;
Whereas such withholding of eFMAP funds from the New York State counties adds up 
        to $1,000,000,000;
Whereas New York State's actions to withhold eFMAP funds is preventing counties 
        from providing the necessary support to vulnerable children and seniors;
Whereas the withholding of eFMAP funds from counties will force county 
        governments to raise property taxes to make up for such revenue loss; 
        and
Whereas counties should be reconciled and retroactively receive such eFMAP funds 
        to ensure Medicaid-dependent populations receive the support and care 
        they need: Now, therefore, be it
    Resolved, That the House of Representatives recognizes that State 
governments that require a local county share should not withhold such 
funds from counties to make up for States' Medicaid budgetary 
shortfalls.
                                 &lt;all&gt;
</pre></body></html>