Prioritizing American Road and Jobs Act of 2015

To amend title XIX of the Social Security Act to restore the regular Medicaid matching rate for newly eligible individuals under the Affordable Care Act and to apply up to $15 billion of the savings each year to the Highway Trust Fund. 1. Short title This Act may be cited as the Prioritizing American Road and Jobs Act of 2015 2. Restoration of regular Medicaid matching rate for newly eligible individuals under the Affordable Care act and applying savings to Highway Trust Fund (a) Sunsetting higher Medicaid matching rate and restoring regular FMAP for newly eligible individuals under the ACA Section 1905(y) of the Social Security Act ( 42 U.S.C. 1396d(y) , shall be equal to , for calendar quarters beginning on or after January 1, 2014, and before January 1, 2017, shall be equal to 100 percent. (b) Application of up to $15 billion of savings each year to the Highway Trust Fund (1) In general The Secretary of Health and Human Services shall estimate, for each calendar quarter beginning on or after January 1, 2017, the net reductions in Federal expenditures with respect to the calendar quarter resulting from the amendment made by subsection (a). Insofar as the Secretary determines that the amount initially estimated under this paragraph for a calendar quarter is not accurate, the Secretary shall adjust such estimate and the adjusted estimate shall apply so as to adjust the amount appropriated under paragraph (2) for such calendar quarter, subject to the limitation of subparagraph (B) of such paragraph. (2) Appropriation to Highway Trust Fund (A) In general Subject to subparagraph (B), there are hereby appropriated and transferred to the Highway Trust Fund, from any funds in the Treasury not otherwise appropriated for each calendar quarter to which paragraph (1) applies, an amount equivalent to the amount estimated by the Secretary for such calendar quarter. (B) Limitation of transfer to $15 billion in any year In no case shall the total amount appropriated and transferred under subparagraph (A) for the 4 quarters in any year exceed $15,000,000,000.

Summary: Prioritizing American Road and Jobs Act of 2015 This bill amends title XIX (Medicaid) of the Social Security Act to eliminate enhanced federal funding after 2016 for individuals who are newly eligible for Medicaid under the Patient Protection and Affordable Care Act. Under current law, a state is entitled to an increased federal medical assistance percentage (FMAP) to cover such individuals; this enhanced FMAP is equivalent to 100% through 2016, 95% in 2017, 94% in 2018, 93% in 2019, and 90% thereafter. The bill eliminates these enhanced funding levels so that, beginning in 2017, federal funding for expenses related to newly eligible individuals instead reverts to a state's regular FMAP (which, under current law, may range from 50% to 83%). The Department of Health and Human Services (HHS) must estimate, for each calendar quarter beginning on or after January 1, 2017, the net quarterly reductions in federal expenditures resulting from this Act and adjust for a calendar quarter any initial estimate determined inaccurate. The adjusted estimate shall apply so as to adjust the amount appropriated to the Highway Trust Fund for the calendar quarter, subject to a specified limitation. The amount equivalent to the HHS estimate reduction in federal Medicaid expenditures for a calendar quarter, but no more than a total of $15 billion in any year, is appropriated and transferred to the Highway Trust Fund from any funds in the Treasury not otherwise appropriated for that quarter.