Title: To amend title XIX of the Social Security Act to amend the Federal medical assistance percentage for the District of Columbia for fiscal years after 2019, and for other purposes.
Policy area: Health

Summary:
This bill incrementally lowers, from 70% in FY2019 to 54% in FY2027 and subsequent years, the maximum federal matching rate under Medicaid for Washington, DC.

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4709 Introduced in House (IH)]

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115th CONGRESS
  1st Session
                                H. R. 4709

  To amend title XIX of the Social Security Act to amend the Federal 
 medical assistance percentage for the District of Columbia for fiscal 
               years after 2019, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           December 21, 2017

 Mr. Griffith introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
  To amend title XIX of the Social Security Act to amend the Federal 
 medical assistance percentage for the District of Columbia for fiscal 
               years after 2019, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. FMAP FOR DISTRICT OF COLUMBIA FOR FISCAL YEARS AFTER 2019.

    Section 1905 of the Social Security Act (42 U.S.C. 1396d) is 
amended--
            (1) in subsection (b)--
                    (A) by striking ``, and (aa)'' and inserting ``, 
                (aa), and (ee)''; and
                    (B) by inserting ``for each fiscal year before 
                fiscal year 2020'' after ``District of Columbia shall 
                be 70 percent''; and
            (2) by adding at the end the following new subsection:
    ``(ee) FMAP for District of Columbia for Fiscal Years After 2019.--
            ``(1) In general.--Notwithstanding subsection (b), 
        beginning with fiscal year 2020, the Federal medical assistance 
        percentage for the District of Columbia for a fiscal year shall 
        be the higher of the Federal medical assistance percentage 
        otherwise determined under subsection (b) for the District of 
        Columbia for such fiscal year or the alternative Federal 
        medical assistance percentage specified in paragraph (2) for 
        such fiscal year.
            ``(2) Alternative fmap.--The alternative Federal medical 
        assistance percentage specified in this paragraph for--
                    ``(A) fiscal year 2020 is 68 percent;
                    ``(B) fiscal year 2021 is 66 percent;
                    ``(C) fiscal year 2022 is 64 percent;
                    ``(D) fiscal year 2023 is 62 percent;
                    ``(E) fiscal year 2024 is 60 percent;
                    ``(F) fiscal year 2025 is 58 percent;
                    ``(G) fiscal year 2026 is 56 percent; and
                    ``(H) fiscal year 2027 and each succeeding fiscal 
                year is 54 percent.''.
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