Preserving Local Medicaid Access Act of 2023

HR 4339, the Preserving Local Medicaid Access Act of 2023, requires states receiving enhanced federal Medicaid funds to distribute those funds equitably to local governments (like cities and counties) based on each locality's prior spending on Medicaid. It amends federal law to mandate that states distribute these funds so that each local government receives an amount proportional to its past contribution relative to the state's total Medicaid costs. This applies to federal funding increases for medical assistance provided in calendar quarters starting October 1, 2022. The bill directly affects states managing Medicaid funds and local governments that previously may not have received a fair share of federal Medicaid dollars.