District of Columbia Medicaid Fairness Act

HR 5815, the District of Columbia Medicaid Fairness Act, adjusts federal Medicaid funding for Washington D.C. by setting a specific Federal Medical Assistance Percentage (FMAP) for the district. It directly affects D.C. residents enrolled in Medicaid by guaranteeing a minimum federal funding share: 70% for fiscal years before 2027, gradually decreasing to 55% by 2029. For fiscal years 2030 and beyond, D.C. will receive the standard FMAP rate calculated under the Social Security Act, without the special adjustment. This change ensures D.C. receives a higher federal share than it would under the standard formula until 2029, after which it aligns with other states. The bill modifies Section 1905 of the Social Security Act to implement these funding adjustments.