H.R. 5815 would adjust the federal funding rate for Medicaid in Washington, D.C., beginning immediately at 70 percent federal coverage and then phasing down gradually through 2029. Currently, D.C. receives a higher federal matching rate than most states under Medicaid law; this bill would reduce that advantage by setting a ceiling of 70 percent starting now and decreasing to 55 percent by fiscal year 2029. After 2029, D.C. would receive whatever lower rate it qualifies for under standard Medicaid formulas. The legislation affects D.C.'s Medicaid program and the residents who rely on it for health coverage, as it would reduce federal funding available to support the program. The bill includes a transition period of roughly four years to phase in the changes, though it does not specify total dollar amounts affected by these reductions.
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