To amend title XIX of the Social Security Act to phase out the enhanced Federal match applicable to medical assistance provided to low-income adults.
Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.
Summary
What This Bill Does
The bill provides phases out the enhanced federal matching rate (90%) for Medicaid expansion populations over 8 years (2027-2034), eventually reverting to each state's regular FMAP rate. It relies on appropriations and exemptions. The main policy areas are Healthcare and Finance.
Who Benefits and How
Federal government (HHS/CMS) could see lower costs.
Who Bears the Burden and How
State governments in Medicaid expansion states could face higher costs, Low-income adults in Medicaid expansion states (100-138% FPL) could face increased risk, and Federally Qualified Health Centers (FQHCs) serving expansion populations could lose revenue opportunities.
Key Provisions
- Provides phases out the enhanced federal matching rate (90%) for Medicaid expansion populations over 8 years (2027-2034), eventually reverting to each state's regular FMAP rate.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill provides phases out the enhanced federal matching rate (90%) for Medicaid expansion populations over 8 years (2027-2034), eventually reverting to each state's regular FMAP rate.
Key Policy Areas
Healthcare, Finance
Primary Purpose
The bill provides phases out the enhanced federal matching rate (90%) for Medicaid expansion populations over 8 years (2027-2034), eventually reverting to each state's regular FMAP rate.
Policy Domains
Section 2 - Phase-out of enhanced Federal match
Identified Gains
- Federal government (HHS/CMS)
Identified Costs
- State governments in Medicaid expansion states
- Low-income adults in Medicaid expansion states (100-138% FPL)
- Federally Qualified Health Centers (FQHCs) serving expansion populations
- State governments in non-expansion states
- Health insurance companies (Medicaid managed care organizations)
Sponsors
Legislative Progress
IntroducedMr. Roy (for himself, Mr. Fitzgerald, Mr. Gill of Texas, …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
State governments in Medicaid expansion states, State governments in non-expansion states
Low-income adults in Medicaid expansion states (100-138% FPL)
Federally Qualified Health Centers (FQHCs) serving expansion populations
Health insurance companies (Medicaid managed care organizations)
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "the_secretary"
- → Secretary of Health and Human Services
Key Definitions
Terms defined in this bill
The difference between 90% and the state's regular FMAP rate for fiscal year 2026, divided by 8 (representing the 8-year phase-out period from 2027-2034)
A State that is not a non-expansion State (i.e., a state that has expanded Medicaid to cover individuals described in section 1902(a)(10)(A)(i)(VIII) before enactment)
A State that has not expended amounts for all individuals described in section 1902(a)(10)(A)(i)(VIII) before the date of enactment (i.e., states that did not expand Medicaid under the ACA)
Low-income adults made eligible for Medicaid under the Affordable Care Act expansion (typically adults with incomes up to 138% of the federal poverty line)
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology