Raises certainty about D.C.’s federal Medicaid match by guaranteeing minimum FMAP levels through FY 2029. In FY 2030, the guarantee ends and D.C. returns to the normal formula.
Modern Action explains what the legislation does, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.
District of Columbia Medicaid Fairness Act is a House bill in committee. The latest recorded action: Referred to the House Committee on Energy and Commerce.
Latest action on H.R. 5815: Referred to the House Committee on Energy and Commerce.
Who this affects: This mainly affects the District of Columbia government and the federal government because it changes how Medicaid costs are split between them. It also affects D.C.’s Medicaid and CHIP programs as systems, because the federal match rate can change how much local funding is needed to keep spending at the same level. The bill does not directly change eligibility or benefits for people enrolled in D.C. Medicaid.
Why this matters: FMAP controls how much Medicaid spending is paid by the federal government versus the local government. By guaranteeing minimum match rates for D.C. through FY 2029, the bill could make D.C.’s Medicaid budgeting more predictable during those years. After FY 2029, the guarantee disappears and D.C. would be exposed again to whatever the regular FMAP formula produces in FY 2030 and beyond. The bill does not say how any additional federal dollars must be used, so any real-world service or eligibility effects are not stated in the text.
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Officially: District of Columbia Medicaid Fairness Act
Raises certainty about D.C.’s federal Medicaid match by guaranteeing minimum FMAP levels through FY 2029. In FY 2030, the guarantee ends and D.C. returns to the normal formula.
Use this page to support, oppose, or ask Congress to amend HR5815. Modern Action explains what the bill does, helps identify the right senators or representative, and drafts a bill-specific message you can edit and send.
Where it stands
Sitting in House Committee
No vote scheduled. Constituent contact is what moves bills out of committee.
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Where this bill is in the process
Introduced
Introduced in House
House Committee
Under House committee consideration
Latest: Referred to the House Committee on Energy and Commerce. (10/24/2025)
House Floor Vote
Voted on by House
Passed House
Approved by House
Senate Review
Sent to Senate for consideration
Passed Both Chambers
Approved by both House and Senate
Signed into Law
Signed by the President
For more detail
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This page gives you an opportunity to support, oppose, or ask for changes to District of Columbia Medicaid Fairness Act, then contact the elected officials who can act. Modern Action drafts the message from your position and the reasons you select.
Modern Action keeps the action tied to the bill itself: what it does, where it is in the process (committee), which office can still act, and what ask belongs in the message.
You are not starting from a blank form. Modern Action drafts the message around HR5815, your stance, and the reasons you choose, then lets you edit and send when ready.
