Federal

Recognizing it is the congressional intent of the Affordable Care Act that enhanced Federal medical assistance percentage funds are to be directly shared with the counties in States with a Medicaid local share requirement.

Source: Congress.gov · 431 words in original text

What This Bill Does

This resolution expresses the House of Representatives' position that states requiring counties to contribute to Medicaid costs should not withhold federal medical assistance funds from those counties. The resolution specifically addresses concerns about New York State's handling of enhanced federal medical assistance percentage (eFMAP) funds, which are federal dollars meant to help pay for Medicaid services.

Who It Affects

County governments in states that require counties to contribute to Medicaid costs, particularly in New York and 17 other states listed in the bill. Vulnerable populations receiving Medicaid services such as mental health care, home health services and long-term care. County residents who may face property tax increases if counties lose federal funding.

Key Provisions

Not specified in bill text (Note: This is a resolution expressing congressional intent rather than a law with enforceable sections. It contains no actionable provisions with section citations.)

What Changes

If adopted, this resolution would establish that the House of Representatives believes state governments requiring local county shares of Medicaid should not withhold enhanced federal medical assistance funds from counties to cover state budget shortfalls.

Important Definitions

Enhanced Federal Medical Assistance Percentage (eFMAP): Federal funds used by county governments to deliver Medicaid services to vulnerable and underserved populations.

Effective Date

Not specified in bill text

IV 118TH CONGRESS 1ST SESSION H. RES. 170 Recognizing it is the congressional intent of the Affordable Care Act that enhanced Federal medical assistance percentage funds are to be directly shared with the counties in States with a Medicaid local share require- ment. IN THE HOUSE OF REPRESENTATIVES FEBRUARY 27, 2023 Mr. MOLINARO (for himself, Ms. TENNEY, and Mr. LANGWORTHY) submitted the following resolution; which was referred to the Committee on Energy and Commerce RESOLUTION Recognizing it is the congressional intent of the Affordable Care Act that enhanced Federal medical assistance per- centage funds are to be directly shared with the counties in States with a Medicaid local share requirement. Whereas county governments that receive enhanced Federal medical assistance percentage (eFMAP) funds use such funds to deliver critical services through Medicaid to vul- nerable and underserved populations, such as mental health services, home health services, long-term care serv- ices, and other necessary support services; Whereas, since the inception of the eFMAP, States have been sharing such funds with the counties to deliver such care to underserved communities; VerDate Sep 11 2014 01:39 Feb 28, 2023 Jkt 039200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6300 E:\BILLS\HR170.IH HR170 kjohnson on DSK79L0C42PROD with BILLS 2 •HRES 170 IH Whereas New York State Governor Kathy Hochul’s latest budget withholds a percentage of funds that are supposed to be given directly to the counties and absorbs such amount into the State budget; Whereas 18 States mandate counties contribute to the non- Federal share of Medicaid costs, such as California, Ne- vada, Utah, Colorado, Arizona, New Mexico, Minnesota, Michigan, Illinois, Ohio, Pennsylvania, New Jersey, New York, Vermont, Virginia, North Carolina, South Carolina, and Florida; Whereas such withholding of eFMAP funds from the New York State counties adds up to $1,000,000,000; Whereas New York State’s actions to withhold eFMAP funds is preventing counties from providing the necessary sup- port to vulnerable children and seniors; Whereas the withholding of eFMAP funds from counties will force county governments to raise property taxes to make up for such revenue loss; and Whereas counties should be reconciled and retroactively re- ceive such eFMAP funds to ensure Medicaid-dependent populations receive the support and care they need: Now, therefore, be it Resolved, That the House of Representatives recog- 1 nizes that State governments that require a local county 2 share should not withhold such funds from counties to 3 make up for States’ Medicaid budgetary shortfalls. 4 Æ VerDate Sep 11 2014 01:39 Feb 28, 2023 Jkt 039200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6301 E:\BILLS\HR170.IH HR170 kjohnson on DSK79L0C42PROD with BILLS

Important: This plain English summary was generated by AI and is provided for informational purposes only. It is not legal advice. Always consult the official bill text on Congress.gov or a qualified attorney for legal matters.