I 115th CONGRESS 1st Session H. R. 4709 IN THE HOUSE OF REPRESENTATIVES December 21, 2017 Mr. Griffith introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title XIX of the Social Security Act to amend the Federal medical assistance percentage for the District of Columbia for fiscal years after 2019, and for other purposes.

1. FMAP for District of Columbia for fiscal years after 2019 Section 1905 of the Social Security Act ( 42 U.S.C. 1396d ) is amended— (1) in subsection (b)— (A) by striking , and (aa) and inserting , (aa), and (ee) ; and (B) by inserting for each fiscal year before fiscal year 2020 after District of Columbia shall be 70 percent ; and (2) by adding at the end the following new subsection: (ee) FMAP for District of Columbia for fiscal years after 2019 (1) In general Notwithstanding subsection (b), beginning with fiscal year 2020, the Federal medical assistance percentage for the District of Columbia for a fiscal year shall be the higher of the Federal medical assistance percentage otherwise determined under subsection (b) for the District of Columbia for such fiscal year or the alternative Federal medical assistance percentage specified in paragraph (2) for such fiscal year. (2) Alternative FMAP The alternative Federal medical assistance percentage specified in this paragraph for— (A) fiscal year 2020 is 68 percent; (B) fiscal year 2021 is 66 percent; (C) fiscal year 2022 is 64 percent; (D) fiscal year 2023 is 62 percent; (E) fiscal year 2024 is 60 percent; (F) fiscal year 2025 is 58 percent; (G) fiscal year 2026 is 56 percent; and (H) fiscal year 2027 and each succeeding fiscal year is 54 percent. .