I 118th CONGRESS 1st Session H. R. 2600 IN THE HOUSE OF REPRESENTATIVES April 13, 2023 Mr. Langworthy (for himself, Ms. Tenney , and Mr. Williams of New York ) 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 ensure the equitable treatment of political subdivisions contributing to State expenditures under the Medicaid program.

1. Short title This Act may be cited as the Protect Local Taxpayers Act of 2023 . 2. Ensuring the equitable treatment of political subdivisions contributing to State expenditures under the Medicaid program (a) In general Section 1905(cc) of the Social Security Act ( 42 U.S.C. 1396d(cc) ) is amended— (1) in the first sentence, by striking if it requires and all that follows through the period and inserting unless, with respect to amounts received by the State attributable to such increases, the State agrees to distribute to each such subdivision an amount that bears the same ratio to such amounts received as such contribution of such subdivision bears to such non-Federal share of expenditures. ; and (2) in the third sentence, by striking , except that and all that follows through the period and inserting a period. (b) Effective date The amendments made by subsection (a) shall apply with respect to increases in the Federal medical assistance percentage of a State for medical assistance furnished in calendar quarters beginning on or after January 1, 2024.