I 118th CONGRESS 1st Session H. R. 4339 IN THE HOUSE OF REPRESENTATIVES June 23, 2023 Mr. Lawler (for himself and Mr. D'Esposito ) 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 enhanced Federal funding made available to States under the Medicaid program is equitably distributed to political subdivisions.

1. Short title This Act may be cited as the Preserving Local Medicaid Access Act of 2023 . 2. Ensuring enhanced Federal funding made available to States under the Medicaid program is equitably distributed to political subdivisions (a) In general Section 1905(cc) of the Social Security Act ( 42 U.S.C. 1396d(cc) ) is amended, in the first sentence, by inserting , and shall not be so eligible 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 before the period. (b) Effective date The amendment 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 October 1, 2022.