Health Equity
Medicaid Enrollment Touches 39% of the Residents of The District of Columbia; DC’s 70/30 FMAP is Vital for the Maintenance of Health & Human Services
A reduction in the District’s FMAP would not lead to long-term government savings and would have a ripple effect throughout the entire health system in the DMV, crippling access to care for not only Medicaid beneficiaries but also all those who live, work, and visit the District of Columbia, including members of Congress and their staffs.
.png?sfvrsn=9ac2d21b_0 "What Medicaid Cuts Actually Cost")
Why does DC receive an Enhanced FMAP Rate?
The DC FMAP rate of 70% established by the Revitalization Act resulted from bipartisan analysis, discussion, and negotiation by Congressional leadership aiming to balance fairness with the District’s restricted ability to generate revenue. Congress recognized that the District of Columbia faces unique financial challenges due to its non-state status and the significant amount of federally-owned land within its boundaries. The District is unable to tax non-residents’ earnings, so these workers pay no taxes to support the infrastructure and services, such as roads, public safety and emergency services that they benefit from in the District. The District is also unable to tax up to 40% of the real property within its borders due to statutory restrictions.
Why are we concerned about DC's FMAP now?
Members of Congress have proposed reducing the DC FMAP to the statutory minimum for all other states, which is currently 50% (but could be reduced even more). Such a change would impact every physician and every practice, regardless of type, location, and payers contracted. Even practices who take no insurance will not be able to send patients for specialist care, hospital admissions, or other types of care.
What can MSDC members do?
- If you know a member of Congress or staffer, reach out to them and share how DC cuts will hurt your patients.
- Share your relationships and outreach with hay@msdc.org so we can help coordinate advocacy efforts.
- Email hay@msdc.org if you would like to be paired with a physician member of Congress office and trained by MSDC staff on how to reach out.
Resources
- DC FMAP cut fact sheet
- California Medical Association fact sheet on Medicaid cuts
- MSDC and healthcare association letter to Congress arguing against DC FMAP changes.
- MSDC original story on Medicaid changes.
News, Statements, and Testimony on Health Equity Issues
MSDC + ACLM: A Partnership for Healthier Outcomes
We’re excited to announce a new partnership with the American College of Lifestyle Medicine (ACLM). ACLM’s mission is to advance evidence-based lifestyle medicine to treat, reverse and prevent chronic disease.
Through this partnership, MSDC members will receive 10% off ACLM’s online CME/CE courses and registration for LM2026 Online, ACLM’s annual conference. This content will equip you with tools that help address common chronic conditions that affect the patients you care for every day.
Even better? When you make a purchase using MSDC’s unique link, a portion of the proceeds comes back to MSDC, helping support the society’s ongoing work to serve physicians, advocate for the profession, and promote access to high-quality care for patients throughout the District of Columbia.
Physicians across all specialties are seeing the growing impact of chronic disease on their patients and communities. This collaboration provides practical, evidence-based education that can help you address the root causes of chronic illness, improve patient outcomes, and support the health and well-being of you and your patients.
Learn more at the MSDC/ACLM page.
Leave a comment