ASCEND Act

House Bill

H.R. 2600

119th Congress

ASCEND Act

Ordered to be Reported by Voice Vote.

Introduced:Jul 23, 2025

Primary Sponsor

Chip Roy

Representative

Republican

TX-21

Cosponsors

2

Quick Stats

Policy Area

Health

Summary

The Protect Local Taxpayers Act would require states to distribute federal Medicaid funding to local governments in proportion to their Medicaid contributions, rather than keeping all the money at the state level.

Latest Action

Referred to the House Committee on Energy and Commerce.

SponsorChip Roy (R-TX)

Introduced7/23/2025

StatusOrdered to be Reported by Voice Vote.

ChamberHouse

Data from Congress.gov

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Vote Prediction

ASCEND Act

The Protect Local Taxpayers Act would require states to distribute federal Medicaid funding to local governments in proportion to their Medicaid contributions, rather than keeping all the money at the state level.

Community Breakdown

Pass

0%

Fail

0%

0 predictions

The Protect Local Taxpayers Act would require states to distribute federal Medicaid funding to local governments in proportion to their Medicaid contributions, rather than keeping all the money at the state level.

Bill Number: 2600
Sponsor: Chip Roy (R-TX)
Introduced: 7/23/2025
Status: Ordered to be Reported by Voice Vote.
Policy Area: Health

Data from Congress.gov

AI-generated summary

Fact Sheet

Title: ASCEND Act
Bill Number: 2600
Sponsor: Chip Roy (R-TX)
Status: Ordered to be Reported by Voice Vote.
Introduced: 7/23/2025
Summary: The Protect Local Taxpayers Act would require states to distribute federal Medicaid funding to local governments in proportion to their Medicaid contributions, rather than keeping all the money at the state level.

Data from Congress.gov

AI Summary

Plain-English explanation of this bill

The Protect Local Taxpayers Act would require states to distribute federal Medicaid funding to local governments in proportion to their Medicaid contributions, rather than keeping all the money at the state level.

Last updated: 12/30/2025

Official Summary

Congressional Research Service summary

Protect Local Taxpayers Act of 2023 This bill specifies that, in order to receive certain Federal Medical Assistance Percentage (FMAP) increases under Medicaid, states with a local share requirement must agree to distribute funds to each locality in an amount that is proportional to the locality's Medicaid contributions.

Key Points

Main provisions of the bill

The bill aims to ensure that local governments receive their fair share of federal Medicaid funding, rather than states keeping all the money
It would require states to distribute Medicaid funds to localities based on their proportional financial contributions to the program
This could provide more resources to local health departments and services that are directly funded by Medicaid

How This Impacts Americans

Potential effects on citizens and communities

If passed, this bill would impact local governments and the residents they serve by ensuring they receive their rightful share of Medicaid funding from the federal government. It could lead to increased funding for local health programs, clinics, and other services that rely on Medicaid dollars.