United States 119th Congress Status: In Committee 4 R cosponsors

HR 9139 — Medicaid Financing Clarification Act of 2026

Last action — Referred to the House Committee on Energy and Commerce.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced June 04, 2026. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Stalled 22% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 4 sponsors

    1 primary, 3 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (4 R).

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill clarifies financing aspects of Medicaid.

This legislation aims to provide clarity on the financing rules for Medicaid. It addresses specific aspects related to how funds are allocated and managed within the program.

Bill Text

How this bill changes current law

2 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill clarifies the definition of public funds and the role of political subdivisions in Medicaid financing.

  • 42 U.S.C. 1396a(a)(2)

    , including public funds transferred from or certified by political subdivisions

    This addition specifies that public funds from local sources can include funds certified by political subdivisions.

  • 42 U.S.C. 1396d

    ``(ll) Public Funds.--For purposes of sections 1902(a)(2) and 1903(w), `public funds' means State and local funds in the possession of a political subdivision or public agency, including tax revenues, appropriations, fees, grants, earned interest, fines, sale or lease of public resources, legal settlements and judgments, revenue from bond issuances, tobacco settlement funds, and patient care revenues. Federal funds may not be used as public funds unless authorized by Federal law to be used as matching funds for other Federal funds. ``(mm) Political Subdivision.--For purposes of subsections (cc) and (ll) of this section and subsection 1902(a)(2), a `political subdivision' is a separate legal entity of a State which has specific governmental functions. A political subdivision may include a county, city, town, village, district, non-State governmental entity, or other unit of local government in a State. ``(nn) Public Agency.--For purposes of subsection (ll) of this section and subsections 1902(a)(2) and 1903(w), a `public agency' is a unit of government, including a State or any political subdivision thereof.''.

    This new addition provides clear definitions for 'public funds', 'political subdivision', and 'public agency', which will enhance understanding and implementation of Medicaid financing policies.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Energy and Commerce.

Sponsors

Sponsorship breakdown

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1 sponsors · 3 co-sponsors · 543 not signed on

Sponsors (1)

Co-sponsors (3)

Not signed on (543)

543 members have not signed on to this bill.

Show all 543 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors HR 9139?
HR 9139 is sponsored by Crenshaw, Dan (Republican), Buchanan, Vern (Republican), Moran, Nathaniel (Republican), and Cammack, Kat (Republican).
What is the current status of HR 9139?
This bill is in committee in the House. Introduced June 04, 2026. It must pass committee before a floor vote.
Where can I track HR 9139?
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Last checked for changes 3 months ago · updated continuously

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