,i  #aagth ,,congress  #b;d ,session    
,h4 ,r4 #hecj  ,,in ,,the ,,house ,,of  
,,representatives  ,july #bg1 #bjbb,mr4 
,jacobs of ,new ,york 7for himself1 ,mr4
 ,zeldin1 and ,ms4 ,stefanik7 introduced
 the following bill2 which was referred 
to the ,committee on ,energy and        
,commerce  ,a ,,bill  ,to amend title   
,,xix of the ,social ,security ,act to  
reduce ,federal financial participation 
for certain ,states that require        
political subdivisions to contribute    
towards the non-,federal share of       
,medicaid4  #a4 ,short title ,this ,act 
may be cited as the ,property ,tax      
,reduction ,act of #bjbb4  #b4          
,reduction of ,federal financial        
participation 7,,ffp7 for certain       
,states that require political          
subdivisions to contribute toward       
non-,federal share of ,medicaid ,section
 #aijc of the ,social ,security ,act    
7#db ,u4,s4,c4 #acif;b7 is amended by   
adding at the end the following new     
subsection3  7cc7 ,reduction in ,,ffp   

for contributions required by political 
subdivisions  7#a7 ,in general          
,notwithstanding the previous provisions
 of this section1 in the case of a      
,state that had a ,,dsh allotment under 
section #aibc7;f7 for fiscal year #bjbb 
that was more than #f times the national
 average of such allotments for all the 
,states for such fiscal year and that   
requires political subdivisions within  
the ,state to contribute funds towards  
medical assistance or other expenditures
 under the ,state plan under this title 
7or under a waiver of such plan7 for a  
quarter in a fiscal year 7beginning with
 fiscal year #bjbe71 in determining the 
amount that is payable to the ,state for
 expenditures in such quarter under     
subsection 7a77#a71 other than          
contributions described in paragraph    
7#b71 the amount of such expenditures   
shall be reduced by the applicable      
percentage described in paragraph 7#c71 
with respect to such fiscal year1 of the
 amount that political subdivisions in  

the ,state are required to contribute   
under the plan4  7#b7 ,excepted         
contributions ,the contributions        
described in this paragraph for a fiscal
 year are the following3  7,a7          
,contributions required by a ,state from
 a political subdivision that1 as of the
 first day of the calendar year in which
 the fiscal year involved begins-- 7i7  
has a population of more than           
#e1jjj1jjj1 as estimated by the ,bureau 
of the ,census2 and  7ii7 imposes a     
local income tax upon its residents4    
7,b7 ,contributions required by a ,state
 from a political subdivision for       
administrative expenses if the ,state   
required such contributions from such   
subdivision without reimbursement from  
the ,state as of ,january #a1 #bjbb4    
7#c7 ,applicable percentage ,for        
purposes of paragraph 7#a71 the         
applicable percentage described in this 
paragraph is-- 7,a7 with respect to     
fiscal year #bjbe1 #be percent2  7,b7   
with respect to fiscal year #bjbf1 #ej  

percent2  7,c7 with respect to fiscal   
year #bjbg1 #ge percent2 and  7,d7 with 
respect to fiscal year #bjbh and each   
subsequent fiscal year1 #ajj percent4  4