New legislation introduced by Representative Bruce Westerman would generate funds for the federal Highway Trust Fund by adjusting the percentage of Medicaid match funds required by the Affordable Care Act (ACA). As reported by Better Roads,
The Prioritizing American Roads and Jobs Act of 2015 bill would apply half the “savings” to the HTF, with the other half used for paying down the national debt.
The bill would adjust the Medicaid match rate from the current rate (100 percent until the end of 2016) to “traditional” rates, which Westerman listed as 57 percent on the national average and 70 percent in his home state of Arkansas. This only applies to the 29 states that expanded Medicaid under the Affordable Care Act.
Maryland has expanded Medicaid under the ACA.