Medicaid Federalization Act of 1991

Medicaid Federalization Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to: (1) convert the Medicaid program to a federally administered program of medical assistance that requires contributions by a State in order for individuals in the State to receive current Medicaid core services; (2) provides for the reversion of Medicaid administrative authority to a State upon the State's request; (3) require the Secretary of Health and Human Services to publish an alternative version of Medicare (title XVIII of the Social Security Act) fee schedule amounts for physicians' services and Medicare payment amounts for the operating costs of inpatient hospital services for use in determining payment amounts for such services under Medicaid that takes into account differences in the individuals covered and such services provided under Medicare and Medicaid; (4) provide that if a physician knowingly and willfully and on a repeated basis refuses to furnish services to individuals eligible for Medicaid, the Secretary may exclude such physician from participating in Medicare for a limited period; and (5) direct the Secretary of the Treasury to increase excise taxes on alcohol, tobacco products, and gasoline and other specified fuels in order to finance a federally administered Medicaid program.