Medicaid Improvement for Insular Areas Act of 2025

Medicaid Improvement for Insular Areas Act of 2025

This bill eliminates Medicaid funding limitations for U.S. territories beginning in FY2025.

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3154 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 3154

 To amend title XI of the Social Security Act to eliminate the general 
Medicaid funding limitations for territories of the United States, and 
                          for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 1, 2025

    Ms. King-Hinds (for herself, Mr. Moylan, Ms. Plaskett, and Mrs. 
  Radewagen) introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
 To amend title XI of the Social Security Act to eliminate the general 
Medicaid funding limitations for territories of the United States, and 
                          for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicaid Improvement for Insular 
Areas Act of 2025''.

SEC. 2. ELIMINATION OF GENERAL MEDICAID FUNDING LIMITATIONS (``CAP'') 
              FOR TERRITORIES.

    (a) In General.--Section 1108 of the Social Security Act (42 U.S.C. 
1308) is amended--
            (1) in subsection (f), in the matter preceding paragraph 
        (1), by striking ``subsections (g) and (h)'' and inserting 
        ``subsections (g), (h), and (j)'';
            (2) in subsection (g)(2), in the matter preceding 
        subparagraph (A), by striking ``and paragraphs (3), (5), and 
        (14)'' and inserting ``, paragraphs (3), (5), and (14), and 
        subsection (j)''; and
            (3) by adding at the end the following new subsection:
    ``(j) Sunset of Medicaid Funding Limitations.--Subsections (f) and 
(g) shall not apply to Puerto Rico, the Virgin Islands, Guam, the 
Northern Mariana Islands, and American Samoa beginning with fiscal year 
2025.''.
    (b) Conforming Amendments.--
            (1) Section 1902(j) of the Social Security Act (42 U.S.C. 
        1396a(j)) is amended by striking ``, the limitation in section 
        1108(f),''.
            (2) Section 1903(u) of the Social Security Act (42 U.S.C. 
        1396b(u)) is amended by striking paragraph (4).
    (c) Effective Date.--The amendments made by this section shall 
apply beginning with fiscal year 2025.
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