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Medicaid Improvement for Insular Areas Act of 2025
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.
Summary
This bill eliminates the federal Medicaid funding caps that have limited federal spending on Medicaid programs in five U.S. territories: Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa. Currently, these territories receive lower federal Medicaid funding compared to states, and this bill removes those spending limitations. The changes take effect beginning in fiscal year 2025. The bill also makes conforming amendments to remove related references to the funding caps in other sections of federal law.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
Actions (2)
- May 1, 2025 Referred to the House Committee on Energy and Commerce. · house
- May 1, 2025 Introduced in House
Similar bills (6)
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Text versions (1)
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Full text
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. <all>
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