What does ELIMINATION OF GENERAL MEDICAID FUNDING LIMITATIONS (``CAP'') of Territories Health Equity Act of 2025 do?

This section amends Section 1108 of the Social Security Act to eliminate Medicaid funding limitations, often referred to as a 'cap,' for Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa. The amendments specify that subsections (f) and (g) of Section 1108 will not apply to these territories beginning with fiscal year 2026. Section 1902(j) and Section 1903(u) of the Social Security Act are also amended to remove references to the funding limitations. Paragraph (4) of subsection (i) in Section 1108 and paragraph (4) of Section 1903(u) are struck.

What does ELIMINATION OF SPECIFIC FEDERAL MEDICAL ASSISTANCE PERCENTAGE of Territories Health Equity Act of 2025 do?

This section amends Section 1905 of the Social Security Act It modifies the FMAP limitation for Puerto Rico Changes are made to subsections (b)(2) and (ff)(2) of Section 1905

What does PERMITTING MEDICAID DSH ALLOTMENTS FOR TERRITORIES. of Territories Health Equity Act of 2025 do?

This section amends Section 1923(f) of the Social Security Act. For fiscal year 2026, the DSH allotment for Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa will be calculated based on the ratio of low-income or uninsured individuals residing in each territory to the total number of such individuals in all territories. For subsequent fiscal years, the DSH allotment for these territories is subject to an increase in accordance with paragraph (3) of Section 1923(f). The amendment also includes Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa within the scope of paragraph (9) of Section 1923(f), beginning with fiscal year 2026.

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Territories Health Equity Act of 2025

Last updated: 12/5/2025 · Introduced: 12/5/2025

Author: Stacey Plaskett (D-VI)

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119th Congressin committeeOfficial page

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Includes provisions on preamble, elimination of general medicaid funding limitations (``cap''), and 2 more.

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TITLE II

-MEDICARE

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TITLE III

-MISCELLANEOUS

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