H.R. 3154

119th CONGRESS 1st Session

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 · Sponsor: Ms. King-Hinds · Committee: Committee on Energy and Commerce

Table of contents

• H.R. 3154
  • SEC. 1. Short title
  • SEC. 2. Elimination of general Medicaid funding limitations () for territories

SEC. 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 () for territories

• Elimination of general Medicaid funding limitations () for territories
• (a) In general
  • Section 1108 of the Social Security Act () is amended— 42 U.S.C. 1308
    • in subsection (f), in the matter preceding paragraph (1), by striking subsections (g) and (h)and inserting subsections (g), (h), and (j);
    • 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
      • (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.
    • by adding at the end the following new subsection:
• (b) Conforming amendments
  • Section 1902(j) of the Social Security Act () is amended by striking . 42 U.S.C. 1396a(j)
  • Section 1903(u) of the Social Security Act () is amended by striking paragraph (4). 42 U.S.C. 1396b(u)
• (c) Effective date
  • The amendments made by this section shall apply beginning with fiscal year 2025.