Sec. 404. Medicaid in the territories

617 words·~3 min read·/bill/116/s/4819/is/section-404

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Cap ) for territories Subsections (a), (b), and

(d)of section 202 of subtitle B of title I of division N of the Further Consolidated Appropriations Act, 2020 ( Public Law 116–94 ) and section 6009 of the Families First Coronavirus Response Act ( Public Law 116–127 ) are repealed and the provisions of law amended by such subsections and section are restored as if such subsections and section had not been enacted. Section 1108 of the Social Security Act ( 42 U.S.C. 1308 ) (as restored by paragraph (1)) is amended— in subsection (f), in the matter preceding paragraph (1), by striking subsection

(g)and inserting subsections

(g)and

(h); in subsection (g)(2), in the matter preceding subparagraph (A), by inserting and subsection

(h)after paragraphs

(3)and

(5); and by adding at the end the following new subsection: Subsections

(f)and

(g)shall not apply to Puerto Rico, the Virgin Islands of the United States, Guam, the Northern Mariana Islands, and American Samoa beginning with fiscal year 2020. . Section 1902(j) of the Social Security Act ( 42 U.S.C. 1396a(j) ) is amended by striking , the limitation in section 1108(f), . Section 1903(u) of the Social Security Act ( 42 U.S.C. 1396b(u) ) is amended by striking paragraph (4). The amendments made by this subsection shall apply beginning with fiscal year 2020. Section 1905 of the Social Security Act ( 42 U.S.C. 1396d ) is amended— in clause

(2)of subsection (b), by inserting for fiscal years before fiscal year 2020 after American Samoa ; and in subsection (ff)— by striking (z)(2)— and all that follows through beginning October 1, 2019 and inserting (z)(2), for the period beginning October 1, 2019 ; by striking 100 percent; and inserting 100 percent. ; and by striking paragraphs

(2)and (3). Section 1902(j) of the Social Security Act ( 42 U.S.C. 1396a(j) ), as amended by subsection (a)(3)(A), is amended— by striking American Samoa and the Northern Mariana Islands and inserting Puerto Rico, the Virgin Islands of the United States, Guam, the Northern Mariana Islands, and American Samoa ; by striking American Samoa or the Northern Mariana Islands and inserting Puerto Rico, the Virgin Islands of the United States, Guam, the Northern Mariana Islands, or American Samoa ; by inserting

(1)after

(j); by inserting except as otherwise provided in this subsection, after Notwithstanding any other requirement of this title ; and by adding at the end the following: The Secretary may not waive under this subsection the requirement of subsection (a)(10)(A)(i)(IX) (relating to coverage of adults formerly under foster care) with respect to any territory. . The amendments made by this subsection shall apply beginning October 1, 2021. Section 1923(f) of the Social Security Act ( 42 U.S.C. 1396r–4 ) is amended— in paragraph (6), by adding at the end the following new subparagraph: For fiscal year 2020, the DSH allotment for Puerto Rico, the Virgin Islands of the United States, Guam, the Northern Mariana Islands, and American Samoa shall bear the same ratio to $300,000,000 as the ratio of the number of individuals who are low-income or uninsured and residing in such respective territory (as estimated from time to time by the Secretary) bears to the sums of the number of such individuals residing in all of the territories. For each subsequent fiscal year, the DSH allotment for each such territory is subject to an increase in accordance with paragraph (2). ; and in paragraph (9), by inserting before the period at the end the following: , and includes, beginning with fiscal year 2020, Puerto Rico, the Virgin Islands of the United States, Guam, the Northern Mariana Islands, and American Samoa .

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