HR3154119th CongressWALLET

Medicaid Improvement for Insular Areas Act of 2025

Sponsored By: Representative Del. King-Hinds, Kimberlyn [R-MP-At Large]

Introduced

Summary

Removes Medicaid funding caps for five U.S. territories starting in fiscal year 2025. This bill would end the general Medicaid funding limitation that applied to Puerto Rico, the U.S. Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa, and it updates related statutory cross-references to reflect that change.

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  • Residents and families in the five territories would no longer be subject to the statutory cap on federal Medicaid funding, which could change how much federal support is available for their Medicaid programs.
  • Territorial governments and Medicaid administrators would see statutory language in the Social Security Act amended so cross-references to the cap are struck or revised, affecting how the law is written and applied.
  • The change applies only to Puerto Rico, the U.S. Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa starting with FY2025; no other jurisdictions are altered by the bill.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

End Medicaid caps in U.S. territories

If enacted, starting in fiscal year 2025, five U.S. territories would lose the federal Medicaid funding cap. The change would cover Puerto Rico, the U.S. Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa. Their Medicaid programs could receive more federal dollars as needs rise. If you use Medicaid there, this could mean better access to care. Congress and agencies would still decide actual funding levels and rules.

Sponsors & CoSponsors

Sponsor

Del. King-Hinds, Kimberlyn [R-MP-At Large]

MP • R

Cosponsors

  • Del. Moylan, James C. [R-GU-At Large]

    GU • R

    Sponsored 5/1/2025

  • Del. Plaskett, Stacey E. [D-VI-At Large]

    VI • D

    Sponsored 5/1/2025

  • Del. Radewagen, Aumua Amata Coleman [R-AS-At Large]

    AS • R

    Sponsored 5/1/2025

Roll Call Votes

No roll call votes available for this bill.

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