# 119-hr-3154: Medicaid Improvement for Insular Areas Act of 2025

119-hr-3154, Medicaid Improvement for Insular Areas Act of 2025, is a 119th Congress bill sponsored by Del. King-Hinds, Kimberlyn [R-MP-At Large] (R-MP); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-hr-3154
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-3154
- Congress: 119
- Title: Medicaid Improvement for Insular Areas Act of 2025
- Status: introduced
- Introduced: 2025-05-01
- Sponsor: Del. King-Hinds, Kimberlyn [R-MP-At Large] (R-MP)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2025-12-21

## 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. - 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.

## Cosponsors (3)

- Del. Moylan, James C. [R-GU-At Large] (R-GU), 2025-05-01T00:00:00.000Z
- Del. Plaskett, Stacey E. [D-VI-At Large] (D-VI), 2025-05-01T00:00:00.000Z
- Del. Radewagen, Aumua Amata Coleman [R-AS-At Large] (R-AS), 2025-05-01T00:00:00.000Z

## Provisions PRIA read

- End Medicaid caps in U.S. territories: benefit, high. 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.…

## Related bills

- 119-hr-9237: Take Care of America’s Veterans Act
- 119-hr-4393: DIGNIDAD (Dignity) Act of 2025
- 119-hr-6494: Territories Health Equity Act of 2025
- 119-hr-5960: Territorial De Minimis Exemption Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-5409: Territory Health Revitalization Act

## Sources
- [119-hr-3154 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/3154)

## Related
- [119-hr-9237: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-hr-9237)
- [119-hr-4393: DIGNIDAD (Dignity) Act of 2025](https://policyrisk.com/legislation/119-hr-4393)
- [119-hr-6494: Territories Health Equity Act of 2025](https://policyrisk.com/legislation/119-hr-6494)
- [119-hr-5960: Territorial De Minimis Exemption Act](https://policyrisk.com/legislation/119-hr-5960)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-5409: Territory Health Revitalization Act](https://policyrisk.com/legislation/119-hr-5409)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-3154 (as of 2025-12-21).