Section 1. Short title
This Act may be cited as the Medicaid Improvement for Insular Areas Act of 2025.
(a) In general
Section 1108 of the Social Security Act (42 U.S.C. 1308) is amended—
(1) in subsection (f), in the matter preceding paragraph (1), by striking subsections (g) and (h) and inserting subsections (g), (h), and (j);
(2) 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
(3) by adding at the end the following new subsection:
(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.
(1) Section 1902(j) of the Social Security Act (42 U.S.C. 1396a(j)) is amended by striking, the limitation in section 1108(f),.
(2) Section 1903(u) of the Social Security Act (42 U.S.C. 1396b(u)) is amended by striking paragraph (4).
(c) Effective date
The amendments made by this section shall apply beginning with fiscal year 2025.