; and (ii) in clause (ii)— (I) in subclause (I), by adding and at the end; (II) in subclause (II), by striking the semicolon at the end and inserting a period; and (III) by striking subclauses (III) through (VIII); and (B) by adding at the end the following new subparagraph: (C) Exemption from exemption for non-expansion States (i) In general In the case of a State that is a non-expansion State for a fiscal year, subparagraph (A)(i) shall not apply to the DSH allotment for such State and fiscal year. (ii) No change in reduction for expansion States In the case of a State that is an expansion State for a fiscal year, the DSH allotment for such State and fiscal year shall be determined as if clause (i) did not apply. (iii) Non-expansion and expansion State defined (I) The term expansion State means with respect to a fiscal year, a State that, as of July 1 of the preceding fiscal year, provides for eligibility under clause (i)(VIII) or (ii)(XX) of section 1902(a)(10)(A) for medical assistance under this title (or a waiver of the State plan approved under section 1115). (II) The term non-expansion State means, with respect to a fiscal year, a State that is not an expansion State. ; and (2) in paragraph (8), by striking fiscal year 2025 and inserting fiscal year 2019 . 114. Reducing State Medicaid costs (a) Letting States disenroll high dollar lottery winners (1) In general Section 1902 of the Social Security Act ( 42 U.S.C. 1396a ) is amended— (A) in subsection (a)(17), by striking (e)(14), (e)(14) and inserting (e)(14), (e)(15)