; (v) in subclause (VII) (as so redesignated), by striking the period at the end and inserting ; and ; and (vi) by adding at the end the following new subclause: (VIII) $8,000,000,000 for fiscal years 2027 and 2028. ; (C) by amending clause (iv) to read as follows: (iv) Definitions For purposes of this paragraph: (I) The term expansion State means, for a fiscal year, a State that, as of the date that is 180 days before the start of such 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, for a fiscal year, a State that is not an expansion State for such fiscal year. (III) The term State means the 50 States and the District of Columbia. ; and (D) in clause (v), by striking Distribution of aggregate reductions.— The Secretary shall distribute the aggregate reductions under clause (ii) among States and inserting Distribution of aggregate reduction targets.— The Secretary shall distribute the aggregate reduction targets under clause (ii) among all the States (including non-expansion States) ; and (2) in subparagraph (B), by adding at the end the following new clause: (iv) The methodology imposes reduction targets as if the reductions under subparagraph (A) were applied to all States, including non-expansion States. . (b) Conforming amendment Section 1923(f)(8) of the Social Security Act ( 42 U.S.C. 1396r–4(f)(8) ) is amended by striking fiscal year 2025 and inserting fiscal year 2028 .