at the end the following: 411. Navajo Nation Medicaid Agency feasibility study (a) Study The Secretary shall conduct a study to determine the feasibility of treating the Navajo Nation as a State for the purposes of title XIX of the Social Security Act , to provide services to Indians living within the boundaries of the Navajo Nation through an entity established having the same authority and performing the same functions as single-State medicaid agencies responsible for the administration of the State plan under title XIX of the Social Security Act . (b) Considerations In conducting the study, the Secretary shall consider the feasibility of— (1) assigning and paying all expenditures for the provision of services and related administration funds, under title XIX of the Social Security Act , to Indians living within the boundaries of the Navajo Nation that are currently paid to or would otherwise be paid to the State of Arizona, New Mexico, or Utah