1. Short title This Act may be cited as the Territories Health Care Improvement Act . 2. Medicaid payments for Puerto Rico and the other territories for certain fiscal years (a) Treatment of cap Section 1108(g) of the Social Security Act ( 42 U.S.C. 1308(g) ) is amended— (1) in paragraph (2)— (A) in the matter preceding subparagraph (A), by striking subject to and section 1323(a)(2) of the Patient Protection and Affordable Care Act paragraphs (3) and (5) and inserting subject to section 1323(a)(2) of the Patient Protection and Affordable Care Act and paragraphs (3) and (5) ; (B) in subparagraph (A)— (i) by striking Puerto Rico shall not exceed the sum of and inserting Puerto Rico shall not exceed— (i) except as provided in clause (ii), the sum of ; (ii) by striking $100,000; and inserting $100,000; and ; and (iii) by adding at the end the following new clause: (ii) for each of fiscal years 2020 through 2023, the amount specified in paragraph (6) for each such fiscal year; ; (C) in subparagraph (B)— (i) by striking the Virgin Islands shall not exceed the sum of and inserting the Virgin Islands shall not exceed— (i) except as provided in clause (ii), the sum of ; (ii) by striking $10,000; and inserting $10,000; and ; and (iii) by adding at the end the following new clause: (ii) for each of fiscal years 2020 through 2025, $126,000,000; ; (D) in subparagraph (C)— (i) by striking Guam shall not exceed the sum of and inserting Guam shall not exceed— (i) except as provided in clause (ii), the sum of ; (ii) by striking $10,000; and inserting $10,000; and ; and (iii) by adding at the end the following new clause: (ii) for each of fiscal years 2020 through 2025, $127,000,000; ; (E) in subparagraph (D)— (i) by striking the Northern Mariana Islands shall not exceed the sum of and inserting the Northern Mariana Islands shall not exceed— (i) except as provided in clause (ii), the sum of ; and (ii) by adding at the end the following new clause: (ii) for each of fiscal years 2020 through 2025, $60,000,000; and