; and (2) in paragraph (4)— (A) in the paragraph heading, by striking Exemption of territories and inserting Exemption of certain territories ; and (B) by striking and the District of Columbia and inserting , the District of Columbia, Puerto Rico, and the Virgin Islands . (c) Application of certain data reporting and program integrity requirements to Northern Mariana Islands, American Samoa, and Guam (1) In general Section 1902 of the Social Security Act ( 42 U.S.C. 1396a ) is amended by adding at the end the following new subsection: (qq) Application of certain data reporting and program integrity requirements to Northern Mariana Islands, American Samoa, and Guam Not later than October 1, 2023, the Northern Mariana Islands, American Samoa, and Guam shall— (1) implement methods, satisfactory to the Secretary, for the collection and reporting of reliable data to the Transformed Medicaid Statistical Information System (T–MSIS) (or a successor system); and (2) demonstrate progress in establishing a State medicaid fraud control unit described in section 1903(q). . (2) Conforming amendment Section 1902(j) of the Social Security Act ( 42 U.S.C. 1396a(j) ) is amended— (A) by striking or the requirement and inserting , the requirement ; and (B) by inserting before the period at the end the following: , or the requirements under subsection (qq) (relating to data reporting and program integrity) .