; (2) in subsection (b)(3)— (A) by striking the emergency period and inserting the specified period (as defined in subsection (d)) ; and (B) by striking such emergency period and inserting such specified period ; and (3) by adding at the end the following new subsection: (d) Specified period In this section, the term specified period means, with respect to a State, including the District of Columbia, American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, Puerto Rico, and the United States Virgin Islands, the period beginning on the first day of the emergency period described in subsection (a) and ending on the date that is 3 months after the first day occurring on or after the date of the enactment of this section that the average unemployment rate for the 12-month period ending on such first day— (1) in such State is not more than 2 percentage points higher that the average unemployment rate in such State during the period consisting of October 1 through December 31 of 2019; and (2) in the United States is not more than 2 percentage points higher that the average unemployment rate in the United States during the period consisting of October 1 through December 31 of 2019. . 203. Increasing Federal support to State Medicaid programs during economic downturns (a) In general Section 1905 of the Social Security Act ( 42 U.S.C. 1396d ) is amended— (1) in subsection (b), by striking and (ff) and inserting (ff), and (gg)