; and (B) by striking 1861(n).. and inserting 1861(n), and (14) such deductible shall not apply with respect to community health services (as defined in section 1861(nnn)(1)). . 3. State Medicaid option to support community health workforce for sustainable community health Section 1903 of the Social Security Act ( 42 U.S.C. 1396b ) is amended by adding at the end the following new subsection: (cc) Community health workforce support (1) In general Notwithstanding section 1902(a)(1) (relating to statewideness), section 1902(a)(10)(B) (relating to comparability), and any other provision of this title that the Secretary determines is necessary to waive in order to implement this subsection, beginning January 1, 2025, a State, at its option as a State plan amendment, may provide for medical assistance for preventive services and services to address the social determinants of health furnished by a community health worker, promotora, or community health representative. (2) Guidance The Secretary shall issue guidance on the components that are necessary for a State plan amendment to receive approval under this subsection, including: (A) Plans to recruit community health agencies for the provision of preventive services and services to address the social determinants of health that are furnished by a community health worker, promotora, or community health representative. (B) Plans to make medical assistance available for each category of preventive services and services to address the social determinants of health. (C) Plans to ensure that the preventive services furnished by community health workers, promotoras, or community health representatives under the amendment will respond to public health emergencies. (D) Plans to minimize barriers to community health worker, promotora, or community health representative program participation in the State plan, such as by providing guidance and technical assistance on requirements for participation. (E) Plans to coordinate with and build the capacity of community health worker