I 118th CONGRESS 1st Session H. R. 949 IN THE HOUSE OF REPRESENTATIVES February 9, 2023 Mr. Sablan (for himself, Mr. Torres of New York , Ms. Plaskett , Mr. Takano , Mr. Veasey , Mr. Trone , Mr. Case , Ms. Barragán , Ms. Bonamici , Ms. Meng , Ms. Lee of California , Mrs. González-Colón , Ms. Moore of Wisconsin , Mrs. Radewagen , Mrs. Napolitano , Mr. Moylan , Mr. García of Illinois , Ms. Chu , and Ms. Norton ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title XI of the Social Security Act to eliminate the general Medicaid funding limitations for territories of the United States, and for other purposes.

1. Short title This Act may be cited as the Insular Area Medicaid Parity Act . 2. Elimination of general Medicaid funding limitations ( cap ) for territories (a) In general Section 1108 of the Social Security Act ( 42 U.S.C. 1308 ) is amended— (1) in subsection (f), in the matter preceding paragraph (1), by striking subsection (g) and (h) and inserting subsections (g), (h), and (i) ; (2) in subsection (g)(2), in the matter preceding subparagraph (A), by striking and paragraphs (3) and (5) and inserting , paragraphs (3) and (5), and subsection (i) ; and (3) by adding at the end the following new subsection: (i) Sunset of Medicaid funding limitations Subsections (f) and (g) shall not apply to Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa beginning with fiscal year 2023. . (b) Conforming amendments (1) Section 1902(j) of the Social Security Act ( 42 U.S.C. 1396a(j) ) is amended by striking , the limitation in section 1108(f), . (2) Section 1903(u) of the Social Security Act ( 42 U.S.C. 1396b(u) ) is amended by striking paragraph (4). (c) Effective date The amendments made by this section shall apply beginning with fiscal year 2023.