; and (2) in subsection (c), by adding at the end the following new paragraphs: (7) Tying cost-sharing to net price for certain drugs The coverage is provided in accordance with subsection (b)(10). (8) Limiting cost-sharing to net price The coverage is provided in accordance with subsection (b)(11). . III Medicaid Expiring Provisions 301. Delaying certain disproportionate share hospital payment reductions under the Medicaid program Section 1923(f)(7)(A) of the Social Security Act ( 42 U.S.C. 1396r–4(f)(7)(A) ), as amended by section 2341 of title III of division B of the Continuing Appropriations Act, 2024 and Other Extensions Act ( Public Law 118–15 ), is further amended— (1) in clause (i)— (A) in the matter preceding subclause (I), by striking For the period beginning and all that follows through 2027 and inserting For each of fiscal years 2026 and 2027 ; and (B) in subclauses (I) and (II), by striking or period each place it appears; and (2) in clause (ii), by striking for the period beginning and all that follows through 2027 and inserting for each of fiscal years 2026 and 2027 . 302. Extension of State option to provide medical assistance for certain individuals who are patients in certain institutions for mental diseases (a) Making permanent State Plan Amendment Option To Provide Medical Assistance for Certain Individuals Who Are Patients in Certain Institutions for Mental Diseases Section 1915(l)(1) of the Social Security Act ( 42 U.S.C. 1396n(l)(1) ) is amended by striking With respect to calendar quarters beginning during the period beginning October 1, 2019, and ending September 30, 2023, and inserting With respect to calendar quarters beginning on or after October 1, 2019, . (b) Maintenance of effort revision Section 1915(l)(3) of the Social Security Act ( 42 U.S.C. 1396n(l)(3) ) is amended— (1) in subparagraph (A)— (A) in the matter preceding clause (i), by striking other than under this title