; and (2) by adding at the end the following new subsection: (kk) Additional support for long-Term care services provided by direct care professionals (1) In general Notwithstanding subsections (b) and (ff), in the case of a State that satisfies the conditions described in paragraph (2), for each fiscal quarter during the period of fiscal years 2025 through 2034, the Federal medical assistance percentage otherwise determined for such State under such subsection (b) or (ff) shall, after the application of any other increase to the Federal medical assistance percentage for the State and quarter applicable under any other provision of law, be increased by 10 percentage points (but not to exceed 95 percent) with respect to amounts expended by the State for medical assistance for long-term care services that are provided by direct care professionals during such quarter. (2) Requirements As a condition for receipt of the increase under paragraph (1) to the Federal medical assistance percentage determined for a State, the State shall submit to the Secretary, at such time and in such manner as specified by the Secretary, an application that includes, in addition to such other information as the Secretary shall require— (A) a description of which activities described in paragraph (4) that a State plans to implement and a description of how it plans to implement such activities; (B) assurances that all Federal funds attributable to the increase under paragraph (1) will be— (i) expended by the State in accordance with this subsection not later than September 30, 2036; and (ii) used— (I) to implement the activities described in paragraph (4); (II) to supplement, and not supplant, the level of State funds expended for long-term care services provided by direct care professionals under the State plan (or under a waiver of such plan) as of the date of enactment of this subsection