over dual snps (a) In general Section 1859(f)(8) of the Social Security Act ( 42 U.S.C. 1395w–28(f)(8) ) is amended by adding at the end the following new subparagraph: (F) Authority of Federal Coordinated Health Care Office For plan years beginning on or after January 1, 2025, the Federal Coordinated Health Care Office established under section 2602 of Public Law 111–148 shall have primary authority for implementing and carrying out responsibilities of the Secretary with respect to the integration of specialized MA plans for special needs individuals described in subsection (b)(6)(B)(ii) under this subsection. . (b) Conforming amendment Section 2602(d)(6) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 1315b(d)(6) ) is amended by inserting the following before the period: and, for plan years beginning on or after January 1, 2025, to carry out subsection (f)(8)(F) of such section . 103. Additional conforming amendments (a) Definition of State Section 1101(a)(1) of the Social Security Act ( 42 U.S.C. 1301(a)(1) ) is amended— (1) by striking XIX, and XXI and inserting XIX, XXI, and XXII