(iii) by inserting after subclause (II) 
the following new subclause: 
‘‘(III) with respect to plan years 
beginning on or after January 1, 
2026, shall provide that any part D 
eligible individual who is enrolled for 
medical assistance under the State 
Medicaid plan of a territory (as de-
fined in section 1935(f)) under title 
XIX (or a waiver of such a plan) shall 
be treated as a subsidy eligible indi-
vidual described in paragraph (1).’’; 
and 
(B) in subparagraph (F), by adding at the 
end the following new sentence: ‘‘The previous 
sentence shall not apply with respect to eligi-
bility determinations for premium and cost- 
sharing subsidies under this section made on or 
after January 1, 2026.’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
1860D–31(j)(2)(D) of the Social Security Act (42 
U.S.C. 1395w–141(j)(2)(D)) is amended by adding 
at the end the following new sentence: ‘‘The previous 
sentence shall not apply with respect to amounts 
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made available to a State under this paragraph on 
or after January 1, 2026.’’. 
(b) SUNSET
OF
ENHANCED
ALLOTMENT
PRO-
GRAM.— 
(1) IN GENERAL.—Section 1935(e) of the So-
cial Security Act (42 U.S.C. 1396u–5(e)) is amend-
ed— 
(A) in paragraph (1)(A), by inserting after 
‘‘such State’’ the following: ‘‘before January 1, 
2026’’; and 
(B) in paragraph (3)— 
(i) in subparagraph (A), in the matter 
preceding clause (i), by inserting after ‘‘a 
year’’ the following: ‘‘(before 2026)’’; and 
(ii) in subparagraph (B)(iii), by strik-
ing ‘‘a subsequent year’’ and inserting 
‘‘each of fiscal years 2010 through 2025’’. 
(2) TERRITORY DEFINED.—Section 1935 of the 
Social Security Act (42 U.S.C. 1396u–5) is amended 
by adding at the end the following new subsection: 
‘‘(f) TERRITORY DEFINED.—In this section, the term 
‘territory’ means Puerto Rico, the Virgin Islands, Guam, 
the Northern Mariana Islands, and American Samoa.’’. 
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TITLE III—MISCELLANEOUS 
SEC. 301. MEDICAID AND CHIP TERRITORY TRANSPARENCY 
AND INFORMATION. 
(a) PUBLICATION OF INFORMATION ON FEDERAL 
EXPENDITURES UNDER MEDICAID AND CHIP IN THE 
TERRITORIES.—Not later than 180 days after the date 
of the enactment of this Act, the Secretary of Health and 
Human Services shall publish, and periodically update, on 
the internet site of the Centers for Medicare & Medicaid 
Services information on Medicaid and CHIP carried out 
in the territories of the United States. Such information 
shall include, with respect to each such territory— 
(1) the income levels established by the terri-
tory for purposes of eligibility of an individual to re-
ceive medical assistance under Medicaid or child 
health assistance under CHIP; 
(2) the number of individuals enrolled in Med-
icaid and CHIP in such territory; 
(3) any State plan amendments in effect to 
carry out Medicaid or CHIP in such territory; 
(4) any waiver of the requirements of title XIX 
or title XXI issued by the Secretary to carry out 
Medicaid or CHIP in the territory, including a waiv-
er under section 1115 of the Social Security Act (42 
U.S.C. 1315), any application for such a waiver, and 
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any documentation related to such application (in-
cluding correspondence); 
(5) the amount of the Federal and non-Federal 
share of expenditures under Medicaid and CHIP in 
such territory; 
(6) the systems in place for the furnishing of 
health care items and services under Medicaid and 
CHIP in such territory; 
(7) the design of CHIP in such territory; and 
(8) other information regarding the carrying 
out of Medicaid and CHIP in the territory that is 
published on such internet site with respect to car-
rying out Medicaid and CHIP in each State and the 
District of Columbia. 
(b) DEFINITIONS.—In this section: 
(1) CHIP.—The term ‘‘CHIP’’ means the 
State Children’s Health Insurance Program under 
title XXI of the Social Security Act. 
(2) MEDICAID.—The term ‘‘Medicaid’’ means 
the Medicaid program under title XIX of the Social 
Security Act. 
(3) TERRITORY.—The term ‘‘territory of the 
United States’’ includes Puerto Rico, the Virgin Is-
lands of the United States, Guam, the Northern 
Mariana Islands, and American Samoa. 
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SEC. 302. REPORT ON EXCLUSION OF TERRITORIES FROM 
EXCHANGES. 
(a) IN GENERAL.—Not later than February 1, 2026, 
the Secretary of Health and Human Services shall submit 
to Congress a report that details the adverse impacts in 
each territory from the practical exclusion of the terri-
tories from the provisions of part II of subtitle D of title 
I of the Patient Protection and Affordable Care Act inso-
far as such provisions provide for the establishment of an 
American Health Benefit Exchange or the administration 
of a federally facilitated Exchange in each State and in 
the District of Columbia for the purpose of making health 
insurance more affordable and accessible for individuals 
and small businesses. 
(b) INFORMATION IN REPORT.—The report shall in-
clude information on the following: 
(1) An estimate of the total number of unin-
sured and underinsured individuals residing in each 
territory with respect to health insurance coverage. 
(2) A description of the number of health insur-
ance issuers in each territory and the health insur-
ance plans these issuers offer. 
(3) An estimate of the number of individuals re-
siding in each territory who are denied premium and 
cost-sharing assistance that would otherwise be 
available to them for obtaining health insurance cov-
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