This Act may be cited as the Health Opportunities to Promote Equity Act or the HOPE Act.

Section 2008 of the Social Security Act (42 U.S.C. 1397gU.S. Code — Title 42, Section 1397gView official source on GovInfo) is amended by redesignating subsections (c) and (d) as subsections (d) and (e), respectively, and by inserting after subsection (b) the following: (c) Guarantee of grantees in each State and the District of Columbia (1) In general For each grant cycle, the Secretary shall award a grant under this section to at least 2 eligible entities in each State that is not a territory, to the extent there are a sufficient number of applications submitted by the entities that meet the requirements applicable with respect to such a grant. If, for a grant cycle, there are fewer than 2 eligible entities in such a State, the Secretary shall include that information in the report required by paragraph (2) that covers the fiscal year. (2) Reports to the congress During each Congress, the Secretary shall submit to the Committee on Ways and Means of the House of Representatives and the Committee on Finance of the Senate a report on, with respect to the period since the period covered in the most recent prior report submitted under this paragraph— (A) the number of applications submitted under each subsection of this section; (B) the number of the applications that were approved; and (C) a description of how grants were made in any case described in the last sentence of paragraph (1)..

The amendments made by this Act shall take effect on October 1, 2025.