This Act may be cited as the Northern Mariana Islands Medicaid Advancement Act.

Section 1108(g)(2)(D) of the Social Security Act (42 U.S.C. 1308(g)(2)(D)U.S. Code — Title 42, Section 1308(g)(2)(D)View official source on GovInfo) is amended— (1) in clause (i), by striking clause (ii) and inserting clauses (ii) through (iv); (2) in clause (ii), by striking and at the end; and (3) by adding at the end the following new clause: (iv) for fiscal year 2026, the amount determined under subparagraph (E) with respect to American Samoa for such fiscal year; and.