Automatic eligibility of certain low-income territorial residents for premium and cost-sharing subsidies under the medicare program; sunset of enhanced allotment program

(a) Automatic eligibility of certain low-Income territorial residents for premium and cost-Sharing subsidies under the medicare program (1) In general Section 1860D–14(a)(3) of the Social Security Act (42 U.S.C. 1395w–114(a)(3)) is amended— (A) in subparagraph (B)(v)— (i) in subclause (I), by striking and at the end; (ii) in subclause (II), by striking the period and inserting; and; and (iii) by inserting after subclause (II) the following new subclause: (III) with respect to plan years beginning on or after January 1, 2027, shall provide that any part D eligible individual who is enrolled for medical assistance under the State Medicaid plan of a territory (as defined in section 1935(f)) under title XIX (or a waiver of such a plan) shall be treated as a subsidy eligible individual 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 eligibility determinations for premium and cost-sharing subsidies under this section made on or after January 1, 2027.. (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 made available to a State under this paragraph on or after January 1, 2026.. (b) Sunset of enhanced allotment program (1) In general Section 1935(e) of the Social Security Act (42 U.S.C. 1396u–5(e)) is amended— (A) in paragraph (1)(A), by inserting after such State the following: before January 1, 2027; and (B) in paragraph (3)— (i) in subparagraph (A), in the matter preceding clause (i), by inserting after a year the following: (before 2027); and (ii) in subparagraph (B)(iii), by striking a subsequent year and inserting each of fiscal years 2010 through 2026. (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..