Bill > HR3434

This bill, the Territories Health Equity Act of 2021, aims to make improvements to the treatment of the United States territories under the Medicare and Medicaid programs. It does this by: 1) Eliminating the funding limitations ("caps") and specific Federal Medical Assistance Percentage (FMAP) limitations for Medicaid in the territories, allowing them greater access to Medicaid funding. 2) Permitting Medicaid Disproportionate Share Hospital (DSH) allotments for the territories. 3) Making adjustments to how Medicare DSH payments, target amounts, and benchmarks are calculated for hospitals in the territories. 4) Eliminating late enrollment penalties under Medicare Part B for certain individuals residing in Puerto Rico. 5) Providing automatic eligibility for low-income territorial residents to receive premium and cost-sharing subsidies under the Medicare Part D program. 6) Requiring the publication of information on federal Medicaid and CHIP expenditures in the territories, and a report on the exclusion of the territories from health insurance exchanges under the Affordable Care Act. The overall goal is to improve access to healthcare coverage and equity for residents of U.S. territories under the major federal health insurance programs.