Bill > HR1029

This bill, the Territories Health Equity Act of 2023, aims to make improvements to the treatment of the United States territories under the Medicare and Medicaid programs. Key provisions include: 1) Eliminating the general Medicaid funding limitations (known as "caps") for the territories of Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa starting in fiscal year 2024. 2) Eliminating the specific Federal Medical Assistance Percentage (FMAP) limitation for Puerto Rico. 3) Allowing Medicaid Disproportionate Share Hospital (DSH) allotments for the territories. 4) Making changes to how Medicare DSH payments and target amounts are calculated for hospitals in the territories. 5) Eliminating late enrollment penalties under Medicare Part B for certain individuals residing in Puerto Rico. 6) Adjusting the Medicare Advantage benchmark for low-payment counties in Puerto Rico. 7) Providing automatic eligibility for premium and cost-sharing subsidies under Medicare Part D for certain low-income territorial residents. The bill also includes provisions to increase transparency around Medicaid and CHIP funding and coverage in the territories, as well as address access to health insurance coverage options for individuals in certain territories.