Bill > HR2404

This bill aims to improve the treatment of the U.S. territories under federal health programs like Medicare and Medicaid. Key provisions include: - Eliminating the general Medicaid funding limitations (caps) for the territories starting in fiscal year 2019. This removes the existing caps on federal Medicaid funding for Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa. - Eliminating the specific Federal Medical Assistance Percentage (FMAP) limitation for the territories, which capped the federal Medicaid matching rate at 55% for these areas. - Applying Medicaid waiver authority to all territories, allowing them more flexibility in administering their Medicaid programs. - Permitting Medicaid Disproportionate Share Hospital (DSH) allotments for the territories starting in fiscal year 2019. - Making various adjustments to Medicare policies for hospitals in the territories, including rebasing target amounts and providing DSH payment adjustments. - Extending the Part B deemed enrollment process to Puerto Rico residents and providing a special enrollment period and reduced late enrollment penalties for certain Medicare beneficiaries in Puerto Rico. - Improving the use of allocated prescription drug funds by the territories under the Part D low-income subsidy program. The overall goal is to bring more parity in how the U.S. territories are treated compared to the 50 states under these major federal health care programs.

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https://www.congress.gov/bill/115th-congress/house-bill/2404/all-info