Northern Mariana Islands Medicaid Advancement Act
Summary
What This Bill Does
The Northern Mariana Islands Medicaid Advancement Act amends Social Security Act section 1108(g)(2)(D) so that, for fiscal year 2026, the Northern Mariana Islands Medicaid payment limit equals the amount determined for American Samoa for that fiscal year. The bill is narrow, but the practical effect is to increase the federal Medicaid cap for the Commonwealth of the Northern Mariana Islands if American Samoa receives a higher territorial payment amount.
Who Benefits and How
The Commonwealth of the Northern Mariana Islands Medicaid program benefits from a higher federal payment ceiling for fiscal year 2026. Medicaid beneficiaries, providers, hospitals, and clinics in the Northern Mariana Islands benefit if the higher cap supports more services or reduces pressure on the local health budget.
Who Bears the Burden and How
CMS administrators must apply a special fiscal year 2026 territorial cap rule. Federal taxpayers bear the added federal Medicaid exposure if the higher CNMI limit produces additional federal payments.
Key Provisions
- Provides a special fiscal year 2026 Medicaid payment limit rule for the Northern Mariana Islands.
- Requires the CNMI amount to match the amount determined for American Samoa for fiscal year 2026.
- Expands federal Medicaid funding room for a United States territory with a capped Medicaid allotment.
- Directs CMS to apply the amended Social Security Act section 1108 formula for that fiscal year.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.
At a Glance
What This Bill Does
Raises the fiscal year 2026 Medicaid payment limit for the Northern Mariana Islands by tying it to the American Samoa amount under Social Security Act section 1108.
Key Policy Areas
Healthcare, Territories, Government
Primary Purpose
Raises the fiscal year 2026 Medicaid payment limit for the Northern Mariana Islands by tying it to the American Samoa amount under Social Security Act section 1108.
Policy Domains
Substantive provisions
Identified Gains
Contextual inference, no direct clause citation- Northern Mariana Islands Medicaid program
- Medicaid beneficiaries
- healthcare providers
- hospitals
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- CMS administrators
- federal taxpayers
Contextual inference, no direct clause citation
Sponsors
Legislative Progress
In CommitteeMrs. King-Hinds (for herself and Mr. Moylan) introduced the following …
Referred to the House Committee on Energy and Commerce.
Introduced in House
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "CNMI"
- → Commonwealth of the Northern Mariana Islands
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology