BILLS-119hr6494ih.pdf

02:22 Dec 10 2025 1986 October 1, 2025 6494 IH 18:25 Dec 22 years January 1, 2026 such year January 1 a year 12-month 2026 fiscal year 2026 year 18 year 2026 September 30, 2030 42 U.S.C. 1396u–5 1935 18031 1ST SESSION H. R. 6494 DECEMBER 5 1314 later than 3 months fiscal years 2010 October 1, 2030 months 2017 later than 180 days 6 years before fiscal year 2026 later than February 1, 2026 year 2017 11 days 4 years before the date 42 U.S.C. 1308 6494 IH months fiscal year each subsequent fiscal year 5-year 42 U.S.C. 1395w 13 year

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6494 IH Puerto Rico the United States Guam Samoa the Virgin Islands the District of Columbia United States the 50 States the District of Colum- the United States of America United States Puerto Puerto Rico

the Northern Mariana Islands Samoa Rico Mariana Islands ern Mariana Islands NORTHERN MARIANA Northern

American

SEC State Medicaid MEDICARE Exchange Treasury Congress XIX FMAP DSH XVI XIV United MIRROR the Committee on Ways and Means American Health Benefit Exchange THE HOUSE OF REPRESENTATIVES Internal Columbia U.S.C. B)(v XXI Federal AMERICAN SAMOA TAIN House of Representa- Health Insurance Program MOYLAN KING-HINDS the Territories Health Equity Act the Office of Personnel Management IPPS the Centers for Medicare & Medicaid State Children’s the Office of Personnel the Patient Protection and Affordable Care Act Health and Human Services Senate the Internal Revenue Code the Committee on Energy and Commerce

Virgin PLASKETT XVIII d)(5)(F)(vi RADEWAGEN PAYMENTS.—For

territories puerto rico rico puerto islands medicaid islands guam american samoa samoa virgin islands medicare sec elimination mariana islands guam virgin