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H.R. 10874 (119th Congress)Committee
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Medicare Low Income Subsidy Equality Act of 2026

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The bill amends Medicare Part D and Medicaid provisions of the Social Security Act so that low-income beneficiaries in Puerto Rico and other U.S. territories can receive the same premium and cost-sharing subsidies available to residents of the 50 states and D.C. Under the bill, the poverty line for non-state residents would be set at the level used for the 48 contiguous states and D.C., and Medicaid-related federal funding for territories (beginning in 2027) would be adjusted through a new computation and growth-factor formula. The changes take effect January 1, 2027, for the Medicare provisions and on enactment for the Medicaid provisions.

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