HR 6494 · In committee · last action December 5, 2025
<p><strong>Territories Health Equity Act of 2025</strong></p><p>This bill alters provisions relating to the treatment of U.S. territories under Medicaid, Medicare, and Medicare Advantage.</p><p>For example, the bill</p><ul><li>eliminates Medicaid funding limitations for U.S. territories beginning in FY2026,</li><li>exempts an individual from late-enrollment penalties for Medicare medical services if the individual resided in Puerto Rico as of the date of eligibility and the individual enrolls within five years of such date, and</li><li>establishes minimum criteria for certain elements used in Medicare Advantage payment calculations for areas within U.S. territories.</li></ul><p>The bill also allows residents of U.S. territories who are unable to obtain health insurance through their employer or a health insurance exchange to instead obtain coverage that is at least as broad as the coverage available to Members of Congress and their staff through the District of Columbia exchange.</p>
Stacey Plaskett (D-VI)
No votes recorded against this bill yet — vote coverage is a work in progress.
<p><strong>Territories Health Equity Act of 2025</strong></p><p>This bill alters provisions relating to the treatment of U.S. territories under Medicaid, Medicare, and Medicare Advantage.</p><p>For example, the bill</p><ul><li>eliminates Medicaid funding limitations for U.S. territories beginning in FY2026,</li><li>exempts an individual from late-enrollment penalties for Medicare medical services if the individual resided in Puerto Rico as of the date of eligibility and the individual enrolls within five years of such date, and</li><li>establishes minimum criteria for certain elements used in Medicare Advantage payment calculations for areas within U.S. territories.</li></ul><p>The bill also allows residents of U.S. territories who are unable to obtain health insurance through their employer or a health insurance exchange to instead obtain coverage that is at least as broad as the coverage available to Members of Congress and their staff through the District of Columbia exchange.</p>