Page 226
139 STAT. 296 PUBLIC LAW 119–21—JULY 4, 2025 ‘‘(I) Individuals enrolled under subsection (a)(10)(A)(i)(VIII). ‘‘(II) Individuals described in such subsection who are otherwise enrolled under a waiver of such plan that provides coverage that is equivalent to minimum essential coverage (as described in sec- tion 5000A(f)(1)(A) of the Internal Revenue Code of 1986 and determined in accordance with stand- ards prescribed by the Secretary in regulations) to all individuals described in subsection (a)(10)(A)(i)(VIII). ‘‘(ii) EXEMPTION.—The requirements described in clause (i) shall not apply to any individual described in subsection (xx)(9)(A)(ii)(II). ‘‘(iii) STATE DEFINED.—For purposes of this subparagraph, the term ‘State’ means 1 of the 50 States or the District of Columbia.’’. (b) GUIDANCE.—Not later than 180 days after the date of enact- ment of this section, the Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, shall issue guidance relating to the implementa- tion of the amendments made by this section. (c) IMPLEMENTATION FUNDING.—For the purposes of carrying out the provisions of, and the amendments made by, this section, there are appropriated, out of any monies in the Treasury not otherwise appropriated, to the Administrator of the Centers for Medicare & Medicaid Services, $75,000,000 for fiscal year 2026, to remain available until expended. SEC. 71108. REVISING HOME EQUITY LIMIT FOR DETERMINING ELIGI- BILITY FOR LONG-TERM CARE SERVICES UNDER THE MEDICAID PROGRAM. (a) REVISING HOME EQUITY LIMIT.—Section 1917(f)(1) of the Social Security Act (42 U.S.C. 1396p(f)(1)) is amended— (1) in subparagraph (B)— (A) by striking ‘‘A State’’ and inserting ‘‘(i) A State’’; (B) in clause (i), as inserted by subparagraph (A)— (i) by striking ‘‘ ‘$500,000’ ’’ and inserting ‘‘the amount specified in subparagraph (A)’’; and (ii) by inserting ‘‘, in the case of an individual’s home that is located on a lot that is zoned for agricul- tural use,’’ after ‘‘apply subparagraph (A)’’; and (C) by adding at the end the following new clause: ‘‘(ii) A State may elect, without regard to the requirements of section 1902(a)(1) (relating to statewideness) and section 1902(a)(10)(B) (relating to comparability), to apply subpara- graph (A), in the case of an individual’s home that is not described in clause (i), by substituting for the amount specified in such subparagraph, an amount that exceeds such amount, but does not exceed $1,000,000.’’; and (2) in subparagraph (C)— (A) by inserting ‘‘(other than the amount specified in subparagraph (B)(ii) (relating to certain non-agricultural homes))’’ after ‘‘specified in this paragraph’’; and (B) by adding at the end the following new sentence: ‘‘In the case that application of the preceding sentence would result in a dollar amount (other than the amount Applicability. Time period. Deadline. 42 USC 1396a note. Determination. Standards. Regulations.