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139 STAT. 297 PUBLIC LAW 119–21—JULY 4, 2025 specified in subparagraph (B)(i) (relating to certain agricul- tural homes)) exceeding $1,000,000, such amount shall be deemed to be equal to $1,000,000.’’. (b) CLARIFICATION.—Section 1902 of the Social Security Act (42 U.S.C. 1396a) is amended— (1) in subsection (r)(2), by adding at the end the following new subparagraph: ‘‘(C) This paragraph shall not be construed as permitting a State to determine the eligibility of an individual for medical assist- ance with respect to nursing facility services or other long-term care services without application of the limit under section 1917(f)(1).’’; and (2) in subsection (e)(14)(D)(iv)— (A) by striking ‘‘Subparagraphs’’ and inserting ‘‘(I) IN GENERAL.—Subparagraphs’’; and (B) by adding at the end the following new subclause: ‘‘(II) APPLICATION OF HOME EQUITY INTEREST LIMIT.—Section 1917(f) shall apply for purposes of determining the eligibility of an individual for medical assistance with respect to nursing facility services or other long-term care services.’’. (c) EFFECTIVE DATE.—The amendments made by subsection (a) shall apply beginning on January 1, 2028. SEC. 71109. ALIEN MEDICAID ELIGIBILITY. (a) MEDICAID.—Section 1903(v) of the Social Security Act (42 U.S.C. 1396b(v)) is amended— (1) in paragraph (1), by striking ‘‘and (4)’’and inserting ‘‘, (4), and (5)’’; and (2) by adding at the end the following new paragraph: ‘‘(5) Notwithstanding the preceding paragraphs of this sub- section, beginning on October 1, 2026, except as provided in para- graphs (2) and (4), in no event shall payment be made to a State under this section for medical assistance furnished to an individual unless such individual is— ‘‘(A) a resident of 1 of the 50 States, the District of Columbia, or a territory of the United States; and ‘‘(B) either— ‘‘(i) a citizen or national of the United States; ‘‘(ii) an alien lawfully admitted for permanent residence as an immigrant as defined by sections 101(a)(15) and 101(a)(20) of the Immigration and Nationality Act, excluding, among others, alien visitors, tourists, diplomats, and students who enter the United States temporarily with no intention of abandoning their residence in a foreign country; ‘‘(iii) an alien who has been granted the status of Cuban and Haitian entrant, as defined in section 501(e) of the Refugee Education Assistance Act of 1980 (Public Law 96–422); or ‘‘(iv) an individual who lawfully resides in the United States in accordance with a Compact of Free Association referred to in section 402(b)(2)(G) of the Personal Responsi- bility and Work Opportunity Reconciliation Act of 1996.’’. (b) CHIP.—Section 2107(e)(1) of the Social Security Act, as amended by section 71103(b), is further amended— 42 USC 1397gg. Effective date. 42 USC 1396p note.