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139 STAT. 315 PUBLIC LAW 119–21—JULY 4, 2025 (A) $100,000,000 for fiscal year 2026 for purposes of awarding grants under paragraph (1)(A), to remain avail- able until expended; and (B) $100,000,000 for fiscal year 2026 for purposes of award grants under paragraph (1)(B), to remain available until expended. (4) DEFINITION.—In this subsection, the term ‘‘State’’ means 1 of the 50 States and the District of Columbia. (f) 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, $200,000,000 for fiscal year 2026, to remain available until expended. SEC. 71120. MODIFYING COST SHARING REQUIREMENTS FOR CERTAIN EXPANSION INDIVIDUALS UNDER THE MEDICAID PRO- GRAM. (a) IN GENERAL.—Section 1916 of the Social Security Act (42 U.S.C. 1396o) is amended— (1) in subsection (a), in the matter preceding paragraph (1), by inserting ‘‘(other than, beginning October 1, 2028, speci- fied individuals (as defined in subsection (k)(3)))’’ after ‘‘individ- uals’’; and (2) by adding at the end the following new subsection: ‘‘(k) SPECIAL RULES FOR CERTAIN EXPANSION INDIVIDUALS.— ‘‘(1) PREMIUMS.—Beginning October 1, 2028, the State plan shall provide that in the case of a specified individual (as defined in paragraph (3)) who is eligible under the plan, no enrollment fee, premium, or similar charge will be imposed under the plan. ‘‘(2) REQUIRED IMPOSITION OF COST SHARING.— ‘‘(A) IN GENERAL.—Subject to subparagraph (B) and subsection (j), in the case of a specified individual, the State plan shall, beginning October 1, 2028, provide for the imposition of such deductions, cost sharing, or similar charges determined appropriate by the State (in an amount greater than $0) with respect to certain care, items, or services furnished to such an individual, as determined by the State. ‘‘(B) LIMITATIONS.— ‘‘(i) EXCLUSION OF CERTAIN SERVICES.—In no case may a deduction, cost sharing, or similar charge be imposed under the State plan with respect to care, items, or services described in any of subparagraphs (B) through (J) of subsection (a)(2), or any primary care services, mental health care services, substance use disorder services, or services provided by a Feder- ally qualified health center (as defined in 1905(l)(2)), certified community behavioral health clinic (as defined in section 1905(jj)(2)), or rural health clinic (as defined in 1905(l)(1)), furnished to a specified individual. ‘‘(ii) ITEM AND SERVICE LIMITATION.— ‘‘(I) IN GENERAL.—Except as provided in sub- clause (II), in no case may a deduction, cost sharing, or similar charge imposed under the State Determination. Effective dates. Time periods.