Page 249

139 STAT. 319 PUBLIC LAW 119–21—JULY 4, 2025 ‘‘(C) LIMITATION ON PAYMENTS.—No payments made to carry out this paragraph shall be used by a State to make payments to a third party on behalf of an individual practitioner for benefits such as health insurance, skills training, and other benefits customary for employees, in the case of a class of practitioners for which the program established under this title is the primary source of revenue.’’. (b) IMPLEMENTATION FUNDING.— (1) IN GENERAL.—There are appropriated, out of any monies in the Treasury not otherwise appropriated, to the Adminis- trator of the Centers for Medicare & Medicaid Services— (A) for fiscal year 2026, $50,000,000 for purposes of carrying out the provisions of, and the amendments made by, this section, to remain available until expended; and (B) for fiscal year 2027, $100,000,000 for purposes of making payments to States, subject to paragraph (2), to support State systems to deliver home or community-based services under section 1915(c) of the Social Security Act (42 U.S.C. 1396n(c)) (as amended by this section) or under section 1115 of such Act (42 U.S.C. 1315), to remain avail- able until expended. (2) PAYMENTS BASED ON STATE HCBS ELIGIBLE POPU- LATION.—Payments to States from amounts made available by paragraph (1)(B) shall be made, with respect to a State, on the basis of the proportion of the population of the State that is receiving home or community-based services under section1915(c) of the Social Security Act (42 U.S.C. 1396n(c)) (as amended by this section) or under section 1115 of such Act (42 U.S.C. 1315), as compared to all States. CHAPTER 2—MEDICARE Subchapter A—Strengthening Eligibility Requirements SEC. 71201. LIMITING MEDICARE COVERAGE OF CERTAIN INDIVID- UALS. Title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) is amended by adding at the end the following new section: ‘‘SEC. 1899C. LIMITING MEDICARE COVERAGE OF CERTAIN INDIVID- UALS. ‘‘(a) IN GENERAL.—Subject to subsection (b), an individual may be entitled to, or enrolled for, benefits under this title only if the individual is— ‘‘(1) a citizen or national of the United States; ‘‘(2) an alien who is lawfully admitted for permanent resi- dence under the Immigration and Nationality Act; ‘‘(3) 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 ‘‘(4) 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 Responsibility and Work Opportunity Reconciliation Act of 1996. ‘‘(b) APPLICATION TO INDIVIDUALS CURRENTLY ENTITLED TO OR ENROLLED FOR BENEFITS.— 42 USC 1395mmm.