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139 STAT. 329 PUBLIC LAW 119–21—JULY 4, 2025 ‘‘(C) ONE-TIME APPLICATION.—If an application of a State for an allotment under this subsection is approved by the Administrator, the State shall be eligible for an allotment under this subsection for each of fiscal years 2026 through 2030, except as provided in paragraph (1)(B)(iv). ‘‘(D) ELIGIBILITY.—Only the 50 States shall be eligible for an allotment under this subsection and all references in this subsection to a State shall be treated as only refer- ring to the 50 States. ‘‘(3) ALLOTMENTS.— ‘‘(A) IN GENERAL.—For each of fiscal years 2026 through 2030, the Administrator shall determine under subparagraph (B) the amount of the allotment for such fiscal year for each State with an approved application under this subsection. ‘‘(B) AMOUNT DETERMINED.—Subject to subparagraph (C), from the amounts appropriated under paragraph (1)(A) for each of fiscal years 2026 through 2030, the Adminis- trator shall allot— ‘‘(i) 50 percent of the amounts appropriated for each such fiscal year equally among all States with an approved application under this subsection; and ‘‘(ii) 50 percent of the amounts appropriated for each such fiscal year among all such States in an amount to be determined by the Administrator in accordance with subparagraph (C). ‘‘(C) REQUIREMENTS.—In determining the amount to be allotted to a State under clause (ii) of subparagraph (B) for a fiscal year, the Administrator shall— ‘‘(i) ensure that not less than 1⁄4 of the States with an approved application under this subsection for a fiscal year are allotted funds from amounts that are to be allotted under clause (ii) of such subpara- graph; and ‘‘(ii) consider— ‘‘(I) the percentage of the State population that is located in a rural census tract of a metropolitan statistical area (as determined under the most recent modification of the Goldsmith Modification, originally published in the Federal Register on February 27, 1992 (57 Fed. Reg. 6725)); ‘‘(II) the proportion of rural health facilities (as defined in subparagraph (D)) in the State rel- ative to the number of rural health facilities nationwide; ‘‘(III) the situation of hospitals in the State, as described in section 1902(a)(13)(A)(iv); and ‘‘(IV) any other factors that the Administrator determines appropriate. ‘‘(D) RURAL HEALTH FACILITY DEFINED.—For the pur- poses of subparagraph (C)(ii), the term ‘rural health facility’ means the following: ‘‘(i) A subsection (d) hospital (as defined in para- graph (1)(B) of section 1886(d)) that— ‘‘(I) is located in a rural area (as defined in paragraph (2)(D) of such section); Determination. Determination.