Page 8

139 STAT. 78 PUBLIC LAW 119–21—JULY 4, 2025 Sec. 71115. Provider taxes. Sec. 71116. State directed payments. Sec. 71117. Requirements regarding waiver of uniform tax requirement for Med- icaid provider tax. Sec. 71118. Requiring budget neutrality for Medicaid demonstration projects under section 1115. SUBCHAPTER D—INCREASING PERSONAL ACCOUNTABILITY Sec. 71119. Requirement for States to establish Medicaid community engagement requirements for certain individuals. Sec. 71120. Modifying cost sharing requirements for certain expansion individuals under the Medicaid program. SUBCHAPTER E—EXPANDING ACCESS TO CARE Sec. 71121. Making certain adjustments to coverage of home or community-based services under Medicaid. CHAPTER 2—MEDICARE SUBCHAPTER A—STRENGTHENING ELIGIBILITY REQUIREMENTS Sec. 71201. Limiting Medicare coverage of certain individuals. SUBCHAPTER B—IMPROVING SERVICES FOR SENIORS Sec. 71202. Temporary payment increase under the medicare physician fee sched- ule to account for exceptional circumstances. Sec. 71203. Expanding and clarifying the exclusion for orphan drugs under the Drug Price Negotiation Program. CHAPTER 3—HEALTH TAX SUBCHAPTER A—IMPROVING ELIGIBILITY CRITERIA Sec. 71301. Permitting premium tax credit only for certain individuals. Sec. 71302. Disallowing premium tax credit during periods of medicaid ineligibility due to alien status. SUBCHAPTER B—PREVENTING WASTE, FRAUD, AND ABUSE Sec. 71303. Requiring verification of eligibility for premium tax credit. Sec. 71304. Disallowing premium tax credit in case of certain coverage enrolled in during special enrollment period. Sec. 71305. Eliminating limitation on recapture of advance payment of premium tax credit. SUBCHAPTER C—ENHANCING CHOICE FOR PATIENTS Sec. 71306. Permanent extension of safe harbor for absence of deductible for tele- health services. Sec. 71307. Allowance of bronze and catastrophic plans in connection with health savings accounts. Sec. 71308. Treatment of direct primary care service arrangements. CHAPTER 4—PROTECTING RURAL HOSPITALS AND PROVIDERS Sec. 71401. Rural Health Transformation Program. Subtitle C—Increase in Debt Limit Sec. 72001. Modification of limitation on the public debt. Subtitle D—Unemployment Sec. 73001. Ending unemployment payments to jobless millionaires. TITLE VIII—COMMITTEE ON HEALTH, EDUCATION, LABOR, AND PENSIONS Subtitle A—Exemption of Certain Assets Sec. 80001. Exemption of certain assets. Subtitle B—Loan Limits Sec. 81001. Establishment of loan limits for graduate and professional students and parent borrowers; termination of graduate and professional PLUS loans. Subtitle C—Loan Repayment Sec. 82001. Loan repayment.