The "Northern Mariana Islands Medicaid Advancement Act" proposes to significantly increase the federal Medicaid payment limit for the Northern Mariana Islands. This legislation specifically amends Section 1108(g)(2)(D) of the Social Security Act to modify how the territory's Medicaid cap is calculated. For fiscal year 2026 , the bill establishes that the Medicaid payment limit for the Northern Mariana Islands will be determined by the amount set for American Samoa under a specific subparagraph. By linking the Northern Mariana Islands' limit to American Samoa's, the bill aims to provide a more substantial and potentially higher federal contribution to Medicaid services in the territory, thereby enhancing healthcare access and funding.