H.R. 6690 — Northern Mariana Islands Medicaid Advancement Act

This section revises the formula in Section 1108(g)(2)(D) of the Social Security Act for the mandatory ceiling amount on total federal payments to the Northern Mariana Islands under specified programs—including Medicaid (Title XIX), SSI (Title XVI), TANF (Title IV-A), and child welfare services (Title IV-E)—by expanding the cross-reference in clause (i) to clauses (ii) through (iv), striking "and" at the end of clause (ii), and adding clause (iv) to set the FY2026 amount equal to that determined under subparagraph (E) for American Samoa. (As background, unlike states, territories receive capped funding rather than uncapped matching payments for these programs; this change increases the CNMI cap for FY2026.)