Ensuring Medicaid Continuity for the Insular Areas Act of 2024

This bill ensures Medicaid funding continuity for four U.S. territories - American Samoa, Guam, the Northern Mariana Islands, and the U.S. Virgin Islands - by redistributing unused Medicaid funds. It requires the Secretary to redirect unused Medicaid funds from territories that didn’t use their full allocation to territories facing shortfalls (where Medicaid needs exceeded their allocated funds). The redistribution uses specific formulas based on aggregate unused funds and territory-specific shortfalls, with adjustments possible for prior fiscal years. Funds redistributed under this provision do not affect future-year allocations for those territories.