Territory Health Revitalization Act

The Territory Health Revitalization Act (HR 5409) amends the Social Security Act to increase health funding for U.S. territories. It requires 5% of certain federal funds to be reserved for territories (like Puerto Rico, Guam, and the Northern Mariana Islands) instead of just the 50 states and D.C., and guarantees at least two grants to territory-based organizations each year. The bill removes a barrier that previously excluded the Northern Mariana Islands from eligibility. These changes take effect on October 1, 2025, directly affecting health programs in U.S. territories.