Northern Mariana Islands Medicaid Advancement Act

This bill amends the Social Security Act to increase Medicaid payment limits for the Northern Mariana Islands. It directly affects the Northern Mariana Islands' Medicaid program by setting its 2026 payment amount equal to the amount allocated to American Samoa for that same fiscal year. The key provision modifies Section 1108(g)(2)(D) to add a new clause specifying this alignment for fiscal year 2026. This changes the funding formula for the territory's Medicaid program without creating new benefits or eligibility rules. The adjustment applies only to the payment limit calculation for the Northern Mariana Islands' Medicaid program.