Healthy Communities Act of 2026

(a) In general. Section 1905(ii) of the Social Security Act (42 U.S.C. 1396d(ii)) is amended—

(1) in paragraph (1)—

(A) by striking 8-quarter and inserting 24-quarter; and

(B) by striking 5 and inserting 10; and

(2) in paragraph (3), by striking which and all that follows through the end and inserting which did not expend amounts for all individuals described in section 1902(a)(10)(A)(i)(VIII) before January 1, 2026..

(b) Effective date. The amendments made by subsection (a)(1) shall apply with respect to quarters occurring during a period described in section 1905(ii)(1) of the Social Security Act (42 U.S.C. 1396d(ii)(1)) that begins on or after January 1, 2026.