42 U.S.C. § 18043 — Funding for the territories

(a) In general A U.S. territory that chooses, under the rules below, to set up its own Exchange, and actually builds one, is treated like a state for that purpose and gets paid from the money set aside for territories. A territory that does not make that choice instead gets a bigger dollar cap under a different Social Security Act provision covering certain federal payments; that bigger cap does not count when figuring other amounts under those same provisions. (b) Terms and conditions A territory's choice to build its own Exchange only counts if it follows the rules in section 18041 and the territory notifies the Secretary by October 1, 2013. The territory must also sign an agreement with the Secretary requiring that: the money only goes to help residents pay premiums and cost-sharing for coverage bought through the Exchange; and that help must be structured so there is no gap in assistance between the income level where Medicaid stops and the income level where this premium and cost-sharing help starts. (c) Appropriation and allocation $1,000,000,000 is appropriated from the Treasury, available from 2014 through 2019, for these payments. The Secretary must divide this money among the territories as follows: $925,000,000 for Puerto Rico, and a $75,000,000 share for the other territories, split as the Secretary decides.