---
kind: "section"
citation: "42 U.S.C. § 1397ee"
title: "42"
title_heading: "The Public Health and Welfare"
number: "1397ee"
heading: "Payments to States"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/1397ee"
units:
  - "Chapter 7 — Social Security"
  - "Subchapter XXI — State Children’s Health Insurance Program"
---

# §1397ee. Payments to States

- (a) **Payments—**
  - (1) **In general—** Subject to the succeeding provisions of this section, the [Secretary](/usc/42/1301.md?p=a-6) shall pay to each [State](/usc/42/619.md?p=5) with a plan approved under this subchapter, from its allotment under [section 1397dd of this title](/usc/42/1397dd.md), an amount for each quarter equal to the enhanced FMAP (or, in the case of expenditures described in [subparagraph (D)(iv)](#a-1-D-iv), the higher of 75 percent or the sum of the enhanced FMAP plus 5 percentage points) of expenditures in the quarter—
    - (A) for [child health assistance](/usc/42/1397jj.md?p=a) under the plan for targeted low-income children in the form of providing medical assistance for which payment is made on the basis of an enhanced FMAP under the fourth sentence of [section 1396d(b) of this title](/usc/42/1396d.md?p=b);
    - (B)
    - (C) for [child health assistance](/usc/42/1397jj.md?p=a) under the plan for targeted low-income children in the form of providing health benefits coverage that meets the requirements of [section 1397cc of this title](/usc/42/1397cc.md); and
    - (D) only to the extent permitted consistent with [subsection (c)](#c)—
      - (i) for payment for other [child health assistance](/usc/42/1397jj.md?p=a) for targeted low-income children;
      - (ii) for expenditures for health services initiatives under the plan for improving the health of children ([including](/usc/42/1301.md?p=b) targeted low-income children and other low-income children);
      - (iii) for expenditures for outreach activities as provided in [section 1397bb(c)(1) of this title](/usc/42/1397bb.md?p=c-1) under the plan;
      - (iv) for translation or interpretation services in connection with the enrollment of, retention of, and use of services under this subchapter by, individuals for whom English is not their primary language (as found necessary by the [Secretary](/usc/42/1301.md?p=a-6) for the proper and efficient [administration](/usc/42/1301.md?p=a-10) of the [State](/usc/42/619.md?p=5) plan); and
      - (v) for other reasonable costs incurred by the [State](/usc/42/619.md?p=5) to administer the plan.
  - (2) **Order of payments—** Payments under [paragraph (1)](#a-1) from a [State](/usc/42/619.md?p=5)’s allotment shall be made in the following order:
    - (A) First, for expenditures for items described in [paragraph (1)(A)](#a-1-A).
    - (B) Second, for expenditures for items described in [paragraph (1)(B)](#a-1-B).
    - (C) Third, for expenditures for items described in [paragraph (1)(C)](#a-1-C).
    - (D) Fourth, for expenditures for items described in [paragraph (1)(D)](#a-1-D).
  - (3) **Performance bonus payment to offset additional Medicaid and CHIP child enrollment costs resulting from enrollment and retention efforts—**
    - (A) **In general—** In addition to the payments made under [paragraph (1)](#a-1), for each [fiscal year](/usc/42/619.md?p=3) (beginning with [fiscal year](/usc/42/619.md?p=3) 2009 and ending with [fiscal year](/usc/42/619.md?p=3) 2013), the [Secretary](/usc/42/1301.md?p=a-6) shall pay from amounts made available under [subparagraph (E)](#a-3-E), to each [State](/usc/42/619.md?p=5) that meets the condition under [paragraph (4)](#a-4) for the [fiscal year](/usc/42/619.md?p=3), an amount equal to the amount described in [subparagraph (B)](#a-3-B) for the [State](/usc/42/619.md?p=5) and [fiscal year](/usc/42/619.md?p=3). The payment under this paragraph shall be made, to a [State](/usc/42/619.md?p=5) for a [fiscal year](/usc/42/619.md?p=3), as a single payment not later than the last day of the first calendar quarter of the following [fiscal year](/usc/42/619.md?p=3).
    - (B) **Amount for above baseline Medicaid child enrollment costs—** Subject to [subparagraph (E)](#a-3-E), the amount described in this subparagraph for a [State](/usc/42/619.md?p=5) for a [fiscal year](/usc/42/619.md?p=3) is equal to the sum of the following amounts:
      - (i) **First tier above baseline Medicaid enrollees—** An amount equal to the number of first tier above baseline [child](/usc/42/1382c.md?p=c) enrollees (as determined under [subparagraph (C)(i)](#a-3-C-i)) under subchapter XIX for the [State](/usc/42/619.md?p=5) and [fiscal year](/usc/42/619.md?p=3), multiplied by 15 percent of the projected per capita [State](/usc/42/619.md?p=5) Medicaid expenditures (as determined under [subparagraph (D)](#a-3-D)) for the [State](/usc/42/619.md?p=5) and [fiscal year](/usc/42/619.md?p=3) under subchapter XIX.
      - (ii) **Second tier above baseline Medicaid enrollees—** An amount equal to the number of second tier above baseline [child](/usc/42/1382c.md?p=c) enrollees (as determined under [subparagraph (C)(ii)](#a-3-C-ii)) under subchapter XIX for the [State](/usc/42/619.md?p=5) and [fiscal year](/usc/42/619.md?p=3), multiplied by 62.5 percent of the projected per capita [State](/usc/42/619.md?p=5) Medicaid expenditures (as determined under [subparagraph (D)](#a-3-D)) for the [State](/usc/42/619.md?p=5) and [fiscal year](/usc/42/619.md?p=3) under subchapter XIX.
    - (C) **Number of first and second tier above baseline child enrollees; baseline number of child enrollees—** For purposes of this paragraph:
      - (i) **First tier above baseline child enrollees—** The number of first tier above baseline [child](/usc/42/1382c.md?p=c) enrollees for a [State](/usc/42/619.md?p=5) for a [fiscal year](/usc/42/619.md?p=3) under subchapter XIX is equal to the number (if any, as determined by the [Secretary](/usc/42/1301.md?p=a-6)) by which—
        - (I) the monthly average unduplicated number of qualifying children (as defined in [subparagraph (F)](#a-3-F)) enrolled during the [fiscal year](/usc/42/619.md?p=3) under the [State](/usc/42/619.md?p=5) plan under subchapter XIX; exceeds
        - (II) the baseline number of enrollees described in [clause (iii)](#a-3-C-iii) for the [State](/usc/42/619.md?p=5) and [fiscal year](/usc/42/619.md?p=3) under subchapter XIX;

      but not to exceed 10 percent of the baseline number of enrollees described in subclause (II).

      - (ii) **Second tier above baseline child enrollees—** The number of second tier above baseline [child](/usc/42/1382c.md?p=c) enrollees for a [State](/usc/42/619.md?p=5) for a [fiscal year](/usc/42/619.md?p=3) under subchapter XIX is equal to the number (if any, as determined by the [Secretary](/usc/42/1301.md?p=a-6)) by which—
        - (I) the monthly average unduplicated number of qualifying children (as defined in [subparagraph (F)](#a-3-F)) enrolled during the [fiscal year](/usc/42/619.md?p=3) under subchapter XIX as described in [clause (i)(I)](#a-3-C-i-I); exceeds
        - (II) the sum of the baseline number of [child](/usc/42/1382c.md?p=c) enrollees described in [clause (iii)](#a-3-C-iii) for the [State](/usc/42/619.md?p=5) and [fiscal year](/usc/42/619.md?p=3) under subchapter XIX, as described in [clause (i)(II)](#a-3-C-i-II), and the maximum number of first tier above baseline [child](/usc/42/1382c.md?p=c) enrollees for the [State](/usc/42/619.md?p=5) and [fiscal year](/usc/42/619.md?p=3) under subchapter XIX, as determined under [clause (i)](#a-3-C-i).
      - (iii) **Baseline number of child enrollees—** Subject to [subparagraph (H)](#a-3-H), the baseline number of [child](/usc/42/1382c.md?p=c) enrollees for a [State](/usc/42/619.md?p=5) under subchapter XIX—
        - (I) for [fiscal year](/usc/42/619.md?p=3) 2009 is equal to the monthly average unduplicated number of qualifying children enrolled in the [State](/usc/42/619.md?p=5) plan under subchapter XIX during [fiscal year](/usc/42/619.md?p=3) 2007 increased by the population growth for children in that [State](/usc/42/619.md?p=5) from 2007 to 2008 (as estimated by the Bureau of the Census) plus 4 percentage points, and further increased by the population growth for children in that [State](/usc/42/619.md?p=5) from 2008 to 2009 (as estimated by the Bureau of the Census) plus 4 percentage points;
        - (II) for each of [fiscal years](/usc/42/619.md?p=3) 2010, 2011, and 2012, is equal to the baseline number of [child](/usc/42/1382c.md?p=c) enrollees for the [State](/usc/42/619.md?p=5) for the previous [fiscal year](/usc/42/619.md?p=3) under subchapter XIX, increased by the population growth for children in that [State](/usc/42/619.md?p=5) from the calendar year in which the respective [fiscal year](/usc/42/619.md?p=3) begins to the succeeding calendar year (as estimated by the Bureau of the Census) plus 3.5 percentage points;
        - (III) for each of [fiscal years](/usc/42/619.md?p=3) 2013, 2014, and 2015, is equal to the baseline number of [child](/usc/42/1382c.md?p=c) enrollees for the [State](/usc/42/619.md?p=5) for the previous [fiscal year](/usc/42/619.md?p=3) under subchapter XIX, increased by the population growth for children in that [State](/usc/42/619.md?p=5) from the calendar year in which the respective [fiscal year](/usc/42/619.md?p=3) begins to the succeeding calendar year (as estimated by the Bureau of the Census) plus 3 percentage points; and
        - (IV) for a subsequent [fiscal year](/usc/42/619.md?p=3) is equal to the baseline number of [child](/usc/42/1382c.md?p=c) enrollees for the [State](/usc/42/619.md?p=5) for the previous [fiscal year](/usc/42/619.md?p=3) under subchapter XIX, increased by the population growth for children in that [State](/usc/42/619.md?p=5) from the calendar year in which the [fiscal year](/usc/42/619.md?p=3) involved begins to the succeeding calendar year (as estimated by the Bureau of the Census) plus 2 percentage points.
    - (D) **Projected per capita State Medicaid expenditures—** For purposes of [subparagraph (B)](#a-3-B), the projected per capita [State](/usc/42/619.md?p=5) Medicaid expenditures for a [State](/usc/42/619.md?p=5) and [fiscal year](/usc/42/619.md?p=3) under subchapter XIX is equal to the average per capita expenditures ([including](/usc/42/1301.md?p=b) both [State](/usc/42/619.md?p=5) and Federal financial participation) for children under the [State](/usc/42/619.md?p=5) plan under such subchapter, [including](/usc/42/1301.md?p=b) under waivers but not [including](/usc/42/1301.md?p=b) such children eligible for assistance by virtue of the receipt of benefits under subchapter XVI, for the most recent [fiscal year](/usc/42/619.md?p=3) for which actual data are available (as determined by the [Secretary](/usc/42/1301.md?p=a-6)), increased (for each subsequent [fiscal year](/usc/42/619.md?p=3) up to and [including](/usc/42/1301.md?p=b) the [fiscal year](/usc/42/619.md?p=3) involved) by the annual percentage increase in per capita amount of National Health Expenditures (as estimated by the [Secretary](/usc/42/1301.md?p=a-6)) for the calendar year in which the respective subsequent [fiscal year](/usc/42/619.md?p=3) ends and multiplied by a [State](/usc/42/619.md?p=5) matching percentage equal to 100 percent minus the Federal medical assistance percentage (as defined in [section 1396d(b) of this title](/usc/42/1396d.md?p=b)) for the [fiscal year](/usc/42/619.md?p=3) involved.
    - (E) **Amounts available for payments—**
      - (i) **Initial appropriation—** Out of any money in the Treasury not otherwise appropriated, there are appropriated $3,225,000,000 for [fiscal year](/usc/42/619.md?p=3) 2009 for making payments under this paragraph, to be available until expended.
      - (ii) **Transfers—** Notwithstanding any other provision of this subchapter, the following amounts shall also be available, without [fiscal year](/usc/42/619.md?p=3) limitation, for making payments under this paragraph:
        - (I) **Unobligated national allotment—**
          - (aa) **Fiscal years 2009 through 2012—** As of December 31 of [fiscal year](/usc/42/619.md?p=3) 2009, and as of December 31 of each succeeding [fiscal year](/usc/42/619.md?p=3) through [fiscal year](/usc/42/619.md?p=3) 2012, the portion, if any, of the amount appropriated under [subsection (a)](#a) for such [fiscal year](/usc/42/619.md?p=3) that is unobligated for allotment to a [State](/usc/42/619.md?p=5) under subsection (m)[^1] for such [fiscal year](/usc/42/619.md?p=3) or set aside under subsection (a)(3) or (b)(2) of [section 1397kk of this title](/usc/42/1397kk.md) for such [fiscal year](/usc/42/619.md?p=3).
          - (bb) **First half of fiscal year 2013—** As of December 31 of [fiscal year](/usc/42/619.md?p=3) 2013, the portion, if any, of the sum of the amounts appropriated under subsection (a)(16)(A)[^2] and under section 108 of the Children’s Health Insurance Reauthorization Act of 2009 for the period beginning on October 1, 2012, and ending on March 31, 2013, that is unobligated for allotment to a [State](/usc/42/619.md?p=5) under subsection (m)[^1] for such [fiscal year](/usc/42/619.md?p=3) or set aside under subsection (b)(2) of [section 1397kk of this title](/usc/42/1397kk.md) for such [fiscal year](/usc/42/619.md?p=3).
          - (cc) **Second half of fiscal year 2013—** As of June 30 of [fiscal year](/usc/42/619.md?p=3) 2013, the portion, if any, of the amount appropriated under subsection (a)(16)(B)[^2] for the period beginning on April 1, 2013, and ending on September 30, 2013, that is unobligated for allotment to a [State](/usc/42/619.md?p=5) under subsection (m)[^1] for such [fiscal year](/usc/42/619.md?p=3) or set aside under subsection (b)(2) of [section 1397kk of this title](/usc/42/1397kk.md) for such [fiscal year](/usc/42/619.md?p=3).
        - (II) **Unexpended allotments not used for redistribution—** As of November 15 of each of [fiscal years](/usc/42/619.md?p=3) 2010 through 2013, the total amount of allotments made to [States](/usc/42/619.md?p=5) under [section 1397dd of this title](/usc/42/1397dd.md) for the second preceding [fiscal year](/usc/42/619.md?p=3) (third preceding [fiscal year](/usc/42/619.md?p=3) in the case of the [fiscal year](/usc/42/619.md?p=3) 2006, 2007, and 2008 allotments) that is not expended or redistributed under [section 1397dd(f) of this title](/usc/42/1397dd.md?p=f) during the period in which such allotments are available for obligation.
        - (III) **Excess child enrollment contingency funds—** As of October 1 of each of [fiscal years](/usc/42/619.md?p=3) 2010 through 2013, any amount in excess of the aggregate cap applicable to the [Child](/usc/42/1382c.md?p=c) Enrollment Contingency Fund for the [fiscal year](/usc/42/619.md?p=3) under [section 1397dd(n) of this title](/usc/42/1397dd.md?p=n).
      - (iii) **Proportional reduction—** If the sum of the amounts otherwise payable under this paragraph for a [fiscal year](/usc/42/619.md?p=3) exceeds the amount available for the [fiscal year](/usc/42/619.md?p=3) under this subparagraph, the amount to be paid under this paragraph to each [State](/usc/42/619.md?p=5) shall be reduced proportionally.
    - (F) **Qualifying children defined—**
      - (i) **In general—** For purposes of this subsection, subject to clauses [(ii)](#a-3-F-ii) and [(iii)](#a-3-F-iii), the term “qualifying children” means children who meet the eligibility criteria ([including](/usc/42/1301.md?p=b) income, categorical eligibility, age, and immigration status criteria) in effect as of July 1, 2008, for enrollment under subchapter XIX, taking into account criteria applied as of such date under subchapter XIX pursuant to a waiver under [section 1315 of this title](/usc/42/1315.md).
      - (ii) **Limitation—** A [child](/usc/42/1382c.md?p=c) described in [clause (i)](#a-3-F-i) who is provided medical assistance during a presumptive eligibility period under [section 1396r–1a of this title](/usc/42/1396r–1a.md) shall be considered to be a “qualifying [child](/usc/42/1382c.md?p=c)” only if the [child](/usc/42/1382c.md?p=c) is determined to be eligible for medical assistance under subchapter XIX.
      - (iii) **Exclusion—** Such term does not include any children for whom the [State](/usc/42/619.md?p=5) has made an election to provide medical assistance under paragraph (4) of [section 1396b(v) of this title](/usc/42/1396b.md?p=v) or any children enrolled on or after October 1, 2013.
    - (G) **Application to commonwealths and territories—** The provisions of subparagraph (G) of [section 1397dd(n)(3) of this title](/usc/42/1397dd.md?p=n-3) shall apply with respect to payment under this paragraph in the same manner as such provisions apply to payment under such section.
    - (H) **Application to States that implement a Medicaid expansion for children after fiscal year 2008—** In the case of a [State](/usc/42/619.md?p=5) that provides coverage under section 115 of the Children’s Health Insurance Program Reauthorization Act of 2009 for any [fiscal year](/usc/42/619.md?p=3) after [fiscal year](/usc/42/619.md?p=3) 2008—
      - (i) any [child](/usc/42/1382c.md?p=c) enrolled in the [State](/usc/42/619.md?p=5) plan under subchapter XIX through the application of such an election shall be disregarded from the determination for the [State](/usc/42/619.md?p=5) of the monthly average unduplicated number of qualifying children enrolled in such plan during the first 3 [fiscal years](/usc/42/619.md?p=3) in which such an election is in effect; and
      - (ii) in determining the baseline number of [child](/usc/42/1382c.md?p=c) enrollees for the [State](/usc/42/619.md?p=5) for any [fiscal year](/usc/42/619.md?p=3) subsequent to such first 3 [fiscal years](/usc/42/619.md?p=3), the baseline number of [child](/usc/42/1382c.md?p=c) enrollees for the [State](/usc/42/619.md?p=5) under subchapter XIX for the third of such [fiscal years](/usc/42/619.md?p=3) shall be the monthly average unduplicated number of qualifying children enrolled in the [State](/usc/42/619.md?p=5) plan under subchapter XIX for such third [fiscal year](/usc/42/619.md?p=3).
  - (4) **Enrollment and retention provisions for children—** For purposes of [paragraph (3)(A)](#a-3-A), a [State](/usc/42/619.md?p=5) meets the condition of this paragraph for a [fiscal year](/usc/42/619.md?p=3) if it is implementing at least 5 of the following enrollment and retention provisions (treating each subparagraph as a separate enrollment and retention provision) throughout the entire [fiscal year](/usc/42/619.md?p=3):
    - (A) **Continuous eligibility—** The [State](/usc/42/619.md?p=5) has elected the option of continuous eligibility for a full 12 months for all children described in [section 1396a(e)(12)](/usc/42/1396a.md?p=e-12)[^3] of this title under subchapter XIX under 19 years of age, as well as applying such policy under its [State child health plan](/usc/42/1397jj.md?p=c-7) under this subchapter.
    - (B) **Liberalization of asset requirements—** The [State](/usc/42/619.md?p=5) meets the requirement specified in either of the following clauses:
      - (i) **Elimination of asset test—** The [State](/usc/42/619.md?p=5) does not apply any asset or resource test for eligibility for children under subchapter XIX or this subchapter.
      - (ii) **Administrative verification of assets—** The [State](/usc/42/619.md?p=5)—
        - (I) permits a parent or caretaker relative who is applying on behalf of a [child](/usc/42/1382c.md?p=c) for medical assistance under subchapter XIX or [child health assistance](/usc/42/1397jj.md?p=a) under this subchapter to declare and certify by signature under penalty of perjury information relating to family assets for purposes of determining and redetermining financial eligibility; and
        - (II) takes steps to verify assets through means other than by requiring documentation from parents and applicants except in individual cases of discrepancies or where otherwise justified.
    - (C) **Elimination of in-person interview requirement—** The [State](/usc/42/619.md?p=5) does not require an application of a [child](/usc/42/1382c.md?p=c) for medical assistance under subchapter XIX (or for [child health assistance](/usc/42/1397jj.md?p=a) under this subchapter), [including](/usc/42/1301.md?p=b) an application for renewal of such assistance, to be made in [person](/usc/42/1301.md?p=a-3) nor does the [State](/usc/42/619.md?p=5) require a face-to-face interview, unless there are discrepancies or individual circumstances justifying an in-[person](/usc/42/1301.md?p=a-3) application or face-to-face interview.
    - (D) **Use of joint application for Medicaid and CHIP—** The application form and supplemental forms (if any) and information verification process is the same for purposes of establishing and renewing eligibility for children for medical assistance under subchapter XIX and [child health assistance](/usc/42/1397jj.md?p=a) under this subchapter.
    - (E) **Automatic renewal (use of administrative renewal)—**
      - (i) **In general—** The [State](/usc/42/619.md?p=5) provides, in the case of renewal of a [child](/usc/42/1382c.md?p=c)’s eligibility for medical assistance under subchapter XIX or [child health assistance](/usc/42/1397jj.md?p=a) under this subchapter, a pre-printed form completed by the [State](/usc/42/619.md?p=5) based on the information available to the [State](/usc/42/619.md?p=5) and notice to the parent or caretaker relative of the [child](/usc/42/1382c.md?p=c) that eligibility of the [child](/usc/42/1382c.md?p=c) will be renewed and continued based on such information unless the [State](/usc/42/619.md?p=5) is provided other information. Nothing in this clause shall be construed as preventing a [State](/usc/42/619.md?p=5) from verifying, through electronic and other means, the information so provided.
      - (ii) **Satisfaction through demonstrated use of ex parte process—** A [State](/usc/42/619.md?p=5) shall be treated as satisfying the requirement of [clause (i)](#a-4-E-i) if renewal of eligibility of children under subchapter XIX or this subchapter is determined without any requirement for an in-[person](/usc/42/1301.md?p=a-3) interview, unless sufficient information is not in the [State](/usc/42/619.md?p=5)’s possession and cannot be acquired from other sources ([including](/usc/42/1301.md?p=b) other [State agencies](/usc/42/629a.md?p=a-3)) without the participation of the applicant or the applicant’s parent or caretaker relative.
    - (F) **Presumptive eligibility for children—** The [State](/usc/42/619.md?p=5) is implementing [section 1396r–1a of this title](/usc/42/1396r–1a.md) under subchapter XIX as well as, pursuant to [section 1397gg(e)(1) of this title](/usc/42/1397gg.md?p=e-1), under this subchapter.
    - (G) **Express Lane—** The [State](/usc/42/619.md?p=5) is implementing the option described in [section 1396a(e)(13) of this title](/usc/42/1396a.md?p=e-13) under subchapter XIX as well as, pursuant to [section 1397gg(e)(1) of this title](/usc/42/1397gg.md?p=e-1), under this subchapter.
    - (H) **Premium assistance subsidies—** The [State](/usc/42/619.md?p=5) is implementing the option of providing premium assistance subsidies under [subsection (c)(10)](#c-10) or [section 1396e–1 of this title](/usc/42/1396e–1.md).
- (b) **Enhanced FMAP—** For purposes of [subsection (a)](#a), the “enhanced FMAP”, for a [State](/usc/42/619.md?p=5) for a [fiscal year](/usc/42/619.md?p=3), is equal to the Federal medical assistance percentage (as defined in the first sentence of [section 1396d(b) of this title](/usc/42/1396d.md?p=b)) for the [State](/usc/42/619.md?p=5) increased by a number of percentage points equal to 30 percent of the number of percentage points by which (1) such Federal medical assistance percentage for the [State](/usc/42/619.md?p=5), is less than (2) 100 percent; but in no case shall the enhanced FMAP for a [State](/usc/42/619.md?p=5) exceed 85 percent. Notwithstanding the preceding sentence, during the period that begins on October 1, 2015, and ends on September 30, 2019, the enhanced FMAP determined for a [State](/usc/42/619.md?p=5) for a [fiscal year](/usc/42/619.md?p=3) (or for any portion of a [fiscal year](/usc/42/619.md?p=3) occurring during such period) shall be increased by 23 percentage points, and during the period that begins on October 1, 2019, and ends on September 30, 2020, the enhanced FMAP determined for a [State](/usc/42/619.md?p=5) for a [fiscal year](/usc/42/619.md?p=3) (or for any portion of a [fiscal year](/usc/42/619.md?p=3) occurring during such period) shall be increased by 11.5 percentage points but in no case shall exceed 100 percent. The increase in the enhanced FMAP under the preceding sentence shall not apply with respect to determining the payment to a [State](/usc/42/619.md?p=5) under [subsection (a)(1)](#a-1) for expenditures described in [subparagraph (D)(iv)](#a-1-D-iv), paragraphs [(8)](#c-8), [(9)](#c-9), [(11)](#c-11) of subsection (c), or clause (4) of the first sentence of [section 1396d(b) of this title](/usc/42/1396d.md?p=b).
- (c) **Limitation on certain payments for certain expenditures—**
  - (1) **General limitations—** Funds provided to a [State](/usc/42/619.md?p=5) under this subchapter shall only be used to carry out the purposes of this subchapter (as described in [section 1397aa of this title](/usc/42/1397aa.md)) or to carry out the rural health transformation program established in [subsection (h)](#h) and, except in the case of amounts made available under [subsection (h)](#h), may not include coverage of a nonpregnant childless [adult](/usc/42/619.md?p=1), and any [health insurance coverage](/usc/42/1397jj.md?p=c-3) provided with such funds may include coverage of abortion only if necessary to save the life of the mother or if the pregnancy is the result of an act of rape or incest. For purposes of the preceding sentence, a caretaker relative (as such term is defined for purposes of carrying out [section 1396u–1 of this title](/usc/42/1396u–1.md)) shall not be considered a childless [adult](/usc/42/619.md?p=1).
  - (2) **Limitation on expenditures not used for medicaid or health insurance assistance—**
    - (A) **In general—** Except as provided in this paragraph, the amount of payment that may be made under [subsection (a)](#a) for a [fiscal year](/usc/42/619.md?p=3) for expenditures for items described in [paragraph (1)(D)](#a-1-D) of such subsection shall not exceed 10 percent of the total amount of expenditures for which payment is made under subparagraphs (A), (C), and (D) of paragraph (1) of such subsection.
    - (B) **Waiver authorized for cost-effective alternative—** The limitation under [subparagraph (A)](#c-2-A) on expenditures for items described in [subsection (a)(1)(D)](#a-1-D) shall not apply to the extent that a [State](/usc/42/619.md?p=5) establishes to the satisfaction of the [Secretary](/usc/42/1301.md?p=a-6) that—
      - (i) coverage provided to targeted low-income children through such expenditures meets the requirements of [section 1397cc of this title](/usc/42/1397cc.md);
      - (ii) the cost of such coverage is not greater, on an average per [child](/usc/42/1382c.md?p=c) basis, than the cost of coverage that would otherwise be provided under [section 1397cc of this title](/usc/42/1397cc.md); and
      - (iii) such coverage is provided through the use of a community-based health delivery system, such as through contracts with health centers receiving funds under [section 254b of this title](/usc/42/254b.md) or with [hospitals](/usc/42/300s–3.md?p=1) such as those that receive disproportionate share payment adjustments under section [1395ww(d)(5)(F)](/usc/42/1395ww.md?p=d-5-F) or [1396r–4](/usc/42/1396r–4.md) of this title.
    - (C) **Nonapplication to certain expenditures—** The limitation under [subparagraph (A)](#c-2-A) shall not apply with respect to the following expenditures:
      - (i) **Expenditures to increase outreach to, and the enrollment of, Indian children under this subchapter and subchapter XIX—** Expenditures for outreach activities to families of [Indian](/usc/42/619.md?p=4-A) children likely to be eligible for [child health assistance](/usc/42/1397jj.md?p=a) under the plan or medical assistance under the [State](/usc/42/619.md?p=5) plan under subchapter XIX (or under a waiver of such plan), to inform such families of the availability of, and to assist them in enrolling their children in, such plans, [including](/usc/42/1301.md?p=b) such activities conducted under [grants](/usc/42/1397j.md?p=10), contracts, or agreements entered into under [section 1320b–9(a) of this title](/usc/42/1320b–9.md?p=a).
      - (ii) **Expenditures to comply with citizenship or nationality verification requirements—** Expenditures necessary for the [State](/usc/42/619.md?p=5) to comply with [paragraph (9)(A)](#c-9-A).
      - (iii) **Expenditures for outreach to increase the enrollment of children under this subchapter and subchapter XIX through premium assistance subsidies—** Expenditures for outreach activities to families of children likely to be eligible for premium assistance subsidies in accordance with paragraph [(2)(B)](#c-2-B), [(3)](#c-3), or [(10)](#c-10), or a waiver approved under [section 1315 of this title](/usc/42/1315.md), to inform such families of the availability of, and to assist them in enrolling their children in, such subsidies, and to employers likely to provide qualified employer-sponsored coverage (as defined in [subparagraph (B)](#c-2-B) of such paragraph[^4]), but not to exceed an amount equal to 1.25 percent of the maximum amount permitted to be expended under [subparagraph (A)](#c-2-A) for items described in [subsection (a)(1)(D)](#a-1-D).
      - (iv) **Payment error rate measurement (PERM) expenditures—** Expenditures related to the [administration](/usc/42/1301.md?p=a-10) of the payment error rate measurement (PERM) requirements applicable to the [State child health plan](/usc/42/1397jj.md?p=c-7) in accordance with the[^5] subchapter IV of [chapter 33](/usc/31/chstIII/ch33.md) of title 31 and parts 431 and 457 of title 42, Code of Federal Regulations (or any related or successor guidance or regulations).
  - (3) **Waiver for purchase of family coverage—** Payment may be made to a [State](/usc/42/619.md?p=5) under [subsection (a)(1)](#a-1) for the purchase of family coverage under a [group health plan](/usc/42/1397jj.md?p=c-3) or [health insurance coverage](/usc/42/1397jj.md?p=c-3) that [includes](/usc/42/1301.md?p=b) coverage of targeted low-income children only if the [State](/usc/42/619.md?p=5) establishes to the satisfaction of the [Secretary](/usc/42/1301.md?p=a-6) that—
    - (A) purchase of such coverage is cost-effective relative to—
      - (i) the amount of expenditures under the [State child health plan](/usc/42/1397jj.md?p=c-7), [including](/usc/42/1301.md?p=b) administrative expenditures, that the [State](/usc/42/619.md?p=5) would have made to provide comparable coverage of the [targeted low-income child](/usc/42/1397jj.md?p=b-1) involved or the family involved (as applicable); or
      - (ii) the aggregate amount of expenditures that the [State](/usc/42/619.md?p=5) would have made under the [State child health plan](/usc/42/1397jj.md?p=c-7), [including](/usc/42/1301.md?p=b) administrative expenditures, for providing coverage under such plan for all such children or families; and
    - (B) such coverage shall not be provided if it would otherwise substitute for [health insurance coverage](/usc/42/1397jj.md?p=c-3) that would be provided to such children but for the purchase of family coverage.
  - (4) **Use of non-Federal funds for State matching requirement—** Amounts provided by the Federal Government, or services assisted or subsidized to any significant extent by the Federal Government, may not be included in determining the amount of non-Federal contributions required under [subsection (a)](#a).
  - (5) **Offset of receipts attributable to premiums and other cost-sharing—** For purposes of [subsection (a)](#a), the amount of the expenditures under the plan shall be reduced by the amount of any premiums and other cost-sharing received by the [State](/usc/42/619.md?p=5).
  - (6) **Prevention of duplicative payments—**
    - (A) **Other health plans—** No payment shall be made to a [State](/usc/42/619.md?p=5) under this section for expenditures for [child health assistance](/usc/42/1397jj.md?p=a) provided for a [targeted low-income child](/usc/42/1397jj.md?p=b-1) under its plan to the extent that a private insurer (as defined by the [Secretary](/usc/42/1301.md?p=a-6) by regulation and [including](/usc/42/1301.md?p=b) a [group health plan](/usc/42/1397jj.md?p=c-3) (as defined in [section 1167(1) of title 29](/usc/29/1167.md?p=1)), a service benefit plan, and a health maintenance organization) would have been obligated to provide such assistance but for a provision of its insurance contract which has the effect of limiting or excluding such obligation because the individual is eligible for or is provided [child health assistance](/usc/42/1397jj.md?p=a) under the plan.
    - (B) **Other Federal governmental programs—** Except as provided in subparagraph [(A)](#a-1-A) or [(B)](#a-1-B) of subsection (a)(1) or any other provision of law, no payment shall be made to a [State](/usc/42/619.md?p=5) under this section for expenditures for [child health assistance](/usc/42/1397jj.md?p=a) provided for a [targeted low-income child](/usc/42/1397jj.md?p=b-1) under its plan to the extent that payment has been made or can reasonably be expected to be made promptly (as determined in accordance with regulations) under any other federally operated or financed health care insurance program, other than an insurance program operated or financed by the [Indian](/usc/42/619.md?p=4-A) Health Service, as identified by the [Secretary](/usc/42/1301.md?p=a-6). For purposes of this paragraph, rules similar to the rules for overpayments under [section 1396b(d)(2) of this title](/usc/42/1396b.md?p=d-2) shall apply.
  - (7) **Limitation on payment for abortions—**
    - (A) **In general—** Payment shall not be made to a [State](/usc/42/619.md?p=5) under this section for any amount expended under the [State](/usc/42/619.md?p=5) plan to pay for any abortion or to assist in the purchase, in whole or in part, of health benefit coverage that [includes](/usc/42/1301.md?p=b) coverage of abortion.
    - (B) **Exception—** [Subparagraph (A)](#c-7-A) shall not apply to an abortion only if necessary to save the life of the mother or if the pregnancy is the result of an act of rape or incest.
    - (C) **Rule of construction—** Nothing in this section shall be construed as affecting the expenditure by a [State](/usc/42/619.md?p=5), locality, or private [person](/usc/42/1301.md?p=a-3) or entity of [State](/usc/42/619.md?p=5), local, or private funds (other than funds expended under the [State](/usc/42/619.md?p=5) plan) for any abortion or for health benefits coverage that [includes](/usc/42/1301.md?p=b) coverage of abortion.
  - (8) **Limitation on matching rate for expenditures for child health assistance provided to children whose effective family income exceeds 300 percent of the poverty line—**
    - (A) **FMAP applied to expenditures—** Except as provided in [subparagraph (B)](#c-8-B), for [fiscal years](/usc/42/619.md?p=3) beginning with [fiscal year](/usc/42/619.md?p=3) 2009, the Federal medical assistance percentage (as determined under [section 1396d(b) of this title](/usc/42/1396d.md?p=b) without regard to [clause (4)](/usc/42/1396d.md) of such section) shall be substituted for the enhanced FMAP under [subsection (a)(1)](#a-1) with respect to any expenditures for providing [child health assistance](/usc/42/1397jj.md?p=a) or health benefits coverage for a [targeted low-income child](/usc/42/1397jj.md?p=b-1) whose effective family income would exceed 300 percent of the [poverty line](/usc/42/1397jj.md?p=c-5) but for the application of a general exclusion of a block of income that is not determined by type of expense or type of income.
    - (B) **Exception—** [Subparagraph (A)](#c-8-A) shall not apply to any [State](/usc/42/619.md?p=5) that, on February 4, 2009, has an approved [State](/usc/42/619.md?p=5) plan amendment or waiver to provide, or has enacted a [State](/usc/42/619.md?p=5) law to submit a [State](/usc/42/619.md?p=5) plan amendment to provide, expenditures described in such subparagraph under the [State child health plan](/usc/42/1397jj.md?p=c-7).
  - (9) **Citizenship documentation requirements—**
    - (A) **In general—** No payment may be made under this section with respect to an individual who has, or is, declared to be a citizen or national of the [United States](/usc/42/1301.md?p=a-2) for purposes of establishing eligibility under this subchapter unless the [State](/usc/42/619.md?p=5) meets the requirements of [section 1396a(a)(46)(B) of this title](/usc/42/1396a.md?p=a-46-B) with respect to the individual.
    - (B) **Enhanced payments—** Notwithstanding [subsection (b)](#b), the enhanced FMAP with respect to payments under [subsection (a)](#a) for expenditures described in clause (i) or (ii) of [section 1396b(a)(3)(G) of this title](/usc/42/1396b.md) necessary to comply with [subparagraph (A)](#c-9-A) shall in no event be less than 90 percent and 75 percent, respectively.
  - (10) **State option to offer premium assistance—**
    - (A) **In general—** A [State](/usc/42/619.md?p=5) may elect to offer a premium assistance subsidy (as defined in [subparagraph (C)](#c-10-C)) for qualified employer-sponsored coverage (as defined in [subparagraph (B)](#c-10-B)) to all targeted low-income children who are eligible for [child health assistance](/usc/42/1397jj.md?p=a) under the plan and have access to such coverage in accordance with the requirements of this paragraph if the offering of such a subsidy is cost-effective, as defined for purposes of [paragraph (3)(A)](#c-3-A). No subsidy shall be provided to a [targeted low-income child](/usc/42/1397jj.md?p=b-1) under this paragraph unless the [child](/usc/42/1382c.md?p=c) (or the [child](/usc/42/1382c.md?p=c)’s parent) voluntarily elects to receive such a subsidy. A [State](/usc/42/619.md?p=5) may not require such an election as a condition of receipt of [child health assistance](/usc/42/1397jj.md?p=a).
    - (B) **Qualified employer-sponsored coverage—**
      - (i) **In general—** Subject to [clause (ii)](#c-10-B-ii), in this paragraph, the term “qualified employer-sponsored coverage” means a [group health plan](/usc/42/1397jj.md?p=c-3) or [health insurance coverage](/usc/42/1397jj.md?p=c-3) offered through an employer—
        - (I) that qualifies as [creditable coverage](/usc/42/1397jj.md?p=c-2) as a [group health plan](/usc/42/1397jj.md?p=c-3) under section 2701(c)(1) of the Public Health Service Act;[^3]
        - (II) for which the employer contribution toward any premium for such coverage is at least 40 percent; and
        - (III) that is offered to all individuals in a manner that would be considered a nondiscriminatory eligibility classification for purposes of paragraph (3)(A)(ii) of section 105(h) of the Internal Revenue Code of 1986 (but determined without regard to [clause (i)](#c-10-B-i) of subparagraph (B) of such paragraph).
      - (ii) **Exception—** Such term does not include coverage consisting of—
        - (I) benefits provided under a health flexible spending arrangement (as defined in section 106(c)(2) of the Internal Revenue Code of 1986); or
        - (II) a high deductible [health plan](/usc/42/1320d.md?p=5) (as defined in section 223(c)(2) of such Code), without regard to whether the plan is purchased in conjunction with a health savings account (as defined under section 223(d) of such Code).
    - (C) **Premium assistance subsidy—**
      - (i) **In general—** In this paragraph, the term “premium assistance subsidy” means, with respect to a [targeted low-income child](/usc/42/1397jj.md?p=b-1), the amount equal to the difference between the employee contribution required for enrollment only of the employee under qualified employer-sponsored coverage and the employee contribution required for enrollment of the employee and the [child](/usc/42/1382c.md?p=c) in such coverage, less any applicable premium cost-sharing applied under the [State child health plan](/usc/42/1397jj.md?p=c-7) (subject to the limitations imposed under [section 1397cc(e) of this title](/usc/42/1397cc.md?p=e), [including](/usc/42/1301.md?p=b) the requirement to count the total amount of the employee contribution required for enrollment of the employee and the [child](/usc/42/1382c.md?p=c) in such coverage toward the annual aggregate cost-sharing limit applied under [paragraph (3)(B)](/usc/42/1397cc.md?p=e-3-B) of such section).
      - (ii) **State payment option—** A [State](/usc/42/619.md?p=5) may provide a premium assistance subsidy either as reimbursement to an employee for out-of-pocket expenditures or, subject to [clause (iii)](#c-10-C-iii), directly to the employee’s employer.
      - (iii) **Employer opt-out—** An employer may notify a [State](/usc/42/619.md?p=5) that it elects to opt-out of being directly paid a premium assistance subsidy on behalf of an employee. In the event of such a notification, an employer shall withhold the total amount of the employee contribution required for enrollment of the employee and the [child](/usc/42/1382c.md?p=c) in the qualified employer-sponsored coverage and the [State](/usc/42/619.md?p=5) shall pay the premium assistance subsidy directly to the employee.
      - (iv) **Treatment as child health assistance—** Expenditures for the provision of premium assistance subsidies shall be considered [child health assistance](/usc/42/1397jj.md?p=a) described in [paragraph (1)(C)](#a-1-C) of subsection (a) for purposes of making payments under that subsection.
    - (D) **Application of secondary payor rules—** The [State](/usc/42/619.md?p=5) shall be a secondary payor for any items or services provided under the qualified employer-sponsored coverage for which the [State](/usc/42/619.md?p=5) provides [child health assistance](/usc/42/1397jj.md?p=a) under the [State child health plan](/usc/42/1397jj.md?p=c-7).
    - (E) **Requirement to provide supplemental coverage for benefits and cost-sharing protection provided under the State child health plan—**
      - (i) **In general—** Notwithstanding [section 1397jj(b)(1)(C) of this title](/usc/42/1397jj.md?p=b-1-C), the [State](/usc/42/619.md?p=5) shall provide for each [targeted low-income child](/usc/42/1397jj.md?p=b-1) enrolled in qualified employer-sponsored coverage, supplemental coverage consisting of—
        - (I) items or services that are not covered, or are only partially covered, under the qualified employer-sponsored coverage; and
        - (II) cost-sharing protection consistent with [section 1397cc(e) of this title](/usc/42/1397cc.md?p=e).
      - (ii) **Record keeping requirements—** For purposes of carrying out [clause (i)](#c-10-E-i), a [State](/usc/42/619.md?p=5) may elect to directly pay out-of-pocket expenditures for cost-sharing imposed under the qualified employer-sponsored coverage and collect or not collect all or any portion of such expenditures from the parent of the [child](/usc/42/1382c.md?p=c).
    - (F) **Application of waiting period imposed under the State—** Any waiting period imposed under the [State child health plan](/usc/42/1397jj.md?p=c-7) prior to the provision of [child health assistance](/usc/42/1397jj.md?p=a) to a [targeted low-income child](/usc/42/1397jj.md?p=b-1) under the [State](/usc/42/619.md?p=5) plan shall apply to the same extent to the provision of a premium assistance subsidy for the [child](/usc/42/1382c.md?p=c) under this paragraph.
    - (G) **Opt-out permitted for any month—** A [State](/usc/42/619.md?p=5) shall establish a process for permitting the parent of a [targeted low-income child](/usc/42/1397jj.md?p=b-1) receiving a premium assistance subsidy to disenroll the [child](/usc/42/1382c.md?p=c) from the qualified employer-sponsored coverage and enroll the [child](/usc/42/1382c.md?p=c) in, and receive [child health assistance](/usc/42/1397jj.md?p=a) under, the [State child health plan](/usc/42/1397jj.md?p=c-7), effective on the first day of any month for which the [child](/usc/42/1382c.md?p=c) is eligible for such assistance and in a manner that ensures continuity of coverage for the [child](/usc/42/1382c.md?p=c).
    - (H) **Application to parents—** If a [State](/usc/42/619.md?p=5) provides [child health assistance](/usc/42/1397jj.md?p=a) or health benefits coverage to parents of a [targeted low-income child](/usc/42/1397jj.md?p=b-1) in accordance with [section 1397kk(b) of this title](/usc/42/1397kk.md?p=b), the [State](/usc/42/619.md?p=5) may elect to offer a premium assistance subsidy to a parent of a [targeted low-income child](/usc/42/1397jj.md?p=b-1) who is eligible for such a subsidy under this paragraph in the same manner as the [State](/usc/42/619.md?p=5) offers such a subsidy for the enrollment of the [child](/usc/42/1382c.md?p=c) in qualified employer-sponsored coverage, except that—
      - (i) the amount of the premium assistance subsidy shall be increased to take into account the cost of the enrollment of the parent in the qualified employer-sponsored coverage or, at the option of the [State](/usc/42/619.md?p=5) if the [State](/usc/42/619.md?p=5) determines it cost-effective, the cost of the enrollment of the [child](/usc/42/1382c.md?p=c)’s family in such coverage; and
      - (ii) any reference in this paragraph to a [child](/usc/42/1382c.md?p=c) is deemed to include a reference to the parent or, if applicable under [clause (i)](#c-10-H-i), the family of the [child](/usc/42/1382c.md?p=c).
    - (I) **Additional State option for providing premium assistance—**
      - (i) **In general—** A [State](/usc/42/619.md?p=5) may establish an employer-family premium assistance purchasing pool for employers with less than 250 employees who have at least 1 employee who is a pregnant woman eligible for assistance under the [State child health plan](/usc/42/1397jj.md?p=c-7) ([including](/usc/42/1301.md?p=b) through the application of an option described in [section 1397ll(f)](/usc/42/1397ll.md?p=f) of this title) or a member of a family with at least 1 [targeted low-income child](/usc/42/1397jj.md?p=b-1) and to provide a premium assistance subsidy under this paragraph for enrollment in coverage made available through such pool.
      - (ii) **Access to choice of coverage—** A [State](/usc/42/619.md?p=5) that elects the option under [clause (i)](#c-10-I-i) shall identify and offer access to not less than 2 private [health plans](/usc/42/1320d.md?p=5) that are health benefits coverage that is equivalent to the benefits coverage in a benchmark benefit package described in [section 1397cc(b) of this title](/usc/42/1397cc.md?p=b) or benchmark-equivalent coverage that meets the requirements of [section 1397cc(a)(2) of this title](/usc/42/1397cc.md?p=a-2) for employees described in [clause (i)](#c-10-I-i).
      - (iii) **Clarification of payment for administrative expenditures—** Nothing in this subparagraph shall be construed as permitting payment under this section for administrative expenditures attributable to the establishment or operation of such pool, except to the extent that such payment would otherwise be permitted under this subchapter.
    - (J) **No effect on premium assistance waiver programs—** Nothing in this paragraph shall be construed as limiting the authority of a [State](/usc/42/619.md?p=5) to offer premium assistance under section [1396e](/usc/42/1396e.md) or [1396e–1](/usc/42/1396e–1.md) of this title, a waiver described in paragraph [(2)(B)](#c-2-B) or [(3)](#c-3), a waiver approved under [section 1315 of this title](/usc/42/1315.md), or other authority in effect prior to February 4, 2009.
    - (K) **Notice of availability—** If a [State](/usc/42/619.md?p=5) elects to provide premium assistance subsidies in accordance with this paragraph, the [State](/usc/42/619.md?p=5) shall—
      - (i) include on any application or enrollment form for [child health assistance](/usc/42/1397jj.md?p=a) a notice of the availability of premium assistance subsidies for the enrollment of targeted low-income children in qualified employer-sponsored coverage;
      - (ii) provide, as part of the application and enrollment process under the [State child health plan](/usc/42/1397jj.md?p=c-7), information describing the availability of such subsidies and how to elect to obtain such a subsidy; and
      - (iii) establish such other procedures as the [State](/usc/42/619.md?p=5) determines necessary to ensure that parents are fully informed of the choices for receiving [child health assistance](/usc/42/1397jj.md?p=a) under the [State child health plan](/usc/42/1397jj.md?p=c-7) or through the receipt of premium assistance subsidies.
    - (L) **Application to qualified employer-sponsored benchmark coverage—** If a [group health plan](/usc/42/1397jj.md?p=c-3) or [health insurance coverage](/usc/42/1397jj.md?p=c-3) offered through an employer is certified by an actuary as health benefits coverage that is equivalent to the benefits coverage in a benchmark benefit package described in [section 1397cc(b) of this title](/usc/42/1397cc.md?p=b) or benchmark-equivalent coverage that meets the requirements of [section 1397cc(a)(2) of this title](/usc/42/1397cc.md?p=a-2), the [State](/usc/42/619.md?p=5) may provide premium assistance subsidies for enrollment of targeted low-income children in such [group health plan](/usc/42/1397jj.md?p=c-3) or [health insurance coverage](/usc/42/1397jj.md?p=c-3) in the same manner as such subsidies are provided under this paragraph for enrollment in qualified employer-sponsored coverage, but without regard to the requirement to provide supplemental coverage for benefits and cost-sharing protection provided under the [State child health plan](/usc/42/1397jj.md?p=c-7) under [subparagraph (E)](#c-10-E).
    - (M) **Coordination with medicaid—** In the case of a [targeted low-income child](/usc/42/1397jj.md?p=b-1) who receives [child health assistance](/usc/42/1397jj.md?p=a) through a [State](/usc/42/619.md?p=5) plan under subchapter XIX and who voluntarily elects to receive a premium assistance subsidy under this section, the provisions of [section 1396e–1 of this title](/usc/42/1396e–1.md) shall apply and shall supersede any other provisions of this paragraph that are inconsistent with such section.
  - (11) **Enhanced payments—** Notwithstanding [subsection (b)](#b), the enhanced FMAP with respect to payments under [subsection (a)](#a) for expenditures related to the [administration](/usc/42/1301.md?p=a-10) of the payment error rate measurement (PERM) requirements applicable to the [State child health plan](/usc/42/1397jj.md?p=c-7) in accordance with the[^5] subchapter IV of [chapter 33](/usc/31/chstIII/ch33.md) of title 31 and parts 431 and 457 of title 42, Code of Federal Regulations (or any related or successor guidance or regulations) shall in no event be less than 90 percent.
  - (12) **Temporary enhanced payment for coverage and administration of COVID–19 vaccines—** During the period described in [section 1396d(hh)(2) of this title](/usc/42/1396d.md?p=hh-2), notwithstanding [subsection (b)](#b), the enhanced FMAP for a [State](/usc/42/619.md?p=5), with respect to payments under [subsection (a)](#a) for expenditures under the [State child health plan](/usc/42/1397jj.md?p=c-7) (or a waiver of such plan) for a vaccine described in [section 1396d(a)(4)(E) of this title](/usc/42/1396d.md) (and the [administration](/usc/42/1301.md?p=a-10) of such a vaccine), shall be equal to 100 percent.
- (d) **Maintenance of effort—**
  - (1) **In medicaid eligibility standards—** No payment may be made under [subsection (a)](#a) with respect to [child health assistance](/usc/42/1397jj.md?p=a) provided under a [State child health plan](/usc/42/1397jj.md?p=c-7) if the [State](/usc/42/619.md?p=5) adopts income and resource [standards](/usc/42/1320d.md?p=7) and methodologies for purposes of determining a [child](/usc/42/1382c.md?p=c)’s eligibility for medical assistance under the [State](/usc/42/619.md?p=5) plan under subchapter XIX that are more restrictive than those applied as of June 1, 1997, except as required under [section 1396a(e)(14) of this title](/usc/42/1396a.md?p=e-14).
  - (2) **In amounts of payment expended for certain State-funded health insurance programs for children—**
    - (A) **In general—** The amount of the allotment for a [State](/usc/42/619.md?p=5) in a [fiscal year](/usc/42/619.md?p=3) (beginning with [fiscal year](/usc/42/619.md?p=3) 1999) shall be reduced by the amount by which—
      - (i) the total of the [State](/usc/42/619.md?p=5) children’s health insurance expenditures in the preceding [fiscal year](/usc/42/619.md?p=3), is less than
      - (ii) the total of such expenditures in [fiscal year](/usc/42/619.md?p=3) 1996.
    - (B) **State children’s health insurance expenditures—** The term “[State](/usc/42/619.md?p=5) children’s health insurance expenditures” means the following:
      - (i) The [State](/usc/42/619.md?p=5) share of expenditures under this subchapter.
      - (ii) The [State](/usc/42/619.md?p=5) share of expenditures under subchapter XIX that are attributable to an enhanced FMAP under the fourth sentence of [section 1396d(b) of this title](/usc/42/1396d.md?p=b).
      - (iii) [State](/usc/42/619.md?p=5) expenditures under health benefits coverage under an existing comprehensive [State](/usc/42/619.md?p=5)-based program, described in [section 1397cc(d) of this title](/usc/42/1397cc.md?p=d).
  - (3) **Continuation of eligibility standards for children through September 30, 2029—**
    - (A) **In general—** During the period that begins on March 23, 2010, and ends on September 30, 2029, as a condition of receiving payments under [section 1396b(a) of this title](/usc/42/1396b.md?p=a), a [State](/usc/42/619.md?p=5) shall not have in effect eligibility [standards](/usc/42/1320d.md?p=7), methodologies, or procedures under its [State child health plan](/usc/42/1397jj.md?p=c-7) ([including](/usc/42/1301.md?p=b) any waiver under such plan) for children ([including](/usc/42/1301.md?p=b) children provided medical assistance for which payment is made under [section 1397ee(a)(1)(A) of this title](#a-1-A)) that are more restrictive than the eligibility [standards](/usc/42/1320d.md?p=7), methodologies, or procedures, respectively, under such plan (or waiver) as in effect on March 23, 2010. During the period that begins on October 1, 2019, and ends on September 30, 2029, the preceding sentence shall only apply with respect to children in families whose income does not exceed 300 percent of the [poverty line](/usc/42/1397jj.md?p=c-5) (as defined in [section 1397jj(c)(5) of this title](/usc/42/1397jj.md?p=c-5)) applicable to a family of the size involved. The preceding sentences shall not be construed as preventing a [State](/usc/42/619.md?p=5) during any such periods from—
      - (i) applying eligibility [standards](/usc/42/1320d.md?p=7), methodologies, or procedures for children under the [State child health plan](/usc/42/1397jj.md?p=c-7) or under any waiver of the plan that are less restrictive than the eligibility [standards](/usc/42/1320d.md?p=7), methodologies, or procedures, respectively, for children under the plan or waiver that are in effect on March 23, 2010;
      - (ii) after September 30, 2015, enrolling children eligible to be targeted low-income children under the [State child health plan](/usc/42/1397jj.md?p=c-7) in a qualified [health plan](/usc/42/1320d.md?p=5) that has been certified by the [Secretary](/usc/42/1301.md?p=a-6) under [subparagraph (C)](#d-3-C); or
      - (iii) imposing a limitation described in [section 1397ll(b)(7)](/usc/42/1397ll.md?p=b-7) of this title for a [fiscal year](/usc/42/619.md?p=3) in order to limit expenditures under the [State child health plan](/usc/42/1397jj.md?p=c-7) to those for which Federal financial participation is available under this section for the [fiscal year](/usc/42/619.md?p=3).
    - (B) **Assurance of exchange coverage for targeted low-income children unable to be provided child health assistance as a result of funding shortfalls—** In the event that allotments provided under [section 1397dd of this title](/usc/42/1397dd.md) are insufficient to provide coverage to all children who are eligible to be targeted low-income children under the [State child health plan](/usc/42/1397jj.md?p=c-7) under this subchapter, a [State](/usc/42/619.md?p=5) shall establish procedures to ensure that such children are screened for eligibility for medical assistance under the [State](/usc/42/619.md?p=5) plan under subchapter XIX or a waiver of that plan and, if found eligible, enrolled in such plan or a waiver. In the case of such children who, as a result of such screening, are determined to not be eligible for medical assistance under the [State](/usc/42/619.md?p=5) plan or a waiver under subchapter XIX, the [State](/usc/42/619.md?p=5) shall establish procedures to ensure that the children are enrolled in a qualified [health plan](/usc/42/1320d.md?p=5) that has been certified by the [Secretary](/usc/42/1301.md?p=a-6) under [subparagraph (C)](#d-3-C) and is offered through an Exchange established by the [State](/usc/42/619.md?p=5) under [section 18031 of this title](/usc/42/18031.md). For purposes of eligibility for premium assistance for the purchase of a qualified [health plan](/usc/42/1320d.md?p=5) under section 36B of the Internal Revenue Code of 1986 and reduced cost-sharing under [section 18071 of this title](/usc/42/18071.md), children described in the preceding sentence shall be deemed to be ineligible for coverage under the [State child health plan](/usc/42/1397jj.md?p=c-7).
    - (C) **Certification of comparability of pediatric coverage offered by qualified health plans—** With respect to each [State](/usc/42/619.md?p=5), the [Secretary](/usc/42/1301.md?p=a-6), not later than April 1, 2015, shall review the benefits offered for children and the cost-sharing imposed with respect to such benefits by qualified [health plans](/usc/42/1320d.md?p=5) offered through an Exchange established by the [State](/usc/42/619.md?p=5) under [section 18031 of this title](/usc/42/18031.md) and shall certify those plans that offer benefits for children and impose cost-sharing with respect to such benefits that the [Secretary](/usc/42/1301.md?p=a-6) determines are at least comparable to the benefits offered and cost-sharing protections provided under the [State child health plan](/usc/42/1397jj.md?p=c-7).
- (e) **Advance payment; retrospective adjustment—** The [Secretary](/usc/42/1301.md?p=a-6) may make payments under this section for each quarter on the basis of advance estimates of expenditures submitted by the [State](/usc/42/619.md?p=5) and such other investigation as the [Secretary](/usc/42/1301.md?p=a-6) may find necessary, and may reduce or increase the payments as necessary to adjust for any overpayment or underpayment for prior quarters.
- (f) **Flexibility in submittal of claims—** Nothing in this section or subsections (e) and (f) of [section 1397dd of this title](/usc/42/1397dd.md) shall be construed as preventing a [State](/usc/42/619.md?p=5) from claiming as expenditures in the quarter expenditures that were incurred in a previous quarter.
- (g) **Authority for qualifying States to use certain funds for medicaid expenditures—**
  - (1) **State option—**
    - (A) **In general—** Notwithstanding any other provision of law, subject to [paragraph (4)](#g-4), a qualifying [State](/usc/42/619.md?p=5) (as defined in [paragraph (2)](#g-2)) may elect to use not more than 20 percent of any allotment under [section 1397dd of this title](/usc/42/1397dd.md) for [fiscal year](/usc/42/619.md?p=3) 1998, 1999, 2000, 2001, 2004, 2005, 2006, 2007, or 2008 (insofar as it is available under subsections [(e)](/usc/42/1397dd.md?p=e) and [(g)](/usc/42/1397dd.md?p=g) of such section) for payments under subchapter XIX in accordance with [subparagraph (B)](#g-1-B), instead of for expenditures under this subchapter.
    - (B) **Payments to States—**
      - (i) **In general—** In the case of a qualifying [State](/usc/42/619.md?p=5) that has elected the option described in [subparagraph (A)](#g-1-A), subject to the availability of funds under such subparagraph with respect to the [State](/usc/42/619.md?p=5), the [Secretary](/usc/42/1301.md?p=a-6) shall pay the [State](/usc/42/619.md?p=5) an amount each quarter equal to the additional amount that would have been paid to the [State](/usc/42/619.md?p=5) under subchapter XIX with respect to expenditures described in [clause (ii)](#g-1-B-ii) if the enhanced FMAP (as determined under [subsection (b)](#b)) had been substituted for the Federal medical assistance percentage (as defined in [section 1396d(b) of this title](/usc/42/1396d.md?p=b)).
      - (ii) **Expenditures described—** For purposes of this subparagraph, the expenditures described in this clause are expenditures, made after August 15, 2003, and during the period in which funds are available to the qualifying [State](/usc/42/619.md?p=5) for use under [subparagraph (A)](#g-1-A), for medical assistance under subchapter XIX to individuals who have not attained age 19 and whose family income exceeds 150 percent of the [poverty line](/usc/42/1397jj.md?p=c-5).
      - (iii) **No impact on determination of budget neutrality for waivers—** In the case of a qualifying [State](/usc/42/619.md?p=5) that uses amounts paid under this subsection for expenditures described in [clause (ii)](#g-1-B-ii) that are incurred under a waiver approved for the [State](/usc/42/619.md?p=5), any budget neutrality determinations with respect to such waiver shall be determined without regard to such amounts paid.
  - (2) **Qualifying State—** In this subsection, the term “qualifying [State](/usc/42/619.md?p=5)” means a [State](/usc/42/619.md?p=5) that, on and after April 15, 1997, has an income eligibility [standard](/usc/42/1320d.md?p=7) that is at least 184 percent of the [poverty line](/usc/42/1397jj.md?p=c-5) with respect to any 1 or more categories of children (other than infants) who are eligible for medical assistance under [section 1396a(a)(10)(A) of this title](/usc/42/1396a.md?p=a-10-A) or, in the case of a [State](/usc/42/619.md?p=5) that has a statewide waiver in effect under [section 1315 of this title](/usc/42/1315.md) with respect to subchapter XIX that was first implemented on August 1, 1994, or July 1, 1995, has an income eligibility [standard](/usc/42/1320d.md?p=7) under such waiver for children that is at least 185 percent of the [poverty line](/usc/42/1397jj.md?p=c-5), or, in the case of a [State](/usc/42/619.md?p=5) that has a statewide waiver in effect under [section 1315 of this title](/usc/42/1315.md) with respect to subchapter XIX that was first implemented on January 1, 1994, has an income eligibility [standard](/usc/42/1320d.md?p=7) under such waiver for children who lack health insurance that is at least 185 percent of the [poverty line](/usc/42/1397jj.md?p=c-5), or, in the case of a [State](/usc/42/619.md?p=5) that had a statewide waiver in effect under [section 1315 of this title](/usc/42/1315.md) with respect to subchapter XIX that was first implemented on October 1, 1993, had an income eligibility [standard](/usc/42/1320d.md?p=7) under such waiver for children that was at least 185 percent of the [poverty line](/usc/42/1397jj.md?p=c-5) and on and after July 1, 1998, has an income eligibility [standard](/usc/42/1320d.md?p=7) for children under [section 1396a(a)(10)(A) of this title](/usc/42/1396a.md?p=a-10-A) or a statewide waiver in effect under [section 1315 of this title](/usc/42/1315.md) with respect to subchapter XIX that is at least 185 percent of the [poverty line](/usc/42/1397jj.md?p=c-5).
  - (3) **Construction—** Nothing in paragraphs [(1)](#g-1) and [(2)](#g-2) shall be construed as modifying the requirements applicable to [States](/usc/42/619.md?p=5) implementing [State child health plans](/usc/42/1397jj.md?p=c-7) under this subchapter.
  - (4) **Option for allotments for fiscal years 2009 through 2029—**
    - (A) **Payment of enhanced portion of matching rate for certain expenditures—** In the case of expenditures described in [subparagraph (B)](#g-4-B), a qualifying [State](/usc/42/619.md?p=5) (as defined in [paragraph (2)](#g-2)) may elect to be paid from the [State](/usc/42/619.md?p=5)’s allotment made under [section 1397dd of this title](/usc/42/1397dd.md) for any of [fiscal years](/usc/42/619.md?p=3) 2009 through 2029 (insofar as the allotment is available to the [State](/usc/42/619.md?p=5) under subsections [(e)](/usc/42/1397dd.md?p=e) and [(m)](/usc/42/1397dd.md?p=m) of such section) an amount each quarter equal to the additional amount that would have been paid to the [State](/usc/42/619.md?p=5) under subchapter XIX with respect to such expenditures if the enhanced FMAP (as determined under [subsection (b)](#b)) had been substituted for the Federal medical assistance percentage (as defined in [section 1396d(b) of this title](/usc/42/1396d.md?p=b)).
    - (B) **Expenditures described—** For purposes of [subparagraph (A)](#g-4-A), the expenditures described in this subparagraph are expenditures made after February 4, 2009, and during the period in which funds are available to the qualifying [State](/usc/42/619.md?p=5) for use under [subparagraph (A)](#g-4-A), for the provision of medical assistance to individuals residing in the [State](/usc/42/619.md?p=5) who are eligible for medical assistance under the [State](/usc/42/619.md?p=5) plan under subchapter XIX or under a waiver of such plan and who have not attained age 19 (or, if a [State](/usc/42/619.md?p=5) has so elected under the [State](/usc/42/619.md?p=5) plan under subchapter XIX, age 20 or 21), and whose family income equals or exceeds 133 percent of the [poverty line](/usc/42/1397jj.md?p=c-5) but does not exceed the [Medicaid applicable income level](/usc/42/1397jj.md?p=b-4).
- (h) **Rural health transformation program—**
  - (1) **Appropriation—**
    - (A) **In general—** There are appropriated, out of any money in the Treasury not otherwise appropriated, to the [Administrator](/usc/42/4005.md?p=1) of the Centers for Medicare & Medicaid Services (in this subsection referred to as the “[Administrator](/usc/42/4005.md?p=1)”), to provide allotments to [States](/usc/42/619.md?p=5) for purposes of carrying out the activities described in [paragraph (6)](#h-6)—
      - (i) $10,000,000,000 for [fiscal year](/usc/42/619.md?p=3) 2026;
      - (ii) $10,000,000,000 for [fiscal year](/usc/42/619.md?p=3) 2027;
      - (iii) $10,000,000,000 for [fiscal year](/usc/42/619.md?p=3) 2028;
      - (iv) $10,000,000,000 for [fiscal year](/usc/42/619.md?p=3) 2029; and
      - (v) $10,000,000,000 for [fiscal year](/usc/42/619.md?p=3) 2030.
    - (B) **Unexpended or unobligated funds—**
      - (i) **In general—** Any amounts appropriated under [subparagraph (A)](#h-1-A) that are unexpended or unobligated as of October 1, 2032, shall be returned to the Treasury of the [United States](/usc/42/1301.md?p=a-2).
      - (ii) **Redistribution of unexpended or unobligated funds—** In carrying out [subparagraph (A)](#h-1-A), the [Administrator](/usc/42/4005.md?p=1) shall, not later than March 31, 2028, and annually thereafter through March 31, 2032, determine the amount of funds, if any, that are available under such subparagraph for a previous [fiscal year](/usc/42/619.md?p=3), are unexpended or unobligated with respect to such [fiscal year](/usc/42/619.md?p=3), and will not be available to a [State](/usc/42/619.md?p=5) in the current [fiscal year](/usc/42/619.md?p=3), pursuant to [clause (iii)](#h-1-B-iii).
      - (iii) **Availability of funds—**
        - (I) **In general—** Amounts allotted to a [State](/usc/42/619.md?p=5) under this subsection for a year shall be available for expenditure by the [State](/usc/42/619.md?p=5) through the end of the [fiscal year](/usc/42/619.md?p=3) following the [fiscal year](/usc/42/619.md?p=3) in which such amounts are allotted.
        - (II) **Availability of amounts redistributed—** Amounts redistributed to a [State](/usc/42/619.md?p=5) under [clause (ii)](#h-1-B-ii) with respect to a [fiscal year](/usc/42/619.md?p=3) shall be available for expenditure by the [State](/usc/42/619.md?p=5) through the end of the [fiscal year](/usc/42/619.md?p=3) following the [fiscal year](/usc/42/619.md?p=3) in which such amounts are redistributed (except in the case of amounts redistributed in [fiscal year](/usc/42/619.md?p=3) 2032 which shall only be available for expenditure through September 30, 2032).
      - (iv) **Misuse of funds—** If the [Administrator](/usc/42/4005.md?p=1) determines that a [State](/usc/42/619.md?p=5) is not using amounts allotted or redistributed to the [State](/usc/42/619.md?p=5) under this subsection in a manner consistent with the description provided by the [State](/usc/42/619.md?p=5) in its application approved under [paragraph (2)](#h-2), the [Administrator](/usc/42/4005.md?p=1) may withhold payments to, or reduce payments to, or recover previous payments from, the [State](/usc/42/619.md?p=5) under this subsection as the [Administrator](/usc/42/4005.md?p=1) deems appropriate, and any amounts so withheld, or that remain after any such reduction, or so recovered, shall be returned to the Treasury of the [United States](/usc/42/1301.md?p=a-2).
  - (2) **Application—**
    - (A) **In general—** To be eligible for an allotment under this subsection, a [State](/usc/42/619.md?p=5) shall submit to the [Administrator](/usc/42/4005.md?p=1) during an application submission period to be specified by the [Administrator](/usc/42/4005.md?p=1) (but that ends not later than December 31, 2025) an application in such form and manner as the [Administrator](/usc/42/4005.md?p=1) may specify, that [includes](/usc/42/1301.md?p=b)—
      - (i) a detailed rural health transformation plan—
        - (I) to improve access to [hospitals](/usc/42/300s–3.md?p=1), other [health care providers](/usc/42/1320d.md?p=3), and health care items and services furnished to rural residents of the [State](/usc/42/619.md?p=5);
        - (II) to improve health care outcomes of rural residents of the [State](/usc/42/619.md?p=5);
        - (III) to prioritize the use of new and emerging technologies that emphasize prevention and chronic disease management;
        - (IV) to initiate, foster, and strengthen local and regional strategic partnerships between rural [hospitals](/usc/42/300s–3.md?p=1) and other [health care providers](/usc/42/1320d.md?p=3) in order to promote measurable quality improvement, increase financial stability, maximize economies of scale, and share best [practices](/usc/42/17061.md?p=19) in care delivery;
        - (V) to enhance economic opportunity for, and the supply of, health care clinicians through enhanced recruitment and training;
        - (VI) to prioritize data and technology driven solutions that help rural [hospitals](/usc/42/300s–3.md?p=1) and other rural [health care providers](/usc/42/1320d.md?p=3) furnish high-quality health care services as close to a patient’s home as is possible;
        - (VII) that outlines strategies to manage long-term financial solvency and operating models of rural [hospitals](/usc/42/300s–3.md?p=1) in the [State](/usc/42/619.md?p=5); and
        - (VIII) that identifies specific causes driving the accelerating rate of stand-alone rural [hospitals](/usc/42/300s–3.md?p=1) becoming at risk of closure, conversion, or service reduction;
      - (ii) a certification that none of the amounts provided under this subsection shall be used by the [State](/usc/42/619.md?p=5) for an expenditure that is attributable to an intergovernmental transfer, certified public expenditure, or any other expenditure to finance the non-Federal share of expenditures required under any provision of law, [including](/usc/42/1301.md?p=b) under the [State](/usc/42/619.md?p=5) plan established under this subchapter, the [State](/usc/42/619.md?p=5) plan established under subchapter XIX, or under a waiver of such plans; and
      - (iii) such other information as the [Administrator](/usc/42/4005.md?p=1) may require.
    - (B) **Deadline for approval—** Not later than December 31, 2025, the [Administrator](/usc/42/4005.md?p=1) shall approve or deny all applications submitted for an allotment under this subsection.
    - (C) **One-time application—** If an application of a [State](/usc/42/619.md?p=5) for an allotment under this subsection is approved by the [Administrator](/usc/42/4005.md?p=1), the [State](/usc/42/619.md?p=5) shall be eligible for an allotment under this subsection for each of [fiscal years](/usc/42/619.md?p=3) 2026 through 2030, except as provided in [paragraph (1)(B)(iv)](#h-1-B-iv).
    - (D) **Eligibility—** Only the 50 [States](/usc/42/619.md?p=5) shall be eligible for an allotment under this subsection and all references in this subsection to a [State](/usc/42/619.md?p=5) shall be treated as only referring to the 50 [States](/usc/42/619.md?p=5).
  - (3) **Allotments—**
    - (A) **In general—** For each of [fiscal years](/usc/42/619.md?p=3) 2026 through 2030, the [Administrator](/usc/42/4005.md?p=1) shall determine under [subparagraph (B)](#h-3-B) the amount of the allotment for such [fiscal year](/usc/42/619.md?p=3) for each [State](/usc/42/619.md?p=5) with an approved application under this subsection.
    - (B) **Amount determined—** Subject to [subparagraph (C)](#h-3-C), from the amounts appropriated under [paragraph (1)(A)](#h-1-A) for each of [fiscal years](/usc/42/619.md?p=3) 2026 through 2030, the [Administrator](/usc/42/4005.md?p=1) shall allot—
      - (i) 50 percent of the amounts appropriated for each such [fiscal year](/usc/42/619.md?p=3) equally among all [States](/usc/42/619.md?p=5) with an approved application under this subsection; and
      - (ii) 50 percent of the amounts appropriated for each such [fiscal year](/usc/42/619.md?p=3) among all such [States](/usc/42/619.md?p=5) in an amount to be determined by the [Administrator](/usc/42/4005.md?p=1) in accordance with [subparagraph (C)](#h-3-C).
    - (C) **Requirements—** In determining the amount to be allotted to a [State](/usc/42/619.md?p=5) under [clause (ii)](#h-3-B-ii) of subparagraph (B) for a [fiscal year](/usc/42/619.md?p=3), the [Administrator](/usc/42/4005.md?p=1) shall—
      - (i) ensure that not less than ¼ of the [States](/usc/42/619.md?p=5) with an approved application under this subsection for a [fiscal year](/usc/42/619.md?p=3) are allotted funds from amounts that are to be allotted under [clause (ii)](#h-3-C-ii) of such subparagraph; and
      - (ii) consider—
        - (I) the percentage of the [State](/usc/42/619.md?p=5) population that is located in a rural census tract of a metropolitan statistical area (as determined under the most recent modification of the Goldsmith Modification, originally published in the Federal Register on February 27, 1992 (57 Fed. Reg. 6725));
        - (II) the proportion of rural health [facilities](/usc/42/1320a–3.md?p=c-5-B) (as defined in [subparagraph (D)](#h-3-D)) in the [State](/usc/42/619.md?p=5) relative to the number of rural health [facilities](/usc/42/1320a–3.md?p=c-5-B) nationwide;
        - (III) the situation of [hospitals](/usc/42/300s–3.md?p=1) in the [State](/usc/42/619.md?p=5), as described in [section 1396a(a)(13)(A)(iv) of this title](/usc/42/1396a.md?p=a-13-A-iv); and
        - (IV) any other factors that the [Administrator](/usc/42/4005.md?p=1) determines appropriate.
    - (D) **Rural health facility defined—** For the purposes of [subparagraph (C)(ii)](#h-3-C-ii), the term “rural health [facility](/usc/42/1320a–3.md?p=c-5-B)” means the following:
      - (i) A [subsection (d)](#d) [hospital](/usc/42/300s–3.md?p=1) (as defined in paragraph (1)(B) of [section 1395ww(d) of this title](/usc/42/1395ww.md?p=d)) that—
        - (I) is located in a rural area (as defined in paragraph (2)(D) of such section[^6]);
        - (II) is treated as being located in a rural area pursuant to paragraph (8)(E) of such section[^6]; or
        - (III) is located in a rural census tract of a metropolitan statistical area (as determined under the most recent modification of the Goldsmith Modification, originally published in the Federal Register on February 27, 1992 (57 Fed. Reg. 6725)).
      - (ii) A critical access [hospital](/usc/42/300s–3.md?p=1) (as defined in [section 1395x(mm)(1) of this title](/usc/42/1395x.md?p=mm-1)).
      - (iii) A sole community [hospital](/usc/42/300s–3.md?p=1) (as defined in [section 1395ww(d)(5)(D)(iii) of this title](/usc/42/1395ww.md?p=d-5-D-iii)).
      - (iv) A Medicare-dependent, small rural [hospital](/usc/42/300s–3.md?p=1) (as defined in [section 1395ww(d)(5)(G)(iv) of this title](/usc/42/1395ww.md?p=d-5-G-iv)).
      - (v) A low-volume [hospital](/usc/42/300s–3.md?p=1) (as defined in [section 1395ww(d)(12)(C) of this title](/usc/42/1395ww.md?p=d-12-C)).
      - (vi) A rural emergency [hospital](/usc/42/300s–3.md?p=1) (as defined in [section 1395x(kkk)(2) of this title](/usc/42/1395x.md?p=kkk-2)).
      - (vii) A rural health clinic (as defined in [section 1395x(aa)(2) of this title](/usc/42/1395x.md?p=aa-2)).
      - (viii) A Federally qualified health center (as defined in [section 1395x(aa)(4) of this title](/usc/42/1395x.md?p=aa-4)).
      - (ix) A community mental health center (as defined in [section 1395x(ff)(3)(B) of this title](/usc/42/1395x.md?p=ff-3-B)).
      - (x) A health center that is receiving a [grant](/usc/42/1397j.md?p=10) under [section 254b of this title](/usc/42/254b.md).
      - (xi) An opioid [treatment](/usc/42/11851.md?p=11) program (as defined in [section 1395x(jjj)(2) of this title](/usc/42/1395x.md?p=jjj-2)) that is located in a rural census tract of a metropolitan statistical area (as determined under the most recent modification of the Goldsmith Modification, originally published in the Federal Register on February 27, 1992 (57 Fed. Reg. 6725)).
      - (xii) A certified community behavioral health clinic (as defined in [section 1396d(jj)(2) of this title](/usc/42/1396d.md?p=jj-2)) that is located in a rural census tract of a metropolitan statistical area (as determined under the most recent modification of the Goldsmith Modification, originally published in the Federal Register on February 27, 1992 (57 Fed. Reg. 6725)).
  - (4) **No matching payment—** A [State](/usc/42/619.md?p=5) approved for an allotment under this subsection for a [fiscal year](/usc/42/619.md?p=3) shall not be required to provide any matching funds as a condition for receiving payments from the allotment.
  - (5) **Terms and conditions—** The [Administrator](/usc/42/4005.md?p=1) shall specify such terms and conditions for allotments to [States](/usc/42/619.md?p=5) provided under this subsection as the [Administrator](/usc/42/4005.md?p=1) deems appropriate, [including](/usc/42/1301.md?p=b) the following:
    - (A) Each [State](/usc/42/619.md?p=5) shall submit to the [Administrator](/usc/42/4005.md?p=1) (at a time, and in a form and manner, specified by the [Administrator](/usc/42/4005.md?p=1))—
      - (i) a plan for the [State](/usc/42/619.md?p=5) to use its allotment to carry out 3 or more of the activities described in [paragraph (6)](#h-6); and
      - (ii) annual reports on the use of allotments, [including](/usc/42/1301.md?p=b) such additional information as the [Administrator](/usc/42/4005.md?p=1) determines appropriate.
    - (B) Not more than 10 percent of the amount allotted to a [State](/usc/42/619.md?p=5) for a [fiscal year](/usc/42/619.md?p=3) may be used by the [State](/usc/42/619.md?p=5) for administrative expenses.
  - (6) **Use of funds—** Amounts allotted to a [State](/usc/42/619.md?p=5) under this subsection shall be used for 3 or more of the following health-related activities:
    - (A) Promoting evidence-based, measurable [interventions](/usc/42/1397n–12.md?p=2) to improve prevention and chronic disease management.
    - (B) Providing payments to [health care providers](/usc/42/1320d.md?p=3) for the provision of health care items or services, as specified by the [Administrator](/usc/42/4005.md?p=1).
    - (C) Promoting consumer-facing, technology-driven solutions for the prevention and management of chronic diseases.
    - (D) Providing training and technical assistance for the development and adoption of technology-enabled solutions that improve care delivery in rural [hospitals](/usc/42/300s–3.md?p=1), [including](/usc/42/1301.md?p=b) remote monitoring, robotics, artificial intelligence, and other advanced technologies.
    - (E) Recruiting and retaining clinical workforce talent to rural areas, with commitments to serve rural communities for a minimum of 5 years.
    - (F) Providing technical assistance, software, and hardware for significant information technology advances designed to improve efficiency, enhance cybersecurity capability development, and improve patient health outcomes.
    - (G) Assisting rural communities to right size their health care delivery systems by identifying needed preventative, ambulatory, pre-[hospital](/usc/42/300s–3.md?p=1), emergency, acute inpatient care, outpatient care, and post-acute care service lines.
    - (H) Supporting access to opioid use disorder [treatment](/usc/42/11851.md?p=11) services (as defined in [section 1395x(jjj)(1) of this title](/usc/42/1395x.md?p=jjj-1)), other substance use disorder [treatment](/usc/42/11851.md?p=11) services, and mental health services.
    - (I) Developing [projects](/usc/42/13641.md?p=2) that support innovative models of care that include value-based care arrangements and alternative payment models, as appropriate.
    - (J) Additional uses designed to promote sustainable access to high quality rural health care services, as determined by the [Administrator](/usc/42/4005.md?p=1).
  - (7) **Exemptions—** Paragraphs [(2)](#c-2), [(3)](#c-3), [(5)](#c-5), [(6)](#c-6), [(8)](#c-8), [(10)](#c-10), [(11)](#c-11), and [(12)](#c-12) of subsection (c) do not apply to payments under this subsection.
  - (8) **Review—** There shall be no administrative or judicial review under [section 1316 of this title](/usc/42/1316.md) or otherwise of amounts allotted or redistributed to [States](/usc/42/619.md?p=5) under this subsection, payments to [States](/usc/42/619.md?p=5) withheld or reduced under this subsection, or previous payments recovered from [States](/usc/42/619.md?p=5) under this subsection.
  - (9) **Health care provider defined—** For purposes of this subsection, the term “[health care provider](/usc/42/1320d.md?p=3)” means a provider of services or supplier who is enrolled under this subchapter, subchapter XVIII, or subchapter XIX.

## Footnotes

[^1]: So in original. This section does not contain a subsec. (m).
[^2]: So in original. Subsec. (a) of this section does not contain a par. (16).
[^3]: See References in Text note below.
[^4]: So in original. Probably means subpar. (B) of par. (10).
[^5]: So in original. The word “the” probably should not appear.
[^6]: So in original. Probably should be “subsection”.

## Source credit

(Aug. 14, 1935, ch. 531, title XXI, § 2105, as added Pub. L. 105–33, title IV, § 4901(a), Aug. 5, 1997, 111 Stat. 560; amended Pub. L. 105–100, title I, § 162(5), (7), Nov. 19, 1997, 111 Stat. 2189, 2190; Pub. L. 106–113, div. B, § 1000(a)(6) [title VII, § 705(b)], Nov. 29, 1999, 113 Stat. 1536, 1501A–402; Pub. L. 106–554, § 1(a)(6) [title VIII, § 802(a), (d)(4), (e)], Dec. 21, 2000, 114 Stat. 2763, 2763A–580 to 2763A–582; Pub. L. 108–74, § 1(b), Aug. 15, 2003, 117 Stat. 895; Pub. L. 108–127, § 1, Nov. 17, 2003, 117 Stat. 1354; Pub. L. 109–171, title VI, §§ 6102(b), 6103(a), Feb. 8, 2006, 120 Stat. 131, 132; Pub. L. 109–482, title II, § 201(b), Jan. 15, 2007, 120 Stat. 3701; Pub. L. 110–92, § 136(d), Sept. 29, 2007, 121 Stat. 995; Pub. L. 110–173, title II, § 201(b)(1), Dec. 29, 2007, 121 Stat. 2509; Pub. L. 111–3, title I, §§ 104, 107(a), 113(a), 114(a), title II, §§ 201(b)(1), 202(b), 211(c), title III, §§ 301(a)(1), (2)(A), 302(b), title VI, § 601(a), Feb. 4, 2009, 123 Stat. 17, 24, 34, 39, 40, 54, 57, 61, 63, 96; Pub. L. 111–148, title II, §§ 2101(a)–(c), 2102(a)(3)–(5), title X, §§ 10201(g), 10203(b)(3), (4), (c), (d)(2)(C), Mar. 23, 2010, 124 Stat. 286–288, 922, 927, 928, 930; Pub. L. 114–10, title III, § 301(c), Apr. 16, 2015, 129 Stat. 158; Pub. L. 115–120, div. C, §§ 3002(d)(1), (f)(1), 3005, Jan. 22, 2018, 132 Stat. 34, 37; Pub. L. 115–123, div. E, title I, § 50101(d), (f)(1), Feb. 9, 2018, 132 Stat. 174; Pub. L. 116–117, § 3(b)(3), Mar. 2, 2020, 134 Stat. 134; Pub. L. 117–2, title IX, § 9821(b), Mar. 11, 2021, 135 Stat. 219; Pub. L. 117–328, div. FF, title V, § 5111(c)(2), (3), Dec. 29, 2022, 136 Stat. 5939; Pub. L. 119–21, title VII, § 71401(a), (b)(2), July 4, 2025, 139 Stat. 327, 332.)

## Notes

### Editorial Notes

### References in Text

Sections 108 and 115 of the Children’s Health Insurance Program Reauthorization Act of 2009, referred to in subsec. (a)(3)(E)(ii)(I)(bb), (H), are sections 108 and 115, respectively, of title I of Pub. L. 111–3, Feb. 4, 2009, 123 Stat. 25, 35. Section 108 is not classified to the Code. Section 115 is set out as a note under section 1396d of this title.

Section 1396a(e)(12) of this title, referred to in subsec. (a)(4)(A), was repealed, and a new section 1396a(e)(12) was added, by Pub. L. 117–328, div. FF, title V, § 5112(a), Dec. 29, 2022, 136 Stat. 5940.

Section 2701 of the Public Health Service Act, referred to in subsec. (c)(10)(B)(i)(I), is section 2701 of act July 1, 1944, which was classified to section 300gg of this title, was renumbered section 2704, effective for plan years beginning on or after Jan. 1, 2014, with certain exceptions, and amended, by Pub. L. 111–148, title I, §§ 1201(2), 1563(c)(1), formerly § 1562(c)(1), title X, § 10107(b)(1), Mar. 23, 2010, 124 Stat. 154, 264, 911, and was transferred to section 300gg–3 of this title. A new section 2701 of act July 1, 1944, related to fair health insurance premiums, was added, effective for plan years beginning on or after Jan. 1, 2014, and amended, by Pub. L. 111–148, title I, § 1201(4), title X, § 10103(a), Mar. 23, 2010, 124 Stat. 155, 892, and is classified to section 300gg of this title.

The Internal Revenue Code of 1986, referred to in subsecs. (c)(10)(B)(i)(III), (ii) and (d)(3)(B), is classified generally to Title 26, Internal Revenue Code.

### Amendments

2025—Subsec. (c)(1). Pub. L. 119–21, § 71401(b)(2), substituted “or to carry out the rural health transformation program established in subsection (h) and, except in the case of amounts made available under subsection (h), may not include” for “and may not include”.

Subsec. (h). Pub. L. 119–21, § 71401(a), added subsec. (h).

2022—Subsec. (d)(3). Pub. L. 117–328, § 5111(c)(2)(A), substituted “through September 30, 2029” for “through September 30, 2027” in heading.

Subsec. (d)(3)(A). Pub. L. 117–328, § 5111(c)(2)(B), substituted “September 30, 2029” for “September 30, 2027” in two places in introductory provisions.

Subsec. (g)(4). Pub. L. 117–328, § 5111(c)(3)(A), substituted “through 2029” for “through 2027” in heading.

Subsec. (g)(4)(A). Pub. L. 117–328, § 5111(c)(3)(B), substituted “through 2029” for “through 2027”.

2021—Subsec. (c)(12). Pub. L. 117–2 added par. (12).

2020—Subsec. (c)(2)(C)(iv), (11). Pub. L. 116–117 substituted “subchapter IV of chapter 33 of title 31” for “Improper Payments Information Act of 2002”.

2018—Subsec. (b). Pub. L. 115–120, § 3005, inserted “and during the period that begins on October 1, 2019, and ends on September 30, 2020, the enhanced FMAP determined for a State for a fiscal year (or for any portion of a fiscal year occurring during such period) shall be increased by 11.5 percentage points” after “23 percentage points,”.

Subsec. (d)(3). Pub. L. 115–123, § 50101(f)(1)(A), substituted “through September 30, 2027” for “through September 30, 2023” in heading.

Pub. L. 115–120, § 3002(f)(1)(A), substituted “through September 30, 2023” for “until October 1, 2019” in heading.

Subsec. (d)(3)(A). Pub. L. 115–123, § 50101(f)(1)(B), substituted “2027” for “2023” in two places in introductory provisions.

Pub. L. 115–120, § 3002(f)(1)(B), in introductory provisions, substituted “2023, as” for “2019, as” and “During the period that begins on October 1, 2019, and ends on September 30, 2023, the preceding sentence shall only apply with respect to children in families whose income does not exceed 300 percent of the poverty line (as defined in section 1397jj(c)(5) of this title) applicable to a family of the size involved. The preceding sentences shall not be construed as preventing a State during any such periods” for “The preceding sentence shall not be construed as preventing a State during such period”.

Subsec. (g)(4). Pub. L. 115–123, § 50101(d)(1), substituted “through 2027” for “through 2023” in heading.

Pub. L. 115–120, § 3002(d)(1)(A), substituted “through 2023” for “through 2017” in heading.

Subsec. (g)(4)(A). Pub. L. 115–123, § 50101(d)(2), substituted “2027” for “2023”.

Pub. L. 115–120, § 3002(d)(1)(B), substituted “2023” for “2017”.

2015—Subsec. (g)(4). Pub. L. 114–10, § 301(c)(1), substituted “2017” for “2015” in heading.

Subsec. (g)(4)(A). Pub. L. 114–10, § 301(c)(2), substituted “2017” for “2015”.

2010—Subsec. (a)(3)(C)(i)(I), (II). Pub. L. 111–148, § 2102(a)(3), struck out “, respectively” before semicolon.

Subsec. (a)(3)(E)(ii)(IV). Pub. L. 111–148, § 2102(a)(4), struck out subcl. (IV). Text read as follows: “As of October 1, 2011, any amounts set aside under section 1397kk(a)(3) of this title that are not expended by September 30, 2011.”

Subsec. (a)(3)(F)(iii). Pub. L. 111–148, § 2101(c), inserted “or any children enrolled on or after October 1, 2013” before period at end.

Subsec. (b). Pub. L. 111–148, § 10203(c)(1), substituted “2015” for “2013”.

Pub. L. 111–148, § 2101(a), inserted at end “Notwithstanding the preceding sentence, during the period that begins on October 1, 2013, and ends on September 30, 2019, the enhanced FMAP determined for a State for a fiscal year (or for any portion of a fiscal year occurring during such period) shall be increased by 23 percentage points, but in no case shall exceed 100 percent. The increase in the enhanced FMAP under the preceding sentence shall not apply with respect to determining the payment to a State under subsection (a)(1) for expenditures described in subparagraph (D)(iv), paragraphs (8), (9), (11) of subsection (c), or clause (4) of the first sentence of section 1396d(b) of this title.”

Subsec. (c)(3)(A). Pub. L. 111–148, § 10203(b)(4)(A), inserted dash after “relative to” in introductory provisions.

Subsec. (c)(3)(A)(ii). Pub. L. 111–148, § 10203(b)(4), substituted semicolon for period before “and” at end.

Subsec. (c)(9)(B). Pub. L. 111–148, § 2102(a)(5), substituted “section 1396b(a)(3)(G)” for “section 1396b(a)(3)(F)”.

Subsec. (c)(10)(A). Pub. L. 111–148, § 10203(b)(3)(A), inserted “if the offering of such a subsidy is cost-effective, as defined for purposes of paragraph (3)(A)” before period at end of first sentence.

Subsec. (c)(10)(M), (N). Pub. L. 111–148, § 10203(b)(3)(B), (C), redesignated subpar. (N) as (M) and struck out former subpar. (M). Prior to amendment, text read as follows: “Premium assistance subsidies for qualified employer-sponsored coverage offered under this paragraph shall be deemed to meet the requirement of subparagraph (A) of paragraph (3).”

Subsec. (d)(1). Pub. L. 111–148, § 2101(b)(2), inserted “, except as required under section 1396a(e)(14) of this title” before period at end.

Subsec. (d)(3). Pub. L. 111–148, § 2101(b)(1), added par. (3).

Subsec. (d)(3)(A). Pub. L. 111–148, § 10203(c)(2)(A)(i), inserted “as a condition of receiving payments under section 1396b(a) of this title,” after “2019,”.

Subsec. (d)(3)(A)(ii), (iii). Pub. L. 111–148, § 10203(c)(2)(A)(ii)–(iv), added cl. (ii) and redesignated former cl. (ii) as (iii).

Subsec. (d)(3)(B). Pub. L. 111–148, § 10203(c)(2)(B), substituted “screened for eligibility for medical assistance under the State plan under subchapter XIX or a waiver of that plan and, if found eligible, enrolled in such plan or a waiver. In the case of such children who, as a result of such screening, are determined to not be eligible for medical assistance under the State plan or a waiver under subchapter XIX, the State shall establish procedures to ensure that the children are enrolled in a qualified health plan that has been certified by the Secretary under subparagraph (C) and is offered” for “provided coverage”.

Pub. L. 111–148, § 10201(g), inserted at end “For purposes of eligibility for premium assistance for the purchase of a qualified health plan under section 36B of the Internal Revenue Code of 1986 and reduced cost-sharing under section 18071 of this title, children described in the preceding sentence shall be deemed to be ineligible for coverage under the State child health plan.”

Subsec. (d)(3)(C). Pub. L. 111–148, § 10203(c)(2)(C), added subpar. (C).

Subsec. (g)(4). Pub. L. 111–148, § 10203(d)(2)(C)(i), substituted “2015” for “2013” in heading.

Subsec. (g)(4)(A). Pub. L. 111–148, § 10203(d)(2)(C)(ii), substituted “2015” for “2013”.

2009—Subsec. (a)(1). Pub. L. 111–3, §§ 113(a)(1), 201(b)(1)(A), substituted “(or, in the case of expenditures described in subparagraph (D)(iv), the higher of 75 percent or the sum of the enhanced FMAP plus 5 percentage points)” for “(or, in the case of expenditures described in subparagraph (B), the Federal medical assistance percentage (as defined in the first sentence of section 1396d(b) of this title))” in introductory provisions.

Subsec. (a)(1)(B). Pub. L. 111–3, § 113(a)(2), added subpar. (B) “[reserved]” and struck out former subpar. (B) which read as follows: “for the provision of medical assistance on behalf of a child during a presumptive eligibility period under section 1396r–1a of this title;”.

Subsec. (a)(1)(D)(iv), (v). Pub. L. 111–3, § 201(b)(1)(B), added cl. (iv) and redesignated former cl. (iv) as (v).

Subsec. (a)(3), (4). Pub. L. 111–3, § 104, added pars. (3) and (4).

Subsec. (c)(2)(C). Pub. L. 111–3, § 202(b), added subpar. (C).

Subsec. (c)(2)(C)(ii). Pub. L. 111–3, § 211(c)(2), added cl. (ii).

Subsec. (c)(2)(C)(iii). Pub. L. 111–3, § 302(b), added cl. (iii).

Subsec. (c)(2)(C)(iv). Pub. L. 111–3, § 601(a)(2), added cl. (iv).

Subsec. (c)(3)(A). Pub. L. 111–3, § 301(a)(2)(A), substituted “relative to” for “relative to the amounts that the State would have paid to obtain comparable coverage only of the targeted low-income children involved,” and added cls. (i) and (ii).

Subsec. (c)(8). Pub. L. 111–3, § 114(a), added par. (8).

Subsec. (c)(9). Pub. L. 111–3, § 211(c)(1), added par. (9).

Subsec. (c)(10). Pub. L. 111–3, § 301(a)(1), added par. (10).

Subsec. (c)(11). Pub. L. 111–3, § 601(a)(1), added par. (11).

Subsec. (g)(1)(A). Pub. L. 111–3, § 107(a)(1), inserted “subject to paragraph (4),” after “Notwithstanding any other provision of law,” and substituted “or 2008” for “2008, or 2009”.

Subsec. (g)(4). Pub. L. 111–3, § 107(a)(2), added par. (4).

2007—Subsec. (g)(1)(A). Pub. L. 110–173 substituted “2008, or 2009” for “or 2008”.

Pub. L. 110–92 substituted “2007, or 2008” for “or 2007”.

Pub. L. 109–482 substituted “2005, 2006, or 2007” for “or 2005”.

2006—Subsec. (c)(1). Pub. L. 109–171, § 6102(b), inserted “and may not include coverage of a nonpregnant childless adult” after “section 1397aa of this title)” and “For purposes of the preceding sentence, a caretaker relative (as such term is defined for purposes of carrying out section 1396u–1 of this title) shall not be considered a childless adult.” at end.

Subsec. (g)(1)(A). Pub. L. 109–171 substituted “2001, 2004, or 2005” for “or 2001”.

2003—Subsec. (g). Pub. L. 108–74 added subsec. (g).

Subsec. (g)(2). Pub. L. 108–127 substituted “184” for “185” the first place appearing, inserted “August 1, 1994, or” before “July 1, 1995”, and inserted before period at end “, or, in the case of a State that had a statewide waiver in effect under section 1315 of this title with respect to subchapter XIX that was first implemented on October 1, 1993, had an income eligibility standard under such waiver for children that was at least 185 percent of the poverty line and on and after July 1, 1998, has an income eligibility standard for children under section 1396a(a)(10)(A) of this title or a statewide waiver in effect under section 1315 of this title with respect to subchapter XIX that is at least 185 percent of the poverty line”.

2000—Subsec. (a). Pub. L. 106–554, § 1(a)(6) [title VIII, § 802(a)], added subsec. heading, par. (1) heading, introductory provisions, and subpars. (A) and (B), struck out former subsec. heading and introductory provisions, redesignated former pars. (1) and (2) as subpars. (C) and (D), respectively, of par. (1) and realigned margins, redesignated subpars. (A) to (D) of former par. (2) as cls. (i) to (iv), respectively, of subpar. (D) of par. (1) and realigned margins, and added par. (2). Prior to amendment, introductory provisions read as follows: “Subject to the succeeding provisions of this section, the Secretary shall pay to each State with a plan approved under this subchapter, from its allotment under section 1397dd of this title (taking into account any adjustment under section 1397dd(d) of this title), an amount for each quarter equal to the enhanced FMAP of expenditures in the quarter—”.

Subsec. (c)(2)(A). Pub. L. 106–554, § 1(a)(6) [title VIII, § 802(d)(4)(A)], substituted “the amount of payment that may be made under subsection (a) for a fiscal year for expenditures for items described in paragraph (1)(D) of such subsection shall not exceed 10 percent of the total amount of expenditures for which payment is made under subparagraphs (A), (C), and (D) of paragraph (1) of such subsection.” for “payment shall not be made under subsection (a) for expenditures for items described in subsection (a) (other than paragraph (1)) for a fiscal year to the extent the total of such expenditures (for which payment is made under such subsection) exceeds 10 percent of the sum of—

“(i) the total of such expenditures for such fiscal year, and

“(ii) the total expenditures for medical assistance by the State under subchapter XIX of this chapter for which Federal payments made under section 1396b(a)(1) of this title are based on an enhanced FMAP described in subsection (b) for such fiscal year.”

Subsec. (c)(2)(B). Pub. L. 106–554, § 1(a)(6) [title VIII, § 802(d)(4)(B)], substituted “described in subsection (a)(1)(D)” for “described in subsection (a)(2)” in introductory provisions.

Subsec. (c)(6)(B). Pub. L. 106–554, § 1(a)(6) [title VIII, § 802(d)(4)(C)], substituted “Except as provided in subparagraph (A) or (B) of subsection (a)(1) or any other provision of law,” for “Except as otherwise provided by law,”.

Subsec. (d)(2)(B)(ii). Pub. L. 106–554, § 1(a)(6) [title VIII, § 802(e)], substituted “enhanced FMAP under the fourth sentence of section 1396d(b) of this title” for “enhanced FMAP under section 1396d(u) of this title”.

1999—Subsec. (d)(2)(B)(iii). Pub. L. 106–113 inserted “in” after “described”.

1997—Subsec. (c)(2)(A). Pub. L. 105–100, § 162(5), reenacted heading without change and amended text generally. Prior to amendment, text read as follows: “Except as provided in this paragraph, payment shall not be made under subsection (a) of this section for expenditures for items described in subsection (a) of this section (other than paragraph (1)) for a quarter in a fiscal year to the extent the total of such expenditures exceeds 10 percent of the sum of—

“(i) the total Federal payments made under subsection (a) of this section for such quarter in the fiscal year, and

“(ii) the total Federal payments made under section 1396b(a)(1) of this title based on an enhanced FMAP described in section 1396d(u)(2) of this title for such quarter.”

Subsec. (f). Pub. L. 105–100, § 162(7), added subsec. (f).

### Statutory Notes and Related Subsidiaries

### Effective Date of 2010 Amendment

Pub. L. 111–148, title II, § 2102(a), Mar. 23, 2010, 124 Stat. 288, provided that the amendment made by section 2102(a)(3)–(5) of Pub. L. 111–148 is effective as if included in the enactment of the Children’s Health Insurance Program Reauthorization Act of 2009 (Pub. L. 111–3).

Pub. L. 111–148, title X, § 10203(b), Mar. 23, 2010, 124 Stat. 927, provided that the amendment made by section 10203(b)(3), (4) of Pub. L. 111–148 is effective as if included in the enactment of the Children’s Health Insurance Program Reauthorization Act of 2009 (Pub. L. 111–3).

### Effective Date of 2009 Amendment

Except as otherwise provided, amendment by Pub. L. 111–3 effective Apr. 1, 2009, and applicable to child health assistance and medical assistance provided on or after that date, see section 3 of Pub. L. 111–3, set out as an Effective Date note under section 1396 of this title.

Amendment by section 211(c) of Pub. L. 111–3 effective Jan. 1, 2010, see section 211(d)(1)(A) of Pub. L. 111–3, set out as a note under section 1396a of this title.

Pub. L. 111–3, title III, § 301(a)(2)(B), Feb. 4, 2009, 123 Stat. 61, provided that: “The amendment made by subparagraph (A) [amending this section] shall not apply to coverage the purchase of which has been approved by the Secretary [of Health and Human Services] under section 2105(c)(3) of the Social Security Act [42 U.S.C. 1397ee(c)(3)] prior to the date of enactment of this Act [Feb. 4, 2009].”

### Termination Date of 2007 Amendment

Pub. L. 110–173, title II, § 201(b)(2), Dec. 29, 2007, 121 Stat. 2510, which provided that the amendment of this section by Pub. L. 110–173 was to be effective through Mar. 31, 2009, was repealed by Pub. L. 111–3, title I, § 107(b), Feb. 4, 2009, 123 Stat. 25.

### Effective Date of 2006 Amendment

Amendment by section 6102(b) of Pub. L. 109–171 effective as if enacted on Oct. 1, 2005, and applicable to any waiver, experimental, pilot, or demonstration project that is approved on or after that date, see section 6102(d) of Pub. L. 109–171, set out as a note under section 1397gg of this title.

Pub. L. 109–171, title VI, § 6103(b), Feb. 8, 2006, 120 Stat. 132, provided that: “The amendment made by subsection (a) [amending this section] shall apply to expenditures made under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) on or after October 1, 2005.”

### Effective Date of 2003 Amendment

Pub. L. 108–127, § 1, Nov. 17, 2003, 117 Stat. 1354, provided that the amendment made by that section is effective as if included in the enactment of Pub. L. 108–74.

### Effective Date of 2000 Amendment

Amendment by Pub. L. 106–554 effective as if included in the enactment of section 4901 of Pub. L. 105–33, see section 1(a)(6) [title VIII, § 802(f)] of Pub. L. 106–554, set out as a note under section 1396d of this title.

### Effective Date of 1997 Amendment

Pub. L. 105–100, title I, § 162, Nov. 19, 1997, 111 Stat. 2188, provided in part that the amendment made by that section is effective as if included in the enactment of subtitle J (§§ 4901–4923) of title IV of the Balanced Budget Act of 1997, Pub. L. 105–33.

### Construction of 2009 Amendment

Pub. L. 111–3, title I, § 114(b), Feb. 4, 2009, 123 Stat. 35, provided that: “Nothing in the amendments made by this section [amending this section] shall be construed as— changing any income eligibility level for children under title XXI of the Social Security Act [42 U.S.C. 1397aa et seq.]; or changing the flexibility provided States under such title to establish the income eligibility level for targeted low-income children under a State child health plan and the methodologies used by the State to determine income or assets under such plan.”

### Payment Error Rate Measurement Requirements

Pub. L. 111–3, title VI, § 601(b)–(g), Feb. 4, 2009, 123 Stat. 96–98, as amended by Pub. L. 111–309, title II, § 205(c), Dec. 15, 2010, 124 Stat. 3290, provided that: Final Rule Required To Be in Effect for All States.—Notwithstanding parts 431 and 457 of title 42, Code of Federal Regulations (as in effect on the date of enactment of this Act [Feb. 4, 2009]), the Secretary shall not calculate or publish any national or State-specific error rate based on the application of the payment error rate measurement (in this section referred to as ‘PERM’) requirements to CHIP until after the date that is 6 months after the date on which a new final rule (in this section referred to as the ‘new final rule’) promulgated after the date of the enactment of this Act [Feb. 4, 2009] and implementing such requirements in accordance with the requirements of subsection (c) is in effect for all States. Any calculation of a national error rate or a State specific error rate after such new final rule in effect for all States may only be inclusive of errors, as defined in such new final rule or in guidance issued within a reasonable time frame after the effective date for such new final rule that includes detailed guidance for the specific methodology for error determinations. The Secretary is not required under this subsection to calculate or publish a national or a State-specific error rate for fiscal year 2009 or fiscal year 2010. Requirements for New Final Rule.—For purposes of subsection (b), the requirements of this subsection are that the new final rule implementing the PERM requirements shall— include— clearly defined criteria for errors for both States and providers; a clearly defined process for appealing error determinations by— review contractors; or the agency and personnel described in section 431.974(a)(2) of title 42, Code of Federal Regulations, as in effect on September 1, 2007, responsible for the development, direction, implementation, and evaluation of eligibility reviews and associated activities; and clearly defined responsibilities and deadlines for States in implementing any corrective action plans; and provide that the payment error rate determined for a State shall not take into account payment errors resulting from the State’s verification of an applicant’s self-declaration or self-certification of eligibility for, and the correct amount of, medical assistance or child health assistance, if the State process for verifying an applicant’s self-declaration or self-certification satisfies the requirements for such process applicable under regulations promulgated by the Secretary or otherwise approved by the Secretary. Option for Application of Data for States in First Application Cycle Under the Interim Final Rule.—After the new final rule implementing the PERM requirements in accordance with the requirements of subsection (c) is in effect for all States, a State for which the PERM requirements were first in effect under an interim final rule for fiscal year 2007 or under a final rule for fiscal year 2008 may elect to accept any payment error rate determined in whole or in part for the State on the basis of data for that fiscal year or may elect to not have any payment error rate determined on the basis of such data and, instead, shall be treated as if fiscal year 2010 or fiscal year 2011 were the first fiscal year for which the PERM requirements apply to the State.Harmonization of MEQC and PERM.— Reduction of redundancies.—The Secretary shall review the Medicaid Eligibility Quality Control (in this subsection referred to as the ‘MEQC’) requirements with the PERM requirements and coordinate consistent implementation of both sets of requirements, while reducing redundancies. State option to apply perm data.—A State may elect, for purposes of determining the erroneous excess payments for medical assistance ratio applicable to the State for a fiscal year under section 1903(u) of the Social Security Act (42 U.S.C. 1396b(u)) to substitute data resulting from the application of the PERM requirements to the State after the new final rule implementing such requirements is in effect for all States for data obtained from the application of the MEQC requirements to the State with respect to a fiscal year. State option to apply meqc data.—For purposes of satisfying the requirements of subpart Q of part 431 of title 42, Code of Federal Regulations, relating to Medicaid eligibility reviews, a State may elect to substitute data obtained through MEQC reviews conducted in accordance with section 1903(u) of the Social Security Act (42 U.S.C. 1396b(u)) for data required for purposes of PERM requirements, but only if the State MEQC reviews are based on a broad, representative sample of Medicaid applicants or enrollees in the States. Identification of Improved State-Specific Sample Sizes.—The Secretary shall establish State-specific sample sizes for application of the PERM requirements with respect to State child health plans for fiscal years beginning with the first fiscal year that begins on or after the date on which the new final rule is in effect for all States, on the basis of such information as the Secretary determines appropriate. In establishing such sample sizes, the Secretary shall, to the greatest extent practicable— minimize the administrative cost burden on States under Medicaid and CHIP; and maintain State flexibility to manage such programs. Time for Promulgation of Final Rule.—The final rule implementing the PERM requirements under subsection (b) shall be promulgated not later than 6 months after the date of enactment of this Act [Feb. 4, 2009].”

[For definitions of “CHIP”, “Medicaid”, and “Secretary”, see section 1(c) of Pub. L. 111–3, set out as a Definitions note under section 1396 of this title.]