Axiom Foundation

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us/statute/42/1396d/z — Equitable support for certain States · Axiom

(1)#

(A) During the period that begins on January 1, 2014 , and ends on December 31, 2015 , notwithstanding subsection (b), the Federal medical assistance percentage otherwise determined under subsection (b) with respect to a fiscal year occurring during that period shall be increased by 2.2 percentage points for any State described in subparagraph (B) for amounts expended for medical assistance for individuals who are not newly eligible (as defined in subsection (y)(2)) individuals described in subclause (VIII) of section 1396a(a)(10)(A)(i) of this title .

(B) For purposes of subparagraph (A), a State described in this subparagraph is a State that— (i) is an expansion State described in paragraph (3); (ii) the Secretary determines will not receive any payments under this subchapter on the basis of an increased Federal medical assistance percentage under subsection (y) for expenditures for medical assistance for newly eligible individuals (as so defined); and (iii) has not been approved by the Secretary to divert a portion of the DSH allotment for a State to the costs of providing medical assistance or other health benefits coverage under a waiver that is in effect on July 2009. 8 8 So in original.

(1)(A)#

During the period that begins on January 1, 2014 , and ends on December 31, 2015 , notwithstanding subsection (b), the Federal medical assistance percentage otherwise determined under subsection (b) with respect to a fiscal year occurring during that period shall be increased by 2.2 percentage points for any State described in subparagraph (B) for amounts expended for medical assistance for individuals who are not newly eligible (as defined in subsection (y)(2)) individuals described in subclause (VIII) of section 1396a(a)(10)(A)(i) of this title .

(1)(B)#

For purposes of subparagraph (A), a State described in this subparagraph is a State that—

(i) is an expansion State described in paragraph (3);

(ii) the Secretary determines will not receive any payments under this subchapter on the basis of an increased Federal medical assistance percentage under subsection (y) for expenditures for medical assistance for newly eligible individuals (as so defined); and

(iii) has not been approved by the Secretary to divert a portion of the DSH allotment for a State to the costs of providing medical assistance or other health benefits coverage under a waiver that is in effect on July 2009. 8 8 So in original.

(1)(B)(i)#

is an expansion State described in paragraph (3);

(1)(B)(ii)#

the Secretary determines will not receive any payments under this subchapter on the basis of an increased Federal medical assistance percentage under subsection (y) for expenditures for medical assistance for newly eligible individuals (as so defined); and

(1)(B)(iii)#

has not been approved by the Secretary to divert a portion of the DSH allotment for a State to the costs of providing medical assistance or other health benefits coverage under a waiver that is in effect on July 2009. 8 8 So in original.

(2)#

(A) For calendar quarters in 2014 and each year thereafter, the Federal medical assistance percentage otherwise determined under subsection (b) for an expansion State described in paragraph (3) with respect to medical assistance for individuals described in section 1396a(a)(10)(A)(i)(VIII) of this title who are nonpregnant childless adults with respect to whom the State may require enrollment in benchmark coverage under section 1396u–7 of this title shall be equal to the percent specified in subparagraph (B)(i) for such year.

(B) (i) The percent specified in this subparagraph for a State for a year is equal to the Federal medical assistance percentage (as defined in the first sentence of subsection (b)) for the State increased by a number of percentage points equal to the transition percentage (specified in clause (ii) for the year) of the number of percentage points by which— (I) such Federal medical assistance percentage for the State, is less than (II) the percent specified in subsection (y)(1) for the year. (ii) The transition percentage specified in this clause for— (I) 2014 is 50 percent; (II) 2015 is 60 percent; (III) 2016 is 70 percent; (IV) 2017 is 80 percent; (V) 2018 is 90 percent; and (VI) 2019 and each subsequent year is 100 percent.

(2)(A)#

For calendar quarters in 2014 and each year thereafter, the Federal medical assistance percentage otherwise determined under subsection (b) for an expansion State described in paragraph (3) with respect to medical assistance for individuals described in section 1396a(a)(10)(A)(i)(VIII) of this title who are nonpregnant childless adults with respect to whom the State may require enrollment in benchmark coverage under section 1396u–7 of this title shall be equal to the percent specified in subparagraph (B)(i) for such year.

(2)(B)#

(i) The percent specified in this subparagraph for a State for a year is equal to the Federal medical assistance percentage (as defined in the first sentence of subsection (b)) for the State increased by a number of percentage points equal to the transition percentage (specified in clause (ii) for the year) of the number of percentage points by which— (I) such Federal medical assistance percentage for the State, is less than (II) the percent specified in subsection (y)(1) for the year.

(ii) The transition percentage specified in this clause for— (I) 2014 is 50 percent; (II) 2015 is 60 percent; (III) 2016 is 70 percent; (IV) 2017 is 80 percent; (V) 2018 is 90 percent; and (VI) 2019 and each subsequent year is 100 percent.

(2)(B)(i)#

The percent specified in this subparagraph for a State for a year is equal to the Federal medical assistance percentage (as defined in the first sentence of subsection (b)) for the State increased by a number of percentage points equal to the transition percentage (specified in clause (ii) for the year) of the number of percentage points by which—

(I) such Federal medical assistance percentage for the State, is less than

(II) the percent specified in subsection (y)(1) for the year.

(2)(B)(i)(I)#

such Federal medical assistance percentage for the State, is less than

(2)(B)(i)(II)#

the percent specified in subsection (y)(1) for the year.

(2)(B)(ii)#

The transition percentage specified in this clause for—

(I) 2014 is 50 percent;

(II) 2015 is 60 percent;

(III) 2016 is 70 percent;

(IV) 2017 is 80 percent;

(V) 2018 is 90 percent; and

(VI) 2019 and each subsequent year is 100 percent.

(2)(B)(ii)(I)#

2014 is 50 percent;

(2)(B)(ii)(II)#

2015 is 60 percent;

(2)(B)(ii)(III)#

2016 is 70 percent;

(2)(B)(ii)(IV)#

2017 is 80 percent;

(2)(B)(ii)(V)#

2018 is 90 percent; and

(2)(B)(ii)(VI)#

2019 and each subsequent year is 100 percent.