In general
Notwithstanding paragraph (3), if the Secretary makes a payment to a State under this subsection in a fiscal year, then the State shall remit to the Secretary, within 1 year after the end of the first subsequent period of 3 consecutive months for which the State is not a needy State, an amount equal to the amount (if any) by which—
(i)#
the total amount paid to the State under paragraph (3) of this subsection in the fiscal year; exceeds
(ii)#
the product of—
(I) the Federal medical assistance percentage for the State (as defined in section 1396d(b) of this title , as such section was in effect on September 30, 1995 );
(II) the State’s reimbursable expenditures for the fiscal year; and
(III) 1 ⁄ 12 times the number of months during the fiscal year for which the Secretary made a payment to the State under such paragraph (3).
(ii)(I)#
the Federal medical assistance percentage for the State (as defined in section 1396d(b) of this title , as such section was in effect on September 30, 1995 );
(ii)(II)#
the State’s reimbursable expenditures for the fiscal year; and
(ii)(III)#
1 ⁄ 12 times the number of months during the fiscal year for which the Secretary made a payment to the State under such paragraph (3).