[Federal Register Volume 78, Number 144 (Friday, July 26, 2013)]
[Notices]
[Pages 45208-45213]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-17966]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-2388-N]
RIN 0938-AR79
Children's Health Insurance Program (CHIP); Final Allotments to
States, the District of Columbia, and U.S. Territories and
Commonwealths for Fiscal Year 2013
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
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SUMMARY: This notice sets forth the final allotments of federal funding
available to each State, the District of Columbia, and each U.S.
Territory and Commonwealth for fiscal year 2013. Title XXI of the
Social Security Act (the Act) authorizes payment of federal matching
funds to States, the District of Columbia, and the U.S. Territories and
Commonwealths to initiate and expand health insurance coverage to
uninsured, low-income children under the Children's Health Insurance
Program (CHIP). The fiscal year allotments contained in this notice
were determined in accordance with the funding provisions and final
regulations published in the February 17, 2011 Federal Register (76 FR
9233).
DATES: This notice is effective on August 26, 2013. Final allotments
for fiscal year 2013 may be available for expenditure by states
beginning with October 1, 2012.
FOR FURTHER INFORMATION CONTACT: Richard Strauss, (410) 786-2019.
SUPPLEMENTARY INFORMATION:
I. Purpose of This Notice
This notice sets forth the allotments available to each state, the
District of Columbia, and each U.S. Territory and Commonwealth for
fiscal year (FY) 2013 under title XXI of the Social Security Act (the
Act). States may implement the Children's Health Insurance Program
(CHIP) through a separate state program under title XXI of the Act, an
expansion of a State Medicaid program under title XIX of the Act, or a
combination of both. CHIP allotments for FY 2009 and subsequent fiscal
years are available to match expenditures under an approved state child
health plan for 2 fiscal years, including the year for which the
allotments were provided. As specified by the Act, the allotments are
available to states for FY 2013, and the unexpended amounts of such
allotments for a state may be carried over to FY 2014 for use by the
state. Federal funds appropriated for title XXI of the Act are limited,
and the law specifies a methodology to divide the total fiscal year
appropriation into individual allotments available for each state, the
District of Columbia, and each U.S. Territory and Commonwealth with an
approved child health plan.
Section 2104(b) of the Act requires states, the District of
Columbia, and U.S. Territories and Commonwealths to have an approved
child health plan for the fiscal year in order for the Secretary to
provide an allotment for that fiscal year. All states, the District of
Columbia, and U.S. Territories and Commonwealths have approved plans
for FY 2013. Therefore, the FY 2013 allotments contained in this notice
pertain to all states, the District of Columbia, and U.S. Territories
and Commonwealths.
In general, funding is appropriated under section 2104(a) of the
Act for purposes of providing allotments to states under CHIP for each
fiscal year. Section 2104(a) was amended by section 10203(d)(1) of the
Patient Protection and Affordable Care Act of 2010 (Pub. L. 111-148,
enacted on March 23, 2010) (the Affordable Care Act) to extend
appropriations for funding for CHIP fiscal year allotments through FY
2015.
II. Methodology for Determining CHIP Fiscal Year Allotments for the 50
States, the District of Columbia, and the U.S. Territories and
Commonwealths
A. Funding Authority for the CHIP Fiscal Year Allotments
Section 2104(a)(1) through (18) of the Act appropriates federal
funds for providing states' allotments for FYs 2009 through 2015. In
particular, the appropriated amounts available for allotments for FYs
2009 through 2015, are as follows: $10,562,000,000 for FY 2009;
12,520,000,000 for FY 2010; $13,459,000,000 for FY 2011;
$14,982,000,000 for FY 2012; $17,406,000,000 for FY 2013,
$19,147,000,000 for FY 2014; and $2,850,000,000 for each of the first
and second half of FY 2015. Also, section 108 of the Children's Health
Insurance Program Reauthorization Act of 2009 (Pub. L. 111-3, enacted
on February 4, 2009) (CHIPRA), as amended by section 10203(d) of the
Affordable Care Act, provides for a one-time appropriation of
$15,361,000,000 for allotments for the first half of FY 2015.
Therefore, the total appropriation for providing allotments during FY
2015 is $21,061,000,000 (determined as the sum of $2,850,000,000,
$15,361,000,000, and $2,850,000,000).
B. Methodology for Determining State's Fiscal Year Allotments
1. General
On September 16, 2009 we published a proposed rule in the Federal
Register (74 FR 47517) and on February 17, 2011, we published the final
rule in the Federal Register (76 FR 9233) to implement the
methodologies and procedures to determine the fiscal year allotments of
federal funds as specified under section 2104(m) of the Act for FY 2009
through FY 2015. In general, the States' fiscal year allotments are
provided from the appropriation for the respective fiscal year
allotment, subject to a proration adjustment described in section
II.B.7 of this notice.
2. FY 2009 Through FY 2012 CHIP Allotments
The final methodology is determined in accordance with the
September 16, 2009 Federal Register (74 FR 47517) which contained the
FY 2009 CHIP allotments, the February 17, 2011 Federal Register (76 FR
9233) which contained the FY 2010 and FY 2011 CHIP allotments, and the
July 24, 2012 Federal Register (77 FR 43290) which contained the FY
2012 CHIP allotments.
[[Page 45209]]
3. FY 2013 Allotments
The FY 2013 allotments for the 50 States and the District of
Columbia, and the Commonwealths and Territories, are provided from the
FY 2013 appropriation ($17,406,000,000). The amounts of these
allotments are subject to a proration adjustment described in section
II.B.7 of this notice, if necessary. Section 2104(m)(2)(B)(i) of the
Act, as amended by the Affordable Care Act, requires a ``rebasing''
process be used for determining the FY 2013 allotments; the rebasing
methodology means the states' payments rather than their allotments for
FY 2012 must be considered in calculating the FY 2013 allotments. In
particular, the FY 2013 allotments are determined by multiplying the
allotment increase factor for FY 2013 for the state by the sum of: any
federal payments made from the states' available allotments in FY 2012;
any amounts provided as redistributed allotments in FY 2012 to the
state; and any federal payments attributable to any contingency fund
payments made to the State for FY 2012 determined under section 2104(n)
of the Act.
4. FY 2014 Allotments
The FY 2014 allotments for the 50 States and the District of
Columbia, and the Commonwealths and Territories, are provided from the
FY 2014 appropriation of $19,147,000,000, and are subject to a
proration adjustment described in section II.B.7 of this notice, if
necessary. Under section 2104(m)(2)(B)(ii) of the Act, as amended by
the Affordable Care Act, the FY 2014 allotment for each State is
determined by multiplying the allotment increase factor for FY 2014 for
the state, by the sum of: the state's FY 2013 allotment; and any
contingency fund payment made to the state for FY 2013, as determined
in section 2104(n) of the Act.
For the 50 States and the District of Columbia, under section
2104(m)(6) of the Act, the FY 2014 allotment may include additional
amounts in situations where such states have submitted an expansion
allotment adjustment request before August 31, 2013.
5. FY 2015 Allotments
Under section 2104(m)(3) of the Act, the FY 2015 allotments for the
50 states and the District of Columbia, and the Commonwealths and
Territories, are comprised of 2 components related to the first half of
FY 2015 (that is, the period of October 1, 2014 through March 31, 2015)
and second half of FY 2015 (that is, April 1, 2015 through September
30, 2015). The FY 2015 allotments for the first and second half of FY
2015 are subject to a proration adjustment described in section II.B.7
of this notice, as necessary.
The allotments for the first half of FY 2015 are provided from a
total available appropriation of $18,211,000,000, comprised of
$2,850,000,000 appropriated under section 2104(a)(18)(A) of the Act,
and $15,361,000,000 appropriated by section 108 of CHIPRA, as amended
by the Affordable Care Act. The allotments for the first half of FY
2015 are equal to the ``first half ratio'' multiplied by the allotment
increase factor for FY 2015 multiplied by the sum of any federal
payments made from the States' available allotments in FY 2014; any
amounts provided as redistributed allotments in FY 2014 to the state;
and any federal payments attributable to any contingency fund payments
made to the State for FY 2014 as determined under section 2104(n) of
the Act. The first half ratio is the percentage determined by dividing
$18,211,000,000 (calculated as the sum of $2,850,000,000 (the
appropriation for the first half of FY 2015) and 15,361,000,000 (the
one-time appropriation for the first half of the FY 2015)) by
$21,061,000,000 (calculated as the sum of $2,850,000,000(the
appropriation for the second half of FY 2015) and $18,211,000,000).
The states' CHIP allotments for the second half of FY 2015 are
provided from a total available appropriation of $2,850,000,000,
appropriated under section 2104(a)(18)(B) of the Act. The allotments
for the second half of FY 2015 are equal to $2,850,000,000 multiplied
by a percentage equal to the amount of the allotment for the state for
the first half of FY 2015 divided by the sum of all such first half of
FY 2015 allotments for all States.
6. Proration Rule
Under section 2104(m)(4) of the Act, if the amount of States'
(including the 50 States, the District of Columbia, and the
Commonwealths and Territories) allotments for a fiscal year, or in the
case of FY 2015, the amount of an allotment for each half of the fiscal
year, exceeds the total appropriations available for such periods, the
total allotments for each of these periods will be reduced on a
proportional basis. The total amount available nationally for the
period is multiplied by a proration percentage determined by dividing
the amount determined for the period by the sum of such amounts.
7. The Allotment Increase Factor For A Fiscal Year
Under section 2104(m)(5) of the Act, the allotment increase factor
for a fiscal year is equal to the product of 2 amounts for the fiscal
year: the per capita health care growth factor and the child population
growth factor.
The per capita health care growth factor for a fiscal year is equal
to 1 plus the percentage increase in the projected per capita amount of
the National Health Expenditures from the calendar year in which the
previous fiscal year ends to the calendar year in which the fiscal year
involved ends, as most recently published by CMS before the beginning
of the fiscal year involved.
In general, for the 50 States and the District of Columbia, the
Child Population Growth Factor (CPGF) for a fiscal year is equal to 1
plus the percentage increase (if any, expressed in decimal format) in
the population of children in the State from July 1 in the previous
fiscal year to July 1 in the fiscal year involved, as determined by CMS
based on the most recent published estimates of the Census Bureau
available before the beginning of the fiscal year involved, plus 1
percentage point (expressed as 0.01). In the determination of the CPGF,
section 2104(m)(5)(B) of the Act refers to ``the percentage increase
(if any)'' of the population of children in the State. In this regard,
the CPGF refers only to increases in the population of children. Thus,
if there was a decrease in the population of children over the
indicated period, the CPGF for such State would be1 plus 0.0 percent
plus 1 percentage point; that is, negative growth in the children
population would not result in the growth factor being less than 101
percent (expressed as 1.01).
8. Allotments for the Commonwealths And Territories
Section 2104(m)(1)(B) of the Act provided for 2009 allotments for
the commonwealths and territories based upon the highest amount
available for any fiscal year from 1999 through 2008, multiplied by the
allotment increase factor with the term ``United States'' substituted
for the term ``the State'' (so that the increase for the commonwealths
and territories will be based on the CPFG rate for the entire country
rather than specific to the commonwealth or territory). For fiscal
years after FY 2009, the CHIP allotment for the commonwealths and
territories is determined using the same methodology described above
for the 50 States and District of Columbia. The 2009 change
[[Page 45210]]
to the allotment increase factor does not apply, and thus we will
determine a commonwealth or territory-specific allotment increase
factor, based on the CPFG for each commonwealth or territory, based on
the most recent published estimates of the Census Bureau.
C. FY 2013 Allotments Determined in Accordance With Such Methodologies
and Procedures.
We calculated the FY 2013 allotments as discussed in section II.B.4
of this notice and in accordance with section 2104(m) of the Act and
final regulations at 42 CFR 457.609 (published in the February 17, 2011
Federal Register. That calculation is presented in 2 tables described
in section III of this notice. Table 1 provides the calculation of the
allotment increase factor for FY 2013, and Table 2 provides the
calculation of the FY 2013 allotment.
III. Tables
Following are the keys and associated tables for the CHIP funding
provisions as discussed in previous sections (note that for purposes of
presentation and due to rounding, not all numbers following decimals
are shown in the following tables):
Table 1--Allotment Increase Factor for FY 2013
Table 2--Children's Health Insurance Program Allotments for FY 2013
A. Table 1--Allotment Increase Factor For FY 2013
Key to Table 1
Column/Description
Column A = State. Column A contains the name of the State, District
of Columbia, U.S. Commonwealth or Territory.
Column B = PCNHE 2012, PCNHE 2013, PCHCG Factor. Column B contains
the calculation of the Per Capita Health Care Growth (PCHCG) Factor for
FY 2013, determined as 1 plus the percentage increase in the Per Capita
National Health Expenditures (PCNHE) (source: Centers for Medicare &
Medicaid Services, Office of the Actuary) from calendar year 2012 to
calendar year 2013.
Columns C through F = Calculation of the Child Population Growth
Factor (CPGF) for FY 2013:
Column C = July 1, 2012 Child Population. Column C contains the
population of children in each state or the United States as of July 1,
2012, as provided by the most recent published data of the Census
Bureau before the beginning of FY 2013.
Column D = July 1, 2013 Child Population. Column D contains the
population of children in each state or the United States as of July 1,
2013, as provided by the most recent published data of the Census
Bureau before the beginning of FY 2013.
Column E = Percent Increase 2012--2013. Column E contains the
percentage increase, if any, of the population of children in each
state, or the United States, from July 1, 2012 to July 1, 2013,
calculated as the difference between the number in Column D minus the
number in Column C divided by the number in Column C.
Column F = FY 2013 Child Population Growth Factor. Column F
contains the Child Population Growth Factor (CPGF) for each state,
determined as 1.01 plus the percent in Column E for the State.
Column G = FY 2013 Allotment Increase Factor. Column G contains the
FY 2013 Allotment Increase Factor, calculated as the PCHCG factor in
Column B multiplied by the CPGF percent in Column F.
Table 1--Allotment Increase Factor for FY 2013
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PCNHE 2012- Child population growth factor (CPGF) for FY 2013
$8,953 PCNHE ---------------------------------------------------------------- FY 2013
2013--$9,214 Percent Allotment
State PCHCG factor July 1, 2012 July 1, 2013 increase 2012- FY 2013 CPGF increase
*--1.0292 population population 2013 (D-C)/C Col E + 1.01 factor Col B x
F
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A B C D E F G
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Alabama................................................. 1.0292 1,190,177 1,185,745 0.00 101.00 1.0394
Alaska.................................................. 1.0292 197,821 197,483 0.00 101.00 1.0394
Arizona................................................. 1.0292 1,709,881 1,704,721 0.00 101.00 1.0394
Arkansas................................................ 1.0292 748,748 748,686 0.00 101.00 1.0394
California.............................................. 1.0292 9,802,326 9,781,108 0.00 101.00 1.0394
Colorado................................................ 1.0292 1,305,223 1,311,232 0.46 101.46 1.0442
Connecticut............................................. 1.0292 845,091 833,027 0.00 101.00 1.0394
Delaware................................................ 1.0292 217,092 216,511 0.00 101.00 1.0394
District of Columbia.................................... 1.0292 118,912 122,540 3.05 104.05 1.0708
Florida................................................. 1.0292 4,231,207 4,228,907 0.00 101.00 1.0394
Georgia................................................. 1.0292 2,634,887 2,639,023 0.16 101.16 1.0411
Hawaii.................................................. 1.0292 320,876 321,411 0.17 101.17 1.0412
Idaho................................................... 1.0292 451,195 450,659 0.00 101.00 1.0394
Illinois................................................ 1.0292 3,252,752 3,227,501 0.00 101.00 1.0394
Indiana................................................. 1.0292 1,679,592 1,672,236 0.00 101.00 1.0394
Iowa.................................................... 1.0292 765,073 762,718 0.00 101.00 1.0394
Kansas.................................................. 1.0292 762,720 761,315 0.00 101.00 1.0394
Kentucky................................................ 1.0292 1,077,372 1,075,953 0.00 101.00 1.0394
Louisiana............................................... 1.0292 1,183,059 1,184,741 0.14 101.14 1.0409
Maine................................................... 1.0292 283,150 279,480 0.00 101.00 1.0394
Maryland................................................ 1.0292 1,425,777 1,422,901 0.00 101.00 1.0394
Massachusetts........................................... 1.0292 1,493,331 1,483,033 0.00 101.00 1.0394
Michigan................................................ 1.0292 2,407,389 2,374,494 0.00 101.00 1.0394
Minnesota............................................... 1.0292 1,346,832 1,343,206 0.00 101.00 1.0394
Mississippi............................................. 1.0292 790,318 787,474 0.00 101.00 1.0394
Missouri................................................ 1.0292 1,482,863 1,472,896 0.00 101.00 1.0394
Montana................................................. 1.0292 235,024 234,574 0.00 101.00 1.0394
Nebraska................................................ 1.0292 487,198 488,415 0.25 101.25 1.0420
Nevada.................................................. 1.0292 697,086 696,921 0.00 101.00 1.0394
[[Page 45211]]
New Hampshire........................................... 1.0292 293,783 288,459 0.00 101.00 1.0394
New Jersey.............................................. 1.0292 2,142,311 2,124,544 0.00 101.00 1.0394
New Mexico.............................................. 1.0292 549,684 551,522 0.33 101.33 1.0429
New York................................................ 1.0292 4,533,608 4,506,651 0.00 101.00 1.0394
North Carolina.......................................... 1.0292 2,427,545 2,433,066 0.23 101.23 1.0418
North Dakota............................................ 1.0292 162,495 163,927 0.88 101.88 1.0485
Ohio.................................................... 1.0292 2,825,825 2,801,252 0.00 101.00 1.0394
Oklahoma................................................ 1.0292 994,142 1,000,112 0.60 101.60 1.0456
Oregon.................................................. 1.0292 913,230 912,653 0.00 101.00 1.0394
Pennsylvania............................................ 1.0292 2,921,487 2,898,558 0.00 101.00 1.0394
Rhode Island............................................ 1.0292 233,902 230,480 0.00 101.00 1.0394
South Carolina.......................................... 1.0292 1,148,077 1,150,117 0.18 101.18 1.0413
South Dakota............................................ 1.0292 214,867 215,447 0.27 101.27 1.0422
Tennessee............................................... 1.0292 1,574,981 1,572,746 0.00 101.00 1.0394
Texas................................................... 1.0292 7,408,497 7,484,215 1.02 102.02 1.0500
Utah.................................................... 1.0292 933,382 941,395 0.86 101.86 1.0483
Vermont................................................. 1.0292 133,891 131,547 0.00 101.00 1.0394
Virginia................................................ 1.0292 1,966,500 1,967,568 0.05 101.05 1.0400
Washington.............................................. 1.0292 1,674,524 1,679,579 0.30 101.30 1.0426
West Virginia........................................... 1.0292 406,890 405,501 0.00 101.00 1.0394
Wisconsin............................................... 1.0292 1,396,702 1,387,539 0.00 101.00 1.0394
Wyoming................................................. 1.0292 142,250 142,106 0.00 101.00 1.0394
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Total States........................................ 1.0292 78,141,545 77,997,895 0.00 101.00 1.0394
American Samoa.......................................... 1.0292 19,210 18,198 0.00 101.00 1.0394
Guam.................................................... 1.0292 54,032 53,490 0.00 101.00 1.0394
Northern Mariana Islands................................ 1.0292 16,469 16,227 0.00 101.00 1.0394
Puerto Rico............................................. 1.0292 910,852 889,582 0.00 101.00 1.0394
Virgin Islands.......................................... 1.0292 24,590 23,763 0.00 101.00 1.0394
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Total Territories................................... 1.0292 1,025,153 1,001,260 0.00 101.00 1.0394
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Total States/Territories........................ 1.0292 79,166,698 78,999,155 0.00 101.00 1.0394
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Footnotes:
* Calculated as 1 + (($9,214-$8,953)/$8,953); $8,953 is per capita NHE for 2012 and $9,214 is per capita NHE for 2013.
PCHCG FACTOR is ``Per Capita Health Care Growth Factor``.
B. Table 2--Children's Health Insurance Program Allotment for FY 2013
Key to Table 2
Column/Description
Column A = State. Column A contains the name of the state, District
of Columbia, U.S. Commonwealth or Territory.
Column B = FY 2012 FS Expenditures Applied Against Allotments.
Column B contains the amount of federal share (FS) payments to the
state that were attributable and countable towards the allotments
available to the state in FY 2012. These amounts were based on the
States' submissions of the 4 quarterly FY 2012 expenditure reports.
Column C = FY 2012 Contingency Fund Payments. Column C contains the
amounts of any contingency funds payments made to a State for FY 2012
determined in accordance with the provisions of section 2104(n) of the
Act.
Column D = FY 2012 FS Expenditures Applied Against Redistributions.
Column D contains the total amount of federal payments redistributed to
the state in FY 2012 determined in in accordance with the provisions of
section 2104(f) of the Act.
Column E = FY 2012 Total FS Expenditures. Column E contains the
total amount of the FY 2012 federal payments to the state determined as
the sum of the amounts in Columns B, C, and D.
Column F = FY 2013 Allotment Increase Factor. Column F contains the
Allotment Increase Factor for FY 2013 for each state as contained in
Column G of Table 1.
Column G = FY 2013 CHIP Allotment. Column G contains the product of
the total FY 2012 federal share expenditures in Column E and the amount
of the FY 2013 Allotment Increase Factor in Column F. This amount
represents the FY 2013 CHIP allotment.
[[Page 45212]]
Table 2--Children's Health Insurance Proram Allotments for FY 2013
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FY 2012 FY 2012 FY 2012 FY 2012 FY 2013 FY 2013
------------------------------------------------------------------------------------------------
FS
State expenditures FS expenditures Total FS Allotment
applied Contingency applied against expenditures increase CHIP allotment
against fund payments redistributions Col B + C + D factor Col E x F
allotments/1
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A B C D E F G
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Alabama................................................ $156,666,630 $0 $0 $156,666,630 1.0394 $162,846,151
Alaska................................................. 19,777,701 0 0 19,777,701 1.0394 20,557,808
Arizona................................................ 24,428,316 0 0 24,428,316 1.0394 25,391,861
Arkansas............................................... 99,204,579 0 0 99,204,579 1.0394 103,117,581
California............................................. 1,246,835,487 0 0 1,246,835,487 1.0394 1,296,015,369
Colorado............................................... 126,262,430 0 0 126,262,430 1.0442 131,840,929
Connecticut............................................ 39,760,103 0 0 39,760,103 1.0394 41,328,391
Delaware............................................... 15,141,183 0 0 15,141,183 1.0394 15,738,408
District of Columbia................................... 13,883,678 0 0 13,883,678 1.0708 14,867,242
Florida................................................ 345,422,131 0 0 345,422,131 1.0394 359,046,879
Georgia................................................ 271,558,901 0 0 271,558,901 1.0411 282,708,900
Hawaii................................................. 24,789,079 0 0 24,789,079 1.0412 25,809,390
Idaho.................................................. 34,592,745 0 0 34,592,745 1.0394 35,957,213
Illinois............................................... 265,108,645 0 0 265,108,645 1.0394 275,565,527
Indiana................................................ 139,361,391 0 0 139,361,391 1.0394 144,858,329
Iowa................................................... 88,986,083 0 0 88,986,083 1.0394 92,496,029
Kansas................................................. 53,296,813 0 0 53,296,813 1.0394 55,399,040
Kentucky............................................... 142,273,872 0 0 142,273,872 1.0394 147,885,689
Louisiana.............................................. 165,120,888 0 0 165,120,888 1.0409 171,875,479
Maine.................................................. 30,284,258 0 0 30,284,258 1.0394 31,478,783
Maryland............................................... 154,385,062 0 0 154,385,062 1.0394 160,474,590
Massachusetts /2....................................... 318,320,572 0 0 318,320,572 1.0394 330,876,333
Michigan............................................... 52,717,514 0 0 52,717,514 1.0394 54,796,891
Minnesota.............................................. 30,864,280 0 0 30,864,280 1.0394 32,081,683
Mississippi............................................ 170,165,124 0 0 170,165,124 1.0394 176,877,077
Missouri............................................... 118,282,444 0 0 118,282,444 1.0394 122,947,949
Montana................................................ 57,136,546 0 0 57,136,546 1.0394 59,390,226
Nebraska............................................... 40,751,950 0 0 40,751,950 1.0420 42,464,124
Nevada................................................. 30,260,365 0 0 30,260,365 1.0394 31,453,948
New Hampshire.......................................... 17,504,890 0 0 17,504,890 1.0394 18,195,349
New Jersey............................................. 615,891,341 0 0 615,891,341 1.0394 640,184,412
New Mexico............................................. 119,117,210 0 0 119,117,210 1.0429 124,225,549
New York............................................... 557,751,171 0 0 557,751,171 1.0394 579,750,975
North Carolina......................................... 291,999,510 0 0 291,999,510 1.0418 304,200,528
North Dakota........................................... 16,510,403 0 0 16,510,403 1.0485 17,311,376
Ohio................................................... 323,299,011 0 0 323,299,011 1.0394 336,051,140
Oklahoma............................................... 109,210,015 0 0 109,210,015 1.0456 114,192,613
Oregon................................................. 138,435,048 0 0 138,435,048 1.0394 143,895,447
Pennsylvania........................................... 294,116,617 0 0 294,116,617 1.0394 305,717,683
Rhode Island........................................... 38,007,530 0 0 38,007,530 1.0394 39,506,690
South Carolina......................................... 94,387,784 0 0 94,387,784 1.0413 98,283,399
South Dakota........................................... 18,650,766 0 0 18,650,766 1.0422 19,438,235
Tennessee.............................................. 192,636,297 0 0 192,636,297 1.0394 200,234,597
Texas.................................................. 849,095,131 0 0 849,095,131 1.0500 891,517,738
Utah................................................... 59,616,038 0 0 59,616,038 1.0483 62,494,237
Vermont................................................ 12,542,134 0 0 12,542,134 1.0394 13,036,843
Virginia............................................... 179,399,135 0 0 179,399,135 1.0400 186,575,583
Washington............................................. 92,985,481 0 0 92,985,481 1.0426 96,942,063
West Virginia.......................................... 46,443,775 0 0 46,443,775 1.0394 48,275,692
Wisconsin.............................................. 99,094,456 0 0 99,094,456 1.0394 103,003,114
Wyoming................................................ 10,355,354 0 0 10,355,354 1.0394 10,763,808
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States/DC Total.................................... 8,452,687,867 0 0 8,452,687,867 8,799,944,890
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Commonwealths and Territories
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American Samoa......................................... 1,252,669 0 0 1,252,669 1.0394 1,302,079
Guam................................................... 4,359,910 0 0 4,359,910 1.0394 4,531,881
N. Mariana Islands..................................... 898,682 0 0 898,682 1.0394 934,129
Puerto Rico............................................ 103,910,799 0 23,714,630 127,625,429 1.0394 132,659,456
Virgin Islands......................................... 0 0 0 0 1.0394 0
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Total.............................................. 110,422,060 0 23,714,630 134,136,690 139,427,545
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National Total................................. 8,563,109,927 0 23,714,630 8,586,824,557 8,939,372,435
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Footnotes:
[[Page 45213]]
/1 Final CHIP Allotments for FY 2013 based on reported expenditures for quarters 1 through 4 of FY 2012.
/2 MA expenditures adjusted to only include amounts claimed on FY 2012 expenditure reports up to FY 2012 ten percent limit.
IV. Collection of Information Requirements
This document does not impose any information collection or
recordkeeping requirements. Consequently, it is not subject to Office
of Management and Budget review under the authority of the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501 et seq.).
Authority: (Section 1102 of the Social Security Act (42 U.S.C.
1302))
(Catalog of Federal Domestic Assistance Program No. 93.778, Medical
Assistance Program)
(Catalog of Federal Domestic Assistance Program No. 93.767, State
Children's Health Insurance Program))
Dated: May 15, 2013.
Marilyn Tavenner,
Administrator, Centers for Medicare & Medicaid Services.
Dated: June 28, 2013.
Kathleen Sebelius,
Secretary. Department of Health and Human Services.
[FR Doc. 2013-17966 Filed 7-25-13; 8:45 am]
BILLING CODE 4120-01-P