Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children's Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2010 through September 30, 2011, 62315-62317 [E9-28438]

Download as PDF sroberts on DSKD5P82C1PROD with NOTICES Federal Register / Vol. 74, No. 227 / Friday, November 27, 2009 / Notices exclusive dealing by Pfizer. Prescription pharmaceutical customers (e.g., insurance companies) set up bid processes for purchasing pharmaceutical products on a productby-product (or category-by-category) basis and have generally resisted efforts by large pharmaceutical companies to bundle products across categories, unless the bundle is in the customer’s best interest. We found no evidence that this acquisition would undermine customers’ ability to prevent anticompetitive bundling. As a result, we conclude that the addition of the Wyeth portfolio of products to Pfizer’s portfolio is not likely to enhance the merged entity’s ability to engage in anticompetitive bundling, especially because the combined portfolio would contain few blockbuster drugs. Staff also investigated whether the acquisition would create a patent thicket by virtue of the breadth of the combined companies’ patent portfolio. A merger-created patent thicket could reduce or eliminate competition in human pharmaceutical products by enabling the combined firm to prevent other pharmaceutical companies from developing products through the enforcement of intellectual property rights. After evaluating the parties’ respective patent portfolios in a number of areas where both firms are active, including, most notably, Alzheimer’s disease, the evidence showed that the combination of the intellectual property of Pfizer with that of Wyeth would not pose any greater barrier to entry to thirdparty companies than the intellectual property held by the companies individually. Finally, staff evaluated whether the transaction would decrease basic research or the pace of innovation in pharmaceutical markets by eliminating a leader in pharmaceutical research and development; changing the incentives of companies performing pharmaceutical research and development; or reducing the number of potential research, marketing, or funding partners. Pharmaceutical research and development is a dynamic field with multiple participants including both large and small traditional pharmaceutical companies, specialty pharmaceutical companies, biotechnology companies, and contract research organizations. The evidence does not indicate that the combination raises antitrust concerns in these respects. Even within the discrete product areas where both Pfizer and Wyeth are actively pursuing research and development, such as treatments for Alzheimer’s disease, we conclude that VerDate Nov<24>2008 18:08 Nov 25, 2009 Jkt 220001 the transaction is not likely to affect competition in basic research or innovation. Within Alzheimer’s disease specifically, fundamental information about the disease, including its cause, how to diagnose it prior to the appearance of symptoms, and when intervention must occur to modify the disease, is still unknown. There is no scientific consensus about the most promising track for the treatment of Alzheimer’s disease. As a result, it is a dynamic area of drug development, and the many companies working in this disease area are pursuing many different pathways with compounds that can have different effects and risk factors. Although Pfizer and Wyeth are two of the most active companies pursuing research and development activities in the Alzheimer’s disease area, it is unlikely that the combination of the Pfizer and Wyeth’s Alzheimer’s disease pipelines will diminish the incentives of Pfizer or any other company to compete in the research and development of Alzheimer’s disease treatments. Further, the combination of Pfizer and Wyeth is not likely to affect the ability of other companies to continue to develop and ultimately introduce new products to treat Alzheimer’s disease. The Commission’s extensive investigation and commitment of resources in this matter reflects its dedication to ensuring that pharmaceutical markets are competitive and that consumers have access to innovative and affordable medications. Although the Commission, based on the evidence gathered, determined that this transaction did not raise anticompetitive concerns in the markets for human pharmaceuticals, the Commission remains dedicated to ensuring that pharmaceutical markets are competitive. We will closely monitor these markets and continue to evaluate future transactions under the framework explained here to determine their effect on competition in the health care market, and, where appropriate, take action to ensure that any merger or acquisition does not undermine the pharmaceutical industry’s competitiveness. By direction of the Commission, Commissioner Harbour and Commissioner Kovacic recused. Donald S. Clark, Secretary. [FR Doc. E9–28336 Filed 11–25–09; 8:45 am] BILLING CODE 6750–01–P PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 62315 DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children’s Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2010 through September 30, 2011 Office of the Secretary, DHHS. Notice. AGENCY: ACTION: SUMMARY: The Federal Medical Assistance Percentages (FMAP) and Enhanced Federal Medical Assistance Percentages (eFMAP) for Fiscal Year 2011 have been calculated pursuant to the Social Security Act (the Act). These percentages will be effective from October 1, 2010 through September 30, 2011. This notice announces the calculated FMAP and eFMAP rates that the U.S. Department of Health and Human Services (HHS) will use in determining the amount of Federal matching for State medical assistance (Medicaid) and Children’s Health Insurance Program (CHIP) expenditures, Temporary Assistance for Needy Families (TANF) Contingency Funds, Child Support Enforcement collections, Child Care Mandatory and Matching Funds of the Child Care and Development Fund, Foster Care Title IV–E Maintenance payments, and Adoption Assistance payments. The table gives figures for each of the 50 States, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands. Programs under title XIX of the Act exist in each jurisdiction. Programs under titles I, X, and XIV operate only in Guam and the Virgin Islands, while a program under title XVI (Aid to the Aged, Blind, or Disabled) operates only in Puerto Rico. The percentages in this notice apply to State expenditures for most medical services and medical insurance services, and assistance payments for certain social services. The Act provides separately for Federal matching of administrative costs. Sections 1905(b) and 1101(a)(8)(B) of the Act require the Secretary of HHS to publish the FMAP rates each year. The Secretary calculates the percentages, using formulas in sections 1905(b) and 1101(a)(8)(B), and calculations by the Department of Commerce of average income per person in each State and for the Nation as a whole. The percentages must fall within the upper and lower limits given in section 1905(b) of the Act. The percentages for the District of E:\FR\FM\27NON1.SGM 27NON1 62316 Federal Register / Vol. 74, No. 227 / Friday, November 27, 2009 / Notices Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands are specified in statute, and thus are not based on the statutory formula that determines the percentages for the 50 States. Section 1905(b) of the Act specifies the formula for calculating FMAPs as follows: ‘‘Federal medical assistance percentage’’ for any State shall be 100 per centum less the State percentage; and the State percentage shall be that percentage which bears the same ratio to 45 per centum as the square of the per capita income of such State bears to the square of the per capita income of the continental United States (including Alaska) and Hawaii; except that (1) the Federal medical assistance percentage shall in no case be less than 50 per centum or more than 83 per centum, (2) the Federal medical assistance percentage for Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa shall be 50 per centum. Section 4725(b) of the Balanced Budget Act of 1997 amended section 1905(b) to provide that the FMAP for the District of Columbia for purposes of titles XIX and XXI shall be 70 percent. For the District of Columbia, we note under the table of FMAPs that other rates may apply in certain other programs. In addition, we note the rate that applies for Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands in certain other programs pursuant to section 1118 of the Act. Section 2105(b) of the Act specifies the formula for calculating the eFMAP rates as follows: The ‘‘enhanced FMAP’’, for a State for a fiscal year, is equal to the Federal medical assistance percentage (as defined in the first sentence of section 1905(b)) for the State 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, is less than (2) 100 percent; but in no case shall the enhanced FMAP for a State exceed 85 percent. The eFMAP rates are used in the Children’s Health Insurance Program under Title XXI, and in the Medicaid program for certain children for expenditures for medical assistance described in sections 1905(u)(2) and 1905(u)(3) of the Act. There is no specific requirement to publish the eFMAP rates. We include them in this notice for the convenience of the States. DATES: Effective Dates: The percentages listed will be effective for each of the four quarter-year periods beginning October 1, 2010 and ending September 30, 2011. FOR FURTHER INFORMATION CONTACT: Carrie Shelton, Office of Health Policy, Office of the Assistant Secretary for Planning and Evaluation, Room 447D– Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201, (202) 690–6870. (Catalog of Federal Domestic Assistance Program Nos. 93.558: TANF Contingency Funds; 93.563: Child Support Enforcement; 93.596: Child Care Mandatory and Matching Funds of the Child Care and Development Fund; 93.658: Foster Care Title IV–E; 93.659: Adoption Assistance; 93.769: Ticket-to-Work and Work Incentives Improvement Act (TWWIIA) Demonstrations to Maintain Independence and Employment; 93.778: Medical Assistance Program; 93.767: Children’s Health Insurance Program) Dated: November 20, 2009. Kathleen Sebelius, Secretary. FEDERAL MEDICAL ASSISTANCE PERCENTAGES AND ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES, EFFECTIVE OCTOBER 1, 2010–SEPTEMBER 30, 2011 [Fiscal year 2011] Federal medical assistance percentages sroberts on DSKD5P82C1PROD with NOTICES State Alabama ................................................................................................................................................... Alaska ...................................................................................................................................................... American Samoa * ................................................................................................................................... Arizona ..................................................................................................................................................... Arkansas .................................................................................................................................................. California .................................................................................................................................................. Colorado .................................................................................................................................................. Connecticut .............................................................................................................................................. Delaware .................................................................................................................................................. District of Columbia ** .............................................................................................................................. Florida ...................................................................................................................................................... Georgia .................................................................................................................................................... Guam * ..................................................................................................................................................... Hawaii ...................................................................................................................................................... Idaho ........................................................................................................................................................ Illinois ....................................................................................................................................................... Indiana ..................................................................................................................................................... Iowa ......................................................................................................................................................... Kansas ..................................................................................................................................................... Kentucky .................................................................................................................................................. Louisiana .................................................................................................................................................. Maine ....................................................................................................................................................... Maryland .................................................................................................................................................. Massachusetts ......................................................................................................................................... Michigan ................................................................................................................................................... Minnesota ................................................................................................................................................ Mississippi ................................................................................................................................................ Missouri .................................................................................................................................................... Montana ................................................................................................................................................... Nebraska .................................................................................................................................................. Nevada ..................................................................................................................................................... New Hampshire ....................................................................................................................................... New Jersey .............................................................................................................................................. VerDate Nov<24>2008 18:08 Nov 25, 2009 Jkt 220001 PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 E:\FR\FM\27NON1.SGM 68.54 50.00 50.00 65.85 71.37 50.00 50.00 50.00 53.15 70.00 55.45 65.33 50.00 51.79 68.85 50.20 66.52 62.63 59.05 71.49 63.61 63.80 50.00 50.00 65.79 50.00 74.73 63.29 66.81 58.44 51.61 50.00 50.00 27NON1 Enhanced federal medical assistance percentages 77.98 65.00 65.00 76.10 79.96 65.00 65.00 65.00 67.21 79.00 68.82 75.73 65.00 66.25 78.20 65.14 76.56 73.84 71.34 80.04 74.53 74.66 65.00 65.00 76.05 65.00 82.31 74.30 76.77 70.91 66.13 65.00 65.00 Federal Register / Vol. 74, No. 227 / Friday, November 27, 2009 / Notices 62317 FEDERAL MEDICAL ASSISTANCE PERCENTAGES AND ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES, EFFECTIVE OCTOBER 1, 2010–SEPTEMBER 30, 2011—Continued [Fiscal year 2011] Federal medical assistance percentages State New Mexico ............................................................................................................................................. New York ................................................................................................................................................. North Carolina .......................................................................................................................................... North Dakota ............................................................................................................................................ Northern Mariana Islands * ...................................................................................................................... Ohio ......................................................................................................................................................... Oklahoma ................................................................................................................................................. Oregon ..................................................................................................................................................... Pennsylvania ............................................................................................................................................ Puerto Rico * ............................................................................................................................................ Rhode Island ............................................................................................................................................ South Carolina ......................................................................................................................................... South Dakota ........................................................................................................................................... Tennessee ............................................................................................................................................... Texas ....................................................................................................................................................... Utah ......................................................................................................................................................... Vermont ................................................................................................................................................... Virgin Islands * ......................................................................................................................................... Virginia ..................................................................................................................................................... Washington .............................................................................................................................................. West Virginia ............................................................................................................................................ Wisconsin ................................................................................................................................................. Wyoming .................................................................................................................................................. 69.78 50.00 64.71 60.35 50.00 63.69 64.94 62.85 55.64 50.00 52.97 70.04 61.25 65.85 60.56 71.13 58.71 50.00 50.00 50.00 73.24 60.16 50.00 Enhanced federal medical assistance percentages 78.85 65.00 75.30 72.25 65.00 74.58 75.46 74.00 68.95 65.00 67.08 79.03 72.88 76.10 72.39 79.79 71.10 65.00 65.00 65.00 81.27 72.11 65.00 * For purposes of section 1118 of the Social Security Act, the percentage used under titles I, X, XIV, and XVI will be 75.00 per centum. ** The values for the District of Columbia in the table were set for the State plan under titles XIX and XXI and for capitation payments and DSH allotments under those titles. For other purposes, the percentage for DC is 50.00 per centum, unless otherwise specified by law. [FR Doc. E9–28438 Filed 11–25–09; 8:45 am] BILLING CODE 4150–05–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP); NTP Interagency Center for the Evaluation of Alternative Toxicological Methods (NICEATM); Evaluation of In Vitro Estrogen Receptor Transcriptional Activation and In Vitro Cell Proliferation Assays for Endocrine Disruptor Chemical Screening: Request for Nominations for an Independent Expert Peer Review Panel and Submission of Relevant In Vitro and In Vivo Data sroberts on DSKD5P82C1PROD with NOTICES AGENCY: National Institute of Environmental Health Sciences (NIEHS), National Institutes of Health (NIH). ACTION: Request nominations for an independent expert panel and submission of relevant data. SUMMARY: NICEATM, in collaboration with the Interagency Coordinating Committee on the Validation of Alternative Methods (ICCVAM), is planning to convene an independent scientific peer review panel (hereafter, Panel) to assess the validation status of an in vitro stably-transfected estrogen VerDate Nov<24>2008 18:08 Nov 25, 2009 Jkt 220001 receptor (ER) transcriptional activation (TA) Assay (LUMI–CELL® ER assay) and an in vitro cell proliferation assay (CertiChem MCF–7 Cell Proliferation assay) for their usefulness and limitations in determining whether and to what extent chemicals can interact with estrogen receptors in vitro. Validated assays that can detect the interaction of chemicals with specific hormone receptors including the ER are included in the U.S. Environmental Protection Agency (EPA) Endocrine Disruptor Screening Program (EDSP) (https://www.epa.gov/endo/pubs/ assayvalidation/status.htm). The two assays that will undergo peer review are currently undergoing validation studies to determine their usefulness and limitations for the EDSP. Any other existing data from these two assays are requested to ensure that all available relevant data are considered by the Panel. Data from other existing in vitro and in vivo assays for the 78 reference substances used for the validation studies (available at https:// iccvam.niehs.nih.gov/docs/endo_docs/ EDAddendFinal.pdf) are requested for use in characterizing the expected in vitro and in vivo activity of these 78 reference substances. At this time NICEATM requests: PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 • Nominations of expert scientists for consideration as potential Panel members. • Submission of existing data from the LUMI–CELL® ER and the CertiChem MCF–7 Cell Proliferation assays. • Submission of data from in vivo or other in vitro assessments for the 78 reference substances recommended by ICCVAM for the validation of in vitro ER and AR binding and TA test methods (available at https:// iccvam.niehs.nih.gov/docs/endo_docs/ EDAddendFinal.pdf). DATES: Submit nominations and data by January 11, 2010. Data submitted after this date will be considered in the evaluation, where feasible. ADDRESSES: Submit nominations and data electronically by e-mail to niceatm@niehs.nih.gov, or via the NICEATM–ICCVAM Web site at https:// iccvam.niehs.nih.gov/contact/ FR_pubcomment.htm. Nominations and data may also be sent by mail or fax to Dr. William S. Stokes, Director, NICEATM, NIEHS, P.O. Box 12233, Mail Stop: K2–16, Research Triangle Park, NC 27709, (telephone) 919–541– 2384, (fax) 919–541–0947, (e-mail). Courier address: NIEHS, NICEATM, 530 Davis Drive, Room 2034, Morrisville, NC 27560. E:\FR\FM\27NON1.SGM 27NON1

Agencies

[Federal Register Volume 74, Number 227 (Friday, November 27, 2009)]
[Notices]
[Pages 62315-62317]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-28438]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES


Federal Financial Participation in State Assistance Expenditures; 
Federal Matching Shares for Medicaid, the Children's Health Insurance 
Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 
1, 2010 through September 30, 2011

AGENCY: Office of the Secretary, DHHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Federal Medical Assistance Percentages (FMAP) and Enhanced 
Federal Medical Assistance Percentages (eFMAP) for Fiscal Year 2011 
have been calculated pursuant to the Social Security Act (the Act). 
These percentages will be effective from October 1, 2010 through 
September 30, 2011. This notice announces the calculated FMAP and eFMAP 
rates that the U.S. Department of Health and Human Services (HHS) will 
use in determining the amount of Federal matching for State medical 
assistance (Medicaid) and Children's Health Insurance Program (CHIP) 
expenditures, Temporary Assistance for Needy Families (TANF) 
Contingency Funds, Child Support Enforcement collections, Child Care 
Mandatory and Matching Funds of the Child Care and Development Fund, 
Foster Care Title IV-E Maintenance payments, and Adoption Assistance 
payments. The table gives figures for each of the 50 States, the 
District of Columbia, Puerto Rico, the Virgin Islands, Guam, American 
Samoa, and the Commonwealth of the Northern Mariana Islands.
    Programs under title XIX of the Act exist in each jurisdiction. 
Programs under titles I, X, and XIV operate only in Guam and the Virgin 
Islands, while a program under title XVI (Aid to the Aged, Blind, or 
Disabled) operates only in Puerto Rico. The percentages in this notice 
apply to State expenditures for most medical services and medical 
insurance services, and assistance payments for certain social 
services. The Act provides separately for Federal matching of 
administrative costs.
    Sections 1905(b) and 1101(a)(8)(B) of the Act require the Secretary 
of HHS to publish the FMAP rates each year. The Secretary calculates 
the percentages, using formulas in sections 1905(b) and 1101(a)(8)(B), 
and calculations by the Department of Commerce of average income per 
person in each State and for the Nation as a whole. The percentages 
must fall within the upper and lower limits given in section 1905(b) of 
the Act. The percentages for the District of

[[Page 62316]]

Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and 
the Northern Mariana Islands are specified in statute, and thus are not 
based on the statutory formula that determines the percentages for the 
50 States.
    Section 1905(b) of the Act specifies the formula for calculating 
FMAPs as follows:

    ``Federal medical assistance percentage'' for any State shall be 
100 per centum less the State percentage; and the State percentage 
shall be that percentage which bears the same ratio to 45 per centum 
as the square of the per capita income of such State bears to the 
square of the per capita income of the continental United States 
(including Alaska) and Hawaii; except that (1) the Federal medical 
assistance percentage shall in no case be less than 50 per centum or 
more than 83 per centum, (2) the Federal medical assistance 
percentage for Puerto Rico, the Virgin Islands, Guam, the Northern 
Mariana Islands, and American Samoa shall be 50 per centum.

    Section 4725(b) of the Balanced Budget Act of 1997 amended section 
1905(b) to provide that the FMAP for the District of Columbia for 
purposes of titles XIX and XXI shall be 70 percent. For the District of 
Columbia, we note under the table of FMAPs that other rates may apply 
in certain other programs. In addition, we note the rate that applies 
for Puerto Rico, the Virgin Islands, Guam, American Samoa, and the 
Commonwealth of the Northern Mariana Islands in certain other programs 
pursuant to section 1118 of the Act.
    Section 2105(b) of the Act specifies the formula for calculating 
the eFMAP rates as follows:

    The ``enhanced FMAP'', for a State for a fiscal year, is equal 
to the Federal medical assistance percentage (as defined in the 
first sentence of section 1905(b)) for the State 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, is less than (2) 100 percent; but in no 
case shall the enhanced FMAP for a State exceed 85 percent.

    The eFMAP rates are used in the Children's Health Insurance Program 
under Title XXI, and in the Medicaid program for certain children for 
expenditures for medical assistance described in sections 1905(u)(2) 
and 1905(u)(3) of the Act. There is no specific requirement to publish 
the eFMAP rates. We include them in this notice for the convenience of 
the States.

DATES: Effective Dates: The percentages listed will be effective for 
each of the four quarter-year periods beginning October 1, 2010 and 
ending September 30, 2011.

FOR FURTHER INFORMATION CONTACT: Carrie Shelton, Office of Health 
Policy, Office of the Assistant Secretary for Planning and Evaluation, 
Room 447D-Hubert H. Humphrey Building, 200 Independence Avenue, SW., 
Washington, DC 20201, (202) 690-6870.

(Catalog of Federal Domestic Assistance Program Nos. 93.558: TANF 
Contingency Funds; 93.563: Child Support Enforcement; 93.596: Child 
Care Mandatory and Matching Funds of the Child Care and Development 
Fund; 93.658: Foster Care Title IV-E; 93.659: Adoption Assistance; 
93.769: Ticket-to-Work and Work Incentives Improvement Act (TWWIIA) 
Demonstrations to Maintain Independence and Employment; 93.778: 
Medical Assistance Program; 93.767: Children's Health Insurance 
Program)

    Dated: November 20, 2009.
Kathleen Sebelius,
Secretary.

   Federal Medical Assistance Percentages and Enhanced Federal Medical
  Assistance Percentages, Effective October 1, 2010-September 30, 2011
                           [Fiscal year 2011]
------------------------------------------------------------------------
                                    Federal medical    Enhanced federal
              State                   assistance      medical assistance
                                      percentages         percentages
------------------------------------------------------------------------
Alabama.........................               68.54               77.98
Alaska..........................               50.00               65.00
American Samoa *................               50.00               65.00
Arizona.........................               65.85               76.10
Arkansas........................               71.37               79.96
California......................               50.00               65.00
Colorado........................               50.00               65.00
Connecticut.....................               50.00               65.00
Delaware........................               53.15               67.21
District of Columbia **.........               70.00               79.00
Florida.........................               55.45               68.82
Georgia.........................               65.33               75.73
Guam *..........................               50.00               65.00
Hawaii..........................               51.79               66.25
Idaho...........................               68.85               78.20
Illinois........................               50.20               65.14
Indiana.........................               66.52               76.56
Iowa............................               62.63               73.84
Kansas..........................               59.05               71.34
Kentucky........................               71.49               80.04
Louisiana.......................               63.61               74.53
Maine...........................               63.80               74.66
Maryland........................               50.00               65.00
Massachusetts...................               50.00               65.00
Michigan........................               65.79               76.05
Minnesota.......................               50.00               65.00
Mississippi.....................               74.73               82.31
Missouri........................               63.29               74.30
Montana.........................               66.81               76.77
Nebraska........................               58.44               70.91
Nevada..........................               51.61               66.13
New Hampshire...................               50.00               65.00
New Jersey......................               50.00               65.00

[[Page 62317]]

 
New Mexico......................               69.78               78.85
New York........................               50.00               65.00
North Carolina..................               64.71               75.30
North Dakota....................               60.35               72.25
Northern Mariana Islands *......               50.00               65.00
Ohio............................               63.69               74.58
Oklahoma........................               64.94               75.46
Oregon..........................               62.85               74.00
Pennsylvania....................               55.64               68.95
Puerto Rico *...................               50.00               65.00
Rhode Island....................               52.97               67.08
South Carolina..................               70.04               79.03
South Dakota....................               61.25               72.88
Tennessee.......................               65.85               76.10
Texas...........................               60.56               72.39
Utah............................               71.13               79.79
Vermont.........................               58.71               71.10
Virgin Islands *................               50.00               65.00
Virginia........................               50.00               65.00
Washington......................               50.00               65.00
West Virginia...................               73.24               81.27
Wisconsin.......................               60.16               72.11
Wyoming.........................               50.00               65.00
------------------------------------------------------------------------
* For purposes of section 1118 of the Social Security Act, the
  percentage used under titles I, X, XIV, and XVI will be 75.00 per
  centum.
** The values for the District of Columbia in the table were set for the
  State plan under titles XIX and XXI and for capitation payments and
  DSH allotments under those titles. For other purposes, the percentage
  for DC is 50.00 per centum, unless otherwise specified by law.

[FR Doc. E9-28438 Filed 11-25-09; 8:45 am]
BILLING CODE 4150-05-P
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