Implementation of Section 5001 of the American Recovery and Reinvestment Act of 2009 (Pub. L. 111-5) for Adjustments to the Third Quarter of Fiscal Year 2010 Federal Medical Assistance Percentage Rates for Federal Matching Shares for Medicaid and Title IV-E Foster Care, Adoption Assistance and Guardianship Assistance Programs, 52530-52532 [2010-21235]
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52530
Federal Register / Vol. 75, No. 165 / Thursday, August 26, 2010 / Notices
examination of a financial institution, a
violation or possible violation of the
EFAA or the Check 21 Act is noted then
information regarding such violation
may be kept confidential pursuant to
Section (b)(8) of the Freedom of
Information Act. 5 U.S.C. 552(b)(8).
Abstract: Regulation CC requires
banks to make funds deposited in
transaction accounts available within
specified time periods, disclose their
availability policies to customers, and
begin accruing interest on such deposits
promptly. The disclosures are intended
to alert customers that their ability to
use deposited funds may be delayed,
prevent unintentional (and potentially
costly) overdrafts, and allow customers
to compare the policies of different
banks before deciding at which bank to
deposit funds. The regulation also
requires notice to the depositary bank
and to a customer of nonpayment of a
check. Model disclosure forms, clauses,
and notices are appended to the
regulation to ease compliance.
Current Actions: On June 15, 2010,
the Federal Reserve published a notice
in the Federal Register (75 FR 33806)
seeking public comment for 60 days on
the extension, without revision, of the
FR HMDA–LAR and Reg CC. The
comment period for this notice expired
on August 16, 2010. The Federal
Reserve did not receive comments on
the Reg CC proposal. The Federal
Reserve received one comment on the
FR HMDA/LAR proposal from an
individual that discussed the merits of
a national loan identification number,
however, the points raised were beyond
the scope of the PRA clearance process.
Board of Governors of the Federal Reserve
System, August 23, 2010.
Jennifer J. Johnson,
Secretary of the Board.
[FR Doc. 2010–21233 Filed 8–25–10; 8:45 am]
BILLING CODE 6210–01–P
mstockstill on DSKH9S0YB1PROD with NOTICES
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Implementation of Section 5001 of the
American Recovery and Reinvestment
Act of 2009 (Pub. L. 111–5) for
Adjustments to the Third Quarter of
Fiscal Year 2010 Federal Medical
Assistance Percentage Rates for
Federal Matching Shares for Medicaid
and Title IV–E Foster Care, Adoption
Assistance and Guardianship
Assistance Programs
Office of the Secretary, DHHS.
Notice.
AGENCY:
ACTION:
This notice provides the
adjusted Federal Medical Assistance
SUMMARY:
VerDate Mar<15>2010
20:12 Aug 25, 2010
Jkt 220001
Percentage (FMAP) rate for the third
quarter of Fiscal Year 2010 (FY10) as
required under Section 5001 of the
American Recovery and Reinvestment
Act of 2009 (ARRA). Section 5001 of the
ARRA provides for temporary increases
in the FMAP rates to provide fiscal
relief to States and to protect and
maintain State Medicaid and certain
other assistance programs in a period of
economic downturn. The increased
FMAP rates apply during a recession
adjustment period that is defined in
ARRA as the period beginning October
1, 2008 and ending December 31, 2010.
This notice does not account for
changes as a result of Public Law 111–
226. However, future FMAP notices will
account for these changes.
DATES: Effective Date: The percentages
listed are for the third quarter of FY10
beginning April 1, 2010 through June
30, 2010.
A. Background
The FMAP is used to determine the
amount of Federal matching for
specified State expenditures for
assistance payments under programs
under the Social Security Act (‘‘the
Act’’). Sections 1905(b) and
1101(a)(8)(B) of the Act require the
Secretary of Health and Human Services
to publish the FMAP rates each year.
The Secretary calculates the percentages
using formulas in sections 1905(b) and
1101(a)(8)(B), and statistics from the
Department of Commerce of average
income per person in each State and for
the Nation as a whole. The percentages
must be within the upper and lower
limits given in section 1905(b) of the
Act. The percentages to be applied to
the District of Columbia, Puerto Rico,
the Virgin Islands, Guam, American
Samoa, and the Northern Mariana
Islands are specified separately in the
Act, 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 the FMAP as
follows:
The FMAP 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 FMAP shall in no case be less than
50 per centum or more than 83 per centum,
and (2) the FMAP for Puerto Rico, the Virgin
Islands, Guam, the Northern Mariana Islands,
and American Samoa shall be 50 per centum.
Section 4725 of the Balanced Budget
Act of 1997 amended section 1905(b) to
provide that the FMAP for the District
PO 00000
Frm 00027
Fmt 4703
Sfmt 4703
of Columbia for purposes of titles XIX
(Medicaid) and XXI (CHIP) shall be 70
percent. The Medicare Improvements
for Patients and Providers Act of 2008
(MIPPA) (Pub. L. 110–275) amended the
FMAP applied to the District of
Columbia for maintenance payments
under title IV–E programs to make it
consistent with the 70 percent Medicaid
match rate.
Section 5001 of Division B of the
ARRA provides for a temporary increase
in FMAP rates for Medicaid and title
IV–E Foster Care, Adoption Assistance
and Guardianship Assistance programs.
The purpose of the increases to the
FMAP rates is to provide fiscal relief to
States and to protect and maintain State
Medicaid and certain other assistance
programs in a period of economic
downturn, referred to as the ‘‘recession
adjustment period.’’ The recession
adjustment period is defined as the
period beginning October 1, 2008 and
ending December 31, 2010.
B. Calculation of the Increased FMAP
Rates Under ARRA
Section 5001 of the ARRA specifies
that the FMAP rates shall be temporarily
increased for the following: (1)
Maintenance of FMAP rates for FY09,
FY10, and first quarter of FY11, so that
the FMAP rate will not decrease from
the prior year, determined by using as
the FMAP rate for the current year, the
greater of any prior fiscal year FMAP
rates between 2008–2010 or the rate
calculated for the current fiscal year; (2)
in addition to any maintenance
increase, the application of an increase
in each State’s FMAP of 6.2 percentage
points; and (3) an additional percentage
point increase based on the State’s
increase in unemployment during the
recession adjustment period. The
resulting increased FMAP cannot
exceed 100 percent. Each State’s FMAP
will be recalculated each fiscal quarter
beginning October 2008. Availability of
certain components of the increased
FMAP is conditioned on States meeting
statutory programmatic requirements,
such as the maintenance of effort
requirement, which are not part of the
calculation process.
Expenditures for which the increased
FMAP is not available under title XIX
include expenditures for
disproportionate share hospital
payments, certain eligibility expansions,
services received through an IHS or
Tribal facility (which are already paid at
a rate of 100 percent and therefore not
subject to increase), and expenditures
that are paid at an enhanced FMAP rate.
The increased FMAP is available for
expenditures under part E of title IV
(including Foster Care, Adoption
E:\FR\FM\26AUN1.SGM
26AUN1
52531
Federal Register / Vol. 75, No. 165 / Thursday, August 26, 2010 / Notices
Assistance and Guardianship Assistance
programs) only to the extent of a
maintenance increase (hold harmless), if
any, and the 6.2 percentage point
increase. The increased FMAP does not
apply to other parts of title IV, including
part D (Child Support Enforcement
Program).
For title XIX purposes only, for each
qualifying State with an unemployment
rate that has increased at a rate above
the statutory threshold percentage,
ARRA provides additional relief above
the general 6.2 percentage point
increase in FMAP through application
of a separate increase calculation. For
those States, the FMAP for each
qualifying State is increased by the
number of percentage points equal to
the product of the State matching
percentage (as calculated under section
1905(b) and adjusted if necessary for the
maintenance of FMAP without
reduction from the prior year, and after
applying half of the 6.2 percentage point
general increase in the Federal
percentage) and the applicable percent
determined from the State
unemployment increase percentage for
the quarter.
The unemployment increase
percentage for a calendar quarter is
equal to the number of percentage
points (if any) by which the average
monthly unemployment rate for the
State in the most recent previous 3consecutive-month period for which
data are available exceeds the lowest
average monthly unemployment rate for
the State for any 3-consecutive-month
period beginning on or after January 1,
2006. A State qualifies for additional
relief based on an increase in
unemployment if that State’s
unemployment increase percentage is at
least 1.5 percentage points.
The applicable percent is: (1) 5.5
percent if the State unemployment
increase percentage is at least 1.5
percentage points but less than 2.5
percentage points; (2) 8.5 percent if the
State unemployment increase
percentage is at least 2.5 percentage
points but less than 3.5 percentage
points; and (3) 11.5 percent if the State
unemployment increase percentage is at
least 3.5 percentage points.
If the State’s applicable percent is less
than the applicable percent for the
preceding quarter, then the higher
applicable percent shall continue in
effect for any calendar quarter beginning
on or after January 1, 2009 and ending
before July 1, 2010.
Under section 5001(b)(2) of ARRA,
Puerto Rico, the Virgin Islands, Guam,
the Commonwealth of the Northern
Mariana Islands, and America Samoa
were given the option to make a special
one-time election between (1) a 30
percent increase in their cap on
Medicaid payments (as determined
under subsections (f) and (g) of section
1108 of the Act), or (2) applying the
general 6.2 percentage point increase in
the FMAP plus a 15 percent increase in
the cap on Medicaid payments. There is
no quarterly unemployment adjustment
for territories. All territories and the
Commonwealth of the Northern Mariana
Islands elected the 30 percent increase
in their spending cap on Medicaid
payments; therefore there is no
recalculation of their FMAP rate.
D. Adjusted FMAPs for the Third
Quarter of FY2010
ARRA adjustments to FMAPs are
shown by State in the accompanying
table. The hold harmless FY10 FMAP is
the higher of the original FY08, FY09,
or FY10 FMAP. The 6.2 percentage
point increase is added to the hold
harmless FY10 FMAP. The
unemployment adjustment is calculated
according to the unemployment tier and
added to the hold harmless FY10 FMAP
with the 6.2 percentage point increase.
For the third quarter of FY10, the
unemployment tier is determined by
comparing the average unemployment
rate for the three consecutive months
preceding the start of the fiscal quarter
to the lowest consecutive 3-month
average unemployment rate beginning
January 1, 2006. If the State’s applicable
percent is less than the applicable
percent for the second quarter of FY10,
then the higher applicable percent shall
continue for the third quarter of FY10.
As indicated in the August 4, 2009
Federal Register Notice that proposed
the methodology for the FMAP
unemployment adjustment calculations
(74 FR 38630), we utilize annual
updates to the historical Bureau of
Labor Statistics (BLS) data to make
changes to the States’ lowest
unemployment rate beginning with the
third quarter FMAP rate adjustment
calculation each year. As such, the rates
calculated and presented in the
accompanying table are based on
updates to the historical BLS data used
to determine the States’ average lowest
unemployment rate for any 3
consecutive months beginning January
1, 2006.
FOR FURTHER INFORMATION CONTACT:
Carrie Shelton or Thomas Musco, 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. 93.778: Medical Assistance
Program; 93.658: Foster Care; 93.659:
Adoption Assistance; 93.090: Guardianship
Assistance)
Dated: July 28, 2010.
Kathleen Sebelius,
Secretary.
ARRA ADJUSTMENTS TO FMAP Q3 FY10
Hold harmless
FY10
mstockstill on DSKH9S0YB1PROD with NOTICES
State
Alabama .......................................
Alaska ..........................................
Arizona .........................................
Arkansas ......................................
California ......................................
Colorado .......................................
Connecticut ..................................
Delaware ......................................
Dist of Columbia ..........................
Florida ..........................................
Georgia ........................................
Hawaii ..........................................
Idaho ............................................
Illinois ...........................................
VerDate Mar<15>2010
20:12 Aug 25, 2010
Jkt 220001
Hold harmless
FY10 FMAP
with 6.2% pt
increase
68.01
52.48
66.20
72.94
50.00
50.00
50.00
50.21
70.00
56.83
65.10
56.50
69.87
50.32
PO 00000
3rd Quarter
FY10
unemployment
tier
3rd Quarter
FY10
unemployment
adjustment
3rd Quarter
FY10 FMAP
unemployment
adjustment
3rd Quarter
FY10 FMAP
unemployment
hold harmless
11.5
8.5
11.5
8.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
3.32
3.78
3.53
2.04
5.39
5.39
5.39
5.37
3.09
4.61
3.66
4.65
3.11
5.36
77.53
62.46
75.93
81.18
61.59
61.59
61.59
61.78
79.29
67.64
74.96
67.35
79.18
61.88
77.53
62.46
75.93
81.18
61.59
61.59
61.59
61.78
79.29
67.64
74.96
67.35
79.18
61.88
74.21
58.68
72.40
79.14
56.20
56.20
56.20
56.41
76.20
63.03
71.30
62.70
76.07
56.52
Frm 00028
Fmt 4703
Sfmt 4703
E:\FR\FM\26AUN1.SGM
26AUN1
52532
Federal Register / Vol. 75, No. 165 / Thursday, August 26, 2010 / Notices
ARRA ADJUSTMENTS TO FMAP Q3 FY10—Continued
Hold harmless
FY10
State
Indiana .........................................
Iowa ..............................................
Kansas .........................................
Kentucky ......................................
Louisiana ......................................
Maine ...........................................
Maryland ......................................
Massachusetts .............................
Michigan .......................................
Minnesota .....................................
Mississippi ....................................
Missouri ........................................
Montana .......................................
Nebraska ......................................
Nevada .........................................
New Hampshire ...........................
New Jersey ..................................
New Mexico .................................
New York .....................................
North Carolina ..............................
North Dakota ................................
Ohio ..............................................
Oklahoma .....................................
Oregon .........................................
Pennsylvania ................................
Rhode Island ................................
South Carolina .............................
South Dakota ...............................
Tennessee ...................................
Texas ...........................................
Utah ..............................................
Vermont ........................................
Virginia .........................................
Washington ..................................
West Virginia ................................
Wisconsin .....................................
Wyoming ......................................
65.93
63.51
60.38
70.96
72.47
64.99
50.00
50.00
63.19
50.00
76.29
64.51
68.53
60.56
52.64
50.00
50.00
71.35
50.00
65.13
63.75
63.42
67.10
62.74
54.81
52.63
70.32
62.72
65.57
60.56
71.68
59.45
50.00
51.52
74.25
60.21
50.00
[FR Doc. 2010–21235 Filed 8–25–10; 8:45 am]
BILLING CODE 4150–05–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Meeting of the National Vaccine
Advisory Committee
Office of Public Health and
Science, Office of the Secretary,
Department of Health and Human
Services.
ACTION: Notice of meeting.
AGENCY:
As stipulated by the Federal
Advisory Committee Act, the
Department of Health and Human
Services (HHS) is hereby giving notice
that the National Vaccine Advisory
Committee (NVAC) will hold a meeting.
The meeting is open to the public. Preregistration is required for both public
attendance and comment. Individuals
who wish to attend the meeting and/or
participate in the public comment
mstockstill on DSKH9S0YB1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
20:12 Aug 25, 2010
Jkt 220001
Hold harmless
FY10 FMAP
with 6.2% pt
increase
3rd Quarter
FY10
unemployment
tier
3rd Quarter
FY10
unemployment
adjustment
3rd Quarter
FY10 FMAP
unemployment
adjustment
3rd Quarter
FY10 FMAP
unemployment
hold harmless
11.5
8.5
8.5
11.5
11.5
11.5
11.5
11.5
11.5
8.5
11.5
11.5
11.5
5.5
11.5
11.5
11.5
11.5
11.5
11.5
0
11.5
11.5
11.5
11.5
11.5
11.5
5.5
11.5
11.5
11.5
8.5
11.5
11.5
11.5
11.5
11.5
3.56
2.84
3.10
2.98
2.81
3.67
5.39
5.39
3.88
3.99
2.37
3.72
3.26
2.00
5.09
5.39
5.39
2.94
5.39
3.65
0.00
3.85
3.43
3.93
4.84
5.09
3.06
1.88
3.60
4.18
2.90
3.18
5.39
5.22
2.60
4.22
5.39
75.69
72.55
69.68
80.14
81.48
74.86
61.59
61.59
73.27
60.19
84.86
74.43
77.99
68.76
63.93
61.59
61.59
80.49
61.59
74.98
69.95
73.47
76.73
72.87
65.85
63.92
79.58
70.80
75.37
70.94
80.78
68.83
61.59
62.94
83.05
70.63
61.59
75.69
72.55
69.68
80.14
81.48
74.86
61.59
61.59
73.27
61.59
84.86
74.43
77.99
68.76
63.93
61.59
61.59
80.49
61.59
74.98
69.95
73.47
76.73
72.87
65.85
63.92
79.58
70.80
75.37
70.94
80.78
69.96
61.59
62.94
83.05
70.63
61.59
72.13
69.71
66.58
77.16
78.67
71.19
56.20
56.20
69.39
56.20
82.49
70.71
74.73
66.76
58.84
56.20
56.20
77.55
56.20
71.33
69.95
69.62
73.30
68.94
61.01
58.83
76.52
68.92
71.77
66.76
77.88
65.65
56.20
57.72
80.45
66.41
56.20
session should either e-mail
nvpo@hhs.gov or call 202–690–5566 to
register.
DATES: The meeting will be held on
September 14, 2010, from 8 a.m. to 5
p.m., and September 15, 2010 from 8
a.m. to 3 p.m.
ADDRESSES: Department of Health and
Human Services; Hubert H. Humphrey
Building, Great Hall; 200 Independence
Avenue, SW., Washington, DC 20201.
FOR FURTHER INFORMATION CONTACT:
National Vaccine Program Office,
Department of Health and Human
Services, Room 715–H, Hubert H.
Humphrey Building, 200 Independence
Avenue, SW., Washington, DC 20201.
Phone: (202) 690–5566; Fax: (202) 260–
1165; e-mail: nvpo@hhs.gov.
SUPPLEMENTARY INFORMATION: Pursuant
to Section 2101 of the Public Health
Service Act (42 U.S.C. Section 300aa–1),
the Secretary of Health and Human
Services was mandated to establish the
National Vaccine Program to achieve
optimal prevention of human infectious
PO 00000
Frm 00029
Fmt 4703
Sfmt 4703
diseases through immunization and to
achieve optimal prevention against
adverse reactions to vaccines. The
National Vaccine Advisory Committee
was established to provide advice and
make recommendations to the Director
of the National Vaccine Program on
matters related to the Program’s
responsibilities. The Assistant Secretary
for Health serves as Director of the
National Vaccine Program.
Topics to be discussed at the meeting
include the 2010–2011 Seasonal Flu
Campaign, Hepatitis B vaccination,
Healthy People 2020, vaccine safety,
and other related issues. The meeting
agenda will be posted on the Web site:
https://www.hhs.gov/nvpo/nvac at least
one week prior to the meeting. Public
attendance at the meeting is limited to
space available. Individuals who plan to
attend and need special assistance, such
as sign language interpretation or other
reasonable accommodations, should
notify the office at the address/phone
listed above at least one week prior to
E:\FR\FM\26AUN1.SGM
26AUN1
]]>Agencies
[Federal Register Volume 75, Number 165 (Thursday, August 26, 2010)]
[Notices]
[Pages 52530-52532]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-21235]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Implementation of Section 5001 of the American Recovery and
Reinvestment Act of 2009 (Pub. L. 111-5) for Adjustments to the Third
Quarter of Fiscal Year 2010 Federal Medical Assistance Percentage Rates
for Federal Matching Shares for Medicaid and Title IV-E Foster Care,
Adoption Assistance and Guardianship Assistance Programs
AGENCY: Office of the Secretary, DHHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice provides the adjusted Federal Medical Assistance
Percentage (FMAP) rate for the third quarter of Fiscal Year 2010 (FY10)
as required under Section 5001 of the American Recovery and
Reinvestment Act of 2009 (ARRA). Section 5001 of the ARRA provides for
temporary increases in the FMAP rates to provide fiscal relief to
States and to protect and maintain State Medicaid and certain other
assistance programs in a period of economic downturn. The increased
FMAP rates apply during a recession adjustment period that is defined
in ARRA as the period beginning October 1, 2008 and ending December 31,
2010. This notice does not account for changes as a result of Public
Law 111-226. However, future FMAP notices will account for these
changes.
DATES: Effective Date: The percentages listed are for the third quarter
of FY10 beginning April 1, 2010 through June 30, 2010.
A. Background
The FMAP is used to determine the amount of Federal matching for
specified State expenditures for assistance payments under programs
under the Social Security Act (``the Act''). Sections 1905(b) and
1101(a)(8)(B) of the Act require the Secretary of Health and Human
Services to publish the FMAP rates each year. The Secretary calculates
the percentages using formulas in sections 1905(b) and 1101(a)(8)(B),
and statistics from the Department of Commerce of average income per
person in each State and for the Nation as a whole. The percentages
must be within the upper and lower limits given in section 1905(b) of
the Act. The percentages to be applied to the District of Columbia,
Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern
Mariana Islands are specified separately in the Act, 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
the FMAP as follows:
The FMAP 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 FMAP shall in no case be less than 50
per centum or more than 83 per centum, and (2) the FMAP for Puerto
Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and
American Samoa shall be 50 per centum.
Section 4725 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 (Medicaid) and XXI (CHIP) shall be 70 percent.
The Medicare Improvements for Patients and Providers Act of 2008
(MIPPA) (Pub. L. 110-275) amended the FMAP applied to the District of
Columbia for maintenance payments under title IV-E programs to make it
consistent with the 70 percent Medicaid match rate.
Section 5001 of Division B of the ARRA provides for a temporary
increase in FMAP rates for Medicaid and title IV-E Foster Care,
Adoption Assistance and Guardianship Assistance programs. The purpose
of the increases to the FMAP rates is to provide fiscal relief to
States and to protect and maintain State Medicaid and certain other
assistance programs in a period of economic downturn, referred to as
the ``recession adjustment period.'' The recession adjustment period is
defined as the period beginning October 1, 2008 and ending December 31,
2010.
B. Calculation of the Increased FMAP Rates Under ARRA
Section 5001 of the ARRA specifies that the FMAP rates shall be
temporarily increased for the following: (1) Maintenance of FMAP rates
for FY09, FY10, and first quarter of FY11, so that the FMAP rate will
not decrease from the prior year, determined by using as the FMAP rate
for the current year, the greater of any prior fiscal year FMAP rates
between 2008-2010 or the rate calculated for the current fiscal year;
(2) in addition to any maintenance increase, the application of an
increase in each State's FMAP of 6.2 percentage points; and (3) an
additional percentage point increase based on the State's increase in
unemployment during the recession adjustment period. The resulting
increased FMAP cannot exceed 100 percent. Each State's FMAP will be
recalculated each fiscal quarter beginning October 2008. Availability
of certain components of the increased FMAP is conditioned on States
meeting statutory programmatic requirements, such as the maintenance of
effort requirement, which are not part of the calculation process.
Expenditures for which the increased FMAP is not available under
title XIX include expenditures for disproportionate share hospital
payments, certain eligibility expansions, services received through an
IHS or Tribal facility (which are already paid at a rate of 100 percent
and therefore not subject to increase), and expenditures that are paid
at an enhanced FMAP rate. The increased FMAP is available for
expenditures under part E of title IV (including Foster Care, Adoption
[[Page 52531]]
Assistance and Guardianship Assistance programs) only to the extent of
a maintenance increase (hold harmless), if any, and the 6.2 percentage
point increase. The increased FMAP does not apply to other parts of
title IV, including part D (Child Support Enforcement Program).
For title XIX purposes only, for each qualifying State with an
unemployment rate that has increased at a rate above the statutory
threshold percentage, ARRA provides additional relief above the general
6.2 percentage point increase in FMAP through application of a separate
increase calculation. For those States, the FMAP for each qualifying
State is increased by the number of percentage points equal to the
product of the State matching percentage (as calculated under section
1905(b) and adjusted if necessary for the maintenance of FMAP without
reduction from the prior year, and after applying half of the 6.2
percentage point general increase in the Federal percentage) and the
applicable percent determined from the State unemployment increase
percentage for the quarter.
The unemployment increase percentage for a calendar quarter is
equal to the number of percentage points (if any) by which the average
monthly unemployment rate for the State in the most recent previous 3-
consecutive-month period for which data are available exceeds the
lowest average monthly unemployment rate for the State for any 3-
consecutive-month period beginning on or after January 1, 2006. A State
qualifies for additional relief based on an increase in unemployment if
that State's unemployment increase percentage is at least 1.5
percentage points.
The applicable percent is: (1) 5.5 percent if the State
unemployment increase percentage is at least 1.5 percentage points but
less than 2.5 percentage points; (2) 8.5 percent if the State
unemployment increase percentage is at least 2.5 percentage points but
less than 3.5 percentage points; and (3) 11.5 percent if the State
unemployment increase percentage is at least 3.5 percentage points.
If the State's applicable percent is less than the applicable
percent for the preceding quarter, then the higher applicable percent
shall continue in effect for any calendar quarter beginning on or after
January 1, 2009 and ending before July 1, 2010.
Under section 5001(b)(2) of ARRA, Puerto Rico, the Virgin Islands,
Guam, the Commonwealth of the Northern Mariana Islands, and America
Samoa were given the option to make a special one-time election between
(1) a 30 percent increase in their cap on Medicaid payments (as
determined under subsections (f) and (g) of section 1108 of the Act),
or (2) applying the general 6.2 percentage point increase in the FMAP
plus a 15 percent increase in the cap on Medicaid payments. There is no
quarterly unemployment adjustment for territories. All territories and
the Commonwealth of the Northern Mariana Islands elected the 30 percent
increase in their spending cap on Medicaid payments; therefore there is
no recalculation of their FMAP rate.
D. Adjusted FMAPs for the Third Quarter of FY2010
ARRA adjustments to FMAPs are shown by State in the accompanying
table. The hold harmless FY10 FMAP is the higher of the original FY08,
FY09, or FY10 FMAP. The 6.2 percentage point increase is added to the
hold harmless FY10 FMAP. The unemployment adjustment is calculated
according to the unemployment tier and added to the hold harmless FY10
FMAP with the 6.2 percentage point increase.
For the third quarter of FY10, the unemployment tier is determined
by comparing the average unemployment rate for the three consecutive
months preceding the start of the fiscal quarter to the lowest
consecutive 3-month average unemployment rate beginning January 1,
2006. If the State's applicable percent is less than the applicable
percent for the second quarter of FY10, then the higher applicable
percent shall continue for the third quarter of FY10.
As indicated in the August 4, 2009 Federal Register Notice that
proposed the methodology for the FMAP unemployment adjustment
calculations (74 FR 38630), we utilize annual updates to the historical
Bureau of Labor Statistics (BLS) data to make changes to the States'
lowest unemployment rate beginning with the third quarter FMAP rate
adjustment calculation each year. As such, the rates calculated and
presented in the accompanying table are based on updates to the
historical BLS data used to determine the States' average lowest
unemployment rate for any 3 consecutive months beginning January 1,
2006.
FOR FURTHER INFORMATION CONTACT: Carrie Shelton or Thomas Musco, 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. 93.778: Medical
Assistance Program; 93.658: Foster Care; 93.659: Adoption
Assistance; 93.090: Guardianship Assistance)
Dated: July 28, 2010.
Kathleen Sebelius,
Secretary.
ARRA Adjustments to FMAP Q3 FY10
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Hold harmless 3rd Quarter 3rd Quarter 3rd Quarter 3rd Quarter
Hold harmless FY10 FMAP with FY10 FY10 FY10 FMAP FY10 FMAP
State FY10 6.2% pt unemployment unemployment unemployment unemployment
increase tier adjustment adjustment hold harmless
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Alabama........................................... 68.01 74.21 11.5 3.32 77.53 77.53
Alaska............................................ 52.48 58.68 8.5 3.78 62.46 62.46
Arizona........................................... 66.20 72.40 11.5 3.53 75.93 75.93
Arkansas.......................................... 72.94 79.14 8.5 2.04 81.18 81.18
California........................................ 50.00 56.20 11.5 5.39 61.59 61.59
Colorado.......................................... 50.00 56.20 11.5 5.39 61.59 61.59
Connecticut....................................... 50.00 56.20 11.5 5.39 61.59 61.59
Delaware.......................................... 50.21 56.41 11.5 5.37 61.78 61.78
Dist of Columbia.................................. 70.00 76.20 11.5 3.09 79.29 79.29
Florida........................................... 56.83 63.03 11.5 4.61 67.64 67.64
Georgia........................................... 65.10 71.30 11.5 3.66 74.96 74.96
Hawaii............................................ 56.50 62.70 11.5 4.65 67.35 67.35
Idaho............................................. 69.87 76.07 11.5 3.11 79.18 79.18
Illinois.......................................... 50.32 56.52 11.5 5.36 61.88 61.88
[[Page 52532]]
Indiana........................................... 65.93 72.13 11.5 3.56 75.69 75.69
Iowa.............................................. 63.51 69.71 8.5 2.84 72.55 72.55
Kansas............................................ 60.38 66.58 8.5 3.10 69.68 69.68
Kentucky.......................................... 70.96 77.16 11.5 2.98 80.14 80.14
Louisiana......................................... 72.47 78.67 11.5 2.81 81.48 81.48
Maine............................................. 64.99 71.19 11.5 3.67 74.86 74.86
Maryland.......................................... 50.00 56.20 11.5 5.39 61.59 61.59
Massachusetts..................................... 50.00 56.20 11.5 5.39 61.59 61.59
Michigan.......................................... 63.19 69.39 11.5 3.88 73.27 73.27
Minnesota......................................... 50.00 56.20 8.5 3.99 60.19 61.59
Mississippi....................................... 76.29 82.49 11.5 2.37 84.86 84.86
Missouri.......................................... 64.51 70.71 11.5 3.72 74.43 74.43
Montana........................................... 68.53 74.73 11.5 3.26 77.99 77.99
Nebraska.......................................... 60.56 66.76 5.5 2.00 68.76 68.76
Nevada............................................ 52.64 58.84 11.5 5.09 63.93 63.93
New Hampshire..................................... 50.00 56.20 11.5 5.39 61.59 61.59
New Jersey........................................ 50.00 56.20 11.5 5.39 61.59 61.59
New Mexico........................................ 71.35 77.55 11.5 2.94 80.49 80.49
New York.......................................... 50.00 56.20 11.5 5.39 61.59 61.59
North Carolina.................................... 65.13 71.33 11.5 3.65 74.98 74.98
North Dakota...................................... 63.75 69.95 0 0.00 69.95 69.95
Ohio.............................................. 63.42 69.62 11.5 3.85 73.47 73.47
Oklahoma.......................................... 67.10 73.30 11.5 3.43 76.73 76.73
Oregon............................................ 62.74 68.94 11.5 3.93 72.87 72.87
Pennsylvania...................................... 54.81 61.01 11.5 4.84 65.85 65.85
Rhode Island...................................... 52.63 58.83 11.5 5.09 63.92 63.92
South Carolina.................................... 70.32 76.52 11.5 3.06 79.58 79.58
South Dakota...................................... 62.72 68.92 5.5 1.88 70.80 70.80
Tennessee......................................... 65.57 71.77 11.5 3.60 75.37 75.37
Texas............................................. 60.56 66.76 11.5 4.18 70.94 70.94
Utah.............................................. 71.68 77.88 11.5 2.90 80.78 80.78
Vermont........................................... 59.45 65.65 8.5 3.18 68.83 69.96
Virginia.......................................... 50.00 56.20 11.5 5.39 61.59 61.59
Washington........................................ 51.52 57.72 11.5 5.22 62.94 62.94
West Virginia..................................... 74.25 80.45 11.5 2.60 83.05 83.05
Wisconsin......................................... 60.21 66.41 11.5 4.22 70.63 70.63
Wyoming........................................... 50.00 56.20 11.5 5.39 61.59 61.59
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[FR Doc. 2010-21235 Filed 8-25-10; 8:45 am]
BILLING CODE 4150-05-P
