Delegation of Authorities, 63480 [2010-25976]
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63480
Federal Register / Vol. 75, No. 199 / Friday, October 15, 2010 / Notices
ESTIMATED ANNUALIZED BURDEN TABLE—Continued
Number of
respondents
Number of
responses per
respondent
Average
burden per
response
(in hrs.)
Total burden
hours
Forms (if necessary)
Type of respondent
Subsequent updates to the State
Plan.
State Government or Qualified State
Designated Entity.
56
1
500
28,000
Total ...........................................
...........................................................
........................
........................
........................
589,244
Terry Nicolosi,
Director, Office of Resources Management;
Office of the Chief Information Officer.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2010–25918 Filed 10–14–10; 8:45 am]
Medicaid Program: Implementation of
Section 614 of the Children’s Health
Insurance Program Reauthorization
Act of 2009 for Adjustments to the
Federal Medical Assistance
Percentage for Medicaid Federal
Matching Funds
BILLING CODE 4150–45–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the Secretary
Office of the Secretary,
Department of Health and Human
Services.
ACTION: Final notice.
AGENCY:
Centers for Medicare & Medicaid
Services
mstockstill on DSKH9S0YB1PROD with NOTICES
Delegation of Authorities
Notice is hereby given that I have
delegated to the Administrator, Centers
for Medicare & Medicaid Services
(CMS), or his or her successor,
authorities vested in the Secretary under
Section 6409(a) and (b) of the Patient
Protection and Affordable Care Act
(ACA), Public Law 111–148, as
amended hereafter, relating to the
development of a Medicare self-referral
disclosure protocol and the reduction of
amounts due and owing under Section
1877(g) [42 U.S.C. 1395nn(g)] of the
Social Security Act.
This delegation of authorities
excludes the authority under Section
6409(c) of ACA to submit a report to
Congress on the implementation of
Section 6409.
This delegation of authorities granted
herein may be re-delegated.
These authorities shall be exercised
under the Department’s policy on
regulations and the existing delegation
of authority to approve and issue
regulations.
I hereby affirm and ratify any actions
taken by the Administrator, CMS, or his
or her subordinates, which involved the
exercise of the authorities delegated
herein prior to the effective date of this
delegation.
This delegation of authorities granted
herein is effective immediately.
Authority: 44 U.S.C. 3101.
Dated: September 29, 2010.
Kathleen Sebelius,
Secretary.
[FR Doc. 2010–25976 Filed 10–14–10; 8:45 am]
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16:01 Oct 14, 2010
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For purposes of Title XIX
(Medicaid) of the Social Security Act,
the Federal Medical Assistance
Percentage (FMAP), defined in section
1905(b) of the Social Security Act, for
each State beginning with fiscal year
2006 is subject to adjustment pursuant
to section 614 of the Children’s Health
Insurance Program Reauthorization Act
of 2009 (CHIPRA), Public Law 111–3.
Section 614 provides for a recalculation
of the FMAP disregarding identifiable
significantly disproportionate employer
pension or insurance fund contributions
for a State. These contributions, when
counted, increase State personal income
and, by operation of the statutory
formula to calculate the FMAP, would
decrease the FMAP for the State. This
final notice announces the methodology
that the U.S. Department of Health and
Human Services will use to determine
the need for, and amount of, any such
recalculation of the FMAP for a State.
SUMMARY:
A. Background
Section 1905(b) of the Social Security
Act defines the Federal Medical
Assistance Percentage (FMAP), which is
used to determine the share of Federal
matching funds paid to each State for
medical assistance payments under an
approved Medicaid State plan under
Title XIX of the Social Security Act.
These FMAP rates are also used to
determine Federal matching fund rates
for State expenditures for assistance
payments under certain social service
programs under Title IV of the Social
Security Act and for child health
assistance expenditures under the
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Children’s Health Insurance Program
under title XXI of the Social Security
Act. In other Federal Register issuances,
we have addressed changes to these
FMAP rates required under the
American Recovery and Reinvestment
Act of 2009 (Pub. L. 111–5).
This notice addresses adjustments to
the FMAP rates that are applicable only
to the Medicaid program and required
by Section 614 of the Children’s Health
Insurance Program Reauthorization Act
of 2009 (CHIPRA). Section 614 specifies
that certain significantly
disproportionate employer pension or
insurance fund contributions shall be
disregarded when computing the per
capita income used to calculate the
FMAP. The statutory formula for
calculating the FMAP is based on the
ratio of the State’s per capita income to
the per capita income of the entire
United States. Under this formula,
States with higher per capita income
levels could have lower FMAP rates
than States with lower per capita
income levels. Significantly
disproportionate employer pension or
insurance fund contributions increase
State personal income and, by operation
of the statutory formula, could result in
lower FMAPs than if those
contributions were disregarded.
CHIPRA requires adjustments to the
Fiscal Year 2006 (FY06) through Fiscal
Year 2010 (FY10) Medicaid FMAP rates
and to any future FMAP calculation.
A notice with comment on the
proposed implementation of Section
614 was published in the Federal
Register on June 7, 2010. Only one
person sent in comments during the 30day period.
B. Calculation of the FMAP Adjustment
Under CHIPRA
Section 614 of CHIPRA requires that
the Title XIX Medicaid FMAP shall be
adjusted for any States that had
significantly disproportionate employer
pension and insurance fund
contributions. A significantly
disproportionate employer contribution
is defined as any identifiable employer
contribution towards pension or other
employee insurance funds that is
estimated to accrue to residents of such
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]]>Agencies
[Federal Register Volume 75, Number 199 (Friday, October 15, 2010)]
[Notices]
[Page 63480]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-25976]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
Centers for Medicare & Medicaid Services
Delegation of Authorities
Notice is hereby given that I have delegated to the Administrator,
Centers for Medicare & Medicaid Services (CMS), or his or her
successor, authorities vested in the Secretary under Section 6409(a)
and (b) of the Patient Protection and Affordable Care Act (ACA), Public
Law 111-148, as amended hereafter, relating to the development of a
Medicare self-referral disclosure protocol and the reduction of amounts
due and owing under Section 1877(g) [42 U.S.C. 1395nn(g)] of the Social
Security Act.
This delegation of authorities excludes the authority under Section
6409(c) of ACA to submit a report to Congress on the implementation of
Section 6409.
This delegation of authorities granted herein may be re-delegated.
These authorities shall be exercised under the Department's policy
on regulations and the existing delegation of authority to approve and
issue regulations.
I hereby affirm and ratify any actions taken by the Administrator,
CMS, or his or her subordinates, which involved the exercise of the
authorities delegated herein prior to the effective date of this
delegation.
This delegation of authorities granted herein is effective
immediately.
Authority: 44 U.S.C. 3101.
Dated: September 29, 2010.
Kathleen Sebelius,
Secretary.
[FR Doc. 2010-25976 Filed 10-14-10; 8:45 am]
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