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, 2014 Through September 30, 2015, 3385-3388 [2014-00931]
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Federal Register / Vol. 79, No. 13 / Tuesday, January 21, 2014 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Final Effect of Designation of a Class
of Employees for Addition to the
Special Exposure Cohort
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, 2014
Through September 30, 2015
National Institute for
Occupational Safety and Health
(NIOSH), Centers for Disease Control
and Prevention, Department of Health
and Human Services (HHS).
AGENCY:
ACTION:
Notice.
HHS gives notice concerning
the final effect of the HHS decision to
designate a class of employees from the
Sandia National Laboratories-Livermore
in Livermore, California, as an addition
to the Special Exposure Cohort (SEC)
under the Energy Employees
Occupational Illness Compensation
Program Act of 2000.
FOR FURTHER INFORMATION CONTACT:
Stuart L. Hinnefeld, Director, Division
of Compensation Analysis and Support,
NIOSH, 4676 Columbia Parkway, MS
C–46, Cincinnati, OH 45226, Telephone
877–222–7570. Information requests can
also be submitted by email to DCAS@
CDC.GOV.
SUPPLEMENTARY INFORMATION:
Authority: 42 U.S.C. 7384q(b). 42 U.S.C.
7384l(14)(C).
On December 12, 2013, as provided
for under the Secretary of HHS
designated the following class of
employees as an addition to the SEC:
All employees of the Department of
Energy, its predecessor agencies, and its
contractors and subcontractors who worked
in any area at Sandia National LaboratoriesLivermore in Livermore, California, from
October 1, 1957, through December 31, 1994,
for a number of work days aggregating at least
250 work days, occurring either solely under
this employment or in combination with
work days within the parameters established
for one or more other classes of employees
included in the Special Exposure Cohort.
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This designation became effective on
January 11, 2014. Hence, beginning on
January 11, 2014, members of this class
of employees, defined as reported in
this notice, became members of the SEC.
John Howard,
Director, National Institute for Occupational
Safety and Health.
[FR Doc. 2014–00933 Filed 1–17–14; 8:45 am]
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ACTION:
The Federal Medical
Assistance Percentages (FMAP),
Enhanced Federal Medical Assistance
Percentages (eFMAP), and disasterrecovery FMAP adjustments for Fiscal
Year 2015 have been calculated
pursuant to the Social Security Act (the
Act). These percentages will be effective
from October 1, 2014 through
September 30, 2015. 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. Table 1
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. This notice
also announces the disaster-recovery
FMAP adjustments for qualifying States
for FY 2015 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 title IV–E
Foster Care, Adoption Assistance and
Guardianship Assistance programs.
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 assistance and child
health assistance, 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 Social Security Act (the Act) require
the Secretary of HHS to publish the
SUMMARY:
SUMMARY:
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Office of the Secretary, DHHS.
Notice.
AGENCY:
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FMAP rates each year. The Secretary
calculates the percentages, using
formulas in sections 1905(b) and
1101(a)(8), 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
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 55
percent. . .’’.
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 Table 1 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 1905(y) of the Act, as added
by section 2001 of the Patient Protection
and Affordable Care Act of 2010
(’’Affordable Care Act’’), provides for a
significant increase in the Federal
Medical Assistance Percentage (FMAP)
for medical expenditures for individuals
determined eligible under the new adult
group in the State and who will be
considered to be ‘‘newly eligible’’ in
2014, as defined in section 1905(y)(2)(A)
of the Act. The FMAP for these newly
eligible individuals will be 100 percent
for Calendar Years 2014, 2015, and
2016, gradually declining to 90 percent
in 2020 where it remains indefinitely. In
addition, section 1905(z) of the Act, as
added by section 10201 of the
Affordable Care Act, provides that
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Federal Register / Vol. 79, No. 13 / Tuesday, January 21, 2014 / Notices
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States that had expanded substantial
coverage to low-income parents and
nonpregnant adults without children
prior to the enactment of the Affordable
Care Act, referred to as ‘‘expansion
States,’’ shall receive an enhanced
FMAP that begins in 2014 for
nonpregnant childless adults who may
be required to enroll in benchmark
coverage. These provisions are
discussed in more detail in the
Medicaid Eligibility proposed rule
published on August 17, 2011 (76 FR
51172) and the final rule published on
March 23, 2012 (77 FR 17143).
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 an
adjustment pursuant to section 614 of
the Children’s Health Insurance
Program Reauthorization Act of 2009
(CHIPRA), Public Law 111–3. Section
614 of CHIPRA stipulates that a State’s
FMAP under Title XIX (Medicaid) must
be adjusted in two situations.
In the first situation, if a State
experiences positive growth in total
personal income and an employer in
that State has made a significantly
disproportionate contribution to a
pension or insurance fund, the State’s
FMAP must be adjusted. Employer
pension and insurance fund
contributions are significantly
disproportionate if the increase in
contributions exceeds 25 percent of the
increase in total personal income in that
State. A Federal Register Notice with
comment period was issued on June 7,
2010 announcing the methodology for
calculating this adjustment; a final
notice was issued on October 15,
2010.1 2
1 As required by section 614(b)(2), the personal
income data set originally used to calculate FMAP
rates shall also be used for making this adjustment
to the FMAP rates. The required adjustment is a
recalculation of the FMAP rate disregarding any
significantly disproportionate employer pension or
insurance fund contribution in computing the State
per capita income, but not disregarding such
contributions in computing the United States per
capita income used in the FMAP calculation.
Section 614(c) provides that in no case shall a State
have its FMAP reduced because of the application
of this disregard.
2 A change in BEA’s method for reporting defined
benefit pension plans should mitigate the reporting,
and therefore the need for this adjustment in the
future. In 2013, BEA changed its method for
reporting defined benefit pension plans as part of
personal income by changing from a cash
accounting basis to an accrual accounting basis.
This change will tend to have steadier estimates
than the more volatile cash contributions made by
employers. (McCulla, Stephanie H., Holdren, Alyssa
E., and Smith, Shelly. ‘‘Improved Estimates of the
National Income and Product Accounts.’’ Survey of
Current Business, September 2013 (page 14)).
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A second situation arises if a State
experiences negative growth in total
personal income. Beginning with Fiscal
Year 2006, section 614(b)(3) of CHIPRA
specifies that certain employer pension
or insurance fund contributions shall be
disregarded when computing the per
capita income used to calculate the
FMAP for States with negative growth
in total personal income. In that
instance, for the purposes of calculating
the FMAP, for a calendar year in which
a State’s total personal income has
declined, the portion of an employer
pension and insurance fund
contribution that exceeds 125 percent of
the amount of the employer
contribution in the previous calendar
year shall be disregarded. 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. Employer
pension or insurance fund contributions
increase State personal income and, by
operation of the statutory formula, could
result in lower FMAPs than would be
the case if those contributions were
disregarded.
We request that States follow the
same methodology to determine
potential FMAP adjustments for
negative growth in total personal
income that HHS employs to adjust the
FMAP for States experiencing
significantly disproportionate pension
or insurance contributions. For a State
experiencing negative growth in total
personal income, if that State believes
that an individual employer has made a
pension or insurance fund contribution
that may qualify for an FMAP
adjustment for negative growth, the
State should provide data on that
individual employer contribution to
HHS. The State may submit official
audited financial statements for the
employer for the year of the
contribution and the prior year or other
evidence that the increase in the
employer’s contribution is likely to
exceed 125 percent of the employer’s
contribution in the previous year in the
State.
The deadline for submitting 2005
through 2012 employer contributions,
and the associated prior year
contributions, will be the end of FY
2014 (September 30, 2014). The
deadline for submitting 2013 and future
employer contributions, and the
associated prior year contributions, will
be the end of the second fiscal year
following the end of the employer’s
annual fiscal statement that includes the
employer contributions.
After a State submits written
notification that such a contribution or
contributions occurred, HHS will verify
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the State’s data. As part of this
verification process, HHS will search
the Security Exchange Commission
(SEC) filings or the Internal Revenue
Service (IRS) 5500 Annual Return/
Report of Employee Benefit Plan
database to find the employer’s
contributions for the relevant two-year
period. If HHS is unable to verify the
State’s submitted data, no FMAP
adjustment will be made.
This notice does not contain an FY
2015 adjustment for a major statewide
disaster for any State because no State’s
FMAP decreased by at least three
percentage points from FY 2014 to FY
2015.
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 in Table 1 will be effective for
each of the four quarter-year periods
beginning October 1, 2014 and ending
September 30, 2015.
FOR FURTHER INFORMATION CONTACT:
Thomas Musco or Rose Chu, 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-toWork and Work Incentives
Improvement Act (TWWIIA)
Demonstrations to Maintain
Independence and Employment; 93.778:
Medical Assistance Program; 93.767:
Children’s Health Insurance Program).
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Federal Register / Vol. 79, No. 13 / Tuesday, January 21, 2014 / Notices
Dated: December 18, 2013.
Kathleen Sebelius,
Secretary.
TABLE 1—FEDERAL MEDICAL ASSISTANCE PERCENTAGES AND ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES,
EFFECTIVE OCTOBER 1, 2014–SEPTEMBER 30, 2015
[Fiscal Year 2015]
Federal
medical
assistance
percentages
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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 ..............................................................................................................................................................
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 ..................................................................................................................................................................
68.99
50.00
55.00
68.46
70.88
50.00
51.01
50.00
53.63
70.00
59.72
66.94
55.00
52.23
71.75
50.76
66.52
55.54
56.63
69.94
62.05
61.88
50.00
50.00
65.54
50.00
73.58
63.45
65.90
53.27
64.36
50.00
50.00
69.65
50.00
65.88
50.00
55.00
62.64
62.30
64.06
51.82
55.00
50.00
70.64
51.64
64.99
58.05
70.56
54.01
55.00
50.00
50.03
71.35
58.27
50.00
Enhanced
federal medical assistance
percentages
78.29
65.00
68.50
77.92
79.62
65.00
65.71
65.00
67.54
79.00
71.80
76.86
68.50
66.56
80.23
65.53
76.56
68.88
69.64
78.96
73.44
73.32
65.00
65.00
75.88
65.00
81.51
74.42
76.13
67.29
75.05
65.00
65.00
78.76
65.00
76.12
65.00
68.50
73.85
73.61
74.84
66.27
68.50
65.00
79.45
66.15
75.49
70.64
79.39
67.81
68.50
65.00
65.02
79.95
70.79
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 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 D.C is 50.00, unless otherwise specified by law.
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Federal Register / Vol. 79, No. 13 / Tuesday, January 21, 2014 / Notices
[FR Doc. 2014–00931 Filed 1–17–14; 8:45 am]
BILLING CODE 4150–05–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Advisory Council on Alzheimer’s
Research, Care, and Services; Meeting
Assistant Secretary for
Planning and Evaluation, HHS.
ACTION: Notice of meeting.
AGENCY:
This notice announces the
public meeting of the Advisory Council
on Alzheimer’s Research, Care, and
Services (Advisory Council). The
Advisory Council on Alzheimer’s
Research, Care, and Services provides
advice on how to prevent or reduce the
burden of Alzheimer’s disease and
related dementias on people with the
disease and their caregivers. During the
February meeting, the Advisory Council
will hear presentations from the three
subcommittees (Research, Clinical Care,
and Long-Term Services and Supports),
which will inform the 2014
recommendations. The Advisory
Council will discuss the G8 Dementia
Summit that was held on December 11,
2013.
DATES: The meeting will be held on
February 3, 2013 from 9:30 a.m. to 4:30
p.m. EDT.
ADDRESSES: The meeting will be held in
Room 800 in the Hubert H. Humphrey
Building, 200 Independence Avenue
SW., Washington, DC 20201.
Comments: Time is allocated on the
agenda to hear public comments. In lieu
of oral comments, formal written
comments may be submitted for the
record to Helen Lamont, Ph.D., OASPE,
200 Independence Avenue SW., Room
424E, Washington, DC 20201.
Comments may also be sent to
napa@hhs.gov. Those submitting
written comments should identify
themselves and any relevant
organizational affiliations.
FOR FURTHER INFORMATION CONTACT:
Helen Lamont, Ph.D. (202) 690–7996,
helen.lamont@hhs.gov. Note: Seating
may be limited. Those wishing to attend
the meeting must send an email to
napa@hhs.gov and put ‘‘February 3
meeting attendance’’ in the Subject line
by Friday, January 24, so that their
names may be put on a list of expected
attendees and forwarded to the security
officers at the Department of Health and
Human Services. Any interested
member of the public who is a non-U.S.
citizen should include this information
at the time of registration to ensure that
the appropriate security procedure to
gain entry to the building is carried out.
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SUMMARY:
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Although the meeting is open to the
public, procedures governing security
and the entrance to Federal buildings
may change without notice. If you wish
to make a public comment, you must
note that within your email.
SUPPLEMENTARY INFORMATION: Notice of
these meetings is given under the
Federal Advisory Committee Act (5
U.S.C. App. 2, section 10(a)(1) and
(a)(2)). Topics of the Meeting: The
Advisory Council will hear
presentations from the three
subcommittees (Research, Clinical Care,
and Long-Term Services and Supports),
which will inform the 2014
recommendations. The Advisory
Council will discuss the G8 Dementia
Summit that was held on December 11,
2013.
Procedure and Agenda: This meeting
is open to the public. Please allow 30
minutes to go through security and walk
to the meeting room. The meeting will
also be webcast at www.hhs.gov/live.
Authority: 42 U.S.C. 11225; Section 2(e)(3)
of the National Alzheimer’s Project Act. The
panel is governed by provisions of Public
Law 92–463, as amended (5 U.S.C. Appendix
2), which sets forth standards for the
formation and use of advisory committees.
Dated: January 2, 2014.
Donald Moulds,
Acting Assistant Secretary for Planning and
Evaluation.
[FR Doc. 2014–01083 Filed 1–17–14; 8:45 am]
BILLING CODE P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2014–N–0001]
Microbiology Devices Panel of the
Medical Devices Advisory Committee;
Notice of Meeting
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
This notice announces a forthcoming
meeting of a public advisory committee
of the Food and Drug Administration
(FDA). The meeting will be open to the
public.
Name of Committee: Microbiology
Devices Panel of the Medical Devices
Advisory Committee.
General Function of the Committee:
To provide advice and
recommendations to the Agency on
FDA’s regulatory issues.
Date and Time: The meeting will be
held on March 12, 2014, from 8 a.m. to
6 p.m.
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Location: College Park Holiday Inn,
Ballroom, 10000 Baltimore Ave., College
Park, MD 20740; 301–345–6700.
Contact Person: Shanika Craig, Center
for Devices and Radiological Health,
Food and Drug Administration, 10903
New Hampshire Ave., Silver Spring, MD
20993, Shanika.Craig@fda.hhs.gov,
301–796–6639, or FDA Advisory
Committee Information Line, 1–800–
741–8138 (301–443–0572 in the
Washington, DC area). A notice in the
Federal Register about last minute
modifications that impact a previously
announced advisory committee meeting
cannot always be published quickly
enough to provide timely notice.
Therefore, you should always check the
Agency’s Web site at https://
www.fda.gov/AdvisoryCommittees/
default.htm and scroll down to the
appropriate advisory committee meeting
link, or call the advisory committee
information line to learn about possible
modifications before coming to the
meeting.
Agenda: On March 12, 2014, the
committee will discuss, make
recommendations, and vote on a
premarket approval application for a
new indication for the cobas Human
Papillomavirus (HPV) Test, sponsored
by Roche Molecular Systems, Inc. The
cobas HPV Test is a qualitative in vitro
test for the detection of HPV that is
currently approved for use in
conjunction with cervical cytology.
Roche is seeking a claim whereby the
cobas HPV Test can be used as a firstline primary cervical screening test. The
test utilizes amplification of target DNA
by the polymerase chain reaction and
nucleic acid hybridization for the
detection of 14 high risk (HR) HPV types
in a single analysis. The test specifically
identifies types HPV 16 and HPV 18
while concurrently detecting the rest of
the high risk types (31, 33, 35, 39, 45,
51, 52, 56, 58, 59, 66, and 68). Per the
proposed indication, women who test
negative for high risk HPV types by the
cobas HPV Test would be followed up
in accordance with the physician’s
assessment of screening and medical
history, other risk factors, and
professional guidelines. Women who
test positive for HPV genotypes 16 and/
or 18 by the cobas HPV Test would be
referred to colposcopy. Women who test
high risk HPV positive and 16/18
negative by the cobas HPV Test (12
other HR HPV positive) would be
evaluated by cervical cytology to
determine the need for referral to
colposcopy.
FDA intends to make background
material available to the public no later
than 2 business days before the meeting.
If FDA is unable to post the background
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]]>Agencies
[Federal Register Volume 79, Number 13 (Tuesday, January 21, 2014)]
[Notices]
[Pages 3385-3388]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-00931]
-----------------------------------------------------------------------
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, 2014 Through September 30, 2015
AGENCY: Office of the Secretary, DHHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Federal Medical Assistance Percentages (FMAP), Enhanced
Federal Medical Assistance Percentages (eFMAP), and disaster-recovery
FMAP adjustments for Fiscal Year 2015 have been calculated pursuant to
the Social Security Act (the Act). These percentages will be effective
from October 1, 2014 through September 30, 2015. 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. Table 1 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. This notice also announces the disaster-recovery FMAP
adjustments for qualifying States for FY 2015 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 title
IV-E Foster Care, Adoption Assistance and Guardianship Assistance
programs.
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 assistance and child
health assistance, 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 Social Security Act (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), 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 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 55 percent. . .''.
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 Table 1 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 1905(y) of the Act, as added by section 2001 of the Patient
Protection and Affordable Care Act of 2010 (''Affordable Care Act''),
provides for a significant increase in the Federal Medical Assistance
Percentage (FMAP) for medical expenditures for individuals determined
eligible under the new adult group in the State and who will be
considered to be ``newly eligible'' in 2014, as defined in section
1905(y)(2)(A) of the Act. The FMAP for these newly eligible individuals
will be 100 percent for Calendar Years 2014, 2015, and 2016, gradually
declining to 90 percent in 2020 where it remains indefinitely. In
addition, section 1905(z) of the Act, as added by section 10201 of the
Affordable Care Act, provides that
[[Page 3386]]
States that had expanded substantial coverage to low-income parents and
nonpregnant adults without children prior to the enactment of the
Affordable Care Act, referred to as ``expansion States,'' shall receive
an enhanced FMAP that begins in 2014 for nonpregnant childless adults
who may be required to enroll in benchmark coverage. These provisions
are discussed in more detail in the Medicaid Eligibility proposed rule
published on August 17, 2011 (76 FR 51172) and the final rule published
on March 23, 2012 (77 FR 17143).
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 an adjustment pursuant to section 614 of
the Children's Health Insurance Program Reauthorization Act of 2009
(CHIPRA), Public Law 111-3. Section 614 of CHIPRA stipulates that a
State's FMAP under Title XIX (Medicaid) must be adjusted in two
situations.
In the first situation, if a State experiences positive growth in
total personal income and an employer in that State has made a
significantly disproportionate contribution to a pension or insurance
fund, the State's FMAP must be adjusted. Employer pension and insurance
fund contributions are significantly disproportionate if the increase
in contributions exceeds 25 percent of the increase in total personal
income in that State. A Federal Register Notice with comment period was
issued on June 7, 2010 announcing the methodology for calculating this
adjustment; a final notice was issued on October 15,
2010.1 2
---------------------------------------------------------------------------
\1\ As required by section 614(b)(2), the personal income data
set originally used to calculate FMAP rates shall also be used for
making this adjustment to the FMAP rates. The required adjustment is
a recalculation of the FMAP rate disregarding any significantly
disproportionate employer pension or insurance fund contribution in
computing the State per capita income, but not disregarding such
contributions in computing the United States per capita income used
in the FMAP calculation. Section 614(c) provides that in no case
shall a State have its FMAP reduced because of the application of
this disregard.
\2\ A change in BEA's method for reporting defined benefit
pension plans should mitigate the reporting, and therefore the need
for this adjustment in the future. In 2013, BEA changed its method
for reporting defined benefit pension plans as part of personal
income by changing from a cash accounting basis to an accrual
accounting basis. This change will tend to have steadier estimates
than the more volatile cash contributions made by employers.
(McCulla, Stephanie H., Holdren, Alyssa E., and Smith, Shelly.
``Improved Estimates of the National Income and Product Accounts.''
Survey of Current Business, September 2013 (page 14)).
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A second situation arises if a State experiences negative growth in
total personal income. Beginning with Fiscal Year 2006, section
614(b)(3) of CHIPRA specifies that certain employer pension or
insurance fund contributions shall be disregarded when computing the
per capita income used to calculate the FMAP for States with negative
growth in total personal income. In that instance, for the purposes of
calculating the FMAP, for a calendar year in which a State's total
personal income has declined, the portion of an employer pension and
insurance fund contribution that exceeds 125 percent of the amount of
the employer contribution in the previous calendar year shall be
disregarded. 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. Employer pension or insurance fund
contributions increase State personal income and, by operation of the
statutory formula, could result in lower FMAPs than would be the case
if those contributions were disregarded.
We request that States follow the same methodology to determine
potential FMAP adjustments for negative growth in total personal income
that HHS employs to adjust the FMAP for States experiencing
significantly disproportionate pension or insurance contributions. For
a State experiencing negative growth in total personal income, if that
State believes that an individual employer has made a pension or
insurance fund contribution that may qualify for an FMAP adjustment for
negative growth, the State should provide data on that individual
employer contribution to HHS. The State may submit official audited
financial statements for the employer for the year of the contribution
and the prior year or other evidence that the increase in the
employer's contribution is likely to exceed 125 percent of the
employer's contribution in the previous year in the State.
The deadline for submitting 2005 through 2012 employer
contributions, and the associated prior year contributions, will be the
end of FY 2014 (September 30, 2014). The deadline for submitting 2013
and future employer contributions, and the associated prior year
contributions, will be the end of the second fiscal year following the
end of the employer's annual fiscal statement that includes the
employer contributions.
After a State submits written notification that such a contribution
or contributions occurred, HHS will verify the State's data. As part of
this verification process, HHS will search the Security Exchange
Commission (SEC) filings or the Internal Revenue Service (IRS) 5500
Annual Return/Report of Employee Benefit Plan database to find the
employer's contributions for the relevant two-year period. If HHS is
unable to verify the State's submitted data, no FMAP adjustment will be
made.
This notice does not contain an FY 2015 adjustment for a major
statewide disaster for any State because no State's FMAP decreased by
at least three percentage points from FY 2014 to FY 2015.
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 in Table 1 will be
effective for each of the four quarter-year periods beginning October
1, 2014 and ending September 30, 2015.
FOR FURTHER INFORMATION CONTACT: Thomas Musco or Rose Chu, 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).
[[Page 3387]]
Dated: December 18, 2013.
Kathleen Sebelius,
Secretary.
Table 1--Federal Medical Assistance Percentages and Enhanced Federal
Medical Assistance Percentages, effective October 1, 2014-September 30,
2015
[Fiscal Year 2015]
------------------------------------------------------------------------
Enhanced
Federal federal
State medical medical
assistance assistance
percentages percentages
------------------------------------------------------------------------
Alabama................................. 68.99 78.29
Alaska.................................. 50.00 65.00
American Samoa *........................ 55.00 68.50
Arizona................................. 68.46 77.92
Arkansas................................ 70.88 79.62
California.............................. 50.00 65.00
Colorado................................ 51.01 65.71
Connecticut............................. 50.00 65.00
Delaware................................ 53.63 67.54
District of Columbia **................. 70.00 79.00
Florida................................. 59.72 71.80
Georgia................................. 66.94 76.86
Guam *.................................. 55.00 68.50
Hawaii.................................. 52.23 66.56
Idaho................................... 71.75 80.23
Illinois................................ 50.76 65.53
Indiana................................. 66.52 76.56
Iowa.................................... 55.54 68.88
Kansas.................................. 56.63 69.64
Kentucky................................ 69.94 78.96
Louisiana............................... 62.05 73.44
Maine................................... 61.88 73.32
Maryland................................ 50.00 65.00
Massachusetts........................... 50.00 65.00
Michigan................................ 65.54 75.88
Minnesota............................... 50.00 65.00
Mississippi............................. 73.58 81.51
Missouri................................ 63.45 74.42
Montana................................. 65.90 76.13
Nebraska................................ 53.27 67.29
Nevada.................................. 64.36 75.05
New Hampshire........................... 50.00 65.00
New Jersey.............................. 50.00 65.00
New Mexico.............................. 69.65 78.76
New York................................ 50.00 65.00
North Carolina.......................... 65.88 76.12
North Dakota............................ 50.00 65.00
Northern Mariana Islands *.............. 55.00 68.50
Ohio.................................... 62.64 73.85
Oklahoma................................ 62.30 73.61
Oregon.................................. 64.06 74.84
Pennsylvania............................ 51.82 66.27
Puerto Rico *........................... 55.00 68.50
Rhode Island............................ 50.00 65.00
South Carolina.......................... 70.64 79.45
South Dakota............................ 51.64 66.15
Tennessee............................... 64.99 75.49
Texas................................... 58.05 70.64
Utah.................................... 70.56 79.39
Vermont................................. 54.01 67.81
Virgin Islands *........................ 55.00 68.50
Virginia................................ 50.00 65.00
Washington.............................. 50.03 65.02
West Virginia........................... 71.35 79.95
Wisconsin............................... 58.27 70.79
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 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 D.C is 50.00, unless otherwise specified by law.
[[Page 3388]]
[FR Doc. 2014-00931 Filed 1-17-14; 8:45 am]
BILLING CODE 4150-05-P
