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Respondents: 6,171; Total Annual 

Responses: 6,171; Total Annual Hours: 

4,153,083. (For policy questions 

regarding this collection contact Nadia 

Massuda at 410–786–5834.) 

8. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Medicare Part D 

Reporting Requirements; Use: Title I, 

Part 423, § 423.514 describes our 

regulatory authority to establish 

reporting requirements for Part D 

sponsors. It is noted that each Part D 

plan sponsor must have an effective 

procedure to develop, compile, 

evaluate, and report to us, to its 

enrollees, and to the general public, at 

the times and in the manner that we 

requires, statistics in the following 

areas: the cost of its operations; the 

patterns of utilization of its services; the 

availability, accessibility, and 

acceptability of its services; information 

demonstrating that the Part D plan 

sponsor has a fiscally sound operation; 

and other matters that we may require. 

CMS has identified the appropriate data 

needed to effectively monitor plan 

performance. Changes to the currently 

approved data collection instrument 

reflect new executive orders, legislation, 

as well as recent changes to Agency 

policy and guidance. Form Number: 

CMS–10185 (OCN: 0938–0992); 

Frequency: Occasionally; Affected 

Public: Business and other for-profits; 

Number of Respondents: 690; Total 

Annual Responses: 8,067; Total Annual 

Hours: 12,658. (For policy questions 

regarding this collection contact Latoyia 

Grant at 410–786–5434.) 

9. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Cooperative 

Agreement to Support Navigators in 

Federally-facilitated and State 

Partnership Exchanges; Use: Section 

1311(i) of the Affordable Care Act 

requires Exchanges to establish a 

Navigator grant program as part of its 

function to provide consumers with 

assistance when they need it. Navigators 

will assist consumers by providing 

education about and facilitating 

selection of qualified health plans 

(QHPs) within Exchanges, as well as 

other required duties. Section 1311(i) 

requires that an Exchange operating as 

of January 1, 2014, must establish a 

Navigator Program under which it 

awards grants to eligible individuals or 

entities who satisfy the requirements to 

be Exchange Navigators. For Federallyfacilitated Exchanges (FFE) and State 

Partnership Exchanges (SPEs), we will 

be awarding the grants. Navigator 

awardees must provide quarterly, biannual, and an annual progress report to 

us on the activities performed during 

the grant period and any sub-awardees 

receiving funds. The 60-day Federal 

Register notice was published on April 

12, 2013 (78 FR 21957). Several 

commenters suggested changes to the 

reporting requirements which were 

incorporated where appropriate. Form 

Number: CMS–10463 (OCN: 0938– 

NEW); Frequency: Annually, Quarterly; 

Affected Public: Private sector; Number 

of Respondents: 264; Total Annual 

Responses: 1,848; Total Annual Hours: 

308,352. (For policy questions regarding 

this collection contact Holly Whelan at 

301–492–4220.) 

Dated: July 23, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–18004 Filed 7–25–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10326, CMS– 

10487, CMS–P–0015A, CMS–R–10, CMS–R– 

240, CMS–10282, CMS–R–65 and CMS– 

10491] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 (the 

PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information (including each proposed 

extension or reinstatement of an existing 

collection of information) and to allow 

60 days for public comment on the 

proposed action. Interested persons are 

invited to send comments regarding our 

burden estimates or any other aspect of 

this collection of information, including 

any of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

DATES: Comments must be received by 

September 24, 2013: 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number (OCN). To be 

assured consideration, comments and 

recommendations must be submitted in 

any one of the following ways: 

1. Electronically. You may send your 

comments electronically to http:// 

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) that are accepting 

comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations 

Development,Attention: Document 

Identifier/OMB Control Number ____, 

Room C4–26–05, 7500 Security 

Boulevard, Baltimore, Maryland 21244– 

1850. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, you may make your request 

using one of following: 

1. Access CMS’ Web site address at 

http://www.cms.hhs.gov/ 

PaperworkReductionActof1995. 

2. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

3. Call the Reports Clearance Office at 

(410) 786–1326. 

FOR FURTHER INFORMATION CONTACT: 

Reports Clearance Office at (410) 786– 

1326. 

SUPPLEMENTARY INFORMATION: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–10326 Electronic Submission of 

Medicare Graduate Medical Education 

(GME) Affiliation Agreements 

CMS–10487 Medicaid Emergency 

Psychiatric Demonstration (MEPD) 

Evaluation 

CMS–P–0015A Medicare Current 

Beneficiary Survey 

CMS–R–10 Advance Directives (Medicare 

and Medicaid) and Supporting Regulations 


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CMS–R–240 Prospective Payments for 

Hospital Outpatient Services and 

Supporting Regulations 

CMS–10282 Conditions of Participation for 

Comprehensive Outpatient Rehabilitation 

Facilities (CORFs) and supporting 

regulations 

CMS–R–65 Final Peer Review 

Organizations Sanction Regulations in 42 

CFR Sections 1004.40, 1004.50, 1004.60, 

and 1004.70 

CMS–10491 Enrollment Assistance Program 

Under the Paperwork Reduction Act 

(PRA) (44 U.S.C. 3501–3520), federal 

agencies must obtain approval from the 

Office of Management and Budget 

(OMB) for each collection of 

information they conduct or sponsor. 

The term ‘‘collection of information’’ is 

defined in 44 U.S.C. 3502(3) and 5 CFR 

1320.3(c) and includes agency requests 

or requirements that members of the 

public submit reports, keep records, or 

provide information to a third party. 

Section 3506(c)(2)(A) of the PRA 

requires federal agencies to publish a 

60-day notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, before 

submitting the collection to OMB for 

approval. To comply with this 

requirement, CMS is publishing this 

notice. 

Information Collections 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Electronic 

Submission of Medicare Graduate 

Medical Education (GME) Affiliation 

Agreements; Use: We use the 

information contained in electronic 

affiliation agreements as documentation 

of the existence of Medicare GME 

affiliations, and to verify that the 

affiliations being formed by teaching 

hospitals for the purposes of sharing 

their Medicare Graduate Medical 

Education FTE cap slots are valid 

according to CMS regulations. The 

affiliation agreements are also used as 

reference materials when potential 

issues involving specific affiliations 

arise. Form Number: CMS–10326 (OCN: 

0938–1111); Frequency: Yearly; Affected 

Public: Private sector—Business or other 

for-profits and Not-for-profit 

institutions; Number of Respondents: 

125; Total Annual Responses: 125; Total 

Annual Hours: 166. (For policy 

questions regarding this collection 

contact Tzvi Hefter at 410–786–0614.) 

2. Type of Information Collection 

Request: New Collection (Request for a 

new OMBcontrol number); Title of 

Information Collection: Medicaid 

Emergency Psychiatric Demonstration 

(MEPD) Evaluation; Use: Since the 

inception of Medicaid, inpatient care 

provided to adults ages 21 to 64 in 

institutions for mental disease (IMDs) 

has been excluded from federal 

matching funds. The Emergency 

Medical Treatment and Active Labor 

Act (EMTALA), however, requires IMDs 

that participate in Medicare to provide 

treatment for psychiatric emergency 

medical conditions (EMCs), even for 

Medicaid patients for whose services 

cannot be reimbursed. Section 2707 of 

the Affordable Care Act (ACA) directs 

the Secretary of Health and Human 

Services to conduct and evaluate a 

demonstration project to determine the 

impact of providing payment under 

Medicaid for inpatient services 

provided by private IMDs to individuals 

with emergency psychiatric conditions 

between the ages of 21 and 64. We will 

use the data to evaluate the Medicaid 

Emergency Psychiatric Demonstration 

(MEPD) in accordance with the ACA 

mandates. This evaluation in turn will 

be used by Congress to determine 

whether to continue or expand the 

demonstration. If the decision is made 

to expand the demonstration, the data 

collected will help to inform both CMS 

and its stakeholders about possible 

effects of contextual factors and 

important procedural issues to consider 

in the expansion, as well as the 

likelihood of various outcomes. Form 

Number: CMS–10487 (OCN: 0938– 

NEW); Frequency: Annually; Affected 

Public: Individuals and households; 

State, Local and Tribal governments; 

Business and other for-profits and Notfor-profits; Number of Respondents: 93; 

Total Annual Responses: 1,944; Total 

Annual Hours: 2,046. (For policy 

questions regarding this collection 

contact Negussie Tilahun at 410–786– 

2058.) 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare 

Current Beneficiary Survey; Use: We are 

the largest single payer of health care in 

the United States. With full 

implementation of the Affordable Care 

Act of 2010 (ACA), the agency will play 

a direct or indirect role in administering 

health insurance coverage for more than 

120 million people across the Medicare, 

Medicaid, CHIP, and Exchange 

populations. One of our critical aims is 

to be an effective steward, major force, 

and trustworthy partner in leading the 

transformation of the health care 

system. We also aim to provide 

Americans with high quality care and 

better health at lower costs through 

improvement. At the forefront of these 

initiatives is the newly formed Center 

for Medicare and Medicaid Innovation 

(CMMI). 

CMMI is authorized by Section 1115A 

of the Social Security Act, as established 

by section 3021 of the ACA and was 

established to ‘‘test innovative payment 

and service delivery models to reduce 

program expenditures. . .while 

preserving or enhancing the quality of 

care furnished’’ to Medicare, Medicaid 

and CHIP beneficiaries. Implicit across 

all of CMMI activities is an emphasis on 

diffusion—finding and validating 

innovative models that have the 

potential to scale, facilitating rapid 

adoption, and letting them take root in 

organizations, health systems, and 

communities across America. 

The Medicare Current Beneficiary 

Survey (MCBS) is the most 

comprehensive and complete survey 

available on the Medicare population 

and is essential in capturing data not 

otherwise collected through our 

operations. The MCBS is an in-person, 

nationally-representative, longitudinal 

survey of Medicare beneficiaries that we 

sponsor and is directed by the Office of 

Information Products and Data 

Analytics (OIPDA) in partnership with 

the CMMI. The survey captures 

beneficiary information whether aged or 

disabled, living in the community or 

facility, or serviced by managed care or 

fee-for-service. Data produced as part of 

the MCBS are enhanced with our 

administrative data (e.g. fee-for-service 

claims, prescription drug event data, 

enrollment, etc.) to provide users with 

more accurate and complete estimates of 

total health care costs and utilization. 

The MCBS has been continuously 

fielded for more than 20 years 

(encompassing over 1 million 

interviews), and consists of three annual 

interviews per survey participant. 

The MCBS continues to provide 

unique insight into the Medicare 

program and helps both us and our 

external stakeholders better understand 

and evaluate the impact of existing 

programs and significant new policy 

initiatives. In the past, MCBS data have 

been used to assess potential changes to 

the Medicare program. For example, the 

MCBS was instrumental in supporting 

the development and implementation of 

the Medicare prescription drug benefit 

by providing a means to evaluate 

prescription drug costs and out-ofpocket burden for these drugs to 

Medicare beneficiaries. Form Number: 

CMS–P–0015A (OCN: 0938–0568); 

Frequency: Occasionally; Affected 

Public: Business or other for-profits and 

Not-for-profit institutions; Number of 

Respondents: 16,550; Total Annual 

Responses: 49,650; Total Annual Hours: 

58,450 (For policy questions regarding 


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Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices 45207 

this collection contact William Long at 

410–786–7927.) 

4. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Advance 

Directives (Medicare and Medicaid) and 

Supporting Regulations; Use: The 

advance directives requirement was 

enacted because Congress wanted 

individuals to know that they have a 

right to make health care decisions and 

to refuse treatment even when they are 

unable to communicate. Steps have 

been taken at both the federal and state 

level, to afford greater opportunity for 

the individual to participate in 

decisions made concerning the medical 

treatment to be received by an adult 

patient in the event that the patient is 

unable to communicate to others, a 

preference about medical treatment. The 

individual may make his preference 

known through the use of an advance 

directive, which is a written instruction 

prepared in advance, such as a living 

will or durable power of attorney. This 

information is documented in a 

prominent part of the individual’s 

medical record. Advance directives as 

described in the Patient SelfDetermination Act have increased the 

individual’s control over decisions 

concerning medical treatment. Sections 

4206 of the Omnibus Budget 

Reconciliation Act of 1990 defined an 

advance directive as a written 

instruction recognized under State law 

relating to the provision of health care 

when an individual is incapacitated 

(those persons unable to communicate 

their wishes regarding medical 

treatment). 

All states have enacted legislation 

defining a patient’s right to make 

decisions regarding medical care, 

including the right to accept or refuse 

medical or surgical treatment and the 

right to formulate advance directives. 

Participating hospitals, skilled nursing 

facilities, nursing facilities, home health 

agencies, providers of home health care, 

hospices, religious nonmedical health 

care institutions, and prepaid or eligible 

organizations (including Health Care 

Prepayment Plans (HCPPs) and 

Medicare Advantage Organizations 

(MAOs) such as Coordinated Care Plans, 

Demonstration Projects, Chronic Care 

Demonstration Projects, Program of All 

Inclusive Care for the Elderly, Private 

Fee for Service, and Medical Savings 

Accounts must provide written 

information, at explicit time frames, to 

all adult individuals about: a) the right 

to accept or refuse medical or surgical 

treatments; b) the right to formulate an 

advance directive; c) a description of 

applicable State law (provided by the 

State); and d) the provider’s or 

organization’s policies and procedures 

for implementing an advance directive. 

Form Number: CMS–R–10 (OCN: 0938– 

0610); Frequency: Yearly; Affected 

Public: Business or other for-profits; 

Number of Respondents: 39,575; Total 

Annual Responses: 39, 575; Total 

Annual Hours: 2,836,441. (For policy 

questions regarding this collection 

contact Sonia Swancy at 410–786– 

8445.) 

5. Type of Information Collection 

Request: Extension of a currently 

approved collection. 

Title of Information Collection: 

Prospective Payments for Hospital 

Outpatient Services and Supporting 

Regulations; Use: The Secretary is 

required to establish a prospective 

payment system (PPS) for hospital 

outpatient services. Successful 

implementation of an outpatient PPS 

(OPPS) requires that we distinguish 

facilities or organizations that function 

as departments of hospitals from those 

that are freestanding. In this regard, we 

will be able to determine: which 

services should be paid under the OPPS, 

the clinical laboratory fee schedule, or 

other payment provisions applicable to 

services furnished to hospital 

outpatients. Information from 42 CFR 

413.65(b)(3) and (c) reports is needed to 

make these determinations. 

Additionally, hospitals and other 

providers are authorized to impose 

deductible and coinsurance charges for 

facility services, but does not allow such 

charges by facilities or organizations 

which are not provider-based. This 

provision requires that we collect 

information from the required reports so 

it can determine which facilities are 

provider-based. Form Number: CMS–R– 

240 (OCN: 0938–0798). Frequency: 

Occasionally; Affected Public: Private 

sector—Business or other for-profits and 

Not-for-profit institutions; Number of 

Respondents: 905; Total Annual 

Responses: 500,405; Total Annual 

Hours: 26,563. (For policy questions 

regarding this collection contact Daniel 

Schroder at 410–786–7452.) 

6. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Conditions of 

Participation for Comprehensive 

Outpatient Rehabilitation Facilities 

(CORFs) and Supporting Regulations; 

Use: The Conditions of Participation 

(CoPs) and accompanying requirements 

specified in the regulations are used by 

our surveyors as a basis for determining 

whether a comprehensive outpatient 

rehabilitation facility (CORF) qualifies 

to be awarded a Medicare provider 

agreement. We believe the health care 

industry practice demonstrates that the 

patient clinical records and general 

content of records are necessary to 

ensure the well-being and safety of 

patients and that professional treatment 

and accountability are a normal part of 

industry practice. Form Number: CMS– 

10282 (OCN: 0938–1091); Frequency: 

Yearly; Affected Public: Private sector— 

Business or other for-profit and Not-forprofit institutions; Number of 

Respondents: 314; Total Annual 

Responses: 314; Total Annual Hours: 

8,076. (For policy questions regarding 

this collection contact Jacqueline Leach 

at 410–786–4282.) 

7. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Final Peer 

Review Organizations Sanction 

Regulations in 42 CFR Sections 1004.40, 

1004.50, 1004.60, and 1004.70; Use: The 

Peer Review Improvement Act of 1982 

amended Title XI of the Social Security 

Act (the Act), creating the Utilization 

and Quality Control Peer Review 

Organization Program. Section 1156 of 

the Act imposes obligations on health 

care practitioners and others who 

furnish or order services or items under 

Medicare. This section also provides for 

sanction actions, if the Secretary 

determines that the obligations as stated 

by this section are not met. Quality 

Improvement Organizations (QIOs) are 

responsible for identifying violations. 

The QIOs may allow practitioners or 

other entities, opportunities to submit 

relevant information before determining 

that a violation has occurred. The 

information collection requirements 

contained in this information collection 

request are used by the QIOs to collect 

the information necessary to make their 

decision. Form Number: CMS–R–65 

(OCN: 0938–0444); Frequency: On 

occasion; Affected Public: Private 

sector—Business or other for-profit and 

Not-for-profit institutions; Number of 

Respondents: 53; Total Annual 

Responses: 53; Total Annual Hours: 

14,310. (For policy questions regarding 

this collection contact Coles Mercier at 

410–786–2112.) 

8. Type of Information Collection 

Request: New collection (Request for a 

new OMBcontrol number); Title of 

Information Collection: Enrollment 

Assistance Program; Use: As required by 

the Affordable Care Act, CMS will 

implement a grant-based Navigator 

Program to provide support to targeted 

communities. However, there will also 

be a need for broader based enrollment 

assistance in population centers that we 

identify in states with Federallyfacilitated Marketplaces (FFMs) to 

provide Health Insurance Marketplace 


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enrollment assistance to populations not 

covered or targeted by the Navigator 

Program. The target populations are 

individual consumers and families 

eligible to enroll in Qualified Health 

Plans (QHPs) in population centers we 

identify. Without such access to inperson enrollment assistance, millions 

of individuals who will be eligible for 

health insurance coverage in the 

Marketplaces might not have access to 

the direct assistance required to make 

educated choices on available 

healthcare options and may therefore be 

unable to successfully enroll in the 

Marketplaces. To monitor program 

effectiveness, the Enrollment Assistance 

Program will provide weekly, monthly, 

quarterly and annual reports to us. Form 

Number: CMS–10491 (OCN: 0938– 

NEW); Frequency: Weekly, Monthly, 

Quarterly, Yearly; Affected Public: 

Private Sector; Number of Respondents: 

1; Number of Responses: 84; Total 

Annual Hours: 554. (For policy 

questions regarding this collection 

contact Eliza Bangit at 301–492–4219.) 

Dated: July 23, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–17985 Filed 7–25–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–2388–N] 

RIN 0938–AR79 

Children’s Health Insurance Program 

(CHIP); Final Allotments to States, the 

District of Columbia, and U.S. 

Territories and Commonwealths for 

Fiscal Year 2013 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice sets forth the final 

allotments of federal funding available 

to each State, the District of Columbia, 

and each U.S. Territory and 

Commonwealth for fiscal year 2013. 

Title XXI of the Social Security Act (the 

Act) authorizes payment of federal 

matching funds to States, the District of 

Columbia, and the U.S. Territories and 

Commonwealths to initiate and expand 

health insurance coverage to uninsured, 

low-income children under the 

Children’s Health Insurance Program 

(CHIP). The fiscal year allotments 

contained in this notice were 

determined in accordance with the 

funding provisions and final regulations 

published in the February 17, 2011 

Federal Register (76 FR 9233). 

DATES: This notice is effective on 

August 26, 2013. Final allotments for 

fiscal year 2013 may be available for 

expenditure by states beginning with 

October 1, 2012. 

FOR FURTHER INFORMATION CONTACT: 

Richard Strauss, (410) 786–2019. 

SUPPLEMENTARY INFORMATION: 

I. Purpose of This Notice 

This notice sets forth the allotments 

available to each state, the District of 

Columbia, and each U.S. Territory and 

Commonwealth for fiscal year (FY) 2013 

under title XXI of the Social Security 

Act (the Act). States may implement the 

Children’s Health Insurance Program 

(CHIP) through a separate state program 

under title XXI of the Act, an expansion 

of a State Medicaid program under title 

XIX of the Act, or a combination of both. 

CHIP allotments for FY 2009 and 

subsequent fiscal years are available to 

match expenditures under an approved 

state child health plan for 2 fiscal years, 

including the year for which the 

allotments were provided. As specified 

by the Act, the allotments are available 

to states for FY 2013, and the 

unexpended amounts of such allotments 

for a state may be carried over to FY 

2014 for use by the state. Federal funds 

appropriated for title XXI of the Act are 

limited, and the law specifies a 

methodology to divide the total fiscal 

year appropriation into individual 

allotments available for each state, the 

District of Columbia, and each U.S. 

Territory and Commonwealth with an 

approved child health plan. 

Section 2104(b) of the Act requires 

states, the District of Columbia, and U.S. 

Territories and Commonwealths to have 

an approved child health plan for the 

fiscal year in order for the Secretary to 

provide an allotment for that fiscal year. 

All states, the District of Columbia, and 

U.S. Territories and Commonwealths 

have approved plans for FY 2013. 

Therefore, the FY 2013 allotments 

contained in this notice pertain to all 

states, the District of Columbia, and U.S. 

Territories and Commonwealths. 

In general, funding is appropriated 

under section 2104(a) of the Act for 

purposes of providing allotments to 

states under CHIP for each fiscal year. 

Section 2104(a) was amended by section 

10203(d)(1) of the Patient Protection and 

Affordable Care Act of 2010 (Pub. L. 

111–148, enacted on March 23, 2010) 

(the Affordable Care Act) to extend 

appropriations for funding for CHIP 

fiscal year allotments through FY 2015. 

II. Methodology for Determining CHIP 

Fiscal Year Allotments for the 50 

States, the District of Columbia, and the 

U.S. Territories and Commonwealths 

A. Funding Authority for the CHIP 

Fiscal Year Allotments 

Section 2104(a)(1) through (18) of the 

Act appropriates federal funds for 

providing states’ allotments for FYs 

2009 through 2015. In particular, the 

appropriated amounts available for 

allotments for FYs 2009 through 2015, 

are as follows: $10,562,000,000 for FY 

2009; 12,520,000,000 for FY 2010; 

$13,459,000,000 for FY 2011; 

$14,982,000,000 for FY 2012; 

$17,406,000,000 for FY 2013, 

$19,147,000,000 for FY 2014; and 

$2,850,000,000 for each of the first and 

second half of FY 2015. Also, section 

108 of the Children’s Health Insurance 

Program Reauthorization Act of 2009 

(Pub. L. 111–3, enacted on February 4, 

2009) (CHIPRA), as amended by section 

10203(d) of the Affordable Care Act, 

provides for a one-time appropriation of 

$15,361,000,000 for allotments for the 

first half of FY 2015. Therefore, the total 

appropriation for providing allotments 

during FY 2015 is $21,061,000,000 

(determined as the sum of 

$2,850,000,000, $15,361,000,000, and 

$2,850,000,000). 

B. Methodology for Determining State’s 

Fiscal Year Allotments 

1. General 

On September 16, 2009 we published 

a proposed rule in the Federal Register 

(74 FR 47517) and on February 17, 2011, 

we published the final rule in the 

Federal Register (76 FR 9233) to 

implement the methodologies and 

procedures to determine the fiscal year 

allotments of federal funds as specified 

under section 2104(m) of the Act for FY 

2009 through FY 2015. In general, the 

States’ fiscal year allotments are 

provided from the appropriation for the 

respective fiscal year allotment, subject 

to a proration adjustment described in 

section II.B.7 of this notice. 

2. FY 2009 Through FY 2012 CHIP 

Allotments 

The final methodology is determined 

in accordance with the September 16, 

2009 Federal Register (74 FR 47517) 

which contained the FY 2009 CHIP 

allotments, the February 17, 2011 

Federal Register (76 FR 9233) which 

contained the FY 2010 and FY 2011 

CHIP allotments, and the July 24, 2012 

Federal Register (77 FR 43290) which 

contained the FY 2012 CHIP allotments. 


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