45208 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices 

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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3. FY 2013 Allotments 

The FY 2013 allotments for the 50 

States and the District of Columbia, and 

the Commonwealths and Territories, are 

provided from the FY 2013 

appropriation ($17,406,000,000). The 

amounts of these allotments are subject 

to a proration adjustment described in 

section II.B.7 of this notice, if necessary. 

Section 2104(m)(2)(B)(i) of the Act, as 

amended by the Affordable Care Act, 

requires a ‘‘rebasing’’ process be used 

for determining the FY 2013 allotments; 

the rebasing methodology means the 

states’ payments rather than their 

allotments for FY 2012 must be 

considered in calculating the FY 2013 

allotments. In particular, the FY 2013 

allotments are determined by 

multiplying the allotment increase 

factor for FY 2013 for the state by the 

sum of: any federal payments made 

from the states’ available allotments in 

FY 2012; any amounts provided as 

redistributed allotments in FY 2012 to 

the state; and any federal payments 

attributable to any contingency fund 

payments made to the State for FY 2012 

determined under section 2104(n) of the 

Act. 

4. FY 2014 Allotments 

The FY 2014 allotments for the 50 

States and the District of Columbia, and 

the Commonwealths and Territories, are 

provided from the FY 2014 

appropriation of $19,147,000,000, and 

are subject to a proration adjustment 

described in section II.B.7 of this notice, 

if necessary. Under section 

2104(m)(2)(B)(ii) of the Act, as amended 

by the Affordable Care Act, the FY 2014 

allotment for each State is determined 

by multiplying the allotment increase 

factor for FY 2014 for the state, by the 

sum of: the state’s FY 2013 allotment; 

and any contingency fund payment 

made to the state for FY 2013, as 

determined in section 2104(n) of the 

Act. 

For the 50 States and the District of 

Columbia, under section 2104(m)(6) of 

the Act, the FY 2014 allotment may 

include additional amounts in 

situations where such states have 

submitted an expansion allotment 

adjustment request before August 31, 

2013. 

5. FY 2015 Allotments 

Under section 2104(m)(3) of the Act, 

the FY 2015 allotments for the 50 states 

and the District of Columbia, and the 

Commonwealths and Territories, are 

comprised of 2 components related to 

the first half of FY 2015 (that is, the 

period of October 1, 2014 through 

March 31, 2015) and second half of FY 

2015 (that is, April 1, 2015 through 

September 30, 2015). The FY 2015 

allotments for the first and second half 

of FY 2015 are subject to a proration 

adjustment described in section II.B.7 of 

this notice, as necessary. 

The allotments for the first half of FY 

2015 are provided from a total available 

appropriation of $18,211,000,000, 

comprised of $2,850,000,000 

appropriated under section 

2104(a)(18)(A) of the Act, and 

$15,361,000,000 appropriated by section 

108 of CHIPRA, as amended by the 

Affordable Care Act. The allotments for 

the first half of FY 2015 are equal to the 

‘‘first half ratio’’ multiplied by the 

allotment increase factor for FY 2015 

multiplied by the sum of any federal 

payments made from the States’ 

available allotments in FY 2014; any 

amounts provided as redistributed 

allotments in FY 2014 to the state; and 

any federal payments attributable to any 

contingency fund payments made to the 

State for FY 2014 as determined under 

section 2104(n) of the Act. The first half 

ratio is the percentage determined by 

dividing $18,211,000,000 (calculated as 

the sum of $2,850,000,000 (the 

appropriation for the first half of FY 

2015) and 15,361,000,000 (the one-time 

appropriation for the first half of the FY 

2015)) by $21,061,000,000 (calculated as 

the sum of $2,850,000,000(the 

appropriation for the second half of FY 

2015) and $18,211,000,000). 

The states’ CHIP allotments for the 

second half of FY 2015 are provided 

from a total available appropriation of 

$2,850,000,000, appropriated under 

section 2104(a)(18)(B) of the Act. The 

allotments for the second half of FY 

2015 are equal to $2,850,000,000 

multiplied by a percentage equal to the 

amount of the allotment for the state for 

the first half of FY 2015 divided by the 

sum of all such first half of FY 2015 

allotments for all States. 

6. Proration Rule 

Under section 2104(m)(4) of the Act, 

if the amount of States’ (including the 

50 States, the District of Columbia, and 

the Commonwealths and Territories) 

allotments for a fiscal year, or in the 

case of FY 2015, the amount of an 

allotment for each half of the fiscal year, 

exceeds the total appropriations 

available for such periods, the total 

allotments for each of these periods will 

be reduced on a proportional basis. The 

total amount available nationally for the 

period is multiplied by a proration 

percentage determined by dividing the 

amount determined for the period by 

the sum of such amounts. 

7. The Allotment Increase Factor For A 

Fiscal Year 

Under section 2104(m)(5) of the Act, 

the allotment increase factor for a fiscal 

year is equal to the product of 2 

amounts for the fiscal year: the per 

capita health care growth factor and the 

child population growth factor. 

The per capita health care growth 

factor for a fiscal year is equal to 1 plus 

the percentage increase in the projected 

per capita amount of the National 

Health Expenditures from the calendar 

year in which the previous fiscal year 

ends to the calendar year in which the 

fiscal year involved ends, as most 

recently published by CMS before the 

beginning of the fiscal year involved. 

In general, for the 50 States and the 

District of Columbia, the Child 

Population Growth Factor (CPGF) for a 

fiscal year is equal to 1 plus the 

percentage increase (if any, expressed in 

decimal format) in the population of 

children in the State from July 1 in the 

previous fiscal year to July 1 in the 

fiscal year involved, as determined by 

CMS based on the most recent 

published estimates of the Census 

Bureau available before the beginning of 

the fiscal year involved, plus 1 

percentage point (expressed as 0.01). In 

the determination of the CPGF, section 

2104(m)(5)(B) of the Act refers to ‘‘the 

percentage increase (if any)’’ of the 

population of children in the State. In 

this regard, the CPGF refers only to 

increases in the population of children. 

Thus, if there was a decrease in the 

population of children over the 

indicated period, the CPGF for such 

State would be1 plus 0.0 percent plus 1 

percentage point; that is, negative 

growth in the children population 

would not result in the growth factor 

being less than 101 percent (expressed 

as 1.01). 

8. Allotments for the Commonwealths 

And Territories 

Section 2104(m)(1)(B) of the Act 

provided for 2009 allotments for the 

commonwealths and territories based 

upon the highest amount available for 

any fiscal year from 1999 through 2008, 

multiplied by the allotment increase 

factor with the term ‘‘United States’’ 

substituted for the term ‘‘the State’’ (so 

that the increase for the commonwealths 

and territories will be based on the 

CPFG rate for the entire country rather 

than specific to the commonwealth or 

territory). For fiscal years after FY 2009, 

the CHIP allotment for the 

commonwealths and territories is 

determined using the same methodology 

described above for the 50 States and 

District of Columbia. The 2009 change 


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to the allotment increase factor does not 

apply, and thus we will determine a 

commonwealth or territory-specific 

allotment increase factor, based on the 

CPFG for each commonwealth or 

territory, based on the most recent 

published estimates of the Census 

Bureau. 

C. FY 2013 Allotments Determined in 

Accordance With Such Methodologies 

and Procedures. 

We calculated the FY 2013 allotments 

as discussed in section II.B.4 of this 

notice and in accordance with section 

2104(m) of the Act and final regulations 

at 42 CFR 457.609 (published in the 

February 17, 2011 Federal Register. 

That calculation is presented in 2 tables 

described in section III of this notice. 

Table 1 provides the calculation of the 

allotment increase factor for FY 2013, 

and Table 2 provides the calculation of 

the FY 2013 allotment. 

III. Tables 

Following are the keys and associated 

tables for the CHIP funding provisions 

as discussed in previous sections (note 

that for purposes of presentation and 

due to rounding, not all numbers 

following decimals are shown in the 

following tables): 

Table 1—Allotment Increase Factor for 

FY 2013 

Table 2—Children’s Health Insurance 

Program Allotments for FY 2013 

A. Table 1—Allotment Increase Factor 

For FY 2013 

Key to Table 1 

Column/Description 

Column A = State. Column A contains 

the name of the State, District of 

Columbia, U.S. Commonwealth or 

Territory. 

Column B = PCNHE 2012, PCNHE 

2013, PCHCG Factor. Column B 

contains the calculation of the Per 

Capita Health Care Growth (PCHCG) 

Factor for FY 2013, determined as 1 

plus the percentage increase in the Per 

Capita National Health Expenditures 

(PCNHE) (source: Centers for Medicare 

& Medicaid Services, Office of the 

Actuary) from calendar year 2012 to 

calendar year 2013. 

Columns C through F = Calculation of 

the Child Population Growth Factor 

(CPGF) for FY 2013: 

Column C = July 1, 2012 Child 

Population. Column C contains the 

population of children in each state or 

the United States as of July 1, 2012, as 

provided by the most recent published 

data of the Census Bureau before the 

beginning of FY 2013. 

Column D = July 1, 2013 Child 

Population. Column D contains the 

population of children in each state or 

the United States as of July 1, 2013, as 

provided by the most recent published 

data of the Census Bureau before the 

beginning of FY 2013. 

Column E = Percent Increase 2012— 

2013. Column E contains the percentage 

increase, if any, of the population of 

children in each state, or the United 

States, from July 1, 2012 to July 1, 2013, 

calculated as the difference between the 

number in Column D minus the number 

in Column C divided by the number in 

Column C. 

Column F = FY 2013 Child Population 

Growth Factor. Column F contains the 

Child Population Growth Factor (CPGF) 

for each state, determined as 1.01 plus 

the percent in Column E for the State. 

Column G = FY 2013 Allotment 

Increase Factor. Column G contains the 

FY 2013 Allotment Increase Factor, 

calculated as the PCHCG factor in 

Column B multiplied by the CPGF 

percent in Column F. 

TABLE 1—ALLOTMENT INCREASE FACTOR FOR FY 2013 

State 

PCNHE 2012– 

$8,953 

PCNHE 

2013—$9,214 

PCHCG factor *—1.0292 

Child population growth factor (CPGF) for FY 2013 

FY 2013 Allotment increase 

factor 

Col B × F 

July 1, 2012 

population 

July 1, 2013 

population 

Percent increase 2012– 

2013 

(D–C)/C 

FY 2013 

CPGF 

Col E + 1.01 

A B C D E F G 

Alabama ................................................... 1.0292 1,190,177 1,185,745 0.00 101.00 1.0394 

Alaska ...................................................... 1.0292 197,821 197,483 0.00 101.00 1.0394 

Arizona ..................................................... 1.0292 1,709,881 1,704,721 0.00 101.00 1.0394 

Arkansas .................................................. 1.0292 748,748 748,686 0.00 101.00 1.0394 

California .................................................. 1.0292 9,802,326 9,781,108 0.00 101.00 1.0394 

Colorado ................................................... 1.0292 1,305,223 1,311,232 0.46 101.46 1.0442 

Connecticut .............................................. 1.0292 845,091 833,027 0.00 101.00 1.0394 

Delaware .................................................. 1.0292 217,092 216,511 0.00 101.00 1.0394 

District of Columbia .................................. 1.0292 118,912 122,540 3.05 104.05 1.0708 

Florida ...................................................... 1.0292 4,231,207 4,228,907 0.00 101.00 1.0394 

Georgia .................................................... 1.0292 2,634,887 2,639,023 0.16 101.16 1.0411 

Hawaii ...................................................... 1.0292 320,876 321,411 0.17 101.17 1.0412 

Idaho ........................................................ 1.0292 451,195 450,659 0.00 101.00 1.0394 

Illinois ....................................................... 1.0292 3,252,752 3,227,501 0.00 101.00 1.0394 

Indiana ..................................................... 1.0292 1,679,592 1,672,236 0.00 101.00 1.0394 

Iowa .......................................................... 1.0292 765,073 762,718 0.00 101.00 1.0394 

Kansas ..................................................... 1.0292 762,720 761,315 0.00 101.00 1.0394 

Kentucky .................................................. 1.0292 1,077,372 1,075,953 0.00 101.00 1.0394 

Louisiana .................................................. 1.0292 1,183,059 1,184,741 0.14 101.14 1.0409 

Maine ....................................................... 1.0292 283,150 279,480 0.00 101.00 1.0394 

Maryland .................................................. 1.0292 1,425,777 1,422,901 0.00 101.00 1.0394 

Massachusetts ......................................... 1.0292 1,493,331 1,483,033 0.00 101.00 1.0394 

Michigan ................................................... 1.0292 2,407,389 2,374,494 0.00 101.00 1.0394 

Minnesota ................................................. 1.0292 1,346,832 1,343,206 0.00 101.00 1.0394 

Mississippi ................................................ 1.0292 790,318 787,474 0.00 101.00 1.0394 

Missouri .................................................... 1.0292 1,482,863 1,472,896 0.00 101.00 1.0394 

Montana ................................................... 1.0292 235,024 234,574 0.00 101.00 1.0394 

Nebraska .................................................. 1.0292 487,198 488,415 0.25 101.25 1.0420 

Nevada ..................................................... 1.0292 697,086 696,921 0.00 101.00 1.0394 


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TABLE 1—ALLOTMENT INCREASE FACTOR FOR FY 2013—Continued 

State 

PCNHE 2012– 

$8,953 

PCNHE 

2013—$9,214 

PCHCG factor *—1.0292 

Child population growth factor (CPGF) for FY 2013 

FY 2013 Allotment increase 

factor 

Col B × F 

July 1, 2012 

population 

July 1, 2013 

population 

Percent increase 2012– 

2013 

(D–C)/C 

FY 2013 

CPGF 

Col E + 1.01 

A B C D E F G 

New Hampshire ....................................... 1.0292 293,783 288,459 0.00 101.00 1.0394 

New Jersey .............................................. 1.0292 2,142,311 2,124,544 0.00 101.00 1.0394 

New Mexico ............................................. 1.0292 549,684 551,522 0.33 101.33 1.0429 

New York ................................................. 1.0292 4,533,608 4,506,651 0.00 101.00 1.0394 

North Carolina .......................................... 1.0292 2,427,545 2,433,066 0.23 101.23 1.0418 

North Dakota ............................................ 1.0292 162,495 163,927 0.88 101.88 1.0485 

Ohio .......................................................... 1.0292 2,825,825 2,801,252 0.00 101.00 1.0394 

Oklahoma ................................................. 1.0292 994,142 1,000,112 0.60 101.60 1.0456 

Oregon ..................................................... 1.0292 913,230 912,653 0.00 101.00 1.0394 

Pennsylvania ............................................ 1.0292 2,921,487 2,898,558 0.00 101.00 1.0394 

Rhode Island ............................................ 1.0292 233,902 230,480 0.00 101.00 1.0394 

South Carolina ......................................... 1.0292 1,148,077 1,150,117 0.18 101.18 1.0413 

South Dakota ........................................... 1.0292 214,867 215,447 0.27 101.27 1.0422 

Tennessee ............................................... 1.0292 1,574,981 1,572,746 0.00 101.00 1.0394 

Texas ....................................................... 1.0292 7,408,497 7,484,215 1.02 102.02 1.0500 

Utah .......................................................... 1.0292 933,382 941,395 0.86 101.86 1.0483 

Vermont .................................................... 1.0292 133,891 131,547 0.00 101.00 1.0394 

Virginia ..................................................... 1.0292 1,966,500 1,967,568 0.05 101.05 1.0400 

Washington .............................................. 1.0292 1,674,524 1,679,579 0.30 101.30 1.0426 

West Virginia ............................................ 1.0292 406,890 405,501 0.00 101.00 1.0394 

Wisconsin ................................................. 1.0292 1,396,702 1,387,539 0.00 101.00 1.0394 

Wyoming .................................................. 1.0292 142,250 142,106 0.00 101.00 1.0394 

Total States ....................................... 1.0292 78,141,545 77,997,895 0.00 101.00 1.0394 

American Samoa ..................................... 1.0292 19,210 18,198 0.00 101.00 1.0394 

Guam ....................................................... 1.0292 54,032 53,490 0.00 101.00 1.0394 

Northern Mariana Islands ........................ 1.0292 16,469 16,227 0.00 101.00 1.0394 

Puerto Rico .............................................. 1.0292 910,852 889,582 0.00 101.00 1.0394 

Virgin Islands ........................................... 1.0292 24,590 23,763 0.00 101.00 1.0394 

Total Territories ................................. 1.0292 1,025,153 1,001,260 0.00 101.00 1.0394 

Total States/Territories .............. 1.0292 79,166,698 78,999,155 0.00 101.00 1.0394 

Footnotes: 

* Calculated as 1 + (($9,214–$8,953)/$8,953); $8,953 is per capita NHE for 2012 and $9,214 is per capita NHE for 2013. 

PCHCG FACTOR is ‘‘Per Capita Health Care Growth Factor‘‘. 

B. Table 2—Children’s Health Insurance 

Program Allotment for FY 2013 

Key to Table 2 

Column/Description 

Column A = State. Column A contains 

the name of the state, District of 

Columbia, U.S. Commonwealth or 

Territory. 

Column B = FY 2012 FS Expenditures 

Applied Against Allotments. Column B 

contains the amount of federal share 

(FS) payments to the state that were 

attributable and countable towards the 

allotments available to the state in FY 

2012. These amounts were based on the 

States’ submissions of the 4 quarterly 

FY 2012 expenditure reports. 

Column C = FY 2012 Contingency 

Fund Payments. Column C contains the 

amounts of any contingency funds 

payments made to a State for FY 2012 

determined in accordance with the 

provisions of section 2104(n) of the Act. 

Column D = FY 2012 FS Expenditures 

Applied Against Redistributions. 

Column D contains the total amount of 

federal payments redistributed to the 

state in FY 2012 determined in in 

accordance with the provisions of 

section 2104(f) of the Act. 

Column E = FY 2012 Total FS 

Expenditures. Column E contains the 

total amount of the FY 2012 federal 

payments to the state determined as the 

sum of the amounts in Columns B, C, 

and D. 

Column F = FY 2013 Allotment 

Increase Factor. Column F contains the 

Allotment Increase Factor for FY 2013 

for each state as contained in Column G 

of Table 1. 

Column G = FY 2013 CHIP Allotment. 

Column G contains the product of the 

total FY 2012 federal share expenditures 

in Column E and the amount of the FY 

2013 Allotment Increase Factor in 

Column F. This amount represents the 

FY 2013 CHIP allotment. 


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TABLE 2—CHILDREN’S HEALTH INSURANCE PRORAM ALLOTMENTS FOR FY 2013 

State 

FY 2012 FY 2012 FY 2012 FY 2012 FY 2013 FY 2013 

FS expenditures applied 

against allotments/1 

Contingency 

fund payments 

FS expenditures applied 

against redistributions 

Total FS expenditures 

Col B + C + D 

Allotment increase factor 

CHIP allotment 

Col E × F 

A B C D E F G 

Alabama ................................................... $156,666,630 $0 $0 $156,666,630 1.0394 $162,846,151 

Alaska ...................................................... 19,777,701 0 0 19,777,701 1.0394 20,557,808 

Arizona ..................................................... 24,428,316 0 0 24,428,316 1.0394 25,391,861 

Arkansas .................................................. 99,204,579 0 0 99,204,579 1.0394 103,117,581 

California .................................................. 1,246,835,487 0 0 1,246,835,487 1.0394 1,296,015,369 

Colorado ................................................... 126,262,430 0 0 126,262,430 1.0442 131,840,929 

Connecticut .............................................. 39,760,103 0 0 39,760,103 1.0394 41,328,391 

Delaware .................................................. 15,141,183 0 0 15,141,183 1.0394 15,738,408 

District of Columbia .................................. 13,883,678 0 0 13,883,678 1.0708 14,867,242 

Florida ...................................................... 345,422,131 0 0 345,422,131 1.0394 359,046,879 

Georgia .................................................... 271,558,901 0 0 271,558,901 1.0411 282,708,900 

Hawaii ...................................................... 24,789,079 0 0 24,789,079 1.0412 25,809,390 

Idaho ........................................................ 34,592,745 0 0 34,592,745 1.0394 35,957,213 

Illinois ....................................................... 265,108,645 0 0 265,108,645 1.0394 275,565,527 

Indiana ..................................................... 139,361,391 0 0 139,361,391 1.0394 144,858,329 

Iowa .......................................................... 88,986,083 0 0 88,986,083 1.0394 92,496,029 

Kansas ..................................................... 53,296,813 0 0 53,296,813 1.0394 55,399,040 

Kentucky .................................................. 142,273,872 0 0 142,273,872 1.0394 147,885,689 

Louisiana .................................................. 165,120,888 0 0 165,120,888 1.0409 171,875,479 

Maine ....................................................... 30,284,258 0 0 30,284,258 1.0394 31,478,783 

Maryland .................................................. 154,385,062 0 0 154,385,062 1.0394 160,474,590 

Massachusetts /2 ...................................... 318,320,572 0 0 318,320,572 1.0394 330,876,333 

Michigan ................................................... 52,717,514 0 0 52,717,514 1.0394 54,796,891 

Minnesota ................................................. 30,864,280 0 0 30,864,280 1.0394 32,081,683 

Mississippi ................................................ 170,165,124 0 0 170,165,124 1.0394 176,877,077 

Missouri .................................................... 118,282,444 0 0 118,282,444 1.0394 122,947,949 

Montana ................................................... 57,136,546 0 0 57,136,546 1.0394 59,390,226 

Nebraska .................................................. 40,751,950 0 0 40,751,950 1.0420 42,464,124 

Nevada ..................................................... 30,260,365 0 0 30,260,365 1.0394 31,453,948 

New Hampshire ....................................... 17,504,890 0 0 17,504,890 1.0394 18,195,349 

New Jersey .............................................. 615,891,341 0 0 615,891,341 1.0394 640,184,412 

New Mexico ............................................. 119,117,210 0 0 119,117,210 1.0429 124,225,549 

New York ................................................. 557,751,171 0 0 557,751,171 1.0394 579,750,975 

North Carolina .......................................... 291,999,510 0 0 291,999,510 1.0418 304,200,528 

North Dakota ............................................ 16,510,403 0 0 16,510,403 1.0485 17,311,376 

Ohio .......................................................... 323,299,011 0 0 323,299,011 1.0394 336,051,140 

Oklahoma ................................................. 109,210,015 0 0 109,210,015 1.0456 114,192,613 

Oregon ..................................................... 138,435,048 0 0 138,435,048 1.0394 143,895,447 

Pennsylvania ............................................ 294,116,617 0 0 294,116,617 1.0394 305,717,683 

Rhode Island ............................................ 38,007,530 0 0 38,007,530 1.0394 39,506,690 

South Carolina ......................................... 94,387,784 0 0 94,387,784 1.0413 98,283,399 

South Dakota ........................................... 18,650,766 0 0 18,650,766 1.0422 19,438,235 

Tennessee ............................................... 192,636,297 0 0 192,636,297 1.0394 200,234,597 

Texas ....................................................... 849,095,131 0 0 849,095,131 1.0500 891,517,738 

Utah .......................................................... 59,616,038 0 0 59,616,038 1.0483 62,494,237 

Vermont .................................................... 12,542,134 0 0 12,542,134 1.0394 13,036,843 

Virginia ..................................................... 179,399,135 0 0 179,399,135 1.0400 186,575,583 

Washington .............................................. 92,985,481 0 0 92,985,481 1.0426 96,942,063 

West Virginia ............................................ 46,443,775 0 0 46,443,775 1.0394 48,275,692 

Wisconsin ................................................. 99,094,456 0 0 99,094,456 1.0394 103,003,114 

Wyoming .................................................. 10,355,354 0 0 10,355,354 1.0394 10,763,808 

States/DC Total ................................ 8,452,687,867 0 0 8,452,687,867 8,799,944,890 

Commonwealths and Territories 

American Samoa ..................................... 1,252,669 0 0 1,252,669 1.0394 1,302,079 

Guam ....................................................... 4,359,910 0 0 4,359,910 1.0394 4,531,881 

N. Mariana Islands ................................... 898,682 0 0 898,682 1.0394 934,129 

Puerto Rico .............................................. 103,910,799 0 23,714,630 127,625,429 1.0394 132,659,456 

Virgin Islands ........................................... 0 0 0 0 1.0394 0 

Total .................................................. 110,422,060 0 23,714,630 134,136,690 139,427,545 

National Total ............................ 8,563,109,927 0 23,714,630 8,586,824,557 8,939,372,435 

Footnotes: 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices 45213 

/1 Final CHIP Allotments for FY 2013 based on reported expenditures for quarters 1 through 4 of FY 2012. 

/2 MA expenditures adjusted to only include amounts claimed on FY 2012 expenditure reports up to FY 2012 ten percent limit. 

IV. Collection of Information 

Requirements 

This document does not impose any 

information collection or recordkeeping 

requirements. Consequently, it is not 

subject to Office of Management and 

Budget review under the authority of 

the Paperwork Reduction Act of 1995 

(44 U.S.C. 3501 et seq.). 

Authority: (Section 1102 of the Social 

Security Act (42 U.S.C. 1302)) 

(Catalog of Federal Domestic Assistance 

Program No. 93.778, Medical Assistance 

Program) 

(Catalog of Federal Domestic Assistance 

Program No. 93.767, State Children’s Health 

Insurance Program)) 

Dated: May 15, 2013. 

Marilyn Tavenner, 

Administrator, Centers for Medicare & 

Medicaid Services. 

Dated: June 28, 2013. 

Kathleen Sebelius, 

Secretary. Department of Health and Human 

Services. 

[FR Doc. 2013–17966 Filed 7–25–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–2387–N] 

RIN 0938–AR78 

Medicaid Program; State Allotments 

for Payment of Medicare Part B 

Premiums for Qualifying Individuals 

(QIs): Federal Fiscal Years 2012 and 

2013 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice sets forth the 

States’ final allotments available to pay 

the Medicare Part B premiums for 

Qualifying Individuals (QIs) for the 

Federal fiscal year (FY) 2012 and the 

preliminary QI allotments for FY 2013. 

The amounts of these QI allotments 

were determined in accordance with the 

methodology set forth in regulations and 

reflect funding for the QI program made 

available under recent legislation. 

DATES: The final QI allotments for 

payment of Medicare Part B premiums 

for FY 2012 are effective October 1, 

2011. The preliminary QI allotments for 

FY 2013 are effective October 1, 2012. 

FOR FURTHER INFORMATION CONTACT: 

Richard Strauss, (410) 786–2019. 

SUPPLEMENTARY INFORMATION: 

I. Background 

A. QI Allotments for FY 2012 

Section 110 of the Medicare and 

Medicaid Extenders Act of 2010 (Pub. L. 

111–309, enacted on December 15, 

2010) (MMEA) extended the authority 

and funding for the QI program for the 

first quarter of FY 2012 (that is, through 

December 31, 2011) by providing $280 

million available for the first quarter of 

FY 2012. Section 310 of the Temporary 

Payroll Tax Cut Continuation Act of 

2011 (Pub. L. 112–78, enacted on 

December 23, 2011) (TPTCA) provided 

temporary continued authority and an 

additional $150 million in funding for 

the QI program for the period January 1, 

2012 through February 29, 2012. With 

the enactment of TPTCA, the QI 

program was authorized and funded at 

a total amount nationally of $430 

million ($280 million plus $150 million) 

for FY 2012 through February 29, 2012. 

Section 3101 of the Middle Class Tax 

Relief and Job Creation Act of 2012 

(Pub. L. 112–96, enacted on February 

22, 2012) (MCTRJCA) extended the 

authority and funding for the QI 

program for FY 2012; in particular, 

authority for the QI program was 

extended for all of FY 2012 and funding 

for the program for the period January 

1, 2012 through September 30, 2012 was 

increased to $450 million. Therefore, 

the total funding available for the QI 

program for FY 2012 is $730 million 

($280 million plus $450 million). 

B. QI Allotments for FY 2013 and 

Thereafter 

Section 3101 of the MCTRJCA 

extended the authority and funding for 

the QI program by providing $280 

million, available for the period October 

1, 2012 through December 31, 2012, the 

first quarter of FY 2013. Most recently, 

section 621 of the American Taxpayer 

Relief Act of 2012 (Pub. L. 112–240, 

enacted on January 2, 2013) (ATRA), 

extended the authority for the QI 

program for all of FY 2013 and provided 

$485 million in additional funding for 

the program for the period January 1, 

2013 through September 30, 2013. 

Therefore the total funding available for 

the QI program for FY 2013 is $765 

million ($280 million plus $485 

million). 

Finally, section 621 of ATRA further 

extended the authority and funding for 

the QI program by providing $300 

million, available for the period October 

1, 2013 through December 31, 2013, the 

first quarter of FY 2014. 

C. Methodology for Calculating the 

Fiscal Year QI Allotments. 

The amounts of the states’ final FY 

2012 and preliminary FY 2013 QI 

allotments, contained in this notice, 

were determined in accordance with the 

methodology set forth in existing 

regulations at 42 CFR 433.10(c)(5) and 

reflect funding for the QI program made 

available under the legislation discussed 

above. 

II. Charts 

The final QI allotments for FY 2012 

and the preliminary QI allotments for 

FY 2013 are shown by state in Chart 1 

and Chart 2 below, respectively: 

Chart 1—Final Qualifying Individuals 

Allotments for October 1, 2011 through 

September 30, 2012. 

Chart 2—Preliminary Qualifying 

Individuals Allotments for October 1, 

2012 through September 30, 2013. 


tkelley on DSK3SPTVN1PROD with NOTICES