tkelley on DSK3SPTVN1PROD with NOTICES

Federal Register / Vol. 79, No. 13 / Tuesday, January 21, 2014 / Notices 3385 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Final Effect of Designation of a Class 

of Employees for Addition to the 

Special Exposure Cohort 

AGENCY: National Institute for 

Occupational Safety and Health 

(NIOSH), Centers for Disease Control 

and Prevention, Department of Health 

and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: 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. 

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] 

BILLING CODE 4163–19–P 

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 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 

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