71426 Federal Register / Vol. 79, No. 231 / Tuesday, December 2, 2014 / Notices 

publication of criteria for the conduct of 

research relating to transplantation of 

organs from donors infected with 

human immunodeficiency virus (HIV) 

into individuals who are infected with 

HIV before receiving such organ. 

These authorities may be redelegated. 

Exercise of this authority shall be in 

accordance with established policies, 

procedures, guidelines, and regulations 

as prescribed by the Secretary. The 

Secretary retains the authority to submit 

reports to Congress and promulgate 

regulations. 

I hereby affirm and ratify any actions 

taken by the Director, NIH, or his or her 

subordinates, which involved the 

exercise of the authorities delegated 

herein prior to the effective date of the 

delegation. 

Dated: November 25, 2014. 

Sylvia M. Burwell, 

Secretary. 

[FR Doc. 2014–28406 Filed 12–1–14; 8:45 am] 

BILLING CODE 4140–01–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, 2015 

Through September 30, 2016 

AGENCY: Office of the Secretary, HHS. 

ACTION: Notice. 

SUMMARY: The Federal Medical 

Assistance Percentages (FMAP), 

Enhanced Federal Medical Assistance 

Percentages (eFMAP), and disasterrecovery FMAP adjustments for Fiscal 

Year 2016 have been calculated 

pursuant to the Social Security Act (the 

Act). These percentages will be effective 

from October 1, 2015 through 

September 30, 2016. This notice 

announces the calculated FMAP 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), 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, and the 

eFMAP rates for the Children’s Health 

Insurance Program (CHIP) expenditures. 

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 reminds states of 

available disaster-recovery FMAP 

adjustments for qualifying states, and 

adjustments available for states meeting 

requirements for negative growth in 

total state personal income. 

This notice also contains the 

increased eFMAPs for CHIP as 

authorized under the Patient Protection 

and Affordable Care Act (Affordable 

Care Act) for fiscal years 2016 through 

2019 (October 1, 2015 through 

September 30, 2019). 

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 specified 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. 

Federal Medical Assistance Percentage 

(FMAP) 

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. The 

rates for the States, District of Columbia 

and the territories are displayed in 

Table 1, Column 1. 

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 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). 

Adjustments to the FMAP 

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 


rljohnson on DSK3VPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 231 / Tuesday, December 2, 2014 / Notices 71427 

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 (75 FR 32182) announcing the 

methodology for calculating this 

adjustment; a final notice was issued on 

October 15, 2010 (75 FR 63480). 

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. 

We request that states follow the same 

methodology to determine potential 

FMAP adjustments for negative growth 

in total personal income that HHS 

employs to make adjustments to the 

FMAP for states experiencing 

significantly disproportionate pension 

or insurance contributions. See also the 

information described in the January 21, 

2014 Federal Register notice (79 FR 

3385). 

This notice does not contain an FY 

2016 adjustment for a major statewide 

disaster for any state because no state’s 

FMAP decreased by at least three 

percentage points from FY 2015 to FY 

2016. 

Enhanced Federal Medical Assistance 

Percentage (eFMAP) for CHIP 

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. 

In addition, Section 2105(b) of the 

Social Security Act, as amended by 

Section 2101 of the Affordable Care Act, 

increases the eFMAP for states by 23 

percentage points: 

. . . during the period that begins on October 

1, 2015, and ends on September 30, 2019, the 

enhanced FMAP determined for a state for a 

fiscal year (or for any portion of a fiscal year 

occurring during such period) shall be 

increased by 23 percentage points, but in no 

case shall exceed 100 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, 

and display both the normal eFMAP 

rates (Table 1, Column 2) and the 

Affordable Care Act’s increased eFMAP 

rates (Table 1, Column 3) for 

comparison. 

DATES: Effective Dates: The percentages 

listed in Table 1 will be effective for 

each of the four quarter-year periods 

beginning October 1, 2015 and ending 

September 30, 2016. 

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) 

Dated: November 20, 2014. 

Sylvia M. Burwell, 

Secretary. 

TABLE 1—FEDERAL MEDICAL ASSISTANCE PERCENTAGES AND ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES, 

EFFECTIVE OCTOBER 1, 2015–SEPTEMBER 30, 2016 (FISCAL YEAR 2016) 

State 

(1) (2) (3) 

Federal medical 

assistance 

percentages 

Enhanced federal 

medical 

assistance 

percentages for 

CHIP *** 

Enhanced federal 

medical 

assistance 

percentages with 

ACA 23 pt 

increase for 

CHIP **** 

Alabama ..................................................................................................................... 69.87 78.91 100.00 

Alaska ........................................................................................................................ 50.00 65.00 88.00 

American Samoa * ..................................................................................................... 55.00 68.50 91.50 

Arizona ....................................................................................................................... 68.92 78.24 100.00 

Arkansas .................................................................................................................... 70.00 79.00 100.00 

California .................................................................................................................... 50.00 65.00 88.00 

Colorado .................................................................................................................... 50.72 65.50 88.50 

Connecticut ................................................................................................................ 50.00 65.00 88.00 

Delaware .................................................................................................................... 54.83 68.38 91.38 

District of Columbia ** ................................................................................................ 70.00 79.00 100.00 

Florida ........................................................................................................................ 60.67 72.47 95.47 

Georgia ...................................................................................................................... 67.55 77.29 100.00 

Guam* ........................................................................................................................ 55.00 68.50 91.50 

Hawaii ........................................................................................................................ 53.98 67.79 90.79 

Idaho .......................................................................................................................... 71.24 79.87 100.00 

Illinois ......................................................................................................................... 50.89 65.62 88.62 

Indiana ....................................................................................................................... 66.60 76.62 99.62 


rljohnson on DSK3VPTVN1PROD with NOTICES
71428 Federal Register / Vol. 79, No. 231 / Tuesday, December 2, 2014 / Notices 

TABLE 1—FEDERAL MEDICAL ASSISTANCE PERCENTAGES AND ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES, 

EFFECTIVE OCTOBER 1, 2015–SEPTEMBER 30, 2016 (FISCAL YEAR 2016)—Continued 

State 

(1) (2) (3) 

Federal medical 

assistance 

percentages 

Enhanced federal 

medical 

assistance 

percentages for 

CHIP *** 

Enhanced federal 

medical 

assistance 

percentages with 

ACA 23 pt 

increase for 

CHIP **** 

Iowa ........................................................................................................................... 54.91 68.44 91.44 

Kansas ....................................................................................................................... 55.96 69.17 92.17 

Kentucky .................................................................................................................... 70.32 79.22 100.00 

Louisiana .................................................................................................................... 62.21 73.55 96.55 

Maine ......................................................................................................................... 62.67 73.87 96.87 

Maryland .................................................................................................................... 50.00 65.00 88.00 

Massachusetts ........................................................................................................... 50.00 65.00 88.00 

Michigan ..................................................................................................................... 65.60 75.92 98.92 

Minnesota .................................................................................................................. 50.00 65.00 88.00 

Mississippi .................................................................................................................. 74.17 81.92 100.00 

Missouri ...................................................................................................................... 63.28 74.30 97.30 

Montana ..................................................................................................................... 65.24 75.67 98.67 

Nebraska .................................................................................................................... 51.16 65.81 88.81 

Nevada ....................................................................................................................... 64.93 75.45 98.45 

New Hampshire ......................................................................................................... 50.00 65.00 88.00 

New Jersey ................................................................................................................ 50.00 65.00 88.00 

New Mexico ............................................................................................................... 70.37 79.26 100.00 

New York ................................................................................................................... 50.00 65.00 88.00 

North Carolina ............................................................................................................ 66.24 76.37 99.37 

North Dakota .............................................................................................................. 50.00 65.00 88.00 

Northern Mariana Islands * ........................................................................................ 55.00 68.50 91.50 

Ohio ........................................................................................................................... 62.47 73.73 96.73 

Oklahoma ................................................................................................................... 60.99 72.69 95.69 

Oregon ....................................................................................................................... 64.38 75.07 98.07 

Pennsylvania .............................................................................................................. 52.01 66.41 89.41 

Puerto Rico * .............................................................................................................. 55.00 68.50 91.50 

Rhode Island .............................................................................................................. 50.42 65.29 88.29 

South Carolina ........................................................................................................... 71.08 79.76 100.00 

South Dakota ............................................................................................................. 51.61 66.13 89.13 

Tennessee ................................................................................................................. 65.05 75.54 98.54 

Texas ......................................................................................................................... 57.13 69.99 92.99 

Utah ........................................................................................................................... 70.24 79.17 100.00 

Vermont ..................................................................................................................... 53.90 67.73 90.73 

Virgin Islands * ........................................................................................................... 55.00 68.50 91.50 

Virginia ....................................................................................................................... 50.00 65.00 88.00 

Washington ................................................................................................................ 50.00 65.00 88.00 

West Virginia .............................................................................................................. 71.42 79.99 100.00 

Wisconsin ................................................................................................................... 58.23 70.76 93.76 

Wyoming .................................................................................................................... 50.00 65.00 88.00 

* 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 DC is 50.00, unless otherwise specified by law. 

*** These eFMAP rates for CHIP are listed here for illustrative purposes only. They are superseded by the ACA 23 percentage point increase 

in column 3. 

**** Section 2101(a) of the Affordable Care Act amended Section 2105(b) of the Social Security Act to increase the enhanced FMAP for states 

by 23 percentage points in CHIP, but not to exceed 100 percent, for the period that begins on October 1, 2015 and ends on September 30, 2019 

(fiscal years 2016 through 2018). 

Note: Both the normal eFMAP rates and the Affordable Care Act’s increased eFMAP rates are displayed for comparison. 

[FR Doc. 2014–28398 Filed 11–28–14; 11:15 am] 

BILLING CODE 4150–05–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Meeting of the National Advisory 

Committee on Children and Disasters 

AGENCY: Office of the Secretary, 

Department of Health and Human 

Services. 

ACTION: Notice. 

SUMMARY: As stipulated by the Federal 

Advisory Committee Act, the 

Department of Health and Human 

Services is hereby giving notice that the 

National Advisory Committee on 

Children and Disasters (NACCD) will be 

holding a meeting via teleconference. 

The meeting is open to the public. 

DATES: The December 18, 2014, NACCD 

meeting is scheduled from 1:00 to 2:00 

p.m. EST. The agenda is subject to 

change as priorities dictate. Please 

check the NACCD Web site, located at 

www.phe.gov/naccd for the most up-todate information on the meeting. 

ADDRESSES: To attend the meeting via 

teleconference, call toll-free 888–843– 

7185 pass-code 8233167. Please call 15 

minutes prior to the beginning of the 

conference call to facilitate attendance. 

Pre-registration is required for public 

attendance. Individuals who wish to 


rljohnson on DSK3VPTVN1PROD with NOTICES