amount equal to the number of second 
tier above baseline child enrollees (as 
determined 
under 
subparagraph 
(C)(ii)) under title XIX for the State 
and fiscal year multiplied by 90 per-
cent of the projected per capita State 
Medicaid expenditures (as determined 
under subparagraph (D)(i)) for the 
State and fiscal year under title XIX. 
‘‘(ii) FOR ABOVE BASELINE CHIP EN-
ROLLMENT COSTS.— 
‘‘(I) FIRST TIER ABOVE BASELINE 
CHIP ENROLLEES.—An amount equal 
to the number of first tier above base-
line child enrollees under this title (as 
determined under subparagraph (C)(i)) 
for the State and fiscal year multiplied 
by 5 percent of the projected per capita 
State CHIP expenditures (as deter-
mined under subparagraph (D)(ii)) for 
the State and fiscal year under this 
title. 
‘‘(II) SECOND TIER ABOVE BASE-
LINE
CHIP
ENROLLEES.—An amount 
equal to the number of second tier 
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above baseline child enrollees under 
this title (as determined under sub-
paragraph (C)(ii)) for the State and 
fiscal year multiplied by 75 percent of 
the projected per capita State CHIP 
expenditures (as determined under sub-
paragraph (D)(ii)) for the State and 
fiscal year under this title. 
‘‘(C) NUMBER OF FIRST AND SECOND TIER 
ABOVE BASELINE CHILD ENROLLEES; BASELINE 
NUMBER OF CHILD ENROLLEES.—For purposes 
of this paragraph: 
‘‘(i) FIRST
TIER
ABOVE
BASELINE 
CHILD
ENROLLEES.—The number of first 
tier above baseline child enrollees for a 
State for a fiscal year under this title or 
title XIX is equal to the number (if any, as 
determined by the Secretary) by which— 
‘‘(I) 
the 
monthly 
average 
unduplicated number of qualifying 
children (as defined in subparagraph 
(E)) enrolled during the fiscal year 
under the State child health plan 
under this title or under the State plan 
under title XIX, respectively; exceeds 
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‘‘(II) the baseline number of en-
rollees described in clause (iii) for the 
State and fiscal year under this title or 
title XIX, respectively; 
but not to exceed 3 percent (in the case of 
title XIX) or 7.5 percent (in the case of this 
title) of the baseline number of enrollees de-
scribed in subclause (II). 
‘‘(ii) SECOND TIER ABOVE BASELINE 
CHILD ENROLLEES.—The number of second 
tier above baseline child enrollees for a 
State for a fiscal year under this title or 
title XIX is equal to the number (if any, as 
determined by the Secretary) by which— 
‘‘(I) 
the 
monthly 
average 
unduplicated number of qualifying 
children (as defined in subparagraph 
(E)) enrolled during the fiscal year 
under this title or under title XIX, re-
spectively, as described in clause (i)(I); 
exceeds 
‘‘(II) the sum of the baseline num-
ber of child enrollees described in 
clause (iii) for the State and fiscal 
year under this title or title XIX, re-
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spectively, 
as 
described 
in 
clause 
(i)(II), and the maximum number of 
first tier above baseline child enrollees 
for the State and fiscal year under this 
title or title XIX, respectively, as deter-
mined under clause (i). 
‘‘(iii) BASELINE
NUMBER
OF
CHILD 
ENROLLEES.—The baseline number of child 
enrollees for a State under this title or title 
XIX— 
‘‘(I) for fiscal year 2008 is equal 
to the monthly average unduplicated 
number of qualifying children enrolled 
in the State child health plan under 
this title or in the State plan under 
title XIX, respectively, during fiscal 
year 2007 increased by the population 
growth for children in that State for 
the year ending on June 30, 2006 (as 
estimated by the Bureau of the Census) 
plus 1 percentage point; or 
‘‘(II) for a subsequent fiscal year 
is equal to the baseline number of child 
enrollees for the State for the previous 
fiscal year under this title or title XIX, 
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respectively, increased by the popu-
lation growth for children in that State 
for the year ending on June 30 before 
the beginning of the fiscal year (as es-
timated by the Bureau of the Census) 
plus 1 percentage point. 
‘‘(D) PROJECTED PER CAPITA STATE EX-
PENDITURES.—For purposes of subparagraph 
(B)— 
‘‘(i) PROJECTED
PER
CAPITA
STATE 
MEDICAID
EXPENDITURES.—The projected 
per capita State Medicaid expenditures for 
a State and fiscal year under title XIX is 
equal to the average per capita expenditures 
(including both State and Federal financial 
participation) for children under the State 
plan under such title, including under 
waivers but not including such children eli-
gible for assistance by virtue of the receipt 
of benefits under title XVI, for the most re-
cent fiscal year for which actual data are 
available (as determined by the Secretary), 
increased (for each subsequent fiscal year up 
to and including the fiscal year involved) 
by the annual percentage increase in per 
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capita amount of National Health Expendi-
tures (as estimated by the Secretary) for the 
calendar year in which the respective subse-
quent fiscal year ends and multiplied by a 
State matching percentage equal to 100 per-
cent minus the Federal medical assistance 
percentage (as defined in section 1905(b)) 
for the fiscal year involved. 
‘‘(ii) PROJECTED PER CAPITA STATE 
CHIP
EXPENDITURES.—The projected per 
capita State CHIP expenditures for a State 
and fiscal year under this title is equal to 
the average per capita expenditures (includ-
ing both State and Federal financial par-
ticipation) for children under the State 
child health plan under this title, including 
under waivers, for the most recent fiscal 
year for which actual data are available (as 
determined by the Secretary), increased (for 
each subsequent fiscal year up to and in-
cluding the fiscal year involved) by the an-
nual percentage increase in per capita 
amount of National Health Expenditures 
(as estimated by the Secretary) for the cal-
endar year in which the respective subse-
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