[Congressional Record Volume 151, Number 120 (Thursday, September 22, 2005)]
[Senate]
[Page S10381]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

      By Mr. INHOFE:
  S. 1754. A bill to apply the Federal medical assistance percentage 
determined for a State for fiscal year 2005 for fiscal years 2006 
through 2014; to the Committee on Finance.
  Mr. INHOFE. Mr. President, I rise today to introduce a bill to apply 
the Federal Medical Assistance Percentage (FMAP) for a State for fiscal 
year 2005 for fiscal years 2006 through 2014. Oklahoma is one of the 
hardest hit States receiving a 2.27 percent reduction in our FMAP funds 
for 2006, resulting in a loss of approximately $65 million, along with 
21 other states that will suffer more than a 0.5 percent reduction. I 
would like to introduce with unanimous consent the text of a chart 
created by the Oklahoma Health Care Authority that lays out the 2006 
FMAP reduction.
  Federal law states that the FMAP is based on the three most recent 
calendar years with acceptable data available from the Department of 
Commerce. Every four to five years the Department of Commerce's Bureau 
of Economic Analysis performs a comprehensive revision of its 
calculation of per capita income. They performed a revision in 2003 
which revises the data for the previous years as well. Therefore, when 
the Centers for Medicare and Medicaid Services (CMS) calculated the 
FMAP for fiscal year 2006, they used the revised data from 2001, 2002 
and 2003. A reduction of 2.27 percent would be disastrous for the state 
of Oklahoma.
  My legislation purposes to keep the fiscal year 2005 percentage 
levels for 2006 through 2014, while we take an in depth look at 
revising the formula so states do not continue to get hit with such 
drastic reductions. Please join me in supporting this important 
legislation.
  There being no objection, the chart was ordered to be printed in the 
Record, as follows:

                                                             OKLAHOMA HEALTH CARE AUTHORITY
                             [Estimated Federal Cost Impact to Cap FMAP Reduction at .5 Percentage Point Projected FFY 2006]
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                                                                                      Total MAP       Total cost to    Federal cost to   Dif: adj. cost
                             State                                  2006 FMAP       expenditures      state w/full        cap FMAP        to State w/5%
                                                                    reduction      (2004 trended)    FMAP reduction    reduction @ 5%       reduction
--------------------------------------------------------------------------------------------------------------------------------------------------------
Alaska........................................................    7.42 (percent)       927,820,408        68,844,274        64,205,172         4,639,102
Wyoming.......................................................    3.67 (percent)       411,742,028        15,110,932        13,052,222         2,058,710
New Mexico....................................................    3.15 (percent)     2,507,212,586        78,977,196        66,441,134        12,536,063
Oklahoma......................................................    2.27 (percent)     2,924,733,647        66,391,454        51,767,786        14,623,668
Maine.........................................................    1.99 (percent)     2,344,739,613        46,660,318        34,936,620        11,723,698
West Virginia.................................................    1.66 (percent)     2,362,624,867        39,219,872        27,406,657        11,813,214
North Dakota..................................................    1.64 (percent)       565,830,511         9,279,620         6,450,468         2,829,153
Vermont.......................................................    1.62 (percent)       899,658,464        14,574,467        10,076,175         4,498,292
Utah..........................................................    1.38 (percent)     1,445,925,839        19,953,777        12,724,147         7,229,629
Montana.......................................................    1.36 (percent)       726,849,009         9,885,147         6,250,901         3,634,245
Alabama.......................................................    1.32 (percent)     4,174,809,256        55,107,482        34,233,436        20,874,046
Louisiana.....................................................    1.25 (percent)     5,735,530,756        71,694,134        43,016,481        28,677,654
Nevada........................................................    1.14 (percent)     1,202,661,716        13,710,344         7,697,035         6,013,309
Mississippi...................................................    1.08 (percent)     3,752,796,588        40,530,203        21,766,220        18,763,983
Arkansas......................................................    0.98 (percent)     2,974,366,673        29,148,793        14,276,960        14,871,833
South Dakota..................................................    0.96 (percent)       622,166,738         5,972,801         2,861,967         3,110,834
Rhode Island..................................................    0.93 (percent)     1,900,919,404        17,678,550         8,173,953         9,504,597
Tennessee.....................................................    0.82 (percent)     8,319,862,112        68,222,869        26,623,559        41,599,311
Idaho.........................................................    0.71 (percent)     1,069,486,215         7,593,352         2,245,921         5,347,431
Wisconsin.....................................................    0.67 (percent)     5,292,600,883        35,460,426         8,997,442        26,463,004
Kansas........................................................    0.60 (percent)     2,055,601,420        12,333,609         2,055,601        10,278,007
South Carolina................................................    0.57 (percent)     4,449,546,832        25,362,417         3,114,683        22,247,734
                                                               -----------------------------------------------------------------------------------------
    Total.....................................................  ................    56,667,503,565       751,712,038       468,374,520       283,337,518
--------------------------------------------------------------------------------------------------------------------------------------------------------
Note: Included are states that are projected to experience an FMAP reduction in FFYO6.
Estimated costs provided in this chart are based on state MAP expenditures published on CMS 64 reports (2004 trended by 9% for 2 years). The costs do
  not reflect official estimates from any of the states, but should provide a fair representation of the impact for each state.

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