[Federal Register Volume 67, Number 190 (Tuesday, October 1, 2002)]
[Notices]
[Pages 61632-61638]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-24846]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-2160-N]
RIN 0938-ZA38


State Children's Health Insurance Program; Final Allotments to 
States, the District of Columbia, and U.S. Territories and 
Commonwealths for Fiscal Year 2003

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice.

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SUMMARY: Title XXI of the Social Security Act (the Act) authorizes 
payment of Federal matching funds to States, the District of Columbia, 
and U.S. Territories and Commonwealths to initiate and expand health 
insurance coverage to uninsured, low-income children under the State 
Children's Health Insurance Program (SCHIP). 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 2003. States may implement SCHIP 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.

EFFECTIVE DATE: This notice is effective on October 31, 2002. Final 
allotments are available for expenditures after October 1, 2002.

FOR FURTHER INFORMATION CONTACT: Richard Strauss, (410) 786-2019.

SUPPLEMENTARY INFORMATION:

[[Page 61633]]

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) 2003 under title XXI of the Social Security Act (the 
Act). Final allotments for a fiscal year are available to match 
expenditures under an approved State child health plan for 3 fiscal 
years, including the year for which the final allotment was provided. 
That is, the FY 2003 allotments will be available to States for FY 
2003, and unexpended amounts may be carried over to FYs 2004 and 2005. 
Federal funds appropriated for title XXI are limited, and the law 
specifies a formula to divide the total annual 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 2003. Therefore, the FY 2003 allotments contained in this notice 
pertain to all States, the District of Columbia, and U.S. Territories 
and Commonwealths.

II. Methodology for Determining Final Allotments for States, the 
District of Columbia, and U.S. Territories and Commonwealths

    This notice specifies, in the table under section III, the final FY 
2003 allotments available to individual States, the District of 
Columbia, and U.S. Territories and Commonwealths for either child 
health assistance expenditures under approved State child health plans 
or for claiming an enhanced Federal medical assistance percentage rate 
for certain SCHIP-related Medicaid expenditures. As discussed below, 
the FY 2003 final allotments have been calculated to reflect the 
methodology for determining an allotment amount for each State, the 
District of Columbia, and each U.S. Territory and Commonwealth under 
section 2104 of the Act, as amended.
    Section 2104(a) of the Act provides that, for purposes of providing 
allotments to the 50 States and the District of Columbia, the following 
amounts are appropriated: $4,295,000,000 for FY 1998; $4,275,000,000 
for each FY 1999 through FY 2001; $3,150,000,000 for each FY 2002 
through FY 2004; $4,050,000,000 for each FY 2005 through FY 2006; and 
$5,000,000,000 for FY 2007. However, under section 2104(c) of the Act, 
0.25 percent of the total amount appropriated each year is available 
for allotment to the U.S. Territories and Commonwealths of Puerto Rico, 
Guam, the Virgin Islands, American Samoa, and the Northern Mariana 
Islands. Section 2104(c) of the act also specifies that the total 
amounts are allotted to the U.S. Territories and Commonwealths 
according to the following percentages: Puerto Rico, 91.6 percent; 
Guam, 3.5 percent; the Virgin Islands, 2.6 percent; American Samoa, 1.2 
percent; and the Northern Mariana Islands, 1.1 percent.
    Section 2104(c)(4)(B) of the Act provides for additional amounts 
for allotment to the Territories and Commonwealths: $32,000,000 for FY 
1999; $34,200,000 for each FY 2000 through FY 2001; $25,200,000 for 
each FY 2002 through FY 2004; $32,400,000 for each FY 2005 through FY 
2006; and $40,000,000 for FY 2007. For FY 2003, title XXI of the Act 
provides $25,200,000 for allotment to the U.S. Territories and 
Commonwealths. Therefore, the total amount available for allotment to 
the U.S. Territories and Commonwealths in FY 2003 is $33,075,000 (that 
is, $25,200,000 plus $7,875,000 (0.25 percent of the FY 2003 
appropriation of $3,150,000,000)).
    For FY 2003, there is no reduction to the total amount available 
for allotment to the 50 States and the District of Columbia under 
sections 4921 and 4922 of the Balanced Budget Act of 1997 (BBA) (Pub. 
L. 105-33, enacted on August 5, 1997). From FYs 1998 to 2002 only, the 
total amount available for allotment to the 50 States and the District 
of Columbia was reduced by a total of $60,000,000; $30,000,000 of which 
was allocated to the Public Health Service for a special diabetes 
research program for children with Type I diabetes, and $30,000,000 of 
which was for special diabetes programs for Indians.
    Therefore, the total amount available nationally for allotment for 
the 50 States and the District of Columbia for FY 2003 was determined 
in accordance with the following formula:

AT = S2104(a) - T2104(c)

    AT = Total amount available for allotment to the 50 
States and the District of Columbia for the fiscal year.
    S2104(a) = Total appropriation for the fiscal year 
indicated in section 2104(a) of the Act. For FY 2003, this is 
$3,150,000,000.
    T2104(c) = Total amount available for allotment for the 
U.S. Territories and Commonwealths; determined under section 2104(c) of 
the Act as 0.25 percent of the total appropriation for the 50 States 
and the District of Columbia.
    For FY 2003, this is: .0025 x $3,150,000,000 = $7,875,000.
    Therefore, for FY 2003, the total amount available for allotment to 
the 50 States and the District of Columbia is $3,142,125,000. This was 
determined as follows:

AT ($3,142,125,000) = S2104(a) ($3,150,000,000) - 
T2104(c) ($7,875,000)

    For purposes of the following discussion, the term ``State,'' as 
defined in section 2104(b)(1)(D)(ii) of the Act, ``means one of the 50 
States or the District of Columbia.''
    Under section 2104(b) of the Act, the determination of the number 
of children applied in determining the SCHIP allotment for a particular 
fiscal year is based on the three most recent March supplements to the 
Current Population Survey (CPS) of the Bureau of the Census officially 
available before the beginning of the calendar year in which the fiscal 
year begins. The determination of the State cost factor is based on the 
annual average wages per employee in the health services industry, 
which is determined using the most recent 3 years of those wage data. 
The data are reported and determined as final by the Bureau of Labor 
Statistics (BLS) of the Department of Labor and are officially 
available before the beginning of the calendar year in which the fiscal 
year begins. Since FY 2003 begins on October 1, 2002 (that is, in 
calendar year 2002) in determining the FY 2003 SCHIP allotments, we are 
using the most recent official data from the Bureau of the Census and 
the BLS, respectively, available before January 1 of calendar year 
2002.

Number of Children

    For FY 2003, as specified by section 2104(b)(2)(A)(iii) of the Act, 
the number of children is calculated as the sum of 50 percent of the 
number of low-income, uninsured children in the State, and 50 percent 
of the number of low-income children in the State. The number of 
children factor for each State is developed from data provided by the 
Bureau of the Census based on the standard methodology used to 
determine official poverty status and uninsured status in the annual 
CPS on these topics. As part of a continuing formal process between the 
Centers for Medicare & Medicaid Services (CMS) and the Bureau of the 
Census, each

[[Page 61634]]

fiscal year we obtain the number of children data officially from the 
Bureau of the Census.
    Under section 2104(b)(2)(B) of the Act, the number of children for 
each State (provided in thousands) was determined and provided by the 
Bureau of the Census based on the arithmetic average of the number of 
low-income children and low-income children with no health insurance as 
calculated from the three most recent March supplements to the CPS 
officially available from the Bureau of the Census before the beginning 
of the 2002 calendar year. In particular, through December 31, 2001, 
the most recent official data available from the Bureau of the Census 
on the numbers of children were data from the three March CPSs 
conducted in March 1999, 2000, and 2001 (representing data for years 
1998 through 2000).

State Cost Factor

    The State cost factor is based on annual average wages in the 
health services industry in the State. The State cost factor for a 
State is equal to the sum of: 0.15 and 0.85 multiplied by the ratio of 
the annual average wages in the health industry per employee for the 
State to the annual wages per employee in the health industry for the 
50 States and the District of Columbia.
    Under section 2104(b)(3)(B) of the Act, as amended by the Balanced 
Budget Refinement Act of 1999 (BBRA) (Pub. L. 106-113, enacted on 
November 29, 1999) the State cost factor for each State for a fiscal 
year is calculated based on the average of the annual wages for 
employees in the health industry for each State using data for each of 
the most recent 3 years as reported and determined as final by the BLS 
in the Department of Labor and available before the beginning of the 
calendar year in which the fiscal year begins. Therefore, the State 
cost factor for FY 2003 is based on the most recent 3 years of BLS data 
officially available as final before January 1, 2002 (the beginning of 
the calendar year in which FY 2003 begins); that is, it is based on the 
BLS data available as final through December 31, 2001. In accordance 
with these requirements, we used the final State cost factor data 
available from BLS for 1998, 1999, and 2000 in calculating the FY 2003 
final allotments.
    The State cost factor is determined based on the calculation of the 
ratio of each State's average annual wages in the health industry to 
the national average annual wages in the health care industry. Since 
BLS is required to suppress certain State-specific data in providing us 
with the State-specific average wages per health services industry 
employee due to the Privacy Act, we calculated the national average 
wages directly from the State-specific data provided by BLS. As part of 
a continuing formal process between CMS and the BLS, each fiscal year 
CMS obtains these wage data officially from the BLS.
    Under section 2104(b)(4) of the Act, as amended by the BBRA, each 
State and the District of Columbia is allotted a ``proportion'' of the 
total amount available nationally for allotment to the States. The term 
``proportion'' is defined in section 2104(b)(4)(D)(i) of the Act and 
refers to a State's share of the total amount available for allotment 
for any given fiscal year. In order for the entire total amount 
available to be allotted to the States, the sum of the proportions for 
all States must exactly equal one. Under the statutory definition, a 
State's proportion for a fiscal year is equal to the State's allotment 
for the fiscal year divided by the total amount available nationally 
for allotment for the fiscal year. In general, a State's allotment for 
a fiscal year is calculated by multiplying the State's proportion for 
the fiscal year by the national total amount available for allotment 
for that fiscal year in accordance with the following formula:

SAi =Pi x AT

    SAi = Allotment for a State or District of Columbia for 
a fiscal year.
    Pi = Proportion for a State or District of Columbia for 
a fiscal year.
    AT = Total amount available for allotment to the 50 
States and the District of Columbia for the fiscal year. For FY 2003, 
this is $3,142,125,000.
    In accordance with the amended statutory formula for determining 
allotments, the State proportions are determined under two steps, which 
are described below in further detail.
    Under the first step, each State's preadjusted proportion is 
calculated. This is done, first, by multiplying the State's number of 
children and the State cost factor to determine a ``product'' for each 
State. The products for all States are then summed. Finally, the 
product for a State is divided by the sum of the products for all 
States, thereby yielding the State's preadjusted proportion.

Application of Floors and Ceilings

    Under the second step, the preadjusted proportions are subject to 
the application of proportion floors, ceilings, and a reconciliation 
process, as appropriate. The amended SCHIP statute specifies three 
proportion floors, or minimum proportions, that apply in determining 
States' allotments. The first proportion floor is equal to $2,000,000 
divided by the total of the amount available nationally for the fiscal 
year. This proportion ensures that a State's minimum allotment would be 
$2,000,000. For FY 2003, no State's preadjusted proportion is below 
this floor. The second proportion floor is equal to 90 percent of the 
allotment proportion for the State for the previous fiscal year; that 
is, a State's proportion for a fiscal year must not be lower than 10 
percent below the previous fiscal year's proportion. The third 
proportion floor is equal to 70 percent of the allotment proportion for 
the State for FY 1999; that is, the proportion for a fiscal year must 
not be lower than 30 percent below the FY 1999 proportion.
    Each State's allotment proportion for a fiscal year is limited by a 
maximum ceiling amount, equal to 145 percent of the State's proportion 
for FY 1999; that is, a State's proportion for a fiscal year must be no 
higher than 45 percent above the State's proportion for FY 1999. The 
floors and ceilings are intended to minimize the fluctuation of State 
allotments from year to year and over the life of the program as 
compared to FY 1999. The floors and ceilings on proportions are not 
applicable in determining the allotments of the U.S. Territories and 
Commonwealths; they receive a fixed percentage specified in the statute 
of the total allotment available to the U.S. Territories and 
Commonwealths.
    As determined under the first step for determining the States' 
preadjusted proportions, which is applied before the application of any 
floors or ceilings, the sum of the proportions for all the States and 
the District of Columbia will be equal to exactly one. However, the 
application of the floors and ceilings under the second step may change 
the proportions for certain States; that is, some States' proportions 
may need to be raised to the floors, while other States' proportions 
may need to be lowered to the maximum ceiling. If this occurs, the sum 
of the proportions for all States and the District of Columbia may not 
exactly equal one. In that case, the statute requires that the 
proportions will need to be adjusted, under a method that is determined 
by whether the sum of the proportions is greater or less than one, such 
that the sum of the proportions exactly equal one.
    The sum of the proportions would be greater than one if the 
application of the floors and ceilings resulted in raising the 
proportions of some States (due to the floors) to a greater degree than 
the proportions of other States were lowered (due to the ceiling). If, 
after application of the floors and ceiling, the sum of the proportions 
is greater than

[[Page 61635]]

one, the amended statute requires the Secretary to determine a maximum 
percentage increase limit, which, when applied to the State 
proportions, would result in the sum of the proportions being exactly 
one.
    If, after the application of the floors and ceiling, the sum of the 
proportions is less than one, the statute requires the States' 
proportions to be increased in a ``pro rata'' manner so that the sum of 
the proportions again equals one. It is also possible, although 
unlikely, that the sum of the proportions (after the application of the 
floors and ceiling) will exactly equal one, and therefore, the 
proportions would require no further adjustment.

Determination of Preadjusted Proportions

    The following is an explanation of how we applied the two State-
related factors specified in the statute to determine the States' 
preadjusted proportions for FY 2003. The term ``preadjusted,'' as used 
here, refers to the States' proportions before the application of the 
floors and ceiling and adjustments, as specified in the amended SCHIP 
statute. The determination of each State and the District of Columbia's 
preadjusted proportion for FY 2003 is in accordance with the following 
formula:

PPi = (Ci x SCFi) / [Sigma] 
(Ci x SCFi)

    PPi = Preadjusted proportion for a State or District of 
Columbia for a fiscal year.
    Ci = Number of Children in a State (section 
2104(b)(1)(A)(i) of the Act) for a fiscal year. This number is based on 
these number of low-income children for a State for a fiscal year and 
the number of low-income uninsured children for a State for a fiscal 
year determined on the basis of the arithmetic average of the number of 
those children as reported and defined in the three most recent March 
supplements to the CPS of the Bureau of the Census, officially 
available before the beginning of the calendar year in which the fiscal 
year begins. (See section 2104(b)(2)(B) of the Act.)
    For fiscal year 2003, the Number of Children is equal to the sum of 
50 percent of the number of low-income uninsured children in the State 
for the fiscal year and 50 percent of the number of low-income children 
in the State for the fiscal year. (See section 2104(b)(2)(A)(iii) of 
the Act.)

SCFi = State Cost Factor for a State (section 
2104(b)(1)(A)(ii) of the Act). For a fiscal year, this is equal to:

0.15 + 0.85 x (Wi/WN)

Wi = The annual average wages per employee for a State for 
that year (section 2104(b)(3)(A)(ii)(I) of the Act).
WN = The annual average wages per employee for the 50 States 
and the District of Columbia (section 2104(b)(3)(A)(ii)(II) of the 
Act).

    The annual average wages per employee for a State or for all States 
and the District of Columbia for a fiscal year is equal to the average 
of those wages for employees in the health services industry (SIC 80), 
as reported and determined as final by the BLS of the Department of 
Labor for each of the most recent 3 years officially available before 
the beginning of the calendar year in which the fiscal year begins. 
(See section 2104(b)(3)(B) of the Act).

[Sigma](Ci x SCFi) = The sum of the products of 
(Ci x SCFi) for each State (section 2104(b)(1)(B) 
of the Act).

    The resulting proportions would then be subject to the application 
of the floors and ceilings specified in the amended SCHIP statute and 
reconciled, as necessary, to eliminate any deficit or surplus of the 
allotments because the sum of the proportions was either greater than 
or less than one.
    Section 2104(e) of the Act requires that the amount of a State's 
allotment for a fiscal year be available to the State for a total of 3 
years; the fiscal year for which the State child health plan is 
approved and the 2 following fiscal years. Section 2104(f) of the Act 
requires the Secretary to establish a process for redistribution of the 
amounts of States' allotments that are not expended during the 3-year 
period to States that have fully expended their allotments.

III. Table of State Children's Health Insurance Program Final 
Allotments for FY 2003

Key to Table

Column/Description
    Column A = State. Name of State, District of Columbia, U.S. 
Commonwealth or Territory.
    Column B = Number of Children. The number of children for each 
State (provided in thousands) was determined and provided by the Bureau 
of the Census based on the arithmetic average of the number of low-
income children and low-income uninsured children, and is based on the 
three most recent March supplements to the CPS of the Bureau of the 
Census officially available before the beginning of the calendar year 
in which the fiscal year begins. The FY 2003 allotments were based on 
the 1999, 2000, and 2001 March supplements to the CPS. These data 
represent the number of people in each State under 19 years of age 
whose family income is at or below 200 percent of the poverty threshold 
appropriate for that family, and who are reported to be without health 
insurance coverage. The number of children for each State was developed 
by the Bureau of the Census based on the standard methodology used to 
determine official poverty status and uninsured status in its annual 
March CPS on these topics.
    For FY 2003, the number of children is equal to the sum of 50 
percent of the number of low-income uninsured children in the State and 
50 percent of the number of low-income children in the State.
    Column C = State Cost Factor. The State cost factor for a State is 
equal to the sum of: 0.15, and 0.85 multiplied by the ratio of the 
annual average wages in the health industry per employee for the State 
to the annual wages per employee in the health industry for the 50 
States and the District of Columbia. The State cost factor for each 
State was calculated based on the wage data for each State as reported 
and determined as final by the BLS in the Department of Labor for each 
of the most recent 3 years and available before the beginning of the 
calendar year in which the fiscal year begins. The FY 2003 allotments 
were based on final BLS wage data for 1998, 1999, and 2000.
    Column D = Product. The product for each State was calculated by 
multiplying the number of children in Column B by the State cost factor 
in Column C. The sum of the products for all 50 States and the District 
of Columbia is below the products for each State in Column D. The 
product for each State and the sum of the products for all States 
provides the basis for allotment to States and the District of 
Columbia.
    Column E = Proportion of Total. This is the calculated percentage 
share for each State of the total allotment available to the 50 States 
and the District of Columbia. The percent share of total is calculated 
as the ratio of the product for each State in Column D to the sum of 
the products for all 50 States and the District of Columbia below the 
products for each State in Column D.
    Column F = Adjusted Proportion of Total. This is the calculated 
percentage share for each State of the total allotment available after 
the application of the floors and ceilings and after any further 
reconciliation needed to ensure that the sum of the State proportions 
is equal to one. The three floors specified in the amended statute are: 
(1) A floor of $2,000,000 divided by the total amount available for all 
allotments for the fiscal year; (2) an annual floor of 90 percent of 
(that is, 10 percent below) the

[[Page 61636]]

preceding fiscal year's allotment proportion; and (3) a cumulative 
floor of 70 percent of (that is, 30 percent below) the FY 1999 
allotment proportion. There is also a cumulative ceiling of 145 percent 
of (that is, 45 percent above) the FY 1999 allotment proportion.
    Column G = Allotment. This is the SCHIP allotment for each State, 
Commonwealth, or Territory for the fiscal year. For each of the 50 
States and the District of Columbia, this is determined as the adjusted 
proportion of total in Column F for the State multiplied by the total 
amount available for allotment for the 50 States and the District of 
Columbia for the fiscal year.
    For each of the U.S. Territory and Commonwealths, the allotment is 
determined as the Proportion of Total in Column E multiplied by the 
total amount available for allotment to the U.S. Territories and 
Commonwealths. For the U.S. Territories and Commonwealths, the 
Proportion of Total in Column E is specified in section 2104(c) of the 
Act. The total amount is then allotted to the U.S. Territories and 
Commonwealths according to the percentages specified in section 2104 of 
the Act. There is no adjustment made to the allotments of the U.S. 
Territories and Commonwealths as they are not subject to the 
application of the floors and ceiling. As a result, Column F in the 
table, the Adjusted Proportion of Total, is empty for the U.S. 
Territories and Commonwealths.

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[GRAPHIC] [TIFF OMITTED] TN01OC02.000

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IV. Impact Statement

    We have examined the impacts of this notice as required by 
Executive Order 12866 (September 1993, Regulatory Planning and Review), 
the Regulatory Flexibility Act (RFA) (September 16, 1980, Public Law 
96-354), section 1102(b) of the Social Security Act, the Unfunded 
Mandates Reform Act of 1995 (Public Law 104-4), and Executive Order 
13132.

[[Page 61638]]

    Executive Order 12866 directs agencies to assess all costs and 
benefits of available regulatory alternatives and, when rules are 
necessary, to select regulatory approaches that maximize net benefits 
(including potential economic environments, public health and safety, 
other advantages, distributive impacts, and equity). We believe that 
this notice is consistent with the regulatory philosophy and principles 
identified in the Executive Order. The formula for the allotments is 
specified in the statute. Since the formula is specified in the 
statute, we have no discretion in determining the allotments. This 
notice merely announces the results of our application of this formula, 
and therefore does not reach the economic significance threshold of 
$100 million in any 1 year.
    The RFA requires agencies to analyze options for regulatory relief 
of small businesses. For purposes of the RFA, small entities include 
small businesses, nonprofit organizations, and government agencies. 
Most hospitals and most other providers and suppliers are small 
entities, either by nonprofit status or by having revenues of $6 to $29 
million in any one year. Individuals and States are not included in the 
definition of a small entity.
    In addition, section 1102(b) of the Act requires us to prepare a 
regulatory impact analysis if a notice may have a significant impact on 
the operations of a substantial number of small rural hospitals. This 
analysis must conform to the provisions of section 604 of the RFA. For 
purposes of section 1102(b) of the Act, we define a small rural 
hospital as a hospital that is located outside of a Metropolitan 
Statistical Area and has fewer than 100 beds.
    The Unfunded Mandates Reform Act of 1995 requires that agencies 
prepare an assessment of anticipated costs and benefits before 
publishing any notice that may result in an expenditure by State, 
local, and tribal governments, in the aggregate, or by the private 
sector, of $110 million or more (adjusted each year for inflation) in 
any 1 year. Because participation in the SCHIP program on the part of 
States is voluntary, any payments and expenditures States make or incur 
on behalf of the program that are not reimbursed by the Federal 
government are made voluntarily. This notice will not create an 
unfunded mandate on States, tribal, or local governments because it 
merely notifies States of their SCHIP allotment for FY 2003. Therefore, 
we are not required to perform an assessment of the costs and benefits 
of this notice.
    Low-income children will benefit from payments under SCHIP through 
increased opportunities for health insurance coverage. We believe this 
notice will have an overall positive impact by informing States, the 
District of Columbia, and U.S. Territories and Commonwealths of the 
extent to which they are permitted to expend funds under their child 
health plans using their FY 2003 allotments.
    Under Executive Order 13132, we are required to adhere to certain 
criteria regarding Federalism. We have reviewed this notice and 
determined that it does not significantly affect States' rights, roles, 
and responsibilities because it does not set forth any new policies.
    For these reasons, we are not preparing analyses for either the RFA 
or section 1102(b) of the Act because we have determined, and we 
certify, that this notice will not have a significant economic impact 
on a substantial number of small entities or a significant impact on 
the operations of a substantial number of small rural hospitals.
    In accordance with the provisions of Executive Order 12866, this 
notice was reviewed by the Office of Management and Budget.

(Section 1102 of the Social Security Act (42 U.S.C. 1302))

(Catalog of Federal Domestic Assistance Program No. 93.767, State 
Children's Health Insurance Program)

    Dated: August 6, 2002.
Thomas A. Scully,
Administrator, Centers for Medicare & Medicaid Services.
    Dated: August 23, 2002.
Tommy G. Thompson,
Secretary of Health and Human Services.
[FR Doc. 02-24846 Filed 9-27-02; 8:45 am]
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