[Federal Register Volume 71, Number 230 (Thursday, November 30, 2006)]
[Notices]
[Pages 69209-69211]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-20264]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


Federal Financial Participation in State Assistance Expenditures; 
Federal Matching Shares for Medicaid, the State Children's Health 
Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons 
for October 1, 2007 Through September 30, 2008

AGENCY: Office of the Secretary, HHS.

ACTION: Notice.

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SUMMARY: The Federal Medical Assistance Percentages and Enhanced 
Federal Medical Assistance Percentages for Fiscal Year 2008 have been 
calculated pursuant to the Social Security Act (the Act). These 
percentages will be effective from October 1, 2007 through September 
30, 2008. This notice announces the calculated ``Federal Medical 
Assistance Percentages'' and ``Enhanced Federal Medical Assistance 
Percentages'' that we will use in determining the amount of Federal 
matching for State medical assistance (Medicaid) and State Children's 
Health Insurance Program (SCHIP) expenditures, and Temporary Assistance 
for Needy Families (TANF) Contingency Funds, the federal share of 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.
    The table 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. 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. Programs under title XXI began operating in fiscal year 
1998. The percentages in this notice apply to State expenditures for 
most medical services and medical insurance services, and assistance 
payments for certain social services. The statute provides separately 
for Federal matching of administrative costs.
    Sections 1905(b) and 1101(a)(8)(B) of the Act require the Secretary 
of Health and Human Services to publish the Federal Medical Assistance 
Percentages each year. The Secretary is to calculate the percentages, 
using formulas in sections 1905(b) and 1101(a)(8)(B), from the 
Department of Commerce's statistics of average income per person in 
each State and for the Nation as a whole. The percentages are within 
the upper and lower limits given in section 1905(b) of the Act. The 
percentages to be applied to 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.
    The ``Federal Medical Assistance Percentages'' are for Medicaid. 
Section 1905(b) of the Act specifies the formula for calculating 
Federal Medical Assistance Percentages 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 50 per centum.

    Section 4725 of the Balanced Budget Act of 1997 amended section 
1905(b) to provide that the Federal Medical Assistance Percentage for 
the District of Columbia for purposes of titles XIX and for the purpose 
of calculating the enhanced FMAP under title XXI shall be 70 percent. 
For the District of Columbia, we note under the table of Federal 
Medical Assistance Percentages the rate that applies in certain other 
programs calculated using the formula otherwise applicable, and the 
rate that applies in certain other programs pursuant to section 1118 of 
the Social Security Act.
    Section 2105(b) of the Act specifies the formula for calculating 
the Enhanced Federal Medical Assistance Percentages 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.

    The ``Enhanced Federal Medical Assistance Percentages'' are for use 
in the State 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 Enhanced 
Federal Medical Assistance Percentages. We include them in this notice 
for the convenience of the States.
    These percentages are being announced today to provide States with 
advance notice of Fiscal Year 2008 changes in their FMAP percentages 
and to allow States to make any necessary preparations. However, these 
percentages may change for Titles XIX and XXI of the Social Security 
Act, pending comments received on the implementation of Section 6053 
(b) of the Deficit Reduction Act (DRA) of 2005, Public Law 109-171. 
Section 6053 (b) relates to any state(s) affected by an influx of a 
significant number of evacuees as a result of Hurricane Katrina as of 
October 1, 2005. HHS plans to soon release a notice and seek comments 
on proposed adjustments to the FMAP percentages based on Section 6053 
(b). The final percentages may change from those in this notice for 
affected states pending receipt and review of those comments.

EFFECTIVE DATES: The percentages listed will be effective for each of 
the four (4)

[[Page 69210]]

quarter-year periods in the period beginning October 1, 2007 and ending 
September 30, 2008.

FOR FURTHER INFORMATION CONTACT: Thomas Musco or Robert Stewart, 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. 93.778: Medical 
Assistance Program; 93.767: State Children's Health Insurance 
Program)

    Dated: October 18, 2006.
Michael O. Leavitt,
Secretary of Health and Human Services.

   Federal Medical Assistance Percentages and Enhanced Federal Medical
                         Assistance Percentages
  [Effective October 1, 2007-September 30, 2008 (Fiscal Year 2008)***]
------------------------------------------------------------------------
                                 Federal medical      Enhanced federal
            State                  assistance        medical assistance
                                   percentages           percentages
------------------------------------------------------------------------
Alabama.....................                 67.62                 77.33
Alaska......................                 52.48                 66.74
American Samoa *............                 50.00                 65.00
Arizona.....................                 66.20                 76.34
Arkansas....................                 72.94                 81.06
California..................                 50.00                 65.00
Colorado....................                 50.00                 65.00
Connecticut.................                 50.00                 65.00
Delaware....................                 50.00                 65.00
District of Columbia **.....                 70.00                 79.00
Florida.....................                 56.83                 69.78
Georgia.....................                 63.10                 74.17
Guam *......................                 50.00                 65.00
Hawaii......................                 56.50                 69.55
Idaho.......................                 69.87                 78.91
Illinois....................                 50.00                 65.00
Indiana.....................                 62.69                 73.88
Iowa........................                 61.73                 73.21
Kansas......................                 59.43                 71.60
Kentucky....................                 69.78                 78.85
Louisiana...................                 72.47                 80.73
Maine.......................                 63.31                 74.32
Maryland....................                 50.00                 65.00
Massachusetts...............                 50.00                 65.00
Michigan....................                 58.10                 70.67
Minnesota...................                 50.00                 65.00
Mississippi.................                 76.29                 83.40
Missouri....................                 62.42                 73.69
Montana.....................                 68.53                 77.97
Nebraska....................                 58.02                 70.61
Nevada......................                 52.64                 66.85
New Hampshire...............                 50.00                 65.00
New Jersey..................                 50.00                 65.00
New Mexico..................                 71.04                 79.73
New York....................                 50.00                 65.00
North Carolina..............                 64.05                 74.84
North Dakota................                 63.75                 74.63
Northern Mariana Islands *..                 50.00                 65.00
Ohio........................                 60.79                 72.55
Oklahoma....................                 67.10                 76.97
Oregon......................                 60.86                 72.60
Pennsylvania................                 54.08                 67.86
Puerto Rico *...............                 50.00                 65.00
Rhode Island................                 52.51                 66.76
South Carolina..............                 69.79                 78.85
South Dakota................                 60.03                 72.02
Tennessee...................                 63.71                 74.60
Texas.......................                 60.53                 72.37
Utah........................                 71.63                 80.14
Vermont.....................                 59.03                 71.32
Virgin Islands *............                 50.00                 65.00
Virginia....................                 50.00                 65.00
Washington..................                 51.52                 66.06
West Virginia...............                 74.25                 81.98
Wisconsin...................                 57.62                 70.33
Wyoming.....................                 50.00                 65.00
------------------------------------------------------------------------
* 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, including
  programs remaining in Title IV of the Act, the percentage for DC is
  50.00.

[[Page 69211]]

 
*** These percentages may change for some states pending comments
  received on implementation of Section 6053 (b) of the Deficit
  Reduction Act.

 [FR Doc. E6-20264 Filed 11-29-06; 8:45 am]
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