[Federal Register Volume 80, Number 104 (Monday, June 1, 2015)]
[Notices]
[Pages 31034-31039]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-13043]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-2395-N]
RIN 0938Z


Medicaid Program; State Allotments for Payment of Medicare Part B 
Premiums for Qualifying Individuals (QIs): Federal Fiscal Years 2013 
and 2014

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

ACTION: Notice.

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SUMMARY: This notice sets forth the states' final allotments available 
to pay the Medicare Part B premiums for Qualifying Individuals (QIs) 
for the federal fiscal year (FY) 2013 and the preliminary QI allotments 
for FY 2014. The amounts of these QI allotments were determined in 
accordance with the methodology set forth in regulations and reflect 
funding for the QI program made available under recent legislation.

DATES: The final QI allotments for payment of Medicare Part B premiums 
for FY 2013 are effective October 1, 2012. The preliminary QI 
allotments for FY 2014 are effective October 1, 2013.

FOR FURTHER INFORMATION CONTACT: Diana Kuhn, (410) 786-1914 or Toni 
Cincibus at (410) 786-2997.

SUPPLEMENTARY INFORMATION:

I. Background

A. QI Allotments for FY 2013

    Section 3101 of the Middle Class Tax Relief and Job Creation Act of 
2012 (Pub. L. 112-96, enacted on February 22, 2012) (MCTRJCA) extended 
the authority and funding for the QI program by providing $280 million,

[[Page 31035]]

available for the period October 1, 2012 through December 31, 2012, the 
first quarter of FY 2013. Section 621 of the American Taxpayer Relief 
Act of 2012 (Pub. L. 112-240, enacted on January 2, 2013) (ATRA), 
extended the authority for the QI program for all of FY 2013 and 
provided $485 million in additional funding for the program for the 
period January 1, 2013 through September 30, 2013. Therefore the total 
funding available for the QI program for FY 2013 is $765 million ($280 
million plus $485 million).

B. QI Allotments for FY 2014 and Thereafter

    As amended by section 621 of the American Taxpayer Relief Act of 
2012 (ATRA, Pub. L. 112-240, enacted on January 2, 2013), section 
1933(g)(2) of the Social Security Act provided $300 million in funding 
for the period October 1, 2013 through December 31, 2013, the first 
quarter of FY 2014. Section 1201 of Division B of the legislation 
``Pathway for SGR Reform Act of 2013'' (Pub. L. 113-67 enacted on 
December 26, 2013) provided an additional $200 million and authority 
for the QI program for the period January 1, 2014 through March 31, 
2014 (second quarter of FY 2014). In addition, section 201 of the 
Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. 113-93 
enacted on April 1, 2014) revised the $200 to $485 million and extended 
the period for which such funds were available to the end of September 
2014. Therefore, a total of $785 million is now available for all of FY 
2014 ($300 million for the first quarter of FY 2014, and $485 million 
for the second through fourth quarters of FY 2014). Finally, section 
201 of PAMA further extended the authority and funding for the QI 
program for FY 2015 as follows: $300 million for the period October 1, 
2014 through December 31, 2014 (first quarter of FY 2015); and, $250 
million for the period January 1, 2015 through March 31, 2015 (second 
quarter FY 2015). Therefore, a total of $550 million is available for 
the QI program for FY 2015.

C. Methodology for Calculating the Fiscal Year QI Allotments

    The amounts of the states' final FY 2013 and preliminary FY 2014 QI 
allotments, contained in this notice, were determined in accordance 
with the methodology set forth in existing regulations at 42 CFR 
433.10(c)(5) and reflect funding for the QI program made available 
under the legislation discussed above.

II. Tables

    The final QI allotments for FY 2013 and the preliminary QI 
allotments for FY 2014 are shown by state in Table 1 and Table 2, 
respectively:
    Table 1--Final Qualifying Individuals Allotments for October 1, 
2012 through September 30, 2013.
    Table 2--Preliminary Qualifying Individuals Allotments for October 
1, 2013 through September 30, 2014.

[[Page 31036]]



                                                 Table 1--Final Qualifying Individuals Allotments for October 1, 2012 Through September 30, 2013
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                Initial QI allotments for FY 2013
                                            ----------------------------------------    FY 2013        Need       Percentage    Reduction    Percentage    Reduction     Increase      Final FY
                                                           Percentage   Initial QI   estimated QI  (difference)    of total   pool for non-   of total   adj. for non-   adj. for      2013 QI
                   State                      Number of     of total     allotment   expenditures  If E > D,  E  need states   need states    non-need    need states   need states   allotment
                                             individuals  Col B/ Tot.     Col C x         \1\           - D       F/(tot. of  If D >= E, D   states H/     Col. I x      Col. G x        \2\
                                              \3\ (000s)     Col B     $765,000,000                                   F)           - E      (tot. of H)  $105,466,335  $105,466,335
A                                                      B            C             D             E             F            G             H            I             J             K            L
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alabama....................................           38         2.64   $20,159,501   $22,544,081    $2,384,580       2.2610          Need         Need          Need    $2,384,580  $22,544,081
Alaska.....................................            2         0.14     1,061,026       326,300            NA           NA      $734,726       0.4320      $455,613            NA      605,414
Arizona....................................           21         1.46    11,140,777    19,563,390     8,422,614       7.9861          Need         Need          Need     8,422,614   19,563,390
Arkansas...................................           27         1.87    14,323,856    13,956,348            NA           NA       367,508       0.2161       227,896            NA   14,095,960
California.................................          107         7.42    56,764,910    28,189,619            NA           NA    28,575,291      16.8015    17,719,883            NA   39,045,026
Colorado...................................           16         1.11     8,488,211     6,005,621            NA           NA     2,482,589       1.4597     1,539,484            NA    6,948,727
Connecticut................................           15         1.04     7,957,698     3,902,339            NA           NA     4,055,359       2.3844     2,514,777            NA    5,442,921
Delaware...................................            4         0.28     2,122,053     3,211,361     1,089,308       1.0328          Need         Need          Need     1,089,308    3,211,361
District of Columbia.......................            2         0.14     1,061,026             0            NA           NA     1,061,026       0.6239       657,955            NA      403,071
Florida....................................           96         6.66    50,929,265    72,316,568    21,387,303      20.2788          Need         Need          Need    21,387,303   72,316,568
Georgia....................................           45         3.12    23,873,093    34,507,397    10,634,304      10.0831          Need         Need          Need    10,634,304   34,507,397
Hawaii.....................................            6         0.42     3,183,079     1,409,689            NA           NA     1,773,390       1.0427     1,099,701            NA    2,083,378
Idaho......................................            7         0.49     3,713,592     2,677,626            NA           NA     1,035,967       0.6091       642,415            NA    3,071,177
Illinois...................................           68         4.72    36,074,896    24,744,637            NA           NA    11,330,259       6.6619     7,026,031            NA   29,048,864
Indiana....................................           43         2.98    22,812,067     5,829,210            NA           NA    16,982,857       9.9854    10,531,275            NA   12,280,791
Iowa.......................................           16         1.11     8,488,211     4,584,319            NA           NA     3,903,892       2.2954     2,420,851            NA    6,067,360
Kansas.....................................           18         1.25     9,549,237     5,023,657            NA           NA     4,525,580       2.6609     2,806,367            NA    6,742,870
Kentucky...................................           34         2.36    18,037,448    15,065,051            NA           NA     2,972,397       1.7477     1,843,219            NA   16,194,229
Louisiana..................................           29         2.01    15,384,882    20,831,932     5,447,049       5.1647          Need         Need          Need     5,447,049   20,831,932
Maine......................................            7         0.49     3,713,592     6,075,634     2,362,042       2.2396          Need         Need          Need     2,362,042    6,075,634
Maryland...................................           24         1.66    12,732,316     8,959,072            NA           NA     3,773,244       2.2186     2,339,834            NA   10,392,482
Massachusetts..............................           28         1.94    14,854,369     9,694,545            NA           NA     5,159,824       3.0338     3,199,669            NA   11,654,700
Michigan...................................           38         2.64    20,159,501    14,816,534            NA           NA     5,342,966       3.1415     3,313,238            NA   16,846,263
Minnesota..................................           22         1.53    11,671,290     6,389,653            NA           NA     5,281,637       3.1055     3,275,207            NA    8,396,083
Mississippi................................           18         1.25     9,549,237    15,212,658     5,663,421       5.3699          Need         Need          Need     5,663,421   15,212,658
Missouri...................................           39         2.70    20,690,014     4,395,160            NA           NA    16,294,854       9.5809    10,104,636            NA   10,585,377
Montana....................................            6         0.42     3,183,079     1,543,785            NA           NA     1,639,294       0.9639     1,016,546            NA    2,166,533
Nebraska...................................            6         0.42     3,183,079     2,283,431            NA           NA       899,648       0.5290       557,882            NA    2,625,197
Nevada.....................................           10         0.69     5,305,132     5,391,707        86,575       0.0821          Need         Need          Need        86,575    5,391,707
New Hampshire..............................            6         0.42     3,183,079     2,269,086            NA           NA       913,993       0.5374       566,778            NA    2,616,301
New Jersey.................................           40         2.77    21,220,527     7,810,549            NA           NA    13,409,979       7.8847     8,315,690            NA   12,904,836
New Mexico.................................            9         0.62     4,774,619     4,117,952            NA           NA       656,667       0.3861       407,207            NA    4,367,412
New York...................................           85         5.89    45,093,620    46,198,147     1,104,527       1.0473          Need         Need          Need     1,104,527   46,198,147
North Carolina.............................           38         2.64    20,159,501    29,670,994     9,511,493       9.0185          Need         Need          Need     9,511,493   29,670,994
North Dakota...............................            3         0.21     1,591,540       670,202            NA           NA       921,338       0.5417       571,333            NA    1,020,207
Ohio.......................................           54         3.74    28,647,712    26,381,913            NA           NA     2,265,799       1.3322     1,405,049            NA   27,242,662
Oklahoma...................................           27         1.87    14,323,856    10,320,039            NA           NA     4,003,816       2.3541     2,482,815            NA   11,841,041
Oregon.....................................           17         1.18     9,018,724    14,297,554     5,278,830       5.0052          Need         Need          Need     5,278,830   14,297,554
Pennsylvania...............................           78         5.41    41,380,028    33,265,180            NA           NA     8,114,848       4.7713     5,032,115            NA   36,347,913
Rhode Island...............................            6         0.42     3,183,079     2,439,790            NA           NA       743,289       0.4370       460,923            NA    2,722,156
South Carolina.............................           33         2.29    17,506,935    14,903,998            NA           NA     2,602,937       1.5305     1,614,113            NA   15,892,822
South Dakota...............................            4         0.28     2,122,053     1,623,719            NA           NA       498,334       0.2930       309,023            NA    1,813,030
Tennessee..................................           48         3.33    25,464,632    31,271,663     5,807,030       5.5061          Need         Need          Need     5,807,030   31,271,663
Texas......................................          106         7.35    56,234,397    78,081,412    21,847,015      20.7147          Need         Need          Need    21,847,015   78,081,412
Utah.......................................            6         0.42     3,183,079     2,018,266            NA           NA     1,164,813       0.6849       722,315            NA    2,460,765
Vermont....................................            2         0.14     1,061,026     3,574,197     2,513,171       2.3829          Need         Need          Need     2,513,171    3,574,197
Virginia...................................           23         1.60    12,201,803    14,128,876     1,927,073       1.8272          Need         Need          Need     1,927,073   14,128,876
Washington.................................           23         1.60    12,201,803     5,963,337            NA           NA     6,238,466       3.6680     3,868,548            NA    8,333,255

[[Page 31037]]

 
West Virginia..............................           17         1.18     9,018,724     6,218,910            NA           NA     2,799,814       1.6462     1,736,199            NA    7,282,525
Wisconsin..................................           22         1.53    11,671,290     4,839,536            NA           NA     6,831,754       4.0169     4,236,453            NA    7,434,837
Wyoming....................................            3         0.21     1,591,540       873,450            NA           NA       718,090       0.4222       445,296            NA    1,146,244
                                            ----------------------------------------------------------------------------------------------------------------------------------------------------
    Total..................................        1,442       100.00   765,000,000   700,390,091   105,466,335     100.0000   170,076,244     100.0000   105,466,335   105,466,335  765,000,000
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Footnotes:
\1\ FY 2013 Estimates from July 2013 CMS Survey of States; Estimates Are For Months October 2012 Through September 2013.
\2\ For Need States, Final FY 2013 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K; For Non-Need States, Final FY 2013 QI Allotment is equal to
  Initial QI Allotment in Column D reduced by amount in Column J.
\3\ Three-year average (2009-2011) of number (000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120% but less than 135% of Federal poverty
  level.
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2012 Current Population Survey (CPS).


                                              Table 2--Preliminary Qualifying Individuals Allotments for October 1, 2013 Through September 30, 2014
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                                                Initial QI allotments for FY 2014
                                            ----------------------------------------    FY 2014        Need       Percentage    Reduction    Percent of    Reduction     Increase    Preliminary
                                                           Percentage   Initial QI   estimated QI  (difference)    of total   pool for non-  total non-  adj. for non-   adj. for     FY 2014 QI
                   State                      Number of     of total     allotment   expenditures  if E > D,  E- need states   need states  need states   need states   need states   allotment
                                             individuals   Col B/tot.     Col C x         \1\            D        F/(tot. of   if D >= E,    H/(tot. of    Col. I x      Col. G x        \2\
                                              \3\ (000s)     Col B     $785,000,000                                   F)          D - E          H)      $116,087,180  $116,087,180
A                                                      B            C             D             E             F            G             H            I             J             K            L
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alabama....................................           33         2.13   $16,756,145   $24,304,910    $7,548,766       6.5027          Need         Need          Need    $7,548,766  $24,304,910
Alaska.....................................            2         0.13     1,015,524       374,073            NA           NA      $641,451       0.4288      $497,751            NA      517,772
Arizona....................................           29         1.88    14,725,097    21,719,024     6,993,927       6.0247          Need         Need          Need     6,993,927   21,719,024
Arkansas...................................           25         1.62    12,694,049    14,283,289     1,589,240       1.3690          Need         Need          Need     1,589,240   14,283,289
California.................................          130         8.41    66,009,056    29,497,236            NA           NA    36,511,819      24.4061    28,332,367            NA   37,676,689
Colorado...................................           12         0.78     6,093,144     6,744,021       650,877       0.5607          Need         Need          Need       650,877    6,744,021
Connecticut................................           15         0.97     7,616,429     5,030,002            NA           NA     2,586,428       1.7289     2,007,011            NA    5,609,418
Delaware...................................            5         0.32     2,538,810     3,208,262       669,452       0.5767          Need         Need          Need       669,452    3,208,262
District of Columbia.......................            2         0.13     1,015,524             0            NA           NA     1,015,524       0.6788       788,024            NA      227,500
Florida....................................          133         8.60    67,532,342    78,905,990    11,373,648       9.7975          Need         Need          Need    11,373,648   78,905,990
Georgia....................................           46         2.98    23,357,050    37,475,498    14,118,447      12.1619          Need         Need          Need    14,118,447   37,475,499
Hawaii.....................................            6         0.39     3,046,572     1,472,570            NA           NA     1,574,002       1.0521     1,221,391            NA    1,825,181
Idaho......................................            8         0.52     4,062,096     2,684,609            NA           NA     1,377,487       0.9208     1,068,899            NA    2,993,196
Illinois...................................           63         4.08    31,989,004    28,168,168            NA           NA     3,820,836       2.5540     2,964,885            NA   29,024,119
Indiana....................................           41         2.65    20,818,241     6,077,393            NA           NA    14,740,848       9.8534    11,438,573            NA    9,379,668
Iowa.......................................           17         1.10     8,631,953     4,924,019            NA           NA     3,707,935       2.4785     2,877,276            NA    5,754,678
Kansas.....................................           18         1.16     9,139,715     5,698,955            NA           NA     3,440,760       2.3000     2,669,954            NA    6,469,761
Kentucky...................................           35         2.26    17,771,669    17,488,089            NA           NA       283,580       0.1896       220,052            NA   17,551,617
Louisiana..................................           29         1.88    14,725,097    22,748,614     8,023,517       6.9116          Need         Need          Need     8,023,517   22,748,614
Maine......................................            7         0.45     3,554,334     7,632,104     4,077,771       3.5127          Need         Need          Need     4,077,771    7,632,104
Maryland...................................           22         1.42    11,170,763    10,821,904            NA           NA       348,860       0.2332       270,707            NA   10,900,056
Massachusetts..............................           27         1.75    13,709,573    10,070,400            NA           NA     3,639,173       2.4326     2,823,918            NA   10,885,655
Michigan...................................           37         2.39    18,787,193    18,446,036            NA           NA       341,157       0.2280       264,730            NA   18,522,462
Minnesota..................................           18         1.16     9,139,715     6,901,960            NA           NA     2,237,755       1.4958     1,736,449            NA    7,403,266
Mississippi................................           20         1.29    10,155,239    16,214,118     6,058,879       5.2192          Need         Need          Need     6,058,879   16,214,118
Missouri...................................           44         2.85    22,341,527     6,154,273            NA           NA    16,187,253      10.8203    12,560,952            NA    9,780,575
Montana....................................            6         0.39     3,046,572     1,617,663            NA           NA     1,428,909       0.9551     1,108,802            NA    1,937,770
Nebraska...................................            7         0.45     3,554,334     2,347,662            NA           NA     1,206,672       0.8066       936,351            NA    2,617,983
Nevada.....................................            7         0.45     3,554,334     6,220,570     2,666,236       2.2968          Need         Need          Need     2,666,236    6,220,570
New Hampshire..............................            6         0.39     3,046,572     2,755,828            NA           NA       290,744       0.1943       225,611            NA    2,820,961
New Jersey.................................           45         2.91    22,849,288     8,686,979            NA           NA    14,162,310       9.4667    10,989,640            NA   11,859,648
New Mexico.................................            9         0.58     4,569,858     4,491,904            NA           NA        77,953       0.0521        60,490            NA    4,509,368
New York...................................          102         6.60    51,791,721    47,248,495            NA           NA     4,543,226       3.0369     3,525,443            NA   48,266,278
North Carolina.............................           48         3.10    24,372,574    31,199,358     6,826,784       5.8807          Need         Need          Need     6,826,784   31,199,358
North Dakota...............................            4         0.26     2,031,048       708,704            NA           NA     1,322,343       0.8839     1,026,109            NA    1,004,938

[[Page 31038]]

 
Ohio.......................................           59         3.82    29,957,956    27,260,048            NA           NA     2,697,908       1.8034     2,093,517            NA   27,864,439
Oklahoma...................................           23         1.49    11,678,525    11,187,585            NA           NA       490,940       0.3282       380,959            NA   11,297,566
Oregon.....................................           16         1.03     8,124,191    16,228,030     8,103,839       6.9808          Need         Need          Need     8,103,839   16,228,030
Pennsylvania...............................           83         5.37    42,144,243    33,836,544            NA           NA     8,307,699       5.5532     6,446,591            NA   35,697,652
Rhode Island...............................            5         0.32     2,538,810     2,519,698            NA           NA        19,112       0.0128        14,830            NA    2,523,979
South Carolina.............................           33         2.13    16,756,145    15,105,600            NA           NA     1,650,545       1.1033     1,280,786            NA   15,475,358
South Dakota...............................            3         0.19     1,523,286     2,110,798       587,512       0.5061          Need         Need          Need       587,512    2,110,798
Tennessee..................................           43         2.78    21,833,765    32,496,447    10,662,682       9.1851          Need         Need          Need    10,662,682   32,496,447
Texas......................................          108         6.99    54,838,292    78,683,812    23,845,519      20.5410          Need         Need          Need    23,845,519   78,683,813
Utah.......................................            7         0.45     3,554,334     2,394,138            NA           NA     1,160,196       0.7755       900,286            NA    2,654,047
Vermont....................................            3         0.19     1,523,286     3,813,371     2,290,085       1.9727          Need         Need          Need     2,290,085    3,813,371
Virginia...................................           33         2.13    16,756,145    14,627,256            NA           NA     2,128,889       1.4230     1,651,971            NA   15,104,174
Washington.................................           26         1.68    13,201,811     6,660,311            NA           NA     6,541,500       4.3726     5,076,060            NA    8,125,751
West Virginia..............................           20         1.29    10,155,239     6,415,789            NA           NA     3,739,450       2.4996     2,901,731            NA    7,253,508
Wisconsin..................................           22         1.42    11,170,763     4,908,586            NA           NA     6,262,178       4.1859     4,859,312            NA    6,311,452
Wyoming....................................            4         0.26     2,031,048       915,357            NA           NA     1,115,690       0.7458       865,751            NA    1,165,297
                                            ----------------------------------------------------------------------------------------------------------------------------------------------------
    Total..................................        1,546       100.00   785,000,000   751,486,048   116,087,180     100.0000   149,601,132     100.0000   116,087,180   116,087,180  785,000,000
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Footnotes:
\1\ FY 2014 Estimates in Column E are from July 2013 CMS Survey of States; Estimates are for months October 2013 through September 2014.
\2\ For Need States, Preliminary FY 2014 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K; For Non-Need States, Preliminary FY 2014 QI Allotment is
  equal to Initial QI Allotment in Column D reduced by amount in Column J.
\3\ Three-year average (2010-2012) of number (000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120% but less than 135% of Federal poverty
  level.
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2012 Current Population Survey (CPS).


[[Page 31039]]

    The following describes the information contained in the columns of 
Table 1 and Table 2:
    Column A--State. Column A shows the name of each state. Columns B 
through D show the determination of an Initial QI Allotment for FY 2013 
(Table 1) or FY 2014 (Table 2) for each state, based only on the 
indicated Census Bureau data.
    Column B--Number of Individuals. Column B contains the estimated 
average number of Medicare beneficiaries for each state that are not 
covered by Medicaid whose family income is at least 120 but less than 
135 percent of the federal poverty level. With respect to the final FY 
2013 QI allotment (Table1), Column B contains the number of such 
individuals for the years 2009 through 2011, as obtained from the 
Census Bureau's Annual Social and Economic Supplement to the 2012 
Current Population Survey. With respect to the preliminary FY 2014 QI 
allotment (Table 2), Column B contains the number of such individuals 
for the years 2010 through 2012, as obtained from the Census Bureau's 
Annual Social and Economic Supplement to the Current Population Survey.
    Column C--Percentage of Total. Column C provides the percentage of 
the total number of individuals for each state, that is, the Number of 
Individuals for the state in Column B divided by the sum total of the 
Number of Individuals for all States in Column B.
    Column D--Initial QI Allotment. Column D contains each state's 
Initial QI Allotment for FY 2013 (Table 1) or FY 2014 (Chart 2), 
calculated as the state's Percentage of Total in Column C multiplied by 
the total amount available nationally for QI allotments for the fiscal 
year. The total amount available nationally for QI allotments each 
fiscal year is $765,000,000 for FY 2013 (Table 1) and $785,000,000 for 
FY 2014 (Table 2).
    Columns E through L show the determination of the States' Final QI 
Allotments for FY 2013 (Table 1) or Preliminary QI Allotments for FY 
2014 (Table 2).
    Column E--FY 2013 or FY 2014 Estimated QI Expenditures. Column E 
contains the states' estimates of their total QI expenditures for FY 
2013 (Table 1) or FY 2014 (Table 2) based on information obtained from 
states in the summer of 2013 and as updated.
    Column F--Need (Difference). Column F contains the additional 
amount of QI allotment needed for those states whose estimated 
expenditures in Column E exceeded their Initial QI allotments in Column 
D for FY 2013 (Table 1) or for FY 2014 (Table 2) for such states, 
Column F shows the amount in Column E minus the amount in Column D. For 
other ``Non-Need'' states, Column F shows ``NA.''
    Column G--Percent of Total Need States. For states whose projected 
QI expenditures in Column E are greater than their Initial QI allotment 
in Column D for FY 2013 (Table 1) or FY 2014 (Table 2), respectively, 
Column G shows the percentage of total need, determined as the amount 
for each Need State in Column F divided by the sum of the amounts for 
all states in Column F. For Non-Need states, the entry in Column G is 
``NA.''
    Column H--Reduction Pool for Non-Need States. Column H shows the 
amount of the pool of surplus QI allotments for FY 2013 (Table 1) or FY 
2014 (Table 2), respectively, for those states that project QI 
expenditures for the fiscal year that are less than the Initial QI 
allotment for the fiscal year (referred to as Non-Need states). For 
states for which the estimates in Column E of QI expenditures for FY 
2013 or FY 2014, respectively, are equal to or less than their Initial 
QI allotments in Column D for FY 2013 or FY 2014, respectively, Column 
H shows the amount in Column D minus the amount in Column E. For the 
states with a need, Column H shows ``Need.'' The reduction pool of 
excess QI allotments is equal to the sum of the amounts in Column H.
    Column I--Percent of Total Non-Need States. For states whose 
projected QI expenditures in Column E are less than their Initial QI 
allotment in Column D for FY 2013 (Table 1) or FY 2014 (Table 2), 
Column I shows the percentage of the total reduction pool in Column H, 
determined as the amount for each Non-Need state in Column H divided by 
the sum of the amounts for all states in Column H. For Need states, the 
entry in Column I is ``Need''.
    Column J--Reduction Adjustment for Non-Need States. Column J shows 
the amount of adjustment needed to reduce the Initial QI allotments in 
Column D for FY 2013 (Table 1) or FY 2014 (Table 2) for Non-Need States 
in order to address the total need shown in Column F. The amount in 
Column J is determined as the percentage in column I for Non-Need 
States multiplied by the lesser of the total need in Column F (equal to 
the sum of Needs in Column F) or the total Reduction Pool in Column H 
(equal to the sum of the Non-Need amounts in Column H). For Need 
States, the entry in Column J is ``Need.''
    Column K--Increase Adjustment for Need States. Column K shows the 
amount of adjustment to increase the Initial QI Allotment in Column D 
for FY 2013 (Table 1) or FY 2014 (Table 2) for Need States in order to 
address the total need shown for the fiscal year in Column F. The 
amount in Column K is determined as the percentage in Column G for Need 
States multiplied by the lesser of the total need in Column F (equal to 
the sum of Needs in Column F) or the total Reduction Pool in Column H 
(equal to the sum of the Non-Need amounts in Column H). For Non-Need 
States, the entry in Column K is ``NA.''
    Column L--Final FY 2013 QI Allotment (Chart 1) or Preliminary FY 
2014 QI Allotment (Table 2). Column L contains the Final QI Allotment 
for each state for FY 2013 (Table 1) or the Preliminary QI Allotment 
for FY 2014 (Table 2). For states that need additional QI allotment 
amounts for the fiscal year based on Estimated QI Expenditures in 
Column E as compared to their Initial QI allotments in Column D for the 
fiscal year (states with a projected need amount are shown in Column 
F), Column L is equal to the Initial QI allotment in Column D for FY 
2013 (Table 1) or FY 2014 (Table 2) plus the amount determined in 
Column K for Need States. For Non-Need States (states with a projected 
surplus in Column H), Column L is equal to the QI Allotment in Column D 
reduced by the Reduction Adjustment amount in Column J.

III. Collection of Information Requirements

    This notice does not impose any information collection or 
recordkeeping requirements. Consequently, it does not need Office of 
Management and Budget review under the authority of the Paperwork 
Reduction Act of 1995 (44 U.S.C. 3501 et seq.).

    Dated: April 17, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare & Medicaid Services.
    Dated: May 21, 2015.
Sylvia M. Burwell,
Secretary, Department of Health and Human Services.
[FR Doc. 2015-13043 Filed 5-28-15; 11:15 am]
 BILLING CODE 4120-01-P