Grants to States for Medicaid
Schedules
TAFS: 075-0512 /X - Grants to States for Medicaid
| Previously Approved (Iteration 3) | OMB Action (Iteration 4) | |||||
|---|---|---|---|---|---|---|
| Line # | Split | Description | Amount | Footnotes | Amount | Footnotes |
| 1000 | Unob Bal: Brought forward, Oct 1 | $106,315,206.00 | $106,315,206.00 | |||
| 1021 | MA | Unob Bal: Actual Recov of prior year unpaid obligations | Line added | $13,558,060,301.00 | ||
| 1033 | MA | Unob Bal: Actual Recov of prior year paid obligations | Line added | $233,380.00 | ||
| 1061 | ME | Mandatory Expected: Unob Bal: Antic recov of prior year unpd/pd obl | $11,238,779,500.00 | $36,441,706,319.00 | ||
| 1200 | BA: Mand: Appropriation | $368,666,106,000.00 | $368,666,106,000.00 | |||
| 1220 | BA: Mand: Approps transferred to other accounts | -$1,516,980,971.00 | -$5,139,998,000.00 | |||
| 1234 | BA: Mand: Appropriations precluded from obligation | -$145,222,189,642.00 | ||||
| 1251 | BA: Mand: Appropriations:Antic nonexpend trans net | -$3,623,017,029.00 | ||||
| 1600 | BA: Mand: Contract authority | Line removed | ||||
| 1270 | BA: Mand: Advance appropriation | $148,732,315,000.00 | See footnotes below | $148,732,315,000.00 | See footnotes below | |
| Footnotes for line 1270 (Previous): | B1: This FY 2021 advance appropriation is enacted by Public Law 116-260. | |||||
| Footnotes for line 1270 (Current): | B1: This FY 2021 advance appropriation is enacted by Public Law 116-260. | |||||
| 1630 | BA: Mand: Contract auth: Antic nonexpend trans net | Line removed | ||||
| 1840 | BA: Mand: Spending auth:Antic colls, reimbs, other | $1,314,000,000.00 | $1,596,469,966.00 | |||
| 1920 | Total budgetary resources avail (disc. and mand.) | $379,695,328,064.00 | $563,961,208,172.00 | |||
| 6011 | Medical Assistance Payments | $357,072,228,074.00 | See footnotes below | $532,015,715,182.00 | See footnotes below | |
| Footnotes for line 6011 (Previous): | A1: Amounts will be automatically adjusted for any downward changes in transfers to the VFC allocation account apportionment. A3: Available only for quarterly obligation for Grants to States consistent with section 1903(d) of the Social Security Act; provided, however, that grants to the following States may continue to be made on an annual basis: IN, LA, NE, VA, WI, WA. A4: Consistent with the policy letter of March 31, 1984 as updated for inflation, OMB should be advised in advance of granting a waiver unless total expenditures under the waiver are less than $2 million and fewer than 300 beneficiaries are affected, and funds available for waivers of State fiscal liability associated with erroneous payments, only where OMB is advised in writing 30 days in advance of approval, together with an analysis of short- and long-term budgetary effects. In cases with long-term net costs, the Department is expected to provide alternative offsets. A6: The cumulative amount of CMS approved ACA Section 2703 planning grants will be reported on each apportionment request after the amount of approved planning grants reaches $20 million. Approved ACA section 2703 planning grants will not exceed $25 million. A8: During a lapse in appropriations, prior-year recoveries from funds provided in the first paragraph of prior year appropriations for Grants to States for Medicaid are available for obligation for carrying out title XIX of the Social Security Act, including administrative costs, without further action by OMB. After the lapse in appropriations has ended, CMS must report within 30 calendar days to OMB the amount of funds that were obligated for administrative costs. | |||||
| Footnotes for line 6011 (Current): | A1: Amounts will be automatically adjusted for any downward changes in transfers to the VFC allocation account apportionment. A3: Available only for quarterly obligation for Grants to States consistent with section 1903(d) of the Social Security Act; provided, however, that grants to the following States may continue to be made on an annual basis: IN, LA, NE, VA, WI, WA. A4: Consistent with the policy letter of March 31, 1984 as updated for inflation, OMB should be advised in advance of granting a waiver unless total expenditures under the waiver are less than $2 million and fewer than 300 beneficiaries are affected, and funds available for waivers of State fiscal liability associated with erroneous payments, only where OMB is advised in writing 30 days in advance of approval, together with an analysis of short- and long-term budgetary effects. In cases with long-term net costs, the Department is expected to provide alternative offsets. A6: The cumulative amount of CMS approved ACA Section 2703 planning grants will be reported on each apportionment request after the amount of approved planning grants reaches $20 million. Approved ACA section 2703 planning grants will not exceed $25 million. A8: During a lapse in appropriations, prior-year recoveries from funds provided in the first paragraph of prior year appropriations for Grants to States for Medicaid are available for obligation for carrying out title XIX of the Social Security Act, including administrative costs, without further action by OMB. After the lapse in appropriations has ended, CMS must report within 30 calendar days to OMB the amount of funds that were obligated for administrative costs. | |||||
| 6012 | State and Local Administration | $18,320,106,556.00 | See footnotes below | $27,506,606,556.00 | See footnotes below | |
| Footnotes for line 6012 (Previous): | A6: The cumulative amount of CMS approved ACA Section 2703 planning grants will be reported on each apportionment request after the amount of approved planning grants reaches $20 million. Approved ACA section 2703 planning grants will not exceed $25 million. | |||||
| Footnotes for line 6012 (Current): | A6: The cumulative amount of CMS approved ACA Section 2703 planning grants will be reported on each apportionment request after the amount of approved planning grants reaches $20 million. Approved ACA section 2703 planning grants will not exceed $25 million. | |||||
| 6013 | Prescription Drug Program for the Territories | $69,347,234.00 | $69,347,234.00 | |||
| 6018 | Temporary Enhanced Medical Assistance Payments (ARRA) | $14,000,000.00 | $14,000,000.00 | |||
| 6019 | HIT Provider Payments (ARRA) | $466,092,600.00 | $466,092,600.00 | |||
| 6020 | State and Local Admin for Health Information Technology (HIT) (ARRA) | $350,963,600.00 | $443,963,600.00 | |||
| 6021 | Breakout of Territory Funding | $3,402,590,000.00 | $3,445,483,000.00 | |||
| 6190 | Total budgetary resources available | $379,695,328,064.00 | See footnotes below | $563,961,208,172.00 | See footnotes below | |
| Footnotes for line 6190 (Previous): | A2: Adjustments are permitted between the Medical Assistance Payments category (line 6011) and another category B line where OMB receives written notification at least 10 days in advance and where the total of any adjustments does not increase the receiving category by more than 10 percent of the apportioned amount. Any existing legal limitation on total budget authority for Balancing Incentive Payments (line 6016) and Increased ACA funding for territories (line 6017) still applies. A5: Details on attachments are not subject to 31 USC 1517. The term "attachments" includes but is not limited to the worksheets in this excel file that accompany the SF 132 and this footnote worksheet. A7: Carryover amounts are available for allotment only after actual amounts are apportioned and known, and recoveries are available for allotment only after recoveries are apportioned and realized. | |||||
| Footnotes for line 6190 (Current): | A2: Adjustments are permitted between the Medical Assistance Payments category (line 6011) and another category B line where OMB receives written notification at least 10 days in advance and where the total of any adjustments does not increase the receiving category by more than 10 percent of the apportioned amount. Any existing legal limitation on total budget authority for Balancing Incentive Payments (line 6016) and Increased ACA funding for territories (line 6017) still applies. A5: Details on attachments are not subject to 31 USC 1517. The term "attachments" includes but is not limited to the worksheets in this excel file that accompany the SF 132 and this footnote worksheet. A7: Carryover amounts are available for allotment only after actual amounts are apportioned and known, and recoveries are available for allotment only after recoveries are apportioned and realized. | |||||
Footnotes
Footnotes provide further information about, or establish further legal requirements related to the use of, the funds in a given line or set of lines in an apportionment. If footnotes appear on lines 1920 or 6190, they apply to all the lines in the 1xxx and 6xxx sections, respectively. The following are all the footnotes associated with this file.
| Number | Text |
|---|---|
| A1 | Amounts will be automatically adjusted for any downward changes in transfers to the VFC allocation account apportionment. |
| A2 | Adjustments are permitted between the Medical Assistance Payments category (line 6011) and another category B line where OMB receives written notification at least 10 days in advance and where the total of any adjustments does not increase the receiving category by more than 10 percent of the apportioned amount. Any existing legal limitation on total budget authority for Balancing Incentive Payments (line 6016) and Increased ACA funding for territories (line 6017) still applies. |
| A3 | Available only for quarterly obligation for Grants to States consistent with section 1903(d) of the Social Security Act; provided, however, that grants to the following States may continue to be made on an annual basis: IN, LA, NE, VA, WI, WA. |
| A4 | Consistent with the policy letter of March 31, 1984 as updated for inflation, OMB should be advised in advance of granting a waiver unless total expenditures under the waiver are less than $2 million and fewer than 300 beneficiaries are affected, and funds available for waivers of State fiscal liability associated with erroneous payments, only where OMB is advised in writing 30 days in advance of approval, together with an analysis of short- and long-term budgetary effects. In cases with long-term net costs, the Department is expected to provide alternative offsets. |
| A5 | Details on attachments are not subject to 31 USC 1517. The term "attachments" includes but is not limited to the worksheets in this excel file that accompany the SF 132 and this footnote worksheet. |
| A6 | The cumulative amount of CMS approved ACA Section 2703 planning grants will be reported on each apportionment request after the amount of approved planning grants reaches $20 million. Approved ACA section 2703 planning grants will not exceed $25 million. |
| A7 | Carryover amounts are available for allotment only after actual amounts are apportioned and known, and recoveries are available for allotment only after recoveries are apportioned and realized. |
| A8 | During a lapse in appropriations, prior-year recoveries from funds provided in the first paragraph of prior year appropriations for Grants to States for Medicaid are available for obligation for carrying out title XIX of the Social Security Act, including administrative costs, without further action by OMB. After the lapse in appropriations has ended, CMS must report within 30 calendar days to OMB the amount of funds that were obligated for administrative costs. |
| B1 | This FY 2021 advance appropriation is enacted by Public Law 116-260. |
The following are all of the footnotes associated with the previous iteration of this file. Note that previous iterations of accounts in this file may come from multiple previous files.
| Number | Text |
|---|---|
| A1 | Amounts will be automatically adjusted for any downward changes in transfers to the VFC allocation account apportionment. |
| A2 | Adjustments are permitted between the Medical Assistance Payments category (line 6011) and another category B line where OMB receives written notification at least 10 days in advance and where the total of any adjustments does not increase the receiving category by more than 10 percent of the apportioned amount. Any existing legal limitation on total budget authority for Balancing Incentive Payments (line 6016) and Increased ACA funding for territories (line 6017) still applies. |
| A3 | Available only for quarterly obligation for Grants to States consistent with section 1903(d) of the Social Security Act; provided, however, that grants to the following States may continue to be made on an annual basis: IN, LA, NE, VA, WI, WA. |
| A4 | Consistent with the policy letter of March 31, 1984 as updated for inflation, OMB should be advised in advance of granting a waiver unless total expenditures under the waiver are less than $2 million and fewer than 300 beneficiaries are affected, and funds available for waivers of State fiscal liability associated with erroneous payments, only where OMB is advised in writing 30 days in advance of approval, together with an analysis of short- and long-term budgetary effects. In cases with long-term net costs, the Department is expected to provide alternative offsets. |
| A5 | Details on attachments are not subject to 31 USC 1517. The term "attachments" includes but is not limited to the worksheets in this excel file that accompany the SF 132 and this footnote worksheet. |
| A6 | The cumulative amount of CMS approved ACA Section 2703 planning grants will be reported on each apportionment request after the amount of approved planning grants reaches $20 million. Approved ACA section 2703 planning grants will not exceed $25 million. |
| A7 | Carryover amounts are available for allotment only after actual amounts are apportioned and known, and recoveries are available for allotment only after recoveries are apportioned and realized. |
| A8 | During a lapse in appropriations, prior-year recoveries from funds provided in the first paragraph of prior year appropriations for Grants to States for Medicaid are available for obligation for carrying out title XIX of the Social Security Act, including administrative costs, without further action by OMB. After the lapse in appropriations has ended, CMS must report within 30 calendar days to OMB the amount of funds that were obligated for administrative costs. |
| B1 | This FY 2021 advance appropriation is enacted by Public Law 116-260. |
Notes about this page
- † Links to public laws are automatically generated and are not guaranteed to be accurate.