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Program Management

Schedules

TAFS: 075-0511 /X - Program Management

Iterations:
Adjustment authority: Yes
Reporting categories: No
Previously Approved (Iteration 1)Current OMB Action (Iteration 2)
Line #SplitDescriptionAmount FootnotesAmountFootnotes
1000MEMandatory Estimated - Unob Bal: Brought forward, October 1$5,084,144,565.00 $5,126,445,436.00
1000DEDiscretionary Estimated- Unob Bal: Brought forward, October 1$140,258,721.00 $140,258,721.00
1200BA: Mand: Appropriation$48,000,000.00 $48,000,000.00
1230BA: Mand: New\Unob bal of approps perm reduced-$2,736,000.00 -$2,736,000.00
1740BA: Disc: Spending auth:Antic colls, reimbs, other$115,000,000.00 $115,000,000.00
1801BA: Mand: Spending auth: Chng uncoll pymts Fed src$22,632,000.00 $22,632,000.00
1802BA: Mand: Spending auth: Previously unavailable$171,044,160.00 $171,044,160.00
1823BA: Mand: Spending auth: New\Unob bal temp reduced-$152,186,950.00 -$152,186,950.00
1840BA: Mand: Spending auth:Antic colls, reimbs, other$2,669,946,488.00 $2,669,946,488.00
1920Total budgetary resources avail (disc. and mand.)$8,096,102,984.00 $8,138,403,855.00
6001Category A -- 1st quarter$98,925,000.00 $98,925,000.00
6002Category A -- 2nd quarter$79,925,000.00 $79,925,000.00
6003Category A -- 3rd quarter$65,925,000.00 $65,925,000.00
6004Category A -- 4th quarter$54,925,000.00 $54,925,000.00
6019Provider Enrollment Fees (ACA 6401, P.L.111-148)$73,692,246.00 $73,692,246.00
6013Extending the Independence at Home Medical Practice Demonstration Program (Sec 105, P.L. 116-260) Line removed
6022Nursing Home CMPs (ACA 6111, P.L.111-148)$39,232,253.00 $39,232,253.00
6023RAC Retention Fees (MACRA 505, P.L.114-10)$23,912,873.00 $58,912,873.00
6024SHIPS (Consolidated Appropriations Act Sec. 103, P.L. 116-260)$1,357,666.00 $1,357,666.00
6026Clinical Diagnostic Laboratory Test (PAMA 216, P.L.113-93)$152,569.00 $152,569.00
6028Ensuring Accurate Valuation of Services (PAMA 220, P.L.113-93)$2,600,000.00 $2,600,000.00
6038Open Payments CMPs (ACA 6002, P.L.111-148)$75,000.00 $75,000.00
6042Medicare Ambulance Services (BBA 50203, P.L.115-123)$760,536.00 $760,536.00
6044Recovery Audit Contractors - Part A/B (Section 302, P.L.109-432)$146,765,000.00 $146,765,000.00
6046Recovery Audit Contractors - MSP (Section 302, P.L.109-432)$46,006,000.00 $46,006,000.00
6048Marketplace User Fees (Section 1311&1321, P.L.111-148)$2,400,000,000.00 $2,400,000,000.00
6049Risk Adjustment User Fees (Section 1343, P.L.111-148)$62,000,000.00 $62,000,000.00
6050Extension of Funding for Quality Measure (CAA of 2021 Sec. 102, P.L. 116-260)$9,191,929.00 $9,191,929.00
6053Grants to Provide Technical Assistance to Outlier Prescribers (SUPPORT 6052, P.L.115-271)$5,022,521.00 $5,022,521.00
6057Repeal Medicare Payment Cap Therapy Services (BBA 50202)$4,715,000.00 $4,715,000.00
6058Beneficiary Enrollment Simplification (Consolidated Appropriations Act Sec. 120, P.L. 116-260)$984,461.00 $1,358,000.00
6063Establishing Hospice Program Survey and Enforcement Procedures Under the Medicare Program (CAA 407)$9,430,000.00 $9,430,000.00
6064Independent Dispute Resolution User Fees (No Surprises Act Sec. 103, 105, 112, P.L. 116-260)$74,059,679.00 $74,570,875.00
6059Implementation Funding (Consolidated Appropriations Act Sec. 501, P.L. 116-260) Line removed
6066Lowering Prices through Drug Price Negotiation Implementation (Inflation Reduction Act Sec. 11004, P$40,581,000.00 $40,581,000.00
6062Medicare Payment for Rural Emergency Hospital Services (Consolidated Appropriations Act Sec. 125, P. Line removed
6067Part B Price Inflation Rebate Implementation (Inflation Reduction Act Sec. 11101, P.L. 117-169)$1,226,316.00 $1,226,316.00
6068Part D Price Inflation Rebate Implementation (Inflation Reduction Act Sec. 11102, P.L. 117-169)$540,842.00 $540,842.00
6069Part D Redesign Implementation (Inflation Reduction Act Sec. 11201, P.L. 117-169)$5,405,505.00 $5,405,505.00
6065Postal Service Reform Act of 2022 (P.L. 117-108) Line removed
6071Part D Cost Sharing Implementation (Inflation Reduction Act Sec. 11202, P.L. 117-169)$150,000.00 $150,000.00
6072Health Services in School Settings / Technical Assistance Center (BSCA Section 11003, P.L. 117-159)$2,310,000.00 $2,310,000.00
6075Early and Periodic Screening, Diagnosis, and Treatment Benefit - Guidance and Reporting (BSCA 11004)$1,167,982.00 $1,167,982.00
6076Skilled Nursing Facility Value-Based Purchasing (CAA of 2021 Sec. 111, P.L. 116-260)$5,912,958.00 $5,912,958.00
6078Improvements to Medicare Prospective Payment System for Psychiatric Hospitals and Psychiatric Units (CAA 2023; Sec 4125)$2,085,441.00 $2,085,441.00
6079Extension of Acute Hospital Care at Home (CAA of 2023, Section 4140, P.L. 117-328)$1,500,000.00 $1,500,000.00
6081Supporting Access to a Continuum of Crisis Response Services Under Medicaid and CHIP (CAA of 2023; Sec 5124)$1,750,000.00 $2,000,000.00
6082Funding for Implementation and Operations for Section 202 of the CAA 2024 (CAA 2024 Sec. 208, P.L. 1$4,050,000.00 $4,050,000.00
6083Funding for Implementation and Operations for Sections 203, 206, and 207 of the CAA 2024 (CAA 2024 S$1,750,000.00 $3,750,000.00
6077Advancing Telehealth Beyond COVID-19 (Consolidated Appropriations Act, 2023, P.L. 117-328) Line removed
617013Apportioned in FY 2026 and future fiscal years - Implementation Funding (Consolidated Appropriations Act Sec. 501, P.L. 116-260)$383,847.00 $383,847.00
617019Apportioned in FY 2026 and future fiscal years - Part B Price Inflation Rebate Implementation (Inflation Reduction Act Sec. 11101, P.L. 117-169)$5,846,184.00 $7,897,055.00
617016Apportioned in FY 2026 and future fiscal years - Independent Dispute Resolution User Fees (No Surprises Act Sec. 103, 105, 112, P.L. 116-260)$55,199,042.00 $54,687,846.00
6080Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments (Consolidated Appr Line removed
617017Apportioned in FY 2026 and future fiscal years - Postal Service Reform Act of 2022 (P.L. 117-108)$7,500,000.00 $7,500,000.00
617018Apportioned in FY 2026 and future fiscal years - Lowering Prices through Drug Price Negotiation Implementation (Inflation Reduction Act Sec. 11004, P$2,753,076,236.00 $2,753,076,236.00
617020Apportioned in FY 2026 and future fiscal years - Part D Price Inflation Rebate Implementation (Inflation Reduction Act Sec. 11102, P.L. 117-169)$19,375,373.00 $19,375,373.00
61702Apportioned in FY 2026 and future fiscal years - Extending the Independence at Home Medical Practice Demonstration Program (Sec 105, P.L. 116-260)$4,527,621.00 $4,527,621.00
617025Apportioned in FY 2026 and future fiscal years - Skilled Nursing Facility Value-Based Purchasing (CAA of 2021 Sec. 111, P.L. 116-260)$536,895.00 $536,895.00
617021Apportioned in FY 2026 and future fiscal years - Part D Redesign Implementation (Inflation Reduction Act Sec. 11201, P.L. 117-169)$79,199,474.00 $79,199,474.00
617022Apportioned in FY 2026 and future fiscal years - Part D Cost Sharing Implementation (Inflation Reduction Act Sec. 11202, P.L. 117-169)$1,924,896.00 $1,924,896.00
617023Apportioned in FY 2026 and future fiscal years - Health Services in School Settings / Technical Assistance Center (BSCA Section 11003, P.L. 117-159)$1,304,150.00 $1,304,150.00
617024Apportioned in FY 2026 and future fiscal years - Early and Periodic Screening, Diagnosis, and Treatment Benefit - Guidance and Reporting (BSCA Sec. 11004)$5,216,988.00 $5,216,988.00
61703Apportioned in FY 2026 and future fiscal years - Provider Enrollment Fees (ACA 6401, P.L.111-148)$479,144.00 $479,144.00
617026Apportioned in FY 2026 and future fiscal years - Advancing Telehealth Beyond COVID-19 (Consolidated Appropriations Act, 2023, P.L. 117-328)$6,707,924.00 $6,707,924.00
617027Apportioned in FY 2026 and future fiscal years - Improvements to Medicare Prospective Payment System for Psychiatric Hospitals and Psychiatric Units (CAA 2023; Sec 4125)$6,364,559.00 $6,364,559.00
617028Apportioned in FY 2026 and future fiscal years - Extension of Acute Hospital Care at Home (CAA of 2023, Section 4140, P.L. 117-328)$1,138,000.00 $1,138,000.00
617029Apportioned in FY 2026 and future fiscal years - Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments (Consolidated Appr$78,686.00 $78,686.00
61705Apportioned in FY 2026 and future fiscal years - Ensuring Accurate Valuation of Services (PAMA 220, P.L.113-93)$2,520,466.00 $2,520,466.00
617030Apportioned in FY 2026 and future fiscal years - Supporting Access to a Continuum of Crisis Response Services Under Medicaid and CHIP (CAA of 2023; Sec 5124)$4,250,000.00 $6,000,000.00
617031Apportioned in FY 2026 and future fiscal years - Funding for Implementation and Operations for Section 202 of the CAA 2024 (CAA 2024 Sec. 208, P.L. 1$5,200,000.00 $5,200,000.00
617032Apportioned in FY 2026 and future fiscal years - Funding for Implementation and Operations for Sections 203, 206, and 207 of the CAA 2024 (CAA 2024 SLine added $1,250,000.00
61704Apportioned in FY 2026 and future fiscal years - Nursing Home CMPs (ACA 6111, P.L.111-148)$87,124,649.00 $87,124,649.00
61706Apportioned in FY 2026 and future fiscal years - Open Payments CMPs (ACA 6002, P.L.111-148)$1,567,419.00 $1,567,419.00
61707Apportioned in FY 2026 and future fiscal years - Marketplace User Fees (Section 1311&1321, P.L.111-148)$1,426,675,468.00 $1,426,675,468.00
61708Apportioned in FY 2026 and future fiscal years - Risk Adjustment User Fees (Section 1343, P.L.111-148)$61,110,064.00 $61,110,064.00
61709Apportioned in FY 2026 and future fiscal years - Extension of Funding for Quality Measure (CAA of 2021 Sec. 102, P.L. 116-260)$52,696.00 $52,696.00
61701Apportioned in FY 2026 and future fiscal years - Category A$190,735,000.00 $190,735,000.00
617010Apportioned in FY 2026 and future fiscal years - Grants to Provide Technical Assistance to Outlier Prescribers (SUPPORT 6052, P.L.115-271)$55,977,479.00 $55,977,479.00
617014Apportioned in FY 2026 and future fiscal years - Medicare Payment for Rural Emergency Hospital Services (Consolidated Appropriations Act Sec. 125, P.$6,878,807.00 $6,878,807.00
617015Apportioned in FY 2026 and future fiscal years - Establishing Hospice Program Survey and Enforcement Procedures Under the Medicare Program (CAA 407)$9,018,308.00 $9,018,308.00
617011Apportioned in FY 2026 and future fiscal years - Repeal Medicare Payment Cap Therapy Services (BBA 50202)$21,459,198.00 $21,459,198.00
617012Apportioned in FY 2026 and future fiscal years - Beneficiary Enrollment Simplification (Consolidated Appropriations Act Sec. 120, P.L. 116-260)$6,586,634.00 $6,213,095.00
6190Total budgetary resources available$8,096,102,984.00 See footnotes below $8,138,403,855.00 See footnotes below
Footnotes for line 6190 (Previous):

A1: The total amount apportioned may be increased for additional spending authority from offsetting collections received by an amount not to exceed 10% of the sum of such amounts identified in the calculation of total budgetary resources available without further action by OMB (excluding appropriations from the Medicare trust funds). The amount of such increase is to be applied to the appropriate line in the application of budgetary resources. [Rationale: Footnote signifies that this TAFS has received or may receive an automatic apportionment.]

A2: Adjustments are permitted between a Category C line and the corresponding Category B line for that appropriation where OMB receives a revised spend plan, or written notification if no spend plan is customarily provided for that line, 5 business days in advance of obligation and where the total of any adjustments does not increase the receiving Category B line by more than 10% of the previously apportioned amount. [Rationale: Footnote signifies that this TAFS has received or may receive an automatic apportionment.]

Footnotes for line 6190 (Current):

A1: The total amount apportioned may be increased for additional spending authority from offsetting collections received by an amount not to exceed 10% of the sum of such amounts identified in the calculation of total budgetary resources available without further action by OMB (excluding appropriations from the Medicare trust funds). The amount of such increase is to be applied to the appropriate line in the application of budgetary resources. [Rationale: Footnote signifies that this TAFS has received or may receive an automatic apportionment.]

A2: Adjustments are permitted between a Category C line and the corresponding Category B line for that appropriation where OMB receives a revised spend plan, or written notification if no spend plan is customarily provided for that line, 5 business days in advance of obligation and where the total of any adjustments does not increase the receiving Category B line by more than 10% of the previously apportioned amount. [Rationale: Footnote signifies that this TAFS has received or may receive an automatic apportionment.]

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.

NumberText
A1
The total amount apportioned may be increased for additional spending authority from offsetting collections received by an amount not to exceed 10% of the sum of such amounts identified in the calculation of total budgetary resources available without further action by OMB (excluding appropriations from the Medicare trust funds). The amount of such increase is to be applied to the appropriate line in the application of budgetary resources. [Rationale: Footnote signifies that this TAFS has received or may receive an automatic apportionment.]
A2
Adjustments are permitted between a Category C line and the corresponding Category B line for that appropriation where OMB receives a revised spend plan, or written notification if no spend plan is customarily provided for that line, 5 business days in advance of obligation and where the total of any adjustments does not increase the receiving Category B line by more than 10% of the previously apportioned amount. [Rationale: Footnote signifies that this TAFS has received or may receive an automatic apportionment.]

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.

NumberText
A1
The total amount apportioned may be increased for additional spending authority from offsetting collections received by an amount not to exceed 10% of the sum of such amounts identified in the calculation of total budgetary resources available without further action by OMB (excluding appropriations from the Medicare trust funds). The amount of such increase is to be applied to the appropriate line in the application of budgetary resources. [Rationale: Footnote signifies that this TAFS has received or may receive an automatic apportionment.]
A2
Adjustments are permitted between a Category C line and the corresponding Category B line for that appropriation where OMB receives a revised spend plan, or written notification if no spend plan is customarily provided for that line, 5 business days in advance of obligation and where the total of any adjustments does not increase the receiving Category B line by more than 10% of the previously apportioned amount. [Rationale: Footnote signifies that this TAFS has received or may receive an automatic apportionment.]

Notes about this page

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