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Program Management

Schedules

TAFS: 075-0511 /X - Program Management

Iterations:
Adjustment authority: Yes
Reporting categories: No
Line #SplitDescriptionIteration 1
Previously Approved Amount
Iteration 2
OMB Action Amount
Footnotes
1000MEMandatory Estimated - Unob Bal: Brought forward, October 1$5,084,144,565+$42,300,871
$5,126,445,436
1000DEDiscretionary Estimated- Unob Bal: Brought forward, October 1$140,258,721 $140,258,721
1200BA: Mand: Appropriation$48,000,000 $48,000,000
1230BA: Mand: New\Unob bal of approps perm reduced-$2,736,000 -$2,736,000
1740BA: Disc: Spending auth:Antic colls, reimbs, other$115,000,000 $115,000,000
1801BA: Mand: Spending auth: Chng uncoll pymts Fed src$22,632,000 $22,632,000
1802BA: Mand: Spending auth: Previously unavailable$171,044,160 $171,044,160
1823BA: Mand: Spending auth: New\Unob bal temp reduced-$152,186,950 -$152,186,950
1840BA: Mand: Spending auth:Antic colls, reimbs, other$2,669,946,488 $2,669,946,488
1920Total budgetary resources avail (disc. and mand.)$8,096,102,984+$42,300,871
$8,138,403,855
6001Category A -- 1st quarter$98,925,000 $98,925,000
6002Category A -- 2nd quarter$79,925,000 $79,925,000
6003Category A -- 3rd quarter$65,925,000 $65,925,000
6004Category A -- 4th quarter$54,925,000 $54,925,000
6019Provider Enrollment Fees (ACA 6401, P.L.111-148)$73,692,246 $73,692,246
6013Extending the Independence at Home Medical Practice Demonstration Program (Sec 105, P.L. 116-260)$0 Line removed
6022Nursing Home CMPs (ACA 6111, P.L.111-148)$39,232,253 $39,232,253
6023RAC Retention Fees (MACRA 505, P.L.114-10)$23,912,873+$35,000,000
$58,912,873
6024SHIPS (Consolidated Appropriations Act Sec. 103, P.L. 116-260)$1,357,666 $1,357,666
6026Clinical Diagnostic Laboratory Test (PAMA 216, P.L.113-93)$152,569 $152,569
6028Ensuring Accurate Valuation of Services (PAMA 220, P.L.113-93)$2,600,000 $2,600,000
6038Open Payments CMPs (ACA 6002, P.L.111-148)$75,000 $75,000
6042Medicare Ambulance Services (BBA 50203, P.L.115-123)$760,536 $760,536
6044Recovery Audit Contractors - Part A/B (Section 302, P.L.109-432)$146,765,000 $146,765,000
6046Recovery Audit Contractors - MSP (Section 302, P.L.109-432)$46,006,000 $46,006,000
6048Marketplace User Fees (Section 1311&1321, P.L.111-148)$2,400,000,000 $2,400,000,000
6049Risk Adjustment User Fees (Section 1343, P.L.111-148)$62,000,000 $62,000,000
6050Extension of Funding for Quality Measure (CAA of 2021 Sec. 102, P.L. 116-260)$9,191,929 $9,191,929
6053Grants to Provide Technical Assistance to Outlier Prescribers (SUPPORT 6052, P.L.115-271)$5,022,521 $5,022,521
6057Repeal Medicare Payment Cap Therapy Services (BBA 50202)$4,715,000 $4,715,000
6058Beneficiary Enrollment Simplification (Consolidated Appropriations Act Sec. 120, P.L. 116-260)$984,461+$373,539
$1,358,000
6063Establishing Hospice Program Survey and Enforcement Procedures Under the Medicare Program (CAA 407)$9,430,000 $9,430,000
6064Independent Dispute Resolution User Fees (No Surprises Act Sec. 103, 105, 112, P.L. 116-260)$74,059,679+$511,196
$74,570,875
6059Implementation Funding (Consolidated Appropriations Act Sec. 501, P.L. 116-260)$0 Line removed
6066Lowering Prices through Drug Price Negotiation Implementation (Inflation Reduction Act Sec. 11004, P$40,581,000 $40,581,000
6062Medicare Payment for Rural Emergency Hospital Services (Consolidated Appropriations Act Sec. 125, P.$0 Line removed
6067Part B Price Inflation Rebate Implementation (Inflation Reduction Act Sec. 11101, P.L. 117-169)$1,226,316 $1,226,316
6068Part D Price Inflation Rebate Implementation (Inflation Reduction Act Sec. 11102, P.L. 117-169)$540,842 $540,842
6069Part D Redesign Implementation (Inflation Reduction Act Sec. 11201, P.L. 117-169)$5,405,505 $5,405,505
6065Postal Service Reform Act of 2022 (P.L. 117-108)$0 Line removed
6071Part D Cost Sharing Implementation (Inflation Reduction Act Sec. 11202, P.L. 117-169)$150,000 $150,000
6072Health Services in School Settings / Technical Assistance Center (BSCA Section 11003, P.L. 117-159)$2,310,000 $2,310,000
6075Early and Periodic Screening, Diagnosis, and Treatment Benefit - Guidance and Reporting (BSCA 11004)$1,167,982 $1,167,982
6076Skilled Nursing Facility Value-Based Purchasing (CAA of 2021 Sec. 111, P.L. 116-260)$5,912,958 $5,912,958
6078Improvements to Medicare Prospective Payment System for Psychiatric Hospitals and Psychiatric Units (CAA 2023; Sec 4125)$2,085,441 $2,085,441
6079Extension of Acute Hospital Care at Home (CAA of 2023, Section 4140, P.L. 117-328)$1,500,000 $1,500,000
6081Supporting Access to a Continuum of Crisis Response Services Under Medicaid and CHIP (CAA of 2023; Sec 5124)$1,750,000+$250,000
$2,000,000
6082Funding for Implementation and Operations for Section 202 of the CAA 2024 (CAA 2024 Sec. 208, P.L. 1$4,050,000 $4,050,000
6083Funding for Implementation and Operations for Sections 203, 206, and 207 of the CAA 2024 (CAA 2024 S$1,750,000+$2,000,000
$3,750,000
6077Advancing Telehealth Beyond COVID-19 (Consolidated Appropriations Act, 2023, P.L. 117-328)$0 Line removed
617013Apportioned in FY 2026 and future fiscal years - Implementation Funding (Consolidated Appropriations Act Sec. 501, P.L. 116-260)$383,847 $383,847
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+$2,050,871
$7,897,055
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-$511,196
$54,687,846
6080Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments (Consolidated Appr$0 Line removed
617017Apportioned in FY 2026 and future fiscal years - Postal Service Reform Act of 2022 (P.L. 117-108)$7,500,000 $7,500,000
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 $2,753,076,236
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 $19,375,373
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 $4,527,621
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 $536,895
617021Apportioned in FY 2026 and future fiscal years - Part D Redesign Implementation (Inflation Reduction Act Sec. 11201, P.L. 117-169)$79,199,474 $79,199,474
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 $1,924,896
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 $1,304,150
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 $5,216,988
61703Apportioned in FY 2026 and future fiscal years - Provider Enrollment Fees (ACA 6401, P.L.111-148)$479,144 $479,144
617026Apportioned in FY 2026 and future fiscal years - Advancing Telehealth Beyond COVID-19 (Consolidated Appropriations Act, 2023, P.L. 117-328)$6,707,924 $6,707,924
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 $6,364,559
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 $1,138,000
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 $78,686
61705Apportioned in FY 2026 and future fiscal years - Ensuring Accurate Valuation of Services (PAMA 220, P.L.113-93)$2,520,466 $2,520,466
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+$1,750,000
$6,000,000
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 $5,200,000
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
$1,250,000
61704Apportioned in FY 2026 and future fiscal years - Nursing Home CMPs (ACA 6111, P.L.111-148)$87,124,649 $87,124,649
61706Apportioned in FY 2026 and future fiscal years - Open Payments CMPs (ACA 6002, P.L.111-148)$1,567,419 $1,567,419
61707Apportioned in FY 2026 and future fiscal years - Marketplace User Fees (Section 1311&1321, P.L.111-148)$1,426,675,468 $1,426,675,468
61708Apportioned in FY 2026 and future fiscal years - Risk Adjustment User Fees (Section 1343, P.L.111-148)$61,110,064 $61,110,064
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 $52,696
61701Apportioned in FY 2026 and future fiscal years - Category A$190,735,000 $190,735,000
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 $55,977,479
617014Apportioned in FY 2026 and future fiscal years - Medicare Payment for Rural Emergency Hospital Services (Consolidated Appropriations Act Sec. 125, P.$6,878,807 $6,878,807
617015Apportioned in FY 2026 and future fiscal years - Establishing Hospice Program Survey and Enforcement Procedures Under the Medicare Program (CAA 407)$9,018,308 $9,018,308
617011Apportioned in FY 2026 and future fiscal years - Repeal Medicare Payment Cap Therapy Services (BBA 50202)$21,459,198 $21,459,198
617012Apportioned in FY 2026 and future fiscal years - Beneficiary Enrollment Simplification (Consolidated Appropriations Act Sec. 120, P.L. 116-260)$6,586,634-$373,539
$6,213,095
6190Total budgetary resources available$8,096,102,984+$42,300,871
$8,138,403,855
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.]

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