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Program Management

Schedules

TAFS: 075-0511 /X - Program Management

Iterations:
  • 1: 9/29/25 (this iteration)
Adjustment authority: Yes
Reporting categories: No
Line #SplitDescriptionAmountFootnotes
1000DEDiscretionary Estimated- Unob Bal: Brought forward, Oct 1 $539,519,870
1000MEMandatory Estimated - Unob Bal: Brought forward, Oct 1 $4,987,399,243
1200BA: Mand: Appropriation $458,000,000
1230BA: Mand: New\Unob bal of approps perm reduced -$2,736,000
1740BA: Disc: Spending auth:Antic colls, reimbs, other $277,000,000
1801BA: Mand: Spending auth: Chng uncoll pymts Fed src $17,917,000
1802BA: Mand: Spending auth: Previously unavailable $153,037,675
1821BA: Mand: Spending auth: Permanently reduced -$9,462,000
1823BA: Mand: Spending auth: New\Unob bal temp reduced -$153,493,675
1840BA: Mand: Spending auth:Antic colls, reimbs, other $2,858,871,488
1920Total budgetary resources avail (disc. and mand.) $9,126,053,601
6001Category A -- 1st quarter $98,925,000
6002Category A -- 2nd quarter $76,925,000
6003Category A -- 3rd quarter $67,925,000
6004Category A -- 4th quarter $55,925,000
6013Extending the Independence at Home Medical Practice Demonstration Program (Sec 105, P.L. 116-260) $0
6019Provider Enrollment Fees (ACA 6401, P.L.111-148) $44,206,925
6022Nursing Home CMPs (ACA 6111, P.L.111-148) $53,866,382
6023RAC Retention Fees (MACRA 505, P.L.114-10) $48,010,294
6024SHIPS (Consolidated Appropriations Act Sec. 103, P.L. 116-260) $1,569,891
6026Clinical Diagnostic Laboratory Test (PAMA 216, P.L.113-93) $455,768
6028Ensuring Accurate Valuation of Services (PAMA 220, P.L.113-93) $2,600,000
6038Open Payments CMPs (ACA 6002, P.L.111-148) $993,400
6042Medicare Ambulance Services (BBA 50203, P.L.115-123) $510,550
6044Recovery Audit Contractors - Part A/B (Section 302, P.L.109-432) $136,571,456
6046Recovery Audit Contractors - MSP (Section 302, P.L.109-432) $42,318,720
6048Marketplace User Fees (Section 1311&1321, P.L.111-148) $2,200,000,000
6049Risk Adjustment User Fees (Section 1343, P.L.111-148) $50,000,000
6050Extension of Funding for Quality Measure (Consolidated Appropriations Act Sec. 102, P.L. 116-260) $2,127,475
6053Grants to Provide Technical Assistance to Outlier Prescribers (SUPPORT 6052, P.L.115-271) $10,335,274
6057Repeal Medicare Payment Cap Therapy Services (BBA 50202) $4,788,922
6058Beneficiary Enrollment Simplification (Consolidated Appropriations Act Sec. 120, P.L. 116-260) $1,358,000
6059Implementation Funding (Consolidated Appropriations Act Sec. 501, P.L. 116-260) $0
6062Medicare Payment for Rural Emergency Hospital Services (Consolidated Appropriations Act 2021 (P.L. 116-260)) $0
6063Establishing Hospice Program Survey and Enforcement Procedures Under the Medicare Program (CAA 407) $16,930,000
6064Independent Dispute Resolution User Fees (No Surprises Act Sec. 103, 105, 112, P.L. 116-260) $93,947,586
6065Postal Service Reform Act of 2022 (P.L. 117-108) $0
6066Lowering Prices through Drug Price Negotiation Implementation (Inflation Reduction Act Sec. 11004, P $110,786,575
6067Part B Price Inflation Rebate Implementation (Inflation Reduction Act Sec. 11101, P.L. 117-169) $5,281,536
6068Part D Price Inflation Rebate Implementation (Inflation Reduction Act Sec. 11102, P.L. 117-169) $3,464,489
6069Part D Redesign Implementation (Inflation Reduction Act Sec. 11201, P.L. 117-169) $4,791,300
6071Part D Cost Sharing Implementation (Inflation Reduction Act Sec. 11202, P.L. 117-169) $89,906
6072Health Services in School Settings / Technical Assistance Center (BSCA Section 11003, P.L. 117-159) $1,096,345
6075Early and Periodic Screening, Diagnosis, and Treatment Benefit - Guidance and Reporting (BSCA 11004) $1,205,761
6076Skilled Nursing Facility Value-Based Purchasing (CAA of 2021 Sec. 111, P.L. 116-260) $4,124,179
6077Advancing Telehealth Beyond COVID-19 (Consolidated Appropriations Act, 2023, P.L. 117-328) $0
6078Improvements to Medicare Prospective Payment System for Psychiatric Hospitals and Psychiatric Units (CAA 2023; Sec 4125) $5,100,000
6079Extension of Acute Hospital Care at Home (Consolidated Appropriations Act, 2023, P.L. 117-328) $0
6080Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments (Consolidated Appr $0
6081Supporting Access to a Continuum of Crisis Response Services Under Medicaid and CHIP (CAA of 2023; Sec 5124) $1,500,000
6082Funding for Implementation and Operations for Section 202 of the CAA 2024 (CAA 2024 Sec. 208, P.L. 1 $1,400,000
6083Funding for Implementation and Operations for Sections 203, 206, and 207 of the CAA 2024 (CAA 2024 S $800,000
6084Current Sources of Income User Fees (ACA 1413, P.L.111-148) $169,000,000
6085Rural Health Transformation (OBBBA 71401, P.L. 119-21) $192,000,000
6086Moratorium on Implementation of Rule Relating to Eligibility and Enrollment in Medicare Savings, Medicaid, CHIP, and the BHP Programs (OBBBA 71101 and 71102, P.L. 119-21) $1,000,000
6087Reducing Duplicate Enrollment Under the Medicaid and CHIP Programs (OBBBA 71103, P.L. 119-21) $10,000,000
6088Eligibility Redeterminations (OBBBA 71107, P.L. 119-21) $75,000,000
6089Alien Medicaid Eligibility (OBBBA 71109, P.L. 119-21) $15,000,000
6090Expansion FMAP for Emergency Medicaid (OBBBA 71110, P.L. 119-21) $1,000,000
6091Reducing State Medicaid Costs (OBBBA 71112, P.L. 119-21) $10,000,000
6092Federal Payments to Prohibited Entities (OBBBA 71113, P.L. 119-21) $1,000,000
6093Provider Taxes (OBBBA 71115, P.L. 119-21) $20,000,000
6094State-Directed Payments (OBBBA 71116, P.L. 119-21) $7,000,000
6095Requiring Budget Neutrality for Medicaid Demonstration Projects Under Section 1115 (OBBBA 71118, P.L. 119-21) $5,000,000
6096Requirement for States to Establish Medicaid Community Engagement Requirements for Certain Individuals (OBBBA 71119, P.L. 119-21) $200,000,000
6097Modifying Cost Sharing Requirements for Certain Expansion Individuals Under the Medicaid Program (OBBBA 71120, P.L. 119-21) $15,000,000
6098Making Certain Adjustments to Coverage of Home or Community-Based Services Under Medicaid (OBBBA 71121, P.L. 119-21) $50,000,000
61701Apportioned in FY 2027 and future fiscal years - Category A $222,998,272
61702Apportioned in FY 2027 and future fiscal years - Extending the Independence at Home Medical Practice Demonstration Program (Sec 105, P.L. 116-260) $5,927,621
61703Apportioned in FY 2027 and future fiscal years - Provider Enrollment Fees (ACA 6401, P.L.111-148) $59,837,075
61704Apportioned in FY 2027 and future fiscal years - Nursing Home CMPs (ACA 6111, P.L.111-148) $82,635,258
61705Apportioned in FY 2027 and future fiscal years - Ensuring Accurate Valuation of Services (PAMA 220, P.L.113-93) $4,065,061
61706Apportioned in FY 2027 and future fiscal years - Open Payments CMPs (ACA 6002, P.L.111-148) $1,542,025
61707Apportioned in FY 2027 and future fiscal years - Marketplace User Fees (Section 1311&1321, P.L.111-148) $1,315,152,321
61708Apportioned in FY 2027 and future fiscal years - Risk Adjustment User Fees (Section 1343, P.L.111-148) $153,725,720
61709Apportioned in FY 2027 and future fiscal years - Grants to Provide Technical Assistance to Outlier Prescribers (SUPPORT 6052, P.L.115-271) $44,906,646
617010Apportioned in FY 2027 and future fiscal years - Repeal Medicare Payment Cap Therapy Services (BBA 50202) $23,375,285
617011Apportioned in FY 2027 and future fiscal years - Beneficiary Enrollment Simplification (Consolidated Appropriations Act Sec. 120, P.L. 116-260) $6,689,089
617012Apportioned in FY 2027 and future fiscal years - Implementation Funding (Consolidated Appropriations Act Sec. 501, P.L. 116-260) $943,504
617013Apportioned in FY 2027 and future fiscal years - Medicare Payment for Rural Emergency Hospital Services (Consolidated Appropriations Act 2021 (P.L. 116-260) $6,898,507
617014Apportioned in FY 2027 and future fiscal years - Establishing Hospice Program Survey and Enforcement Procedures Under the Medicare Program (CAA 407) $2,250,000
617015Apportioned in FY 2027 and future fiscal years - Independent Dispute Resolution User Fees (No Surprises Act Sec. 103, 105, 112, P.L. 116-260) $606,732,061
617016Apportioned in FY 2027 and future fiscal years - Postal Service Reform Act of 2022 (P.L. 117-108) $7,500,000
617017Apportioned in FY 2027 and future fiscal years - Lowering Prices through Drug Price Negotiation Implementation (Inflation Reduction Act Sec. 11004, P $2,518,721,748
617018Apportioned in FY 2027 and future fiscal years - Part B Price Inflation Rebate Implementation $1,831,279
617019Apportioned in FY 2027 and future fiscal years - Part D Price Inflation Rebate Implementation $18,251,927
617020Apportioned in FY 2027 and future fiscal years - Part D Redesign Implementation $78,638,218
617021Apportioned in FY 2027 and future fiscal years - Part D Cost Sharing Implementation $209,580
617022Apportioned in FY 2027 and future fiscal years - Health Services in School Settings / Technical Assistance Center (BSCA Section 11003, P.L. 117-159) $1,262,204
617023Apportioned in FY 2027 and future fiscal years - Early and Periodic Screening, Diagnosis, and Treatment Benefit - Guidance and Reporting (BSCA 11004) $5,177,198
617024Apportioned in FY 2027 and future fiscal years - Skilled Nursing Facility Value-Based Purchasing (CAA of 2021 Sec. 111, P.L. 116-260) $856,582
617025Apportioned in FY 2027 and future fiscal years - Advancing Telehealth Beyond COVID-19 (Consolidated Appropriations Act, 2023, P.L. 117-328) $6,707,924
617026Apportioned in FY 2027 and future fiscal years - Improvements to Medicare Prospective Payment System for Psychiatric Hospitals and Psychiatric Units (CAA 2023; Sec 4125) $1,264,559
617027Apportioned in FY 2027 and future fiscal years - Extension of Acute Hospital Care at Home (Consolidated Appropriations Act, 2023, P.L. 117-328) $2,300,022
617028Apportioned in FY 2027 and future fiscal years - Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments (Consolidated Appr $2,078,686
617029Apportioned in FY 2027 and future fiscal years - Supporting Access to a Continuum of Crisis Response Services Under Medicaid and CHIP (CAA of 2023; Sec 5124) $5,023,778
617030Apportioned in FY 2027 and future fiscal years - Funding for Implementation and Operations for Section 202 of the CAA 2024 (CAA 2024 Sec. 208, P.L. 1 $3,800,093
617031Apportioned in FY 2027 and future fiscal years - Funding for Implementation and Operations for Sections 203, 206, and 207 of the CAA 2024 (CAA 2024 S $2,820,624
617032Apportioned in FY 2027 and future fiscal years - Current Sources of Income User Fees (ACA 1413, P.L.111-148) $11,000,000
6190Total budgetary resources available $9,126,053,601See footnotes below
Footnotes for line 6190:

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 (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 (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

  • † Links to public laws are automatically generated and are not guaranteed to be accurate.