Program Management
Schedules
TAFS: 075-0511 /X - Program Management
| Line # | Split | Description | Iteration 4 Previously Approved Amount | Iteration 5 Current OMB Action Amount | Footnotes |
|---|---|---|---|---|---|
| 1000 | DA | Discretionary Actual- Unob Bal: Brought forward, Oct 1 | $548,769,476 | $548,769,476 | |
| 1000 | DE | Discretionary Estimated- Unob Bal: Brought forward, Oct 1 | $0 | Line removed— | |
| 1000 | MA | Mandatory Actual - Unob Bal: Brought forward, Oct 1 | $5,466,105,439 | $5,466,105,439 | |
| 1200 | BA: Mand: Appropriation | $458,000,000 | +$333,500,000 $791,500,000 | ||
| 1230 | BA: Mand: New\Unob bal of approps perm reduced | -$2,736,000 | -$2,736,000 | ||
| 1000 | ME | Mandatory Estimated - Unob Bal: Brought forward, Oct 1 | $0 | Line removed— | |
| 1700 | BA: Disc: Spending auth: Collected | $172,600,099 | $172,600,099 | ||
| 1740 | BA: Disc: Spending auth:Antic colls, reimbs, other | $104,399,901 | +$84,200,368 $188,600,269 | ||
| 1800 | BA: Mand: Spending auth: Collected | $464,679,876 | $464,679,876 | ||
| 1801 | BA: Mand: Spending auth: Chng uncoll pymts Fed src | $22,927,818 | $22,927,818 | ||
| 1802 | BA: Mand: Spending auth: Previously unavailable | $0 | +$126,817,528 $126,817,528 | ||
| 1821 | BA: Mand: Spending auth: Permanently reduced | -$9,462,000 | -$9,462,000 | ||
| 1823 | BA: Mand: Spending auth: New\Unob bal temp reduced | -$153,493,675 | -$153,493,675 | ||
| 1840 | BA: Mand: Spending auth:Antic colls, reimbs, other | $2,534,312,021 | -$92,417,528 $2,441,894,493 | ||
| 1920 | Total budgetary resources avail (disc. and mand.) | $9,606,102,955 | +$452,100,368 $10,058,203,323 | ||
| 6001 | Category A -- 1st quarter | $188,540,076 | $188,540,076 | ||
| 6002 | Category A -- 2nd quarter | $76,925,000 | $76,925,000 | ||
| 6003 | Category A -- 3rd quarter | $72,925,000 | $72,925,000 | ||
| 6004 | Category A -- 4th quarter | $60,925,000 | $60,925,000 | ||
| 6019 | Provider Enrollment Fees (ACA 6401, P.L.111-148) | $44,206,925 | $44,206,925 | ||
| 6022 | Nursing Home CMPs (ACA 6111, P.L.111-148) | $53,866,382 | $53,866,382 | ||
| 6023 | RAC Retention Fees (MACRA 505, P.L.114-10) | $65,010,294 | $65,010,294 | ||
| 6024 | SHIPS (Consolidated Appropriations Act Sec. 103, P.L. 116-260) | $8,413,699 | +$30,025,329 $38,439,028 | ||
| 6026 | Clinical Diagnostic Laboratory Test (PAMA 216, P.L.113-93) | $455,768 | $455,768 | ||
| 6028 | Ensuring Accurate Valuation of Services (PAMA 220, P.L.113-93) | $2,600,000 | $2,600,000 | ||
| 6038 | Open Payments CMPs (ACA 6002, P.L.111-148) | $993,400 | $993,400 | ||
| 6042 | Medicare Ambulance Services (BBA 50203, P.L.115-123) | $510,550 | $510,550 | ||
| 6044 | Recovery Audit Contractors - Part A/B (Section 302, P.L.109-432) | $136,571,456 | $136,571,456 | ||
| 6046 | Recovery Audit Contractors - MSP (Section 302, P.L.109-432) | $42,318,720 | $42,318,720 | ||
| 6048 | Marketplace User Fees (Section 1311&1321, P.L.111-148) | $2,200,000,000 | -$267,357,000 $1,932,643,000 | ||
| 6049 | Risk Adjustment User Fees (Section 1343, P.L.111-148) | $50,000,000 | +$12,687,000 $62,687,000 | ||
| 6050 | Extension of Funding for Quality Measure (Consolidated Appropriations Act Sec. 102, P.L. 116-260) | $15,427,475 | $15,427,475 | ||
| 6053 | Grants to Provide Technical Assistance to Outlier Prescribers (SUPPORT 6052, P.L.115-271) | $10,335,274 | $10,335,274 | ||
| 6057 | Repeal Medicare Payment Cap Therapy Services (BBA 50202) | $4,788,922 | $4,788,922 | ||
| 6058 | Beneficiary Enrollment Simplification (Consolidated Appropriations Act Sec. 120, P.L. 116-260) | $1,358,000 | $1,358,000 | ||
| 6063 | Establishing Hospice Program Survey and Enforcement Procedures Under the Medicare Program (CAA 407) | $16,930,000 | $16,930,000 | ||
| 6064 | Independent Dispute Resolution User Fees (No Surprises Act Sec. 103, 105, 112, P.L. 116-260) | $93,947,586 | $93,947,586 | ||
| 6066 | Lowering Prices through Drug Price Negotiation Implementation (Inflation Reduction Act Sec. 11004, P | $234,092,231 | $234,092,231 | ||
| 6067 | Part B Price Inflation Rebate Implementation (Inflation Reduction Act Sec. 11101, P.L. 117-169) | $10,357,021 | $10,357,021 | ||
| 6068 | Part D Price Inflation Rebate Implementation (Inflation Reduction Act Sec. 11102, P.L. 117-169) | $6,013,702 | $6,013,702 | ||
| 6069 | Part D Redesign Implementation (Inflation Reduction Act Sec. 11201, P.L. 117-169) | $35,462,877 | $35,462,877 | ||
| 6071 | Part D Cost Sharing Implementation (Inflation Reduction Act Sec. 11202, P.L. 117-169) | $509,622 | $509,622 | ||
| 6072 | Health Services in School Settings / Technical Assistance Center (BSCA Section 11003, P.L. 117-159) | $1,096,345 | $1,096,345 | ||
| 6075 | Early and Periodic Screening, Diagnosis, and Treatment Benefit - Guidance and Reporting (BSCA 11004) | $1,205,761 | $1,205,761 | ||
| 6076 | Skilled Nursing Facility Value-Based Purchasing (CAA of 2021 Sec. 111, P.L. 116-260) | $4,124,179 | $4,124,179 | ||
| 6078 | Improvements to Medicare Prospective Payment System for Psychiatric Hospitals and Psychiatric Units (CAA 2023; Sec 4125) | $5,100,000 | $5,100,000 | ||
| 6081 | Supporting Access to a Continuum of Crisis Response Services Under Medicaid and CHIP (CAA of 2023; Sec 5124) | $1,500,000 | $1,500,000 | ||
| 6082 | Funding for Implementation and Operations for Section 202 of the CAA 2024 (CAA 2024 Sec. 208, P.L. 1 | $1,400,000 | $1,400,000 | ||
| 6083 | Funding for Implementation and Operations for Sections 203, 206, and 207 of the CAA 2024 (CAA 2024 S | $800,000 | $800,000 | ||
| 6084 | Current Sources of Income User Fees (ACA 1413, P.L.111-148) | $169,000,000 | $169,000,000 | ||
| 6085 | Rural Health Transformation (OBBBA 71401, P.L. 119-21) | $192,000,000 | $192,000,000 | ||
| 6086 | Moratorium 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 | $1,000,000 | ||
| 6087 | Reducing Duplicate Enrollment Under the Medicaid and CHIP Programs (OBBBA 71103, P.L. 119-21) | $10,000,000 | $10,000,000 | ||
| 6088 | Eligibility Redeterminations (OBBBA 71107, P.L. 119-21) | $75,000,000 | $75,000,000 | ||
| 6089 | Alien Medicaid Eligibility (OBBBA 71109, P.L. 119-21) | $15,000,000 | $15,000,000 | ||
| 6090 | Expansion FMAP for Emergency Medicaid (OBBBA 71110, P.L. 119-21) | $1,000,000 | $1,000,000 | ||
| 6091 | Reducing State Medicaid Costs (OBBBA 71112, P.L. 119-21) | $10,000,000 | $10,000,000 | ||
| 6092 | Federal Payments to Prohibited Entities (OBBBA 71113, P.L. 119-21) | $1,000,000 | $1,000,000 | ||
| 6093 | Provider Taxes (OBBBA 71115, P.L. 119-21) | $20,000,000 | $20,000,000 | ||
| 6094 | State-Directed Payments (OBBBA 71116, P.L. 119-21) | $7,000,000 | $7,000,000 | ||
| 6095 | Requiring Budget Neutrality for Medicaid Demonstration Projects Under Section 1115 (OBBBA 71118, P.L. 119-21) | $5,000,000 | $5,000,000 | ||
| 6096 | Requirement for States to Establish Medicaid Community Engagement Requirements for Certain Individuals (OBBBA 71119, P.L. 119-21) | $200,000,000 | $200,000,000 | ||
| 6097 | Modifying Cost Sharing Requirements for Certain Expansion Individuals Under the Medicaid Program (OBBBA 71120, P.L. 119-21) | $15,000,000 | $15,000,000 | ||
| 6098 | Making Certain Adjustments to Coverage of Home or Community-Based Services Under Medicaid (OBBBA 71121, P.L. 119-21) | $50,000,000 | $50,000,000 | ||
| 6099 | Determining Residency and Coverage for Military Families (CAA 2026 Sec. 6103, P.L. 119-75) | Line added— | +$1,000,000 $1,000,000 | ||
| 6100 | Costs of Providing Maternity, Labor, and Delivery Services (CAA 2026 Sec. 6104, P.L. 119-75) | Line added— | +$3,000,000 $3,000,000 | ||
| 6101 | Extension of Funding for Medicare Hospice Surveys (CAA 2026 Sec. 6207, P.L. 119-75) | Line added— | +$4,400,000 $4,400,000 | ||
| 6102 | Extending Acute Hospital Care at Home Waiver Flexibilities (CAA 2026 Sec. 6210, P.L. 119-75) | Line added— | +$2,500,000 $2,500,000 | ||
| 6103 | Requiring Enhanced and Accurate Lists of (REAL) Health Providers Act (CAA 2026 Sec. 6220, P.L. 119-75) | Line added— | +$4,000,000 $4,000,000 | ||
| 6104 | Medicare Coverage of Multi-Cancer Early Detection Screening Tests (CAA 2026 Sec. 6221, P.L. 119-75) | Line added— | +$2,000,000 $2,000,000 | ||
| 6105 | Assuring Pharmacy Access and Choice for Medicare Beneficiaries (CAA 2026 Sec. 6223, P.L. 119-75) | Line added— | +$188,000,000 $188,000,000 | ||
| 6106 | Modernizing and Ensuring PBM Accountability (CAA 2026 Sec. 6224, P.L. 119-75) | Line added— | +$113,000,000 $113,000,000 | ||
| 6107 | Requiring a Separate ID Number and an Attestation for Each Off-Campus Outpatient Dept of a Provider (CAA 2026 Sec. 6225, P.L. 119-75) | Line added— | +$20,000,000 $20,000,000 | ||
| 6170 | 1 | Apportioned in FY 2027 and future fiscal years - Category A | $229,409,595 | $229,409,595 | |
| 6170 | 10 | Apportioned in FY 2027 and future fiscal years - Repeal Medicare Payment Cap Therapy Services (BBA 50202) | $24,464,814 | $24,464,814 | |
| 6170 | 11 | Apportioned in FY 2027 and future fiscal years - Beneficiary Enrollment Simplification (Consolidated Appropriations Act Sec. 120, P.L. 116-260) | $6,816,091 | $6,816,091 | |
| 6170 | 12 | Apportioned in FY 2027 and future fiscal years - Implementation Funding (Consolidated Appropriations Act Sec. 501, P.L. 116-260) | $943,504 | $943,504 | |
| 6170 | 13 | Apportioned 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 | $6,898,507 | |
| 6170 | 17 | Apportioned in FY 2027 and future fiscal years - Lowering Prices through Drug Price Negotiation Implementation (Inflation Reduction Act Sec. 11004, P | $2,486,699,730 | $2,486,699,730 | |
| 6170 | 14 | Apportioned in FY 2027 and future fiscal years - Establishing Hospice Program Survey and Enforcement Procedures Under the Medicare Program (CAA 407) | $2,790,533 | $2,790,533 | |
| 6170 | 15 | Apportioned in FY 2027 and future fiscal years - Independent Dispute Resolution User Fees (No Surprises Act Sec. 103, 105, 112, P.L. 116-260) | $591,523,659 | +$84,200,368 $675,724,027 | |
| 6170 | 16 | Apportioned in FY 2027 and future fiscal years - Postal Service Reform Act of 2022 (P.L. 117-108) | $7,500,000 | $7,500,000 | |
| 6170 | 21 | Apportioned in FY 2027 and future fiscal years - Part D Cost Sharing Implementation | $1,494,897 | $1,494,897 | |
| 6170 | 22 | Apportioned in FY 2027 and future fiscal years - Health Services in School Settings / Technical Assistance Center (BSCA Section 11003, P.L. 117-159) | $1,557,795 | $1,557,795 | |
| 6170 | 19 | Apportioned in FY 2027 and future fiscal years - Part D Price Inflation Rebate Implementation | $19,902,251 | $19,902,251 | |
| 6170 | 2 | Apportioned 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 | $5,927,621 | |
| 6170 | 20 | Apportioned in FY 2027 and future fiscal years - Part D Redesign Implementation | $58,583,212 | $58,583,212 | |
| 6170 | 26 | Apportioned in FY 2027 and future fiscal years - Improvements to Medicare Prospective Payment System for Psychiatric Hospitals and Psychiatric Units (CAA 2023; Sec 4125) | $2,439,071 | $2,439,071 | |
| 6170 | 27 | Apportioned in FY 2027 and future fiscal years - Extension of Acute Hospital Care at Home (Consolidated Appropriations Act, 2023, P.L. 117-328) | $3,800,022 | $3,800,022 | |
| 6170 | 23 | Apportioned in FY 2027 and future fiscal years - Early and Periodic Screening, Diagnosis, and Treatment Benefit - Guidance and Reporting (BSCA 11004) | $5,430,456 | $5,430,456 | |
| 6170 | 24 | Apportioned in FY 2027 and future fiscal years - Skilled Nursing Facility Value-Based Purchasing (CAA of 2021 Sec. 111, P.L. 116-260) | $856,582 | $856,582 | |
| 6170 | 25 | Apportioned in FY 2027 and future fiscal years - Advancing Telehealth Beyond COVID-19 (Consolidated Appropriations Act, 2023, P.L. 117-328) | $6,707,924 | $6,707,924 | |
| 6170 | 30 | Apportioned 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 | $3,800,093 | |
| 6170 | 31 | Apportioned 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 | $2,836,337 | $2,836,337 | |
| 6170 | 28 | Apportioned 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 | $2,078,686 | |
| 6170 | 29 | Apportioned 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) | $5,023,538 | $5,023,538 | |
| 6170 | 3 | Apportioned in FY 2027 and future fiscal years - Provider Enrollment Fees (ACA 6401, P.L.111-148) | $66,973,697 | $66,973,697 | |
| 6170 | 35 | Apportioned in FY 2027 and future fiscal years - SHIPS (Consolidated Appropriations Act Sec. 103, P.L. 116-260) | $25,329 | -$25,329 $0 | |
| 6170 | 18 | Apportioned in FY 2027 and future fiscal years - Part B Price Inflation Rebate Implementation | $0 | Line removed— | |
| 6170 | 36 | Apportioned in FY 2027 and future fiscal years - Rural Health Transformation (OBBBA 71401, P.L. 119-21) | $6,245,750 | $6,245,750 | |
| 6170 | 32 | Apportioned in FY 2027 and future fiscal years - Current Sources of Income User Fees (ACA 1413, P.L.111-148) | $60,468,793 | $60,468,793 | |
| 6170 | 33 | Apportioned in FY 2027 and future fiscal years - Clinical Diagnostic Laboratory Test (PAMA 216, P.L.113-93) | $73,156 | $73,156 | |
| 6170 | 34 | Apportioned in FY 2027 and future fiscal years - Extension of Funding for Quality Measure (Consolidated Appropriations Act Sec. 102, P.L. 116-260) | $8,963 | $8,963 | |
| 6170 | 7 | Apportioned in FY 2027 and future fiscal years - Marketplace User Fees (Section 1311&1321, P.L.111-148) | $1,455,530,936 | +$267,357,000 $1,722,887,936 | |
| 6170 | 4 | Apportioned in FY 2027 and future fiscal years - Nursing Home CMPs (ACA 6111, P.L.111-148) | $101,178,401 | $101,178,401 | |
| 6170 | 5 | Apportioned in FY 2027 and future fiscal years - Ensuring Accurate Valuation of Services (PAMA 220, P.L.113-93) | $4,408,377 | $4,408,377 | |
| 6170 | 6 | Apportioned in FY 2027 and future fiscal years - Open Payments CMPs (ACA 6002, P.L.111-148) | $1,433,998 | $1,433,998 | |
| 6170 | 8 | Apportioned in FY 2027 and future fiscal years - Risk Adjustment User Fees (Section 1343, P.L.111-148) | $167,751,125 | -$12,687,000 $155,064,125 | |
| 6170 | 9 | Apportioned in FY 2027 and future fiscal years - Grants to Provide Technical Assistance to Outlier Prescribers (SUPPORT 6052, P.L.115-271) | $44,808,247 | $44,808,247 | |
| 6190 | Total budgetary resources available | $9,606,102,955 | +$452,100,368 $10,058,203,323 | 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 (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 (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.
| Number | Text |
|---|---|
| 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.] |
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 | 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
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