83 FR 61157 - Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children's Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2019 Through September 30, 2020

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Federal Register Volume 83, Issue 229 (November 28, 2018)

Page Range		61157-61160
FR Document		2018-25944

Federal Register, Volume 83 Issue 229 (Wednesday, November 28, 2018)

[Federal Register Volume 83, Number 229 (Wednesday, November 28, 2018)]
[Notices]
[Pages 61157-61160]
From the Federal Register Online [www.thefederalregister.org]
[FR Doc No: 2018-25944]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Federal Financial Participation in State Assistance Expenditures;
Federal Matching Shares for Medicaid, the Children's Health Insurance
Program, and Aid to Needy Aged, Blind, or Disabled Persons for October
1, 2019 Through September 30, 2020

AGENCY: Office of the Secretary, DHHS.

ACTION: Notice.

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DATES: The percentages listed in Table 1 will be effective for each of
the four quarter-year periods beginning October 1, 2019 and ending
September 30, 2020.

FOR FURTHER INFORMATION CONTACT: Rose Chu, Office of Health Policy,
Office of the Assistant Secretary for Planning and Evaluation, Room
447D--Hubert H. Humphrey Building, 200 Independence Avenue SW,
Washington, DC 20201, (202) 690-6870.

SUPPLEMENTARY INFORMATION: The Federal Medical Assistance Percentages
(FMAP), Enhanced Federal Medical Assistance Percentages (eFMAP), and
disaster-recovery FMAP adjustments for Fiscal Year 2020 have been
calculated pursuant to the Social Security Act (the Act). These
percentages will be effective from October 1, 2019 through September
30, 2020. This notice announces the calculated FMAP rates, in
accordance with sections 1101(a)(8) and 1905(b) of the Act, that the
U.S. Department of Health and Human Services (HHS) will use in
determining the amount of federal matching for state medical assistance
(Medicaid), Temporary Assistance for Needy Families (TANF) Contingency
Funds, Child Support Enforcement collections, Child Care Mandatory and
Matching Funds of the Child Care and Development Fund, Title IV-E
Foster Care Maintenance payments, Adoption Assistance payments and
Kinship Guardianship Assistance payments, and the eFMAP rates for the
Children's Health Insurance Program (CHIP) expenditures. Table 1 gives
figures for each of the 50 states, the District of Columbia, Puerto
Rico, the Virgin Islands, Guam, American Samoa, and the Commonwealth of
the Northern Mariana Islands. This notice reminds states of adjustments
available for states meeting requirements for disproportionate employer
pension or insurance fund contributions and adjustments for disaster
recovery. At this time, no state qualifies for such adjustments, and
territories are not eligible.
This notice also contains the increased eFMAPs for CHIP as
authorized under section 2705(b) of the Act, as amended by the HEALTHY
KIDS Act of 2017, for fiscal year 2020 (October 1, 2019 through
September 30, 2020).
Programs under title XIX of the Act exist in each jurisdiction.
Programs under titles I, X, and XIV operate only in Guam and the Virgin
Islands. The percentages in this notice apply to state expenditures for
most medical assistance and child health assistance, and assistance
payments for certain social services. The Act provides separately for
federal matching of administrative costs.
Sections 1905(b) and 1101(a)(8)(B) of the Social Security Act (the
Act) require the Secretary of HHS to publish the FMAP rates each year.
The Secretary calculates the percentages, using formulas in sections
1905(b) and 1101(a)(8), and calculations by the Department of Commerce
of average income per person in each state and for the United States
(meaning, for this purpose, the fifty states and the District of
Columbia). The percentages must fall within the upper and lower limits
specified in section 1905(b) of the Act. The percentages for the
District of Columbia, Puerto Rico, the Virgin Islands, Guam, American
Samoa, and the Northern Mariana Islands are specified in statute, and
thus are not based on the statutory formula that determines the
percentages for the 50 states.

Federal Medical Assistance Percentage (FMAP)

Section 1905(b) of the Act specifies the formula for calculating
FMAPs as follows:

``Federal medical assistance percentage'' for any state shall be
100 per centum less the state percentage; and the state percentage
shall be that percentage which bears the same ratio to 45 per centum
as the square of the per capita income of such state bears to the
square of the per capita income of the continental United States
(including Alaska) and Hawaii; except that (1) the Federal medical
assistance percentage shall in no case be less than 50 per centum or
more than 83 per centum . . . .

Section 1905(b) further specifies that the FMAP for Puerto Rico,
the Virgin Islands, Guam, the Northern Mariana Islands, and American
Samoa shall be 55 percent. Section 4725(b) of the Balanced Budget Act
of 1997 amended section 1905(b) to provide that the FMAP for the
District of Columbia, for purposes of titles XIX and XXI, shall be 70
percent. For the District of Columbia, we note under Table 1 that other
rates may apply in certain other programs. In addition, we note the
rate that applies for Puerto Rico, the Virgin Islands, Guam, American
Samoa, and the Commonwealth of the Northern Mariana Islands in certain
other programs pursuant to section 1118 of the Act. The rates for the
States, District of Columbia and the territories are displayed in Table
1, Column 1.
Section 1905(y) of the Act, as added by section 2001 of the Patient
Protection and Affordable Care Act of 2010 (``Affordable Care Act''),
provides for a significant increase in the FMAP for

[[Page 61158]]

medical assistance expenditures for newly eligible individuals
described in section 1902(a)(10)(A)(i)(VIII) of the Act, as added by
the Affordable Care Act (the new adult group); ``newly eligible'' is
defined in section 1905(y)(2)(A) of the Act. The FMAP for the new adult
group is 100 percent for Calendar Years 2014, 2015, and 2016, gradually
declining to 90 percent in 2020, where it remains indefinitely. In
addition, section 1905(z) of the Act, as added by section 10201 of the
Affordable Care Act, provides that states that offered substantial
health coverage to certain low-income parents and nonpregnant,
childless adults on the date of enactment of the Affordable Care Act,
referred to as ``expansion states,'' shall receive an enhanced FMAP
beginning in 2014 for medical assistance expenditures for nonpregnant
childless adults who may be required to enroll in benchmark coverage
under section 1937 of the Act. These provisions are discussed in more
detail in the Medicaid Program: Eligibility Changes Under the
Affordable Care Act of 2010 proposed rule published on August 17, 2011
(76 FR 51148, 51172) and the final rule published on March 23, 2012 (77
FR 17144, 17194). This notice is not intended to set forth the matching
rates for the new adult group as specified in section 1905(y) of the
Act or the matching rates for nonpregnant, childless adults in
expansion states as specified in section 1905(z) of the Act.

Other Adjustments to the FMAP

For purposes of Title XIX (Medicaid) of the Social Security Act,
the Federal Medical Assistance Percentage (FMAP), defined in section
1905(b) of the Social Security Act, for each state beginning with
fiscal year 2006, can be subject to an adjustment pursuant to section
614 of the Children's Health Insurance Program Reauthorization Act of
2009 (CHIPRA), Public Law 111-3. Section 614 of CHIPRA stipulates that
a state's FMAP under Title XIX (Medicaid) must be adjusted in two
situations.
In the first situation, if a state experiences no growth or
positive growth in total personal income and an employer in that state
has made a significantly disproportionate contribution to an employer
pension or insurance fund, the state's FMAP must be adjusted. The
adjustment involves disregarding the significantly disproportionate
employer pension or insurance fund contribution in computing the per
capita income for the state (but not in computing the per capita income
for the United States). Employer pension and insurance fund
contributions are significantly disproportionate if the increase in
contributions exceeds 25 percent of the total increase in personal
income in that state. A Federal Register Notice with comment period was
published on June 7, 2010 (75 FR 32182) announcing the methodology for
calculating this adjustment; a final notice was published on October
15, 2010 (75 FR 63480).
The second situation arises if a state experiences negative growth
in total personal income. Beginning with Fiscal Year 2006, section
614(b)(3) of CHIPRA specifies that, for the purposes of calculating the
FMAP for a calendar year in which a state's total personal income has
declined, the portion of an employer pension or insurance fund
contribution that exceeds 125 percent of the amount of such
contribution in the previous calendar year shall be disregarded in
computing the per capita income for the state (but not in computing the
per capita income for the United States).
No Federal source of reliable and timely data on pension and
insurance contributions by individual employers and states is currently
available. We request that states report employer pension or insurance
fund contributions to help determine potential FMAP adjustments for
states experiencing significantly disproportionate pension or insurance
contributions and states experiencing a negative growth in total
personal income. See also the information described in the January 21,
2014 Federal Register notice (79 FR 3385).
Section 2006 of the Affordable Care Act provides a special
adjustment to the FMAP for certain states recovering from a major
disaster. This notice does not contain an FY 2020 adjustment for a
major statewide disaster for any state (territories are not eligible
for FMAP adjustments) because no state had a recent major statewide
disaster and had its FMAP decreased by at least three percentage points
from FY 2019 to FY 2020. See information described in the December 22,
2010 Federal Register notice (75 FR 80501).

Enhanced Federal Medical Assistance Percentage (eFMAP) for CHIP

Section 2105(b) of the Act specifies the formula for calculating
the eFMAP rates as follows:

[T]he ``enhanced FMAP'', for a state for a fiscal year, is equal
to the Federal medical assistance percentage (as defined in the
first sentence of section 1905(b)) for the state increased by a
number of percentage points equal to 30 percent of the number of
percentage points by which (1) such Federal medical assistance
percentage for the state, is less than (2) 100 percent; but in no
case shall the enhanced FMAP for a state exceed 85 percent.

Section 2105(b) of the Social Security Act, as amended by Section
2101 of the Affordable Care Act, specifies a modified eFMAP for FY2016-
FY2019, providing that the FMAP under section 1905(b) for the state for
the fiscal year shall be increased by 23 percentage points, but in no
case shall exceed 100 percent. Section 3005 of the HEALTHY KIDS Act
further amended Section 2105(b) to specify a modified eFMAP for FY2020,
providing that the FMAP under section 1905(b) for the state for the
fiscal year shall be increased by 11.5 percentage points, with the sum
not to exceed 100 percent, during the period that begins on October 1,
2019, and ends on September 30, 2020.
The eFMAP rates are used in the Children's Health Insurance Program
under Title XXI, and in the Medicaid program for expenditures for
medical assistance provided to certain children as described in
sections 1905(u)(2) and 1905(u)(3) of the Act. There is no specific
requirement to publish the eFMAP rates. We include them in this notice
for the convenience of the states, and display both the eFMAP rates
that would apply if section 2105(b) had not been amended by the HEALTHY
KIDS Act (Table 1, Column 2) and the increased eFMAP rates as
calculated pursuant to the amendments made by the HEALTHY KIDS Act
(Table 1, Column 3), for comparison.

(Catalog of Federal Domestic Assistance Program Nos. 93.558: TANF
Contingency Funds; 93.563: Child Support Enforcement; 93.596: Child
Care Mandatory and Matching Funds of the Child Care and Development
Fund; 93.658: Foster Care Title IV-E; 93.659: Adoption Assistance;
93.769: Ticket-to-Work and Work Incentives Improvement Act (TWWIIA)
Demonstrations to Maintain Independence and Employment; 93.778:
Medical Assistance Program; 93.767: Children's Health Insurance
Program)

Alex M. Azar II,
Secretary, Department of Health and Human Services.

[[Page 61159]]

Table 1--Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages, Effective
October 1, 2019-September 30, 2020
[Fiscal year 2020]
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Enhanced Federal
Federal Medical Enhanced Federal Medical Assistance
State Assistance Medical Assistance Percentages with
Percentages Percentages 11.5 Pt inc ***
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Alabama....................................... 71.97 80.38 91.88
Alaska........................................ 50.00 65.00 76.50
American Samoa *.............................. 55.00 68.50 80.00
Arizona....................................... 70.02 79.01 90.51
Arkansas...................................... 71.42 79.99 91.49
California.................................... 50.00 65.00 76.50
Colorado...................................... 50.00 65.00 76.50
Connecticut................................... 50.00 65.00 76.50
Delaware...................................... 57.86 70.50 82.00
District of Columbia **....................... 70.00 79.00 90.50
Florida....................................... 61.47 73.03 84.53
Georgia....................................... 67.30 77.11 88.61
Guam *........................................ 55.00 68.50 80.00
Hawaii........................................ 53.47 67.43 78.93
Idaho......................................... 70.34 79.24 90.74
Illinois...................................... 50.14 65.10 76.60
Indiana....................................... 65.84 76.09 87.59
Iowa.......................................... 61.20 72.84 84.34
Kansas........................................ 59.16 71.41 82.91
Kentucky...................................... 71.82 80.27 91.77
Louisiana..................................... 66.86 76.80 88.30
Maine......................................... 63.80 74.66 86.16
Maryland...................................... 50.00 65.00 76.50
Massachusetts................................. 50.00 65.00 76.50
Michigan...................................... 64.06 74.84 86.34
Minnesota..................................... 50.00 65.00 76.50
Mississippi................................... 76.98 83.89 95.39
Missouri...................................... 65.65 75.96 87.46
Montana....................................... 64.78 75.35 86.85
Nebraska...................................... 54.72 68.30 79.80
Nevada........................................ 63.93 74.75 86.25
New Hampshire................................. 50.00 65.00 76.50
New Jersey.................................... 50.00 65.00 76.50
New Mexico.................................... 72.71 80.90 92.40
New York...................................... 50.00 65.00 76.50
North Carolina................................ 67.03 76.92 88.42
North Dakota.................................. 50.05 65.04 76.54
Northern Mariana Islands *.................... 55.00 68.50 80.00
Ohio.......................................... 63.02 74.11 85.61
Oklahoma...................................... 66.02 76.21 87.71
Oregon........................................ 61.23 72.86 84.36
Pennsylvania.................................. 52.25 66.58 78.08
Puerto Rico *................................. 55.00 68.50 80.00
Rhode Island.................................. 52.95 67.07 78.57
South Carolina................................ 70.70 79.49 90.99
South Dakota.................................. 57.62 70.33 81.83
Tennessee..................................... 65.21 75.65 87.15
Texas......................................... 60.89 72.62 84.12
Utah.......................................... 68.19 77.73 89.23
Vermont....................................... 53.86 67.70 79.20
Virgin Islands *.............................. 55.00 68.50 80.00
Virginia...................................... 50.00 65.00 76.50
Washington.................................... 50.00 65.00 76.50
West Virginia................................. 74.94 82.46 93.96
Wisconsin..................................... 59.36 71.55 83.05
Wyoming....................................... 50.00 65.00 76.50
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* For purposes of section 1118 of the Social Security Act, the percentage used under titles I, X, XIV, and XVI
will be 75 per centum.
** The values for the District of Columbia in the table were set for the state plan under titles XIX and XXI and
for capitation payments and disproportionate share hospital (DSH) allotments under those titles. For other
purposes, the percentage for DC is 50.00, unless otherwise specified by law.
*** Section 3005 of the HEALTHY KIDS Act amended Section 2105(b) of the Social Security Act specifying that the
enhanced FMAP for states will be calculated by adding 11.5 percentage points to the state's FMAP as provided
under section 1905(b) of the Social Security Act, with the sum not to exceed 100 percent, for the period that
begins on October 1, 2019 and ends on September 30, 2020 (fiscal year 2020).

[[Page 61160]]

[FR Doc. 2018-25944 Filed 11-27-18; 8:45 am]
BILLING CODE P

61160 Federal Register / Vol. 83, No. 229 / Wednesday, November 28, 2018 / Notices

[FR Doc. 2018–25944 Filed 11–27–18; 8:45 am] Field Office, 110 Radnor Road, Suite of the federally endangered Indiana bat
BILLING CODE P 101, State College, PA 16801. Please (Myotis sodalis) for a term of 25 years.
note that your request is in reference to Incidental take of this species may occur
the NAW HCP. due to operation of 35 wind turbines.
DEPARTMENT OF THE INTERIOR • In-person: Copies of the draft The proposed conservation strategy in
documents are available for public the applicant’s proposed HCP is
Fish and Wildlife Service review during regular business hours at designed to avoid, minimize, and
[FWS–R5–ES–2014–0047;
the Pennsylvania Field Office, 110 mitigate the impacts of the covered
FXES11160500000–189–FF05E00000] Radnor Road, Suite 101, State College, activity on the covered species. The
PA 16801. Call 814–234–4090 to make biological goals and objectives are to
Habitat Conservation Plan and Draft an appointment. minimize potential take of Indiana bats
Environmental Assessment, North Submitting Comments: You may through on-site minimization measures
Allegheny Wind Facility, Incidental submit comments by one of the and to provide habitat conservation
Take Permit Application for Indiana following methods: measures for Indiana bats to offset any
Bat, Blair and Cambria Counties, • Online: http://www.regulations.gov. unavoidable impacts during operation
Pennsylvania Follow the instructions for submitting of the project.
comments on Docket No. FWS–R5–ES–
AGENCY: Fish and Wildlife Service, The HCP provides on-site avoidance
2018–0047.
Interior. and minimization measures, which
• U.S. mail or hand-delivery: Public
ACTION: Notice of availability; notice of
include turbine operational
Comments Processing, Attn: Docket No.
receipt of permit application; request for adjustments. The estimated level of
FWS–R5–ES–2018–0047; U.S. Fish and
public comments. Indiana bat take from the project is four
Wildlife Service; MS: BPHC; 5275
Indiana bats and an estimated
Leesburg Pike, Falls Church, VA 22041–
SUMMARY: We, the U.S. Fish and reproductive potential of 3.2 bats over
3803.
Wildlife Service (Service), announce the the 25-year project duration. To provide
We will post all comments on http://
availability of several documents related a conservation benefit to the Indiana
www.regulations.gov. This generally
to an incidental take permit (ITP) means that we will post any personal bat, NAW will fund and implement one
application under the Endangered information you provide online (see or more of the following types of
Species Act (ESA). We have received an Public Availability of Comments under mitigation projects to meet the
application from North Allegheny SUPPLEMENTARY INFORMATION).
mitigation needs of the Indiana bat:
Wind, LLC (NAW) for a 25-year ITP for We request that you send comments Protection of a hibernaculum, as well as
take of the federally endangered Indiana by only the methods described above. surrounding buffer land necessary to
bat incidental to otherwise lawful ensure that the protection of the
FOR FURTHER INFORMATION CONTACT:
activities associated with operation of hibernaculum is successful; Protection
its North Allegheny Wind Facility, an Robert Anderson, by phone at 814–234– of land that functions as summer habitat
existing 35-turbine wind farm in Blair 4090, x7447, or by mail at Pennsylvania for one or more maternity colonies; and
and Cambria Counties, Pennsylvania. Field Office, U.S. Fish and Wildlife protection of summer and/or swarming
NAW has proposed a conservation Service, 110 Radnor Road, Suite 101, habitat near a hibernaculum.
program to minimize and mitigate for State College, PA 16801.
SUPPLEMENTARY INFORMATION: National Environmental Policy Act
the impacts of the incidental take as
described in its Draft North Allegheny Background The issuance of an ITP is a Federal
Wind Indiana Bat Habitat Conservation action that triggers the need for
Plan (HCP). Pursuant to the ESA and the Section 9 of the Endangered Species
Act of 1973, as amended (ESA; 16 compliance with NEPA (42 U.S.C. 4321
National Environmental Policy Act, we et seq.). We have prepared a draft EA
announce the availability of NAW’s ITP U.S.C. 1531 et seq.), and its
implementing regulations prohibit the that analyzes the environmental impacts
application, including its HCP, and the on the human environment resulting
Service’s draft environmental ‘‘take’’ of animal species listed as
endangered or threatened. Take is from three alternatives: A no-action
assessment, for public review and alternative, the proposed action, and an
comment. We provide this notice to defined under the ESA as to ‘‘harass,
harm, pursue, hunt, shoot, wound, kill, alternative consisting of feathering
seek comments from the public and below the manufacturer’s cut-in wind
Federal, Tribal, State, and local trap, capture, or collect listed animal
species, or to attempt to engage in such speed.
governments.
conduct’’ (16 U.S.C. 1538). However, Next Steps
DATES: We will accept comments under section 10(a) of the ESA, we may
received or postmarked on or before issue permits to authorize incidental We will evaluate the plan and
December 28, 2018. Comments take of listed species. ‘‘Incidental take’’ comments we receive to determine
submitted electronically using is defined by the ESA as take that is whether the permit application meets
regulations.gov (see ADDRESSES) must be incidental to, and not the purpose of, the requirements of section 10(a) of the
received by 11:59 p.m. Eastern Standard carrying out an otherwise lawful ESA (16 U.S.C. 1531 et seq.). We will
Time on the closing date. activity. Regulations governing also evaluate whether issuance of a
ADDRESSES: Obtaining documents: incidental take permits for endangered section 10(a)(1)(B) permit would comply
• Internet: You may obtain copies of and threatened species, respectively, are with section 7 of the ESA by conducting
the draft HCP and draft environmental found in the Code of Federal an intra-Service section 7 consultation.
assessment (EA) online in Docket No. Regulations at 50 CFR 17.22 and 50 CFR We will use the results of this
FWS–R5–ES–2014–0047 at http:// 17.32. consultation, in combination with the
www.regulations.gov. above findings, in our final analysis to
• U.S. Mail: Copies of the draft Applicant’s Proposed Project determine whether to issue a permit. If
documents are available from the U.S. North Allegheny Wind, LLC (NAW) is the requirements are met, we will issue
Fish and Wildlife Service, Pennsylvania seeking a permit for the incidental take the permit to the applicant.

VerDate Sep<11>2014 16:19 Nov 27, 2018 Jkt 247001 PO 00000 Frm 00017 Fmt 4703 Sfmt 4703 E:\FR\FM\28NON1.SGM 28NON1

Document Created: 2018-11-27 23:48:39
Document Modified: 2018-11-27 23:48:39

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice.
Dates		The percentages listed in Table 1 will be effective for each of the four quarter-year periods beginning October 1, 2019 and ending September 30, 2020.
Contact		Rose Chu, Office of Health Policy, Office of the Assistant Secretary for Planning and Evaluation, Room 447D--Hubert H. Humphrey Building, 200 Independence Avenue SW, Washington, DC 20201, (202) 690-6870.
FR Citation		83 FR 61157