Page:United States Statutes at Large Volume 111 Part 1.djvu/535

 PUBLIC LAW 105-33—AUG. 5, 1997 111 STAT. 511 "(I) receives, after the veteran has been determined to be eligible for medical assistance under the State plan under this title, a veteran's pension in excess of $90 per month, and "(11) resides in a State veterans home with respect to which the Secretary of Veterans Affairs makes per diem pay- ments for nursing home care pursuant to section 1741(a) of title 38, United States Code, any such pension payment, including any payment made due to the need for aid and attendance, or for unreimbursed medical expenses, that is in excess of $90 per month shall be counted as income only for the purpose of applying such excess payment to the State veterans home's cost of providing nursing home care to the veteran. "(ii) The provisions of clause (i) shall apply with respect to a surviving spouse of a veteran who does not have a child in the same manner as they apply to a veteran described in such clause.". (b) EFFECTIVE DATE. —The amendments made by this section shall apply on and after October 1, 1997. CHAPTER 3—FEDERAL PAYMENTS TO STATES SEC. 4721. REFORMING DISPROPORTIONATE SHARE PAYMENTS UNDER STATE MEDICAID PROGRAMS. (a) ADJUSTMENT OF STATE DSH ALLOTMENTS.— (1) IN GENERAL. —Section 1923(f) (42 U.S.C. 1396r-4(f)) is amended to read as follows: "(f) LIMITATION ON FEDERAL FINANCL\L PARTICIPATION. — " (1) IN GENERAL.— Payment under section 1903(a) shall not be made to a State with respect to any payment adjustment made under this section for hospitals in a State for quarters in a fiscal year in excess of the disproportionate share hospital (in this subsection referred to as 'DSH') allotment for the State for the fiscal year, as specified in paragraphs (2) and (3). "(2) STATE DSH ALLOTMENTS FOR FISCAL YEARS 1998 THROUGH 2002. —The DSH allotment for a State for each fiscal year during the period beginning with fiscal year 1998 and ending with fiscal year 2002 is determined in accordance with the following table: Applicability. 42 USC 1396a note. State or District Alabama Alaska Ari zona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Gr eor gia Hawaii Idaho Illino is DSH Allotment (in millions of dollars) FY 98 293 10 81 2 1,085 93 200 4 23 207 253 0 1 203 FY 99 269 10 81 2 1,068 85 194 4 23 203 248 0 1 199 FY 00 248 10 81 2 986 79 164 4 23 197 241 0 1 193 FY 01 246 9 81 2 931 74 160 4 23 188 228 0 1 182 FY 02 246 9 81 2 877 74 160 4 23 160 215 0 1 172

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