Page:United States Statutes at Large Volume 111 Part 1.djvu/584

 Ill STAT. 560 PUBLIC LAW 105-33 —AUG. 5, 1997 42 USC 1397ee. "(D) American Samoa is 1.2 percent, and "(E) the Northern Mariana Islands is 1.1 percent. "(3) COMMONWEALTHS AND TERRITORIES.^A commonwealth or territory described in this paragraph is any of the following if it has a State child health plan approved under this title: "(A) Puerto Rico. "(B) Guam. "(C) the Virgin Islands. "(D) American Samoa. "(E) the Northern Mariana Islands. "(d) CERTAIN MEDICAID EXPENDITURES COUNTED AGAINST INDIVIDUAL STATE ALLOTMENTS. —The amount of the allotment otherwise provided to a State under subsection (b) or (c) for a fiscal year shall be reduced by the sum of— "(1) the amount (if any) of the payments made to that State under section 1903(a) for calendar quarters during such fiscal year that is attributable to the provision of medical assistance to a child during a presumptive eligibility period under section 1920A, and "(2) the amount of payments under such section during such period that is attributable to the provision of medical assistance to a child for which payment is made under section 1903(a)(1) on the basis of an enhanced FMAP under section 1905(b). "(e) 3-YEAR AVAILABILITY OF AMOUNTS ALLOTTED. — Amounts allotted to a State pursuant to this section for a fiscal year shall remain available for expenditure by the State through the end of the second succeeding fiscal year; except that amounts reallotted to a State under subsection (f) shall be available for expenditure by the State through the end of the fiscal year in which they are reedlotted. "(f) PROCEDURE FOR REDISTRIBUTION OF UNUSED ALLOT- MENTS.—The Secretary shall determine an appropriate procedure for redistribution of allotments from States that were provided allotments under this section for a fiscal year but that do not expend all of the amount of such allotments during the period in which such allotments are available for expenditure under subsection (e), to States that have fully expended the amount of their allotments under this section. "SEC. 2106. PAYMENTS TO STATES. "(a) IN GENERAL.— Subject to the succeeding provisions of this section, the Secretary shall pay to each State with a plan approved under this title, from its allotment under section 2104 (taking into account any adjustment under section 2104(d)), an amount for each quarter equal to the enhanced FMAP of expenditures in the quarter— "(1) for child health assistance under the plan for targeted low-income children in the form of providing health benefits coverage that meets the requirements of section 2103; and "(2) only to the extent permitted consistent with subsection icy- "(A) for payment for other child health assistance for targeted low-income children;

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