Page:United States Statutes at Large Volume 124.djvu/946

 124 STAT. 920 PUBLIC LAW 111–148—MAR. 23, 2010 (e)(1) Section 1923(f) of the Social Security Act (42 U.S.C. 1396r–4(f)), as amended by section 2551, is amended— (A) in paragraph (6)— (i) by striking the paragraph heading and inserting the following: ‘‘ALLOTMENT ADJUSTMENTS’’; and (ii) in subparagraph (B), by adding at the end the following: ‘‘(iii) ALLOTMENT FOR 2D, 3RD, AND 4TH QUARTER OF FISCAL YEAR 2012, FISCAL YEAR 2013, AND SUCCEEDING FISCAL YEARS.—Notwithstanding the table set forth in paragraph (2) or paragraph (7): ‘‘(I) 2D, 3RD, AND 4TH QUARTER OF FISCAL YEAR 2012.—The DSH allotment for Hawaii for the 2d, 3rd, and 4th quarters of fiscal year 2012 shall be $7,500,000. ‘‘(II) TREATMENT AS A LOW-DSH STATE FOR FISCAL YEAR 2013 AND SUCCEEDING FISCAL YEARS.— With respect to fiscal year 2013, and each fiscal year thereafter, the DSH allotment for Hawaii shall be increased in the same manner as allot- ments for low DSH States are increased for such fiscal year under clause (iii) of paragraph (5)(B). ‘‘(III) CERTAIN HOSPITAL PAYMENTS.—The Sec- retary may not impose a limitation on the total amount of payments made to hospitals under the QUEST section 1115 Demonstration Project except to the extent that such limitation is necessary to ensure that a hospital does not receive payments in excess of the amounts described in subsection (g), or as necessary to ensure that such payments under the waiver and such payments pursuant to the allotment provided in this clause do not, in the aggregate in any year, exceed the amount that the Secretary determines is equal to the Fed- eral medical assistance percentage component attributable to disproportionate share hospital pay- ment adjustments for such year that is reflected in the budget neutrality provision of the QUEST Demonstration Project.’’; and (B) in paragraph (7)— (i) in subparagraph (A), in the matter preceding clause (i), by striking ‘‘subparagraph (E)’’ and inserting ‘‘subpara- graphs (E) and (G)’’; (ii) in subparagraph (B)— (I) in clause (i), by striking subclauses (I) and (II), and inserting the following: ‘‘(I) if the State is a low DSH State described in paragraph (5)(B) and has spent not more than 99.90 percent of the DSH allotments for the State on average for the period of fiscal years 2004 through 2008, as of September 30, 2009, the applicable percentage is equal to 25 percent; ‘‘(II) if the State is a low DSH State described in paragraph (5)(B) and has spent more than 99.90 percent of the DSH allotments for the State on average for the period of fiscal years 2004 through Hawaii.