42 U.S.C. § 1396u–3 — State coverage of medicare cost-sharing for additional low-income medicare beneficiaries

For each calendar year (beginning with 1998), from (and to the extent of) the amount of the allocation under subsection (c) for the State for the fiscal year ending in such calendar year, the State shall select qualifying individuals who apply for the assistance in the order in which they apply.

For calendar years after 1998, the State shall give preference to individuals who were provided such assistance (or other assistance described in section 1396a(a)(10)(E) of this title) in the last month of the previous year and who continue to be (or become) qualifying individuals.

fiscal year 1998 is $200,000,000;

fiscal year 1999 is $250,000,000;

fiscal year 2000 is $300,000,000;

fiscal year 2001 is $350,000,000; and

each of fiscal years 2002 and 2003 is $400,000,000.

an amount equal to the total number of individuals described in section 1396a(a)(10)(E)(iv) of this title in the State; to

the sum of the amounts computed under subparagraph (A) for all eligible States.

references in the preceding subsections of this section to a year, whether fiscal or calendar, shall be deemed to be references to such period; and

the total allocation amount under subsection (c) for such period shall be the amount described in paragraph (2) for that period.

for the period that begins on January 1, 2008, and ends on September 30, 2008, the total allocation amount is $315,000,000;

for the period that begins on October 1, 2008, and ends on December 31, 2008, the total allocation amount is $130,000,000;

for the period that begins on January 1, 2009, and ends on September 30, 2009, the total allocation amount is $350,000,000;

for the period that begins on October 1, 2009, and ends on December 31, 2009, the total allocation amount is $150,000,000;

for the period that begins on January 1, 2010, and ends on September 30, 2010, the total allocation amount is $462,500,000;

for the period that begins on October 1, 2010, and ends on December 31, 2010, the total allocation amount is $165,000,000;

for the period that begins on January 1, 2011, and ends on September 30, 2011, the total allocation amount is $720,000,000;

for the period that begins on October 1, 2011, and ends on December 31, 2011, the total allocation amount is $280,000,000;

for the period that begins on January 1, 2012, and ends on September 30, 2012, the total allocation amount is $450,000,000;

for the period that begins on October 1, 2012, and ends on December 31, 2012, the total allocation amount is $280,000,000;

for the period that begins on January 1, 2013, and ends on September 30, 2013, the total allocation amount is $485,000,000;

for the period that begins on October 1, 2013, and ends on December 31, 2013, the total allocation amount is $300,000,000;

for the period that begins on January 1, 2014, and ends on September 30, 2014, the total allocation amount is $485,000,000;

for the period that begins on October 1, 2014, and ends on December 31, 2014, the total allocation amount is $300,000,000;

for the period that begins on January 1, 2015, and ends on March 31, 2015, the total allocation amount is $250,000,000;

for the period that begins on April 1, 2015, and ends on December 31, 2015, the total allocation amount is $535,000,000; and

for 2016 and, subject to paragraph (4), for each subsequent year, the total allocation amount is $980,000,000.

The specific period shall be treated as a continuation of the immediately preceding period in that calendar year for purposes of applying subsection (b)(2) and qualifying individuals who received assistance in the last month of such immediately preceding period shall be deemed to be selected for the specific period (without the need to complete an application for assistance for such period).

The limit to be applied under subsection (b)(3) for the specific period shall be the same as the limit applied under such subsection for the immediately preceding period.

The ratio to be applied under subsection (c)(2) for the specific period shall be the same as the ratio applied under such subsection for the immediately preceding period.

In the case of 2017, the allocation amount for 2016, or in the case of a subsequent year, the maximum allocation amount allowed under this paragraph for the previous year.

The monthly premium rate determined under section 1395r of this title for the year divided by the monthly premium rate determined under such section for the previous year.

The average number of individuals (as estimated by the Chief Actuary of the Centers for Medicare & Medicaid Services in September of the previous year) to be enrolled under part B of subchapter XVIII for months in the year divided by the average number of such individuals (as so estimated) under this subparagraph with respect to enrollments in months in the previous year.