42 U.S.C. § 300d–12 — Requirement of matching funds for fiscal years subsequent to first fiscal year of payments

(a) Non-Federal contributions: (1) In general: The Secretary cannot make payments under section 300d-11(a) unless the state agrees to put up its own, non-federal money (in cash or in-kind, as allowed under (b)(1)) toward the costs described in (2). For the second and third years the state gets these payments, the state must contribute at least $1 for every $1 of federal money it receives. For the fourth year and every year after that, the state must contribute at least $2 for every $1 of federal money. (2) Program costs: The costs the state's contribution counts toward are either (A) the costs of carrying out the purpose described in section 300d-11(b), or (B) the costs of improving the quality and availability of emergency medical services in the state's rural areas. (3) Initial year of payments: The Secretary cannot require the state to put up any non-federal money as a condition of getting its first year of payments under section 300d-11(a). (b) Determination of amount of non-Federal contribution: In deciding whether a state has met the matching requirement in (a): (1) the state may contribute cash or an in-kind contribution - fairly valued - including things like buildings, equipment, or services; and (2) the Secretary cannot count, as part of the state's non-federal contribution, any money that actually came from the federal government, or any services that the federal government significantly funded or subsidized.