OTHER ACCOUNTS

Grants to States for Medicaid

Appropriation Language

For carrying out, except as otherwise provided, titles XI and XIX of the Social Security

Act, [$106,821,882,000] $112,090,218,000 to remain available until expended.

For making, after May 31, [2002] 2003, payments to States under title XIX of the

Social Security Act for the last quarter of fiscal year [2002] 2003 for unanticipated costs, incurred for the current fiscal year, such sums as may be necessary.

For making payments to States or in the case of section 1928 on behalf of States under title XIX for the first quarter of fiscal year [2003, $46,601,937,000] 2004,

$51,861,386,000 to remain available until expended.

Payment under title XIX may be made for any quarter with respect to a State plan or plan amendment in effect during such quarter, if submitted in or prior to such quarter

and approved in that or any subsequent quarter. (Department of Health and Human Services Appropriations Act, 2002)

OTHER ACCOUNTS

Authorizing Legislation - Social Security Act, title XIX, Section 1901.

Authorized under title XIX of the Social Security Act, Medicaid is a means-tested health care entitlement program financed by States and the Federal government. In FY 2001, the State share was approximately 43 percent with the remaining 57 percent provided by the Federal government. All 50 States, the District of Columbia, and the five territories (Puerto Rico, Virgin Islands, American Samoa, Northern Mariana Islands, and Guam) have elected to establish Medicaid programs. States have considerable flexibility in structuring their Medicaid programs within broad Federal guidelines governing eligibility, provider payment levels, and benefits. As a result, Medicaid programs vary widely from State to State. Medicaid law defines over