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GAO-09-371R 1 (2009-02-05)

handle is hein.gao/gaobaanlz0001 and id is 1 raw text is: I GA 0 V L Accountability * Integrity * Reliability United States Government Accountability Office Washington, DC 20548 February 5, 2009 The Honorable Charles E. Grassley Ranking Member Committee on Finance United States Senate Subject: Estimated Adjusted Medicaid Funding Allocations Related to the Proposed American Recovery and Reinvestment Act Dear Senator Grassley, You asked us to estimate the state allocations that would likely occur if an across-the-board percentage point increase in the Federal Medical Assistance Percentage (FMAP) replaced Section 5001 of the proposed American Recovery and Reinvestment Act of 2009, while maintaining the same funding level that the Congressional Budget Office estimated for this section. The following information responds to your request for state-by-state, quarter-by- quarter estimates of the Medicaid funding states would receive with such an across-the-board increase. To provide you with technical assistance, we developed an estimate of state-by-state Medicaid allocations for the Recession Adjustment Period defined in the proposed legislation. We used Medicaid data from the Centers for Medicare & Medicaid Services (CMS) to estimate states' funding allocations. States submit these data to CMS and they represent states' anticipated Medicaid funding requirements for the current and next fiscal year. These data may or may not correspond to future Medicaid expenditures. See Enclosure 1 for estimates of each state's approximate Medicaid allocation. We are sending copies of this letter to interested congressional committees. We will also make copies available to others upon request. In addition, the letter will be available at no charge on GAO's Web site at http://www.gao.gov. If you or your staff has any questions about this letter, please contact Stanley J. Czerwinski, Director, Strategic Issues, who can be reached at (202) 512-6806 or czerwinskis@gao.gov, or Thomas J. McCool, Director, Center for Economics, who can be reached at (202) 512-2700 or mccoolt@gao.gov. 'CBO, Congressional Budget Office Cost Estimate, H.R. 1, American Recovery and Reinvestment Act of 2009, An amendment in the nature of a substitute, as introduced by Senators Inouye and Baucus on January 31, 2009 (Washington, D.C.: February 2, 2009). GAO-09-371R Estimated Adjusted Medicaid Allocations

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