H.R. 3200/Division B/Title VII/Subtitle G

==SUBTITLE G — Puerto Rico and the Territories==

Sec. 1771. Puerto Rico and Territories.

(a) Increase in Cap.—

(1) In General.—

Section 1108(g) of the Social Security Act (42 U.S.C. 1308(g)) is amended—

(A) in paragraph (4) by striking ``and (3)´´ and by inserting ``(3), (6), and (7)´´; and

(B) by inserting after paragraph (5), as added by section 1731(d), the following new paragraph:

``(6) Fiscal years 2011 through 2019.—The amounts otherwise determined under this subsection for Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa for fiscal year 2011 and each succeeding fiscal year through fiscal year 2019 shall be increased by the percentage specified under section 1771(c) of the America’s Affordable Health Choices Act of 2009 for purposes of this paragraph of the amounts otherwise determined under this section (without regard to this paragraph).

``(7) Fiscal year 2020 and subsequent fiscal years.—The amounts otherwise determined under this subsection for Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa for fiscal year 2020 and each succeeding fiscal year shall be the amount provided in paragraph (6) or this paragraph for the preceding fiscal year for the respective territory increased by the percentage increase referred to in paragraph (1)(B), rounded to the nearest $10,000 (or $100,000 in the case of Puerto Rico).´´.

(2) Coordination with ARRA.—

Section 5001(d) of the American Recovery and Reinvestment Act of 2009 shall not apply during any period for which section 1108(g)(6) of the Social Security Act, as added by paragraph (1), applies.

(b) Increase in FMAP.—

(1) In General.—

Section 1905(b)(2) of the Social Security Act (42 U.S.C. 1396d(b)(2)) is amended by striking ``50 per centum´´ and inserting ``for fiscal years 2011 through 2019, the percentage specified under section 1771(c) of the America’s Affordable Health Choices Act of 2009 for purposes of this clause for such fiscal year and for subsequent fiscal years the percentage so specified for fiscal year 2019´´.

(2) Effective Date.—

The amendment made by subsection (a) shall apply to items and services furnished on or after October 1, 2010.

(c) Specification of Percentages.—

The Secretary of Health and Human Services shall specify, before January 1, 2011, the percentages to be applied under section 1108(g)(6) of the Social Security Act, as added by subsection (a)(1), and under section 1905(b)(2) of such Act, as amended by subsection (b)(1), in a manner so that for the period beginning with 2011 and ending with 2019 the total estimated additional Federal expenditures resulting from the application of such percentages will be equal to $10,350,000,000.