118 STAT. 246 PUBLIC LAW 108–199—JAN. 23, 2004 for Santa Clara County, California, for its Children’s Health Initia tive program to provide outreach and enrollment assistance for families under 300 percent of Federal poverty level, $664,000 is available for Sharon Regional Health System, Sharon, Pennsyl vania, for stabilizing the workforce for patient care, $25,000 is available for Sickle Cell Medical Treatment & Education Center, St. Louis Children’s Hospital, St. Louis, Missouri, to improve the academic achievement of children with Sickle Cell Disease with specific cognitive rehabilitation, $111,000 is available for Tyler Memorial Hospital, Tunkhannock, Pennsylvania, for stabilizing the workforce for patient care, $174,000 is available for United Commu nity Hospital, Grove City, Pennsylvania, for stabilizing the workforce for patient care, $503,000 is available for UPMC Horizon, Farrell, Pennsylvania, for stabilizing the workforce for patient care, $613,000 is available for Williamsport Hospital & Medical Center, Williamsport, Pennsylvania, for stabilizing the workforce for patient care, and $965,000 is available for Wyoming Valley Health Care System, Wilkes Barre, Pennsylvania, for stabilizing the workforce for patient care: Provided further, That the Secretary of Health and Human Services is directed to collect fees in fiscal year 2004 from Medicare∂Choice organizations pursuant to section 1857(e)(2) of the Social Security Act and from eligible organizations with risk sharing contracts under section 1876 of that Act pursuant to section 1876(k)(4)(D) of that Act: Provided further, that to the extent Medicare claims processing unit costs are projected by the Centers for Medicare & Medicaid Services to exceed $0.87 for part A claims and/or $0.65 for part B claims, up to an additional $18,000,000 may be available for obligation for every $0.04 increase in Medicare claims processing unit costs from the Federal Hospital Insurance and the Federal Supplementary Medical Insurance Trust Funds. The calculation of projected unit costs shall be derived in the same manner in which the estimated unit costs were cal culated for the Federal budget estimate for the fiscal year. HEALTH MAINTENANCE ORGANIZATION LOAN AND LOAN GUARANTEE FUND For carrying out subsections (d) and (e) of section 1308 of the Public Health Service Act, any amounts received by the Sec retary in connection with loans and loan guarantees under title XIII of the Public Health Service Act, to be available without fiscal year limitation for the payment of outstanding obligations. During fiscal year 2004, no commitments for direct loans or loan guarantees shall be made. ADMINISTRATION FOR CHILDREN AND FAMILIES PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT PROGRAMS For making payments to States or other non Federal entities under titles I, IV–D, X, XI, XIV, and XVI of the Social Security Act and the Act of July 5, 1960 (24 U.S.C. ch. 9), $3,292,970,000, to remain available until expended; and for such purposes for the first quarter of fiscal year 2005, $1,200,000,000, to remain available until expended. For making payments to each State for carrying out the pro gram of Aid to Families with Dependent Children under title IV–
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