Page:United States Statutes at Large Volume 124.djvu/1081

124 STAT. 1055 PUBLIC LAW 111–152—MAR. 30, 2010 ‘‘(iii) The methodology takes into account the extent to which the DSH allotment for a State was included in the budget neutrality calculation for a cov- erage expansion approved under section 1115 as of July 31, 2009.’’. (b) EXTENSION OF DSH ALLOTMENT.—Section 1923(f)(6)(A) of the Social Security Act (42 U.S.C. 1396r–4(f)(6)(A)) is amended by adding at the end the following: ‘‘(v) ALLOTMENT FOR 2D, 3RD, AND 4TH QUARTERS OF FISCAL YEAR 2012 AND FOR FISCAL YEAR 2013.—Not- withstanding the table set forth in paragraph (2): ‘‘(I) 2D, 3RD, AND 4TH QUARTERS OF FISCAL YEAR 2012.—In the case of a State that has a DSH allotment of $0 for the 2d, 3rd, and 4th quarters of fiscal year 2012, the DSH allotment shall be $47,200,000 for such quarters. ‘‘(II) FISCAL YEAR 2013.—In the case of a State that has a DSH allotment of $0 for fiscal year 2013, the DSH allotment shall be $53,100,000 for such fiscal year.’’. SEC. 1204. FUNDING FOR THE TERRITORIES. (a) IN GENERAL.—Part III of subtitle D of title I of the Patient Protection and Affordable Care Act, as amended by section 10104(m) of such Act, is amended by inserting after section 1322 the following section: ‘‘SEC. 1323. FUNDING FOR THE TERRITORIES. ‘‘(a) IN GENERAL.—A territory that— ‘‘(1) elects consistent with subsection (b) to establish an Exchange in accordance with part II of this subtitle and estab- lishes such an Exchange in accordance with such part shall be treated as a State for purposes of such part and shall be entitled to payment from the amount allocated to the terri- tory under subsection (c); or ‘‘(2) does not make such election shall be entitled to an increase in the dollar limitation applicable to the territory under subsections (f) and (g) of section 1108 of the Social Security Act (42 U.S.C. 1308) for such period in such amount for such territory and such increase shall not be taken into account in computing any other amount under such subsections. ‘‘(b) TERMS AND CONDITIONS.—An election under subsection (a)(1) shall— ‘‘(1) not be effective unless the election is consistent with section 1321 and is received not later than October 1, 2013; and ‘‘(2) be contingent upon entering into an agreement between the territory and the Secretary that requires that— ‘‘(A) funds provided under the agreement shall be used only to provide premium and cost-sharing assistance to residents of the territory obtaining health insurance cov- erage through the Exchange; and ‘‘(B) the premium and cost-sharing assistance provided under such agreement shall be structured in such a manner so as to prevent any gap in assistance for individuals between the income level at which medical assistance is available through the territory’s Medicaid plan under title XIX of the Social Security Act and the income level at Contracts. Deadline. 42 USC 18043.