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Medicaid Program; Disproportionate Share Hospital Allotments and Institutions for Mental Diseases Disproportionate Share Hospital Limits for FY 2012, and Preliminary FY 2013 Disproportionate Share Hospital Allotments and Limits

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Start Preamble Start Printed Page 45217

AGENCY:

Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION:

Notice.

SUMMARY:

This notice announces the final federal share disproportionate share hospital (DSH) allotments for federal fiscal year (FY) 2012 and the preliminary federal share DSH allotments for FY 2013. This notice also announces the final FY 2012 and the preliminary FY 2013 limits on aggregate DSH payments that states may make to institutions for mental diseases (IMDs) and other mental health facilities. This notice also includes background information describing the methodology for determining the amounts of states' FY DSH allotments and IMD DSH limits.

DATES:

Effective Date: This notice is effective on August 26, 2013. The final allotments and limitations set forth in this notice are effective for the fiscal years specified.

Start Further Info

FOR FURTHER INFORMATION CONTACT:

Richard Strauss, (410) 786-2019.

End Further Info End Preamble Start Supplemental Information

SUPPLEMENTARY INFORMATION:

I. Background

In general, in accordance with the methodology specified under section 1923(f)(3) of the Social Security Act (the Act), a state's federal fiscal year (FY) disproportionate share hospital (DSH) allotment is calculated by increasing the amount of its DSH allotment for the preceding FY by the percentage change in the Consumer Price Index for all Urban Consumers (CPI-U) for the previous FY. Also in accordance with section 1923(f)(3) of the Act, a state's DSH allotment for a FY is subject to the limitation that an increase to a state's DSH allotment for a FY cannot result in the DSH allotment exceeding the greater of the state's DSH allotment for the previous FY or 12 percent of the state's total medical assistance expenditures for the allotment year (this is referred to as the 12 percent limit).

Furthermore, under section 1923(h) of the Act, federal financial participation (FFP) for DSH payments to institutions for mental diseases (IMDs) and other mental health facilities is limited to state-specific aggregate amounts determined in accordance with the methodology specified under such section. Under this provision, the aggregate limit for DSH payments to IMDs and other mental health facilities is the lesser of a state's FY 1995 total computable (state and federal share) IMD and other mental health facility DSH expenditures applicable to the state's FY 1995 DSH allotment (as reported on the Form CMS-64 as of January 1, 1997), or the amount equal to the product of the state's current year total computable DSH allotment and the applicable percentage specified in section 1902(h) of the Act (the applicable percentage is the IMD share of DSH total computable expenditures as of FY 1995).

In general, we determine states' DSH allotments and IMD DSH limits for a FY using the most recent available estimates of or actual medical assistance expenditures, including DSH expenditures in their Medicaid programs and the most recent available change in the CPI-U used for the FY in accordance with the methodology prescribed in statute. The indicated estimated or actual expenditures are obtained from states for each relevant FY from the most recent available quarterly Medicaid budget reports (Form CMS-37) or quarterly Medicaid expenditure reports (Form CMS-64), respectively, submitted by the states. For example, as part of the initial determination of a state's FY DSH allotment (referred to as the preliminary DSH allotments) that is determined before the beginning of the FY for which the DSH allotments and IMD DSH limits are being determined, we use estimated expenditures for the FY obtained from the August submission of the CMS-37 submitted by states prior to the beginning of the FY; such estimated expenditures are subject to update and revision during the FY before such actual expenditure data become available. We also use the most recent available estimated CPI-U percentage change that is available before the beginning of the FY for determining the states' preliminary FY DSH allotments; such estimated CPI-U percentage change is subject to update and revision during the FY before the actual CPI-U percentage change becomes available. In determining the final DSH allotments and IMD DSH limits for a FY we use the actual expenditures for the FY and actual CPI-U percentage change for the previous FY.

II. Provisions of the Notice

A. Calculation of the Final FY 2012 Federal Share State DSH Allotments, and the Preliminary FY 2013 Federal Share State DSH Allotments

1. Final FY 2012 Federal Share State DSH Allotments

Chart 1 of the Addendum to this notice provides the states' final FY 2012 DSH allotments determined in accordance with section 1923(f)(3) of the Act. As described in the background section, in general, the DSH allotment for a FY is calculated by increasing the FY DSH allotment for the preceding FY by the CPI-U increase for the previous fiscal year. For purposes of calculating the states' final FY 2012 DSH allotments, the preceding final fiscal year DSH allotments (for FY 2011) were contained in the Federal Register published on July 24, 2012 (77 FR 43301). For purposes of calculating the states' final FY 2012 DSH allotments we are using the actual Medicaid expenditures for FY 2012. Finally, for purposes of calculating the states' final FY 2012 DSH allotments, the applicable historical percentage change in the CPI-U for the previous FY (FY 2011) was 2.6 percent; we note that this is an increase from the estimated 2.4 percentage change in the CPI-U for FY 2011 that was available and used in the calculation of the preliminary FY 2012 DSH allotments which were published in the July 24, 2012 Federal Register (77 FR 43301).

2. Calculation of the Preliminary FY 2013 Federal Share State DSH Allotments

Chart 2 of the Addendum to this notice provides the preliminary FY 2013 DSH allotments determined in accordance with section 1923(f)(3) of the Act. The preliminary FY 2013 DSH allotments contained in this notice were determined based on the most recent available estimates from states of their FY 2013 total computable Medicaid expenditures. Also, the preliminary FY 2013 allotments contained in this notice were determined by increasing the final FY 2012 DSH allotments as contained in this notice (and described in section II.A.1. above) by 2.4 percent, representing the most recent available estimate of the percentage increase in the CPI-U for FY 2012 (the previous FY to FY 2013). In this regard, we note that in September of 2012 for purposes of calculating preliminary FY 2013 DSH allotments for states (which at that time was prior to the beginning FY 2013), we Start Printed Page 45218calculated such preliminary FY 2013 allotments by increasing states' preliminary FY 2012 allotments by 2.5 percent, representing the estimate of the percentage change in the CPI-U for FY 2012 available at that time. Again, we note that the preliminary FY 2013 allotments contained in this notice were determined using the final FY 2012 DSH allotments contained in this notice, the most recent available estimates of FY 2013 Medicaid expenditures, and the most recent available estimate of the percentage change in the CPI-U for FY 2012.

States' final FY 2013 DSH allotments will be published in future rulemaking based on the states' four quarterly Medicaid expenditure reports (Form CMS-64) for FY 2013 available following the end of FY 2013 and the actual change in the CPI-U for FY 2012.

B. Calculation of the Final FY 2012 and the Preliminary FY 2013 IMD DSH Limits

Section 1923(h) of the Act specifies the methodology to be used to establish the limits on the amount of DSH payments that a state can make to IMDs and other mental health facilities. FFP is not available for IMD or DSH payments that exceed the IMD limits. In this notice, we are publishing the final FY 2012 and the preliminary FY 2013 IMD DSH Limits determined in accordance with the provisions discussed above.

Charts 3 and 4 of the “Addendum” to this notice detail each state's final FY 2012 and preliminary FY 2013 IMD DSH Limit, respectively, determined in accordance with section 1923(h) of the Act

III. Collection of Information Requirements

This notice does not impose any new or revised information collection or recordkeeping requirements. The requirements and burden associated with Form CMS-37 (OMB No. 0938-0101), and Form CMS-64 (OMB No. 0938-0067) are unaffected by this notice. Consequently, this notice, the Form CMS-37, and Form CMS-64 are not subject to Office of Management and Budget review under the authority of the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.).

IV. Regulatory Impact Statement

We have examined the impact of this notice as required by Executive Order 12866 on Regulatory Planning and Review (September 1993), the Regulatory Flexibility Act (RFA) (September 19, 1980, Pub. L. 96-354), section 1102(b) of the Act, section 202 of the Unfunded Mandates Reform Act of 1995 (March 22, 1995; Pub. L. 104-4), Executive Order 13132 on Federalism (August 4, 1999) and the Congressional Review Act (5 U.S.C. 804(2)).

Executive Order 12866 directs agencies to assess all costs and benefits of available regulatory alternatives and, if regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis (RIA) must be prepared for major rules with economically significant effects ($100 million or more in any 1 year). This notice reaches the $100 million economic threshold and thus is considered a major rule under the Congressional Review Act.

The final FY 2012 DSH allotments being published in this notice are approximately $20 million more than the preliminary FY 2012 DSH allotments published in the July 24, 2012 Federal Register (77 FR 43301). The increase in the final FY 2012 DSH allotments is due to the difference between the actual percentage change in the CPI-U for FY 2011 used in the calculation of the final FY 2012 allotments [2.6 percent) as compared to the estimated percentage change in the CPI-U for FY 2011 used in the calculation of the preliminary FY 2012 allotments (2.4 percent). The final FY 2012 IMD DSH limits being published in this notice are approximately $1 million more than the preliminary FY 2012 IMD DSH limits published in the July 24, 2012 Federal Register (77 FR 43301). The increases in the IMD DSH limits are because the DSH allotment for a FY is a factor in the determination of the IMD DSH limit for the FY. Since the final FY 2012 DSH allotments were increased as compared to the preliminary FY 2012 DSH allotments, the associated FY 2012 IMD DSH limits for some states were also increased.

The preliminary FY 2013 DSH allotments being published in this notice are about $182 million more than the final FY 2012 DSH allotments being published in this notice. The increase in the DSH allotments is due to the application of the statutory formula for calculating DSH allotments under which the prior fiscal year allotments are increased by the percentage increase in the CPI-U for the prior fiscal year. The preliminary FY 2013 IMD DSH limits being published in this notice are about $13 million more than the final FY 2012 IMD DSH limits being published in this notice. The increase in the IMD DSH limits is because the DSH allotment for a FY is a factor in the determination of the IMD DSH limit for the FY. Since the preliminary FY 2013 DSH allotments are greater than the final FY 2012 DSH allotments, the associated preliminary FY 2013 IMD DSH limits for some states also increased.

The RFA requires agencies to analyze options for regulatory relief of small businesses, if a rule has a significant impact on a substantial number of small entities. For purposes of the RFA, small entities include small businesses, nonprofit organizations, and small governmental jurisdictions. Most hospitals and most other providers and suppliers are small entities, either by nonprofit status or by having revenues of less than $7.0 million to $34.5 million in any one year. Individuals and states are not included in the definition of a small entity. We are not preparing an analysis for the RFA because the Secretary has determined that this notice will not have significant economic impact on a substantial number of small entities. Specifically, any impact on providers is due to the effect of the various controlling statutes; providers are not impacted as a result of the independent regulatory action in publishing this notice. The purpose of the notice is to announce the latest distributions as required by the statute.

In addition, section 1102(b) of the Act requires us to prepare a regulatory impact analysis if a rule may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 604 of the RFA. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside of a Core-Based Statistical Area for Medicaid payment regulations and has fewer than 100 beds. We are not preparing analysis for section 1102(b) of the Act because the Secretary has determined that this notice will not have a significant impact on the operations of a substantial number of small rural hospitals.

The Medicaid statute specifies the methodology for determining the amounts of states' DSH allotments and IMD DSH limits; and as described previously, the application of the methodology specified in statute results in the decreases or increases in states' DSH allotments and IMD DSH limits for the applicable FYs. The statute applicable to these allotments and limits does not apply to the determination of the amounts of DSH payments made to specific DSH hospitals; rather, these allotments and limits represent an overall limit on the total of such DSH Start Printed Page 45219payments. In this regard, we do not believe that this notice will have a significant economic impact on a substantial number of small entities.

Section 202 of the Unfunded Mandates Reform Act of 1995 also requires that agencies assess anticipated costs and benefits before issuing any rule whose mandates require spending in any 1 year of $100 million in 1995 dollars, updated annually for inflation. In 2013, that threshold is approximately $141 million. This notice will have no consequential effect on state, local, or tribal governments, in the aggregate, or on the private sector.

Executive Order 13132 establishes certain requirements that an agency must meet when it promulgates a proposed rule (and subsequent final rule) that imposes substantial direct requirement costs on state and local governments, preempts state law, or otherwise has Federalism implications. Since this notice does not impose any costs on state or local governments, the requirements of E.O. 13132 are not applicable.

Alternatives Considered

The methodologies for determining the states' fiscal year DSH allotments and IMD DSH Limits, as reflected in this notice, were established in accordance with the methodologies and formula for determining states' allotments as specified in statute. This notice does not put forward any further discretionary administrative policies for determining such allotments.

Accounting Statement

As required by OMB Circular A-4 (available at http://www.whitehouse.gov/​omb/​circulars/​a004/​a-4.pdf), in the Table 1, we have prepared an accounting statement showing the classification of the estimated expenditures associated with the provisions of this notice. Table 1 provides our best estimate of the change (decrease) in the federal share of states' Medicaid DSH payments resulting from the application of the provisions of the Medicaid statute relating to the calculation of states' FY DSH allotments and the increase in the FY DSH allotments from FY 2012 to FY 2013.

Table 1—Accounting Statement: Classification of Estimated Expenditures, from the FY 2012 to FY 2013

[in Millions]

CategoryTransfers
Annualized Monetized Transfers$182
From Whom To Whom?Federal Government to States.

Congressional Review Act

This proposed regulation is subject to the Congressional Review Act provisions of the Small Business Regulatory Enforcement Fairness Act of 1996 (5 U.S.C. 801 et seq.) and has been transmitted to the Congress and the Comptroller General for review.

In accordance with the provisions of Executive Order 12866, this notice was reviewed by the Office of Management and Budget.

(Catalog of Federal Domestic Assistance Program No. 93.778, Medical Assistance Program)

Start Signature

Dated: June 20, 2013.

Marilyn Tavenner,

Administrator, Centers for Medicare & Medicaid Services.

Dated: July 19, 2013.

Kathleen Sebelius,

Secretary, Department of Health and Human Services.

End Signature

Addendum

This addendum contains the charts 1 through 4 (preceded by associated keys) that are referred to in the preamble of this notice.

Key to Chart 1. Final DSH Allotments for FY 2012

Key to Chart 1—Final DSH Allotments for FY 2012.

[The Final FY 2012 DSH allotments for the non-low DSH States are presented in the top section of this chart, and the final FY 2012 DSH allotments for the low-DSH States are presented in the bottom section of this chart]

ColumnDescription
Column AState.
Column BFY 2012 FMAPs. This column contains the states' FY 2012 Federal Medical Assistance Percentages.
Column CPrior FY (2011) DSH Allotments. This column contains the states' prior FY 2011 DSH Allotments as would be determined without the application of section 5002 of ARRA.
Column DPrior Fiscal Year (FY 2011) Allotment x (100% + Percentage Increase in CPI-U): 102.6%. This column contains the amount in Column D increased by 1 plus the percentage increase in the CPI-U for the prior FY (2.6 percent).
Column EFY 2012 TC MAP Exp. Including DSH.This column contains the amount of the states' FY 2012 total computable (TC) medical assistance expenditures including DSH expenditures.
Column FFY 2012 TC DSH Expenditures. This column contains the amount of the states' FY 2012 total computable DSH expenditures.
Column GFY 2012 TC MAP Exp. Net of DSH. This column contains the amount of the states' projected FY 2012 total computable medical assistance expenditures net of DSH expenditures, calculated as the amount in Column E minus the amount in Column F.
Column H12% Amount. This column contains the amount of the “12 percent limit” in federal share for the fiscal year, determined in accordance with the provisions of section 1923(f)(3) of the Act.
Column IGreater of FY 2011 Allotment or 12% Limit. This column contains the greater of the state's prior FY (FY 2011) DSH allotment or the amount of the 12% Limit, determined as the maximum of the amount in Column C or Column I.
Column JFY 2012 DSH Allotment. This column contains the states' final FY 2012 DSH allotments, determined as the minimum of the amount in Column I or Column D.
For states with “na” in Columns I or D, refer to the footnotes in the chart.
Start Printed Page 45220

Chart 1—Final DSH Allotments for Fiscal Year: 2012

StateFY 2012 FMAPs (percent)Prior FY (2011) allotmentsPrior Fiscal Year (FY 2011) Allotment (Col C × 100% + Pct Increases in CPIU:FY 2012 TC MAP Exp. Including DSHFY 2012 TC DSH ExpendituresFY 2012 TC MAP Exp. Net of DSH Col E-F“12% Amount” =Col G × .12/(1-.12/ B)* (In FS)Greater of Col H OR Col C (12% Limit, FY2011 Allotment)2012 FY 2012 DSH Allotment MIN Col D, Col I
102.6%
ABCDEFGHIJ
ALABAMA68.62%$307,525,116$315,520,769$4,980,627,414$458,470,904$4,522,156,510$657,669,473$657,669,473$315,520,769
ARIZONA67.30101,258,270103,890,9857,902,936,657194,651,2197,708,285,4381,125,716,3331,125,716,333103,890,985
CALIFORNIA50.001,096,339,5371,124,844,36548,965,395,4342,101,502,95746,863,892,4777,399,561,9707,399,561,9701,124,844,365
COLORADO50.0092,507,55594,912,7514,686,399,553189,455,4724,496,944,081710,043,802710,043,80294,912,751
CONNECTICUT50.00200,016,335205,216,7606,463,271,670478,109,9555,985,161,715945,025,534945,025,534205,216,760
DISTRICT OF COLUMBIA70.0061,255,00262,847,6322,099,098,38061,103,1202,037,995,260295,157,934295,157,93462,847,632
FLORIDA56.04200,016,335205,216,76017,794,004,730365,483,09717,428,521,6332,661,292,5132,661,292,513205,216,760
GEORGIA66.16268,771,950275,760,0218,299,066,366415,817,4217,883,248,9451,155,588,8111,155,588,811275,760,021
HAWAII/1nananananananana10,000,000
ILLINOIS50.00215,017,560220,608,01713,216,199,698443,954,24112,772,245,4572,016,670,3352,016,670,335220,608,017
INDIANA66.96213,767,459219,325,4137,450,053,558-1,293,6797,451,347,2371,089,393,4741,089,393,474219,325,413
KANSAS56.9141,253,36942,325,9572,633,525,50174,168,7712,559,356,730389,186,350389,186,35042,325,957
KENTUCKY71.18145,011,843148,782,1515,564,881,723208,470,7965,356,410,927773,104,420773,104,420148,782,151
LOUISIANA/2nananananananana731,960,000
MAINE63.27105,008,576107,738,7992,369,701,16441,241,6612,328,459,503344,813,652344,813,652107,738,799
MARYLAND50.0076,256,22878,238,8907,564,182,20436,324,8637,527,857,3411,188,609,0541,188,609,05478,238,890
MASSACHUSETTS50.00305,024,911312,955,55912,660,753,340012,660,753,3401,999,066,3171,999,066,317312,955,559
MICHIGAN66.14265,021,644271,912,20712,377,302,267276,022,32812,101,279,9391,774,019,9231,774,019,923271,912,207
MISSISSIPPI74.18152,512,455156,477,7794,432,068,902210,532,1574,221,536,745604,349,172604,349,172156,477,779
MISSOURI63.45473,788,694486,107,2008,620,708,926755,588,5987,865,120,3281,163,946,0871,163,946,087486,107,200
NEVADA56.2046,253,77747,456,3751,730,509,32385,540,1931,644,969,130250,988,050250,988,05047,456,375
NEW HAMPSHIRE50.00160,111,598164,274,5001,174,440,05141,992,7781,132,447,273178,807,464178,807,464164,274,500
NEW JERSEY50.00643,802,579660,541,44610,263,014,9731,242,812,4609,020,202,5131,424,242,5021,424,242,502660,541,446
NEW YORK50.001,606,381,1921,648,147,10351,477,488,2753,250,438,69048,227,049,5857,614,797,3037,614,797,3031,648,147,103
NORTH CAROLINA65.28295,024,095302,694,72112,074,012,547310,365,06611,763,647,4811,729,574,1161,729,574,116302,694,721
OHIO64.15406,283,181416,846,54416,241,807,775544,474,57615,697,333,1992,317,125,0422,317,125,042416,846,544
PENNSYLVANIA55.07561,295,840575,889,53220,215,741,6341,161,609,17119,054,132,4632,923,550,7072,923,550,707575,889,532
RHODE ISLAND52.1265,005,30966,695,4471,841,508,177127,714,0991,713,794,078267,167,340267,167,34066,695,447
SOUTH CAROLINA70.24327,526,749336,042,4444,611,047,760457,157,8614,153,889,899601,172,857601,172,857336,042,444
TENNESSEE/1nananananananana123,562,982
TEXAS58.22956,328,103981,192,63427,523,481,4361,515,965,66526,007,515,7713,931,174,9933,931,174,993981,192,634
VERMONT57.5822,501,83823,086,8861,332,991,90737,448,7811,295,543,126196,395,015196,395,01523,086,886
VIRGINIA50.0087,614,73089,892,7136,806,627,571214,541,1826,592,086,3891,040,855,7461,040,855,74689,892,713
WASHINGTON50.00185,015,110189,825,5037,452,641,090392,480,6017,060,160,4891,114,762,1821,114,762,182189,825,503
WEST VIRGINIA72.6267,505,51369,260,6562,772,398,53775,461,5312,696,937,006387,696,929387,696,92969,260,656
TOTAL9,751,002,45310,004,528,517343,597,888,54315,767,606,535327,830,282,00850,271,525,40150,271,525,40110,870,051,501
LOW DSH STATES
ALASKA50.0020,371,35720,901,0121,323,188,95719,859,4591,303,329,498205,788,868205,788,86820,901,012
ARKANSAS70.7143,141,30644,262,9804,105,082,59161,447,3954,043,635,196584,415,830584,415,83044,262,980
DELAWARE54.179,053,9369,289,3381,484,381,20912,647,9711,471,733,238226,863,997226,863,9979,289,338
IDAHO70.2316,438,84416,866,2541,420,520,59923,407,1541,397,113,445202,203,559202,203,55916,866,254
IOWA60.7139,384,35640,408,3493,416,666,34151,985,0413,364,681,300503,230,881503,230,88140,408,349
MINNESOTA50.0074,694,97676,637,0458,661,424,76547,645,4498,613,779,3161,360,070,4181,360,070,41876,637,045
MONTANA66.1111,351,70311,646,847965,777,40417,086,812948,690,592139,089,858139,089,85811,646,847
NEBRASKA56.6428,300,53329,036,3471,675,943,34941,928,6031,634,014,746248,791,923248,791,92329,036,347
NEW MEXICO69.3620,371,35720,901,0123,420,434,31356,394,2763,364,040,037488,137,692488,137,69220,901,012
NORTH DAKOTA55.409,552,7619,801,133732,046,3431,163,524730,882,819111,956,428111,956,4289,801,133
OKLAHOMA63.8836,215,74437,157,3534,397,686,30036,151,1834,361,535,117644,444,557644,444,55737,157,353
OREGON62.9145,269,68146,446,6934,542,895,18469,278,7054,473,616,479663,371,155663,371,15546,446,693
SOUTH DAKOTA59.1311,045,54911,332,733740,258,203751,299739,506,904111,335,565111,335,56511,332,733
UTAH70.9919,619,58620,129,6951,870,691,98232,876,9381,837,815,044265,400,556265,400,55620,129,695
WISCONSIN60.5394,540,54396,998,5976,978,470,509101,2576,978,369,2521,044,469,0481,044,469,04896,998,597
Start Printed Page 45221
WYOMING50.00226,348232,233518,211,253452,696517,758,55781,751,35181,751,351232,233
TOTAL LOW DSH STATES$479,578,580$492,047,623$46,253,679,302$473,177,762$45,780,501,540$6,881,321,686$6,881,321,686$492,047,621
TOTAL$10,230,581,033$10,496,576,140$389,851,567,845$16,240,784,297$373,610,783,548$57,152,847,088$57,152,847,088$11,362,099,122
1 Hawaii and Tennessee DSH allotments are determined under section 1923(f)(6) of the Act. Under this provision, for FY 2012, Tennessee's DSH payments are limited to $70,108,895 and Hawaii's DSH allotment is limited to $10,000,000.
2 FY 2012 DSH allotment for Louisiana determined under the provisions of section 1903(f)(3)(C) and (D) of the Act.
Start Printed Page 45222

Key to Chart 2. Preliminary DSH Allotments for FY 2013

Key to Chart 2—Preliminary DSH Allotments for Fiscal Year: 2013

[The Preliminary FY 2013 DSH allotments for the non-low DSH States are presented in the top section of this chart, and the preliminary FY 2013 DSH allotments for the low-DSH States are presented in the bottom section of this chart]

ColumnDescription
Column AState.
Column BFY 2013 FMAPs. This column contains the States' FY 2013 Federal Medical Assistance Percentages.
Column CPrior FY (2012) DSH Allotments. This column contains the States' prior FY 2012 DSH Allotments.
Column DPrior FY (2012) DSH Allotments (Col C) × (100% + Percentage Increase in CPIU): 102.4%. This column contains the amount in Column D increased by 1 plus the estimated percentage increase in the CPI-U for the prior FY (102.4 percent).
Column EFY 2013 TC MAP Exp. Including DSH. This column contains the amount of the States' projected FY 2013 total computable (TC) medical assistance expenditures including DSH expenditures.
Column FFY 2013 TC DSH Expenditures. This column contains the amount of the States' projected FY 2013 total computable DSH expenditures.
Column GFY 2013 TC MAP Exp. Net of DSH. This column contains the amount of the States' projected FY 2013 total computable medical assistance expenditures net of DSH expenditures, calculated as the amount in Column E minus the amount in Column F.
Column H12% Amount. This column contains the amount of the “12 percent limit” in Federal share, determined in accordance with the provisions of section 1923(f)(3) of the Act.
Column IGreater of FY 2012 Allotment or 12% Limit. This column contains the greater of the State's prior FY (FY 2012) DSH allotment or the amount of the 12% Limit, determined as the maximum of the amount in Column C or Column H.
Column JFY 2013 DSH Allotment. This column contains the States' preliminary FY 2013 DSH allotments, determined as the minimum of the amount in Column I or Column D.
For states with “na” in Columns I or D, refer to the footnotes in the chart.
Start Printed Page 45223

Chart 2—Preliminary DSH Allotments for Fiscal Year: 2013

StateFY 2013 FMAPsPrior FY (2012) DSH allotmentsPrior FY (2012) DSH allotment (Col C) × 100% + Pct Increase in CPIU:FY 2013 TC MAP Exp. including DSHFY 2013 TC DSH ExpendituresFY 2013 TC MAP EXP. Net Of DSH (Col E − F)“12% Amouunt” = Col G × .12/(1 − 12/Col B)* (In FS)Greater of Col H Or Col C 12% Limit, FY 2012 Allotment)2013 FY 2013 DSH Allotment MIN Col I, Col D
102.4%
ABCDEFGHIJ
ALABAMA68.53%$315,520,769$323,093,267$5,329,850,000$471,003,000$4,858,847,000$706,832,022$706,832,022$323,093,267
ARIZONA65.68103,890,985106,384,3698,671,536,000213,742,0008,457,794,0001,241,820,9611,241,820,961106,384,369
CALIFORNIA50.001,124,844,3651,151,840,63066,298,257,000919,513,00065,378,744,00010,322,959,57910,322,959,5791,151,840,630
COLORADO50.0094,912,75197,190,6575,051,411,000192,614,0004,858,797,000767,178,474767,178,47497,190,657
CONNECTICUT50.00205,216,760210,141,9626,431,510,000290,445,0006,141,065,000969,641,842969,641,842210,141,962
DISTRICT OF COLUMBIA70.0062,847,63264,355,9752,263,613,00057,226,0002,206,387,000319,545,703319,545,70364,355,975
FLORIDA58.08205,216,760210,141,96219,230,077,000383,399,00018,846,678,0002,850,560,0482,850,560,048210,141,962
GEORGIA65.56275,760,021282,378,2628,369,129,000415,995,0007,953,134,0001,168,201,9381,168,201,938282,378,262
ILLINOIS50.00220,608,017225,902,60915,891,835,000492,771,00015,399,064,0002,431,431,1582,431,431,158225,902,609
INDIANA67.16219,325,413224,589,2238,205,160,000296,676,0007,908,484,0001,155,475,9651,155,475,965224,589,223
KANSAS56.5142,325,95743,341,7802,631,311,00075,425,0002,555,886,000389,395,061389,395,06143,341,780
KENTUCKY70.55148,782,151152,352,9236,003,011,000207,429,0005,795,582,000838,008,492838,008,492152,352,923
LOUISIANA/3nananananananana731,960,000
MAINE62.57107,738,799110,324,5302,411,890,00038,474,0002,373,416,000352,393,844352,393,844110,324,530
MARYLAND50.0078,238,89080,116,6237,990,885,00028,789,0007,962,096,0001,257,173,0531,257,173,05380,116,623
MASSACHUSETTS50.00312,955,559320,466,49214,457,969,000014,457,969,0002,282,837,2112,282,837,211320,466,492
MICHIGAN66.39271,912,207278,438,10013,054,597,000489,458,00012,565,139,0001,840,484,4531,840,484,453278,438,100
MISSISSIPPI73.43156,477,779160,233,2464,938,125,000306,480,0004,631,645,000664,369,251664,369,251160,233,246
MISSOURI61.37486,107,200497,773,7739,167,121,000731,848,0008,435,273,0001,258,268,6751,258,268,675497,773,773
NEVADA59.7447,456,37548,595,3281,788,469,00081,265,0001,707,204,000256,359,532256,359,53248,595,328
NEW HAMPSHIRE50.00164,274,500168,217,0881,194,634,00076,100,0001,118,534,000176,610,632176,610,632168,217,088
NEW JERSEY50.00660,541,446676,394,44110,885,937,0001,285,149,0009,600,788,0001,515,913,8951,515,913,895676,394,441
NEW YORK50.001,648,147,1031,687,702,63360,543,793,0003,138,550,00057,405,243,0009,063,985,7379,063,985,7371,687,702,633
NORTH CAROLINA65.51302,694,721309,959,39412,152,941,000348,212,00011,804,729,0001,734,242,8631,734,242,863309,959,394
OHIO63.58416,846,544426,850,86117,759,856,000017,759,856,0002,626,998,7852,626,998,785426,850,861
PENNSYLVANIA54.28575,889,532589,710,88121,684,533,000811,678,00020,872,855,0003,215,644,0003,215,644,000589,710,881
RHODE ISLAND51.2666,695,44768,296,1382,138,378,000133,105,0002,005,273,000314,183,272314,183,27268,296,138
SOUTH CAROLINA70.43336,042,444344,107,4634,819,642,000488,104,0004,331,538,000626,534,769626,534,769344,107,463
TENNESSEE/2nananananananana53,100,000
TEXAS59.30981,192,6341,004,741,25730,522,421,0002,362,443,00028,159,978,0004,236,499,0164,236,499,0161,004,741,257
VERMONT56.0423,086,88623,640,9711,453,569,00037,449,0001,416,120,000216,238,051216,238,05123,640,971
VIRGINIA50.0089,892,71392,050,1387,614,317,000292,128,0007,322,189,0001,156,135,1051,156,135,10592,050,138
WASHINGTON50.00189,825,503194,381,3157,263,797,000408,769,0006,855,028,0001,082,372,8421,082,372,842194,381,315
WEST VIRGINIA72.0469,260,65670,922,9123,049,170,00070,185,0002,978,985,000428,926,208428,926,20870,922,912
TOTAL0.0010,004,528,51910,244,637,203389,268,744,00015,144,424,000374,124,320,00057,467,222,43657,467,222,43611,029,697,203
LOW DSH STATES
ALASKA50.0020,901,01221,402,6364,345,689,00043,820,0004,301,869,000679,242,473.68679,242,47421,402,636
ARKANSAS70.1744,262,98045,325,2921,580,616,00016,393,0001,564,223,000226,429,145226,429,14545,325,292
DELAWARE55.679,289,3389,512,2821,656,878,00019,283,0001,637,595,000250,510,411250,510,4119,512,282
HAWAII/151.8610,000,00010,240,00015,891,835,000492,771,00015,399,064,0002,404,201,080.902,404,201,08110,240,000
IDAHO71.0016,866,25417,271,0441,804,672,00022,633,0001,782,039,000257,338,513.22257,338,51317,271,044
IOWA59.5940,408,34941,378,1493,701,627,00053,705,0003,647,922,000548,131,133548,131,13341,378,149
MINNESOTA50.0076,637,04578,476,3349,033,277,000127,149,0008,906,128,0001,406,230,7371,406,230,73778,476,334
MONTANA66.0011,646,84711,926,3711,035,493,00018,023,0001,017,470,000149,228,933149,228,93311,926,371
NEBRASKA55.7629,036,34729,733,2191,982,015,00040,798,0001,941,217,000296,825,210296,825,21029,733,219
NEW MEXICO69.0720,901,01221,402,6363,663,793,00021,380,0003,642,413,000528,995,548528,995,54821,402,636
NORTH DAKOTA52.279,801,13310,036,360783,683,0001,474,000782,209,000121,835,802121,835,80210,036,360
OKLAHOMA64.0037,157,35338,049,1294,822,776,00049,525,0004,773,251,000704,972,455704,972,45538,049,129
OREGON62.4446,446,69347,561,4145,261,131,000100,645,0005,160,486,000766,583,852766,583,85247,561,414
SOUTH DAKOTA56.1911,332,73311,604,719792,356,0002,821,000789,535,000120,472,428120,472,42811,604,719
UTAH69.6120,129,69520,612,8082,104,256,00029,583,0002,074,673,000300,818,582300,818,58220,612,808
WISCONSIN59.7496,998,59799,326,5637,576,743,000159,936,0007,416,807,0001,113,732,8451,113,732,84599,326,563
Start Printed Page 45224
WYOMING50.00232,233237,807548,369,000463,000547,906,00086,511,47486,511,474237,807
TOTAL LOW DSH STATES0.00502,047,621514,096,76466,585,209,0001,200,402,00065,384,807,0009,962,060,6229,962,060,622514,096,763
TOTAL0.0010,506,576,14010,758,733,967455,853,953,00016,344,826,000439,509,127,00067,429,283,05867,429,283,05811,543,793,966
FOOTNOTES:
/1 Begining FY 2013, under section 1923(f)(6)(B)(II) of the Act, Hawaii's DSH allotments are determined as for low-DSH states. This means its allotments are determined as for all States, by increasing the previous fiscal year allotment by the CPI-U for the previous fiscal year.
/2 Tennessee's DSH allotments are determined under section 1923(f)(6)(A)(v)(II) of the Act. Under this provision, Tennessee's DSH payments for FY 2013 are limited to $53,100,000
/3 FY 2013 DSH allotment for Louisiana determined under the provisions of section 1903(f)(3)(C) and (D) of the Act.
Start Printed Page 45225

Key to Chart 3. Final IMD DSH Limit for FY 2012

Key to Chart 3—Final IMD DSH Limit For FY: 2012

The final FY 2012 IMD DSH limits for the non-low DSH States are presented in the top section of this chart and the final FY 2012 IMD DSH Limits for the low-DSH States are presented in the bottom section of the chart]

ColumnDescription
Column AState.
Column BInpatient Hospital Services FY 95 DSH Total Computable. This column contains the States' total computable FY 1995 inpatient hospital DSH expenditures as reported on the Form CMS-64.
Column CIMD and Mental Health Services FY 95 DSH Total Computable. This column contains the total computable FY 1995 mental health facility DSH expenditures as reported on the Form CMS-64 as of January 1, 1997.
Column DTotal Inpatient & IMD & Mental Health FY 95 DSH Total Computable, Col. B + C. This column contains the total computation of all inpatient hospital DSH expenditures and mental health facility DSH expenditures for FY 1995 as reported on the Form CMS-64 as of January 1, 1997 (representing the sum of Column B and Column C).
Column EApplicable Percent Col. C/D. This column contains the “applicable percentage” representing the total Computable FY 1995 mental health facility DSH expenditures divided by total computable all inpatient hospital and mental health facility DSH expenditures for FY 1995 (the amount in Column C divided by the amount in Column D) Per section 1923(h)(2)(A)(ii)(III) Of the Act, for FYs after FY 2002, the applicable Percentage can be no greater than 33 percent.
Column FFY 2012 Federal Share DSH Allotment. This column contains the states' final FY 2012 DSH allotments.
Column GFY 2012 FMAP.
Column HFY 2012 DSH Allotments in Total Computable Col. F/G. This column contains States' FY 2012 total computable DSH allotment (determined as Column F/Column G).
Column ICol E × Col H in TC. This column contains the applicable percent of FY 2012 total computable DSH allotment (calculated as the percentage in Column E multiplied by the amount in Column H)
Column JFY 2012 TC IMD DSH Limit. Lesser of Col. C or I. This column contains the total computable amount of the FY 2012 TC IMD DSH Limit equal to the lesser of the amount in Column C or Column I.
Column KFY 2012 IMD DSH Limit in Federal Share, Col. G × J. This column contains the FY 2012 federal share IMD DSH limit determined by converting the total computable FY 2012 IMD DSH Limit from Column J into a federal share amount by multiplying it by the FY 2012 FMAP in Column G.
Start Printed Page 45226

Chart 3—Final IMD DSH Limit for FY: 2012

StateImpatient hospital service for FY 95 DSH total computableIMD and mental health services FY 95 DSH total computableTotal inpatient & IMD and mental health FY 95 DSH total computable Col B + CApplicable percent Col C/DFY 2012 Allotment in FSFY 2012 FMAPFY 2012 Allotments In TC Col F/GCoL E x Col H In TCFY 2012 TC IMD Limit (Lesser Of Col 1 or Col C)2012 FY 2012 IMD Limit in FS Col G x J
ABCDEFGHIJK
ALABAMA413,006,2294,451,770417,457,9991.07%315,520,76968.62%459,808,7574,903,3984,451,7703,054,805
ARIZONA93,916,10028,474,900122,391,00023.27%103,890,98567.30%154,369,96335,914,97128,474,90019,163,608
CALIFORNIA2,189,879,5431,555,9192,191,435,4620.07%1,124,844,36550.00%2,249,688,7301,597,2791,555,919777,960
COLORADO173,900,441594,776174,495,2170.34%94,912,75150.00%189,825,502647,030594,776297,388
CONNECTICUT303,359,275105,573,725408,933,00025.82%205,216,76050.00%410,433,520105,961,112105,573,72552,786,863
DISTRICT OF COLUMBIA39,532,2346,545,13646,077,37014.20%62,847,63270.00%89,782,33112,753,2796,545,1364,581,595
FLORIDA184,468,014149,714,986334,183,00033.00%205,216,76056.04%366,196,931120,844,987120,844,98767,721,531
GEORGIA407,343,5570407,343,5570.00%275,760,02166.16%416,807,771000
HAWAII0000.00%10,000,00050.48%19,809,826000
ILLINOIS315,868,50889,408,276405,276,78422.06%220,608,01750.00%441,216,03497,336,84989,408,27644,704,138
INDIANA79,960,783153,566,302233,527,08533.00%219,325,41366.96%327,546,913108,090,481108,090,48172,377,386
KANSAS11,587,20876,663,50888,250,71633.00%42,325,95756.91%74,373,49724,543,25424,543,25413,967,566
KENTUCKY158,804,90837,443,073196,247,98119.08%148,782,15171.18%209,022,40939,880,36637,443,07326,651,979
LOUISIANA1,078,512,169132,917,1491,211,429,31810.97%731,960,00061.09%1,198,166,639131,461,977131,461,97780,310,122
MAINE99,957,95860,958,342160,916,30033.00%107,738,79963.27%170,284,17756,193,77956,193,77935,553,804
MARYLAND22,226,467120,873,531143,099,99833.00%78,238,89050.00%156,477,78051,637,66751,637,66725,818,834
MASSACHUSETTS469,653,946105,635,054575,289,00018.36%312,955,55950.00%625,911,118114,930,330105,635,05452,817,527
MICHIGAN133,258,800304,765,552438,024,35233.00%271,912,20766.14%411,116,128135,668,322135,668,32289,731,028
MISSISSIPPI182,608,0330182,608,0330.00%156,477,77974.18%210,943,353000
MISSOURI521,946,524207,234,618729,181,14228.42%486,107,20063.45%766,126,399217,734,528207,234,618131,490,365
NEVADA73,560,000073,560,0000.00%47,456,37556.20%84,441,948000
NEW HAMPSHIRE92,675,91694,753,948187,429,86433.00%164,274,50050.00%328,549,000108,421,17094,753,94847,376,974
NEW JERSEY736,742,539357,370,4611,094,113,00032.66%660,541,44650.00%1,321,082,892431,505,706357,370,461178,685,231
NEW YORK2,418,869,368605,000,0003,023,869,36820.01%1,648,147,10350.00%3,296,294,206659,505,340605,000,000302,500,000
NORTH CAROLINA193,201,966236,072,627429,274,59333.00%302,694,72165.28%463,686,766153,016,633153,016,63399,889,258
OHIO535,731,95693,432,758629,164,71414.85%416,846,54464.15%649,799,75796,497,12193,432,75859,937,114
PENNSYLVANIA388,207,319579,199,682967,407,00133.00%575,889,53255.07%1,045,740,933345,094,508345,094,508190,043,546
RHODE ISLAND108,503,1672,397,833110,901,0002.16%66,695,44752.12%127,965,1712,766,7842,397,8331,249,751
SOUTH CAROLINA366,681,36472,076,341438,757,70516.43%336,042,44470.24%478,420,33678,591,86772,076,34150,626,422
TENNESSEE0000.00%123,562,98266.36%186,200,998000
TEXAS1,220,515,401292,513,5921,513,028,99319.33%981,192,63458.22%1,685,318,849325,822,355292,513,592170,301,413
VERMONT19,979,2529,071,29729,050,54931.23%23,086,88657.58%40,095,32112,520,1279,071,2975,223,253
VIRGINIA129,313,4807,770,268137,083,7485.67%89,892,71350.00%179,785,42610,190,7127,770,2683,885,134
WASHINGTON171,725,815163,836,435335,562,25033.00%189,825,50350.00%379,651,006125,284,832125,284,83262,642,416
WEST VIRGINIA66,962,60618,887,04585,849,65122.00%69,260,65672.62%95,374,07920,982,43318,887,04513,715,772
TOTAL13,402,460,8464,118,758,90417,521,219,75010,870,051,50119,310,314,4663,630,299,1983,392,027,2311,907,882,783
LOW DSH STATES
ALASKA2,506,82717,611,76520,118,59233.00%20,901,01250.00%41,802,02413,794,66813,794,6686,897,334
ARKANSAS2,422,649819,3513,242,00025.27%44,262,98070.71%62,597,90715,820,376819,351579,363
DELAWARE07,069,0007,069,00033.00%9,289,33854.17%17,148,4925,659,0025,659,0023,065,482
IDAHO2,081,42902,081,4290.00%16,866,25470.23%24,015,740000
IOWA12,011,250012,011,2500.00%40,408,34960.71%66,559,626000
MINNESOTA24,240,0005,257,21429,497,21417.82%76,637,04550.00%153,274,09027,317,6545,257,2142,628,607
MONTANA237,0480237,0480.00%11,646,84766.11%17,617,376000
NEBRASKA6,449,1021,811,3378,260,43921.93%29,036,34756.64%51,264,73711,241,2571,811,3371,025,941
NEW MEXICO6,490,015254,7866,744,8013.78%20,901,01269.36%30,134,1001,138,321254,786176,720
NORTH DAKOTA214,523988,4781,203,00133.00%9,801,13355.40%17,691,5765,838,220988,478547,617
Start Printed Page 45227
OKLAHOMA20,019,9693,273,24823,293,21714.05%37,157,35363.88%58,167,4288,173,9003,273,2482,090,951
OREGON11,437,90819,975,09231,413,00033.00%46,446,69362.91%73,830,38124,364,02619,975,09212,566,330
SOUTH DAKOTA321,120751,2991,072,41933.00%11,332,73359.13%19,165,7926,324,711751,299444,243
UTAH3,621,116934,5864,555,70220.51%20,129,69570.99%28,355,6775,817,066934,586663,463
WISCONSIN6,609,5244,492,01111,101,53533.00%96,998,59760.53%160,248,79752,882,1034,492,0112,719,014
WYOMING0000.00%232,23350.00%464,466000
TOTAL LOW DSH STATES98,662,48063,238,167161,900,647492,047,621822,338,209178,371,30358,011,07233,405,065
TOTAL13,501,123,3264,181,997,07117,683,120,39711,362,099,12220,132,652,6753,808,670,5013,450,038,3031,941,287,848
Start Printed Page 45228

Key to Chart 4. Preliminary IMD DSH Limit for FY 2013

Key to Chart 4—Preliminary IMD DSH Limit FOR FY: 2013

[The preliminary FY 2013 IMD DSH Limits for the non-low DSH States are presented in the top section of this chart and the preliminary FY 2013 IMD DSH limits for the low-DSH States are presented in the bottom section of the chart]

ColumnDescription
Column AState.
Column BInpatient Hospital Services FY 95 DSH Total Computable.
This column contains the States' total computable FY
1995 inpatient hospital DSH expenditures as reported on the
Form CMS-64.
Column CIMD and Mental Health Services FY 95 DSH Total Computable. This column contains the total computable FY 1995 mental health facility DSH expenditures as reported on the Form CMS-64 as of January 1, 1997.
Column DTotal Inpatient Hospital & IMD & Mental Health FY 95 DSH Total Computable, Col. B + C. This column contains the total computation of all inpatient hospital DSH expenditures and mental health facility DSH expenditures for FY 1995 as reported on the Form CMS-64 as of January 1, 1997 (representing the sum of Column B and Column C).
Column EApplicable Percentage, Col. C/D. This column contains the “applicable percentage” representing the total Computable FY 1995 mental health facility DSH expenditures divided by total computable all inpatient hospital and mental health facility DSH expenditures for FY 1995 (the amount in Column C divided by the amount in Column D) Per section 1923(h)(2)(A)(ii)(III) Of the Act, for FYs after FY 2002, the applicable Percentage can be no greater than 33 percent.
Column FFY 2013 Federal Share DSH Allotment. This column contains the states' preliminary FY 2012 DSH allotments.
Column GFY 2013 FMAP.
Column HFY 2013 DSH Allotments in Total Computable, Col. F/G. This column contains states' FY 2013 total computable DSH allotment (determined as Column F/Column G).
Column IApplicable Percentage Applied to FY 2013 Allotments in TC, Col E x Col H. This column contains the applicable percentage of FY 2013 total computable DSH allotment (calculated as the percentage in Column E multiplied by the amount in Column H).
Column JFY 2013 TC IMD DSH Limit. Lesser of Col. I or C. This column contains the total computable FY 2013 TC IMD DSH Limit equal to the lesser of the amount in Column I or Column C.
Column KFY 2013 IMD DSH Limit in Federal Share, Col. G x J. This column contains the FY 2013 Federal Share IMD DSH limit determined by converting the total computable FY 2013 IMD DSH Limit from Column J into a federal share amount by multiplying it by the FY 2013 FMAP in Column G.
Start Printed Page 45229

Chart 4—Preliminary IMD DSH Limit for FY: 2013

StateInpatient hospital services FY 95 DSH total computableIMD and mental health services FY 95 DSH total computableTotal inpatient & IMD & mental health FY 95 DSH total computable Col B + CApplicable percentage Col C/DFY 2013 Allotment in FSFY 2013 FMAPsFY 2013 Allotments in TC Col F/GApplicable percentage applied to FY 2013 allotments in TC Col E × Col HFY 2013 TC IMD Limit (lesser of Col I or Col C)2013 FY 2013 IMD Limit in FS Col G × J
ABCDEFGHIJK
ALABAMA$413,006,229$4,451,770$417,457,9991.07$323,093,26768.53$471,462,523$5,027,674$4,451,770$3,050,798
ARIZONA93,916,10028,474,900122,391,00023.27106,384,36965.68161,973,76537,684,03528,474,90018,702,314
CALIFORNIA2,189,879,5431,555,9192,191,435,4620.071,151,840,63050.002,303,681,2601,635,6141,555,919777,960
COLORADO173,900,441594,776174,495,2170.3497,190,65750.00194,381,314662,559594,776297,388
CONNECTICUT303,359,275105,573,725408,933,00025.82210,141,96250.00420,283,924108,504,179105,573,72552,786,863
DISTRICT OF COLUMBIA39,532,2346,545,13646,077,37014.2064,355,97570.0091,937,10713,059,3586,545,1364,581,595
FLORIDA184,468,014149,714,986334,183,00033.00210,141,96258.08361,814,673119,398,842119,398,84269,346,847
GEORGIA407,343,5570407,343,5570.00282,378,26265.56430,717,300000
ILLINOIS315,868,50889,408,276405,276,78422.06225,902,60950.00451,805,21899,672,93389,408,27644,704,138
INDIANA79,960,783153,566,302233,527,08533.00224,589,22367.16334,409,206110,355,038110,355,03874,114,444
KANSAS11,587,20876,663,50888,250,71633.0043,341,78056.5176,697,54025,310,18825,310,18814,302,787
KENTUCKY158,804,90837,443,073196,247,98119.08152,352,92370.55215,950,28141,202,16737,443,07326,416,088
LOUISIANA1,078,512,169132,917,1491,211,429,31810.97731,960,00061.241,195,231,875131,139,977131,139,97780,310,122
MAINE99,957,95860,958,342160,916,30033.00110,324,53062.57176,321,76858,186,18358,186,18336,407,095
MARYLAND22,226,467120,873,531143,099,99833.0080,116,62350.00160,233,24652,876,97152,876,97126,438,486
MASSACHUSETTS469,653,946105,635,054575,289,00018.36320,466,49250.00640,932,984117,688,658105,635,05452,817,527
MICHIGAN133,258,800304,765,552438,024,35233.00278,438,10066.39419,397,650138,401,225138,401,22591,884,573
MISSISSIPPI182,608,0330182,608,0330.00160,233,24673.43218,212,238000
MISSOURI521,946,524207,234,618729,181,14228.42497,773,77361.37811,102,775230,516,896207,234,618127,179,885
NEVADA73,560,000073,560,0000.0048,595,32859.7481,344,707000
NEW HAMPSHIRE92,675,91694,753,948187,429,86433.00168,217,08850.00336,434,176111,023,27894,753,94847,376,974
NEW JERSEY736,742,539357,370,4611,094,113,00032.66676,394,44150.001,352,788,882441,861,843357,370,461178,685,231
NEW YORK2,418,869,368605,000,0003,023,869,36820.011,687,702,63350.003,375,405,266675,333,468605,000,000302,500,000
NORTH CAROLINA193,201,966236,072,627429,274,59333.00309,959,39465.51473,148,212156,138,910156,138,910102,286,600
OHIO535,731,95693,432,758629,164,71414.85426,850,86163.58671,360,27299,698,91993,432,75859,404,548
PENNSYLVANIA388,207,319579,199,682967,407,00133.00589,710,88154.281,086,423,878358,519,880358,519,880194,604,591
RHODE ISLAND108,503,1672,397,833110,901,0002.1668,296,13851.26133,234,7602,880,7202,397,8331,229,129
SOUTH CAROLINA366,681,36472,076,341438,757,70516.43344,107,46370.43488,580,80880,260,96572,076,34150,763,367
TENNESSEE0000.0053,100,00066.1380,296,386000
TEXAS1,220,515,401292,513,5921,513,028,99319.331,004,741,25759.301,694,336,015327,565,642292,513,592173,460,560
VERMONT19,979,2529,071,29729,050,54931.2323,640,97156.0442,185,88713,172,9259,071,2975,083,555
VIRGINIA129,313,4807,770,268137,083,7485.6792,050,13850.00184,100,27610,435,2897,770,2683,885,134
WASHINGTON171,725,815163,836,435335,562,25033.00194,381,31550.00388,762,630128,291,668128,291,66864,145,834
WEST VIRGINIA66,962,60618,887,04585,849,65122.0070,922,91272.0498,449,35021,658,99718,887,04513,606,227
TOTAL13,402,460,8464,118,758,90417,521,219,75011,029,697,20319,623,398,1533,718,165,0013,418,809,6731,921,150,660
LOW DSH STATES
ALASKA2,506,82717,611,76520,118,59233.0021,402,63650.0042,805,27214,125,74014,125,7407,062,870
ARKANSAS2,422,649819,3513,242,00025.2745,325,29270.1764,593,54716,324,734819,351574,939
DELAWARE07,069,0007,069,00033.009,512,28255.6717,086,9095,638,6805,638,6803,139,053
HAWAII0000.0010,240,00051.8619,745,469000
IDAHO2,081,42902,081,4290.0017,271,04471.0024,325,414000
IOWA12,011,250012,011,2500.0041,378,14959.5969,438,075000
MINNESOTA24,240,0005,257,21429,497,21417.8278,476,33450.00156,952,66827,973,2785,257,2142,628,607
MONTANA237,0480237,0480.0011,926,37166.0018,070,259000
NEBRASKA6,449,1021,811,3378,260,43921.9329,733,21955.7653,323,56311,692,7131,811,3371,010,002
NEW MEXICO6,490,015254,7866,744,8013.7821,402,63669.0730,986,8771,170,535254,786175,981
Start Printed Page 45230
NORTH DAKOTA214,523988,4781,203,00133.0010,036,36052.2719,200,9956,336,328988,478516,677
OKLAHOMA20,019,9693,273,24823,293,21714.0538,049,12964.0059,451,7648,354,3793,273,2482,094,879
OREGON11,437,90819,975,09231,413,00033.0047,561,41462.4476,171,38725,136,55819,975,09212,472,447
SOUTH DAKOTA321,120751,2991,072,41933.0011,604,71956.1920,652,6416,815,372751,299422,155
UTAH3,621,116934,5864,555,70220.5120,612,80869.6129,611,8496,074,765934,586650,565
WISCONSIN6,609,5244,492,01111,101,53533.0099,326,56359.74166,264,75254,867,3684,492,0112,683,527
WYOMING0000.00237,80750.00475,614000
TOTAL LOW DSH STATES98,662,48063,238,167161,900,647514,096,763869,157,055184,510,44958,321,82233,431,702
TOTAL13,501,123,3264,181,997,07117,683,120,39711,543,793,96620,492,555,2083,902,675,4503,477,131,4941,954,582,362
Start Printed Page 45231 End Supplemental Information

[FR Doc. 2013-17965 Filed 7-25-13; 8:45 am]

BILLING CODE 4120-01-P