A State may use unspent allotments from prior years up to the new cap
What the document says“the State may use the unspent portion of such allotment to increase the amount of any payment adjustment made to a hospital for such rate year”
Paragraph (2) of subsection (b) lets a State that did not spend its full federal allotment for a rate year beginning on or after October 1, 2022 and before enactment use the unspent portion to increase a payment adjustment to a hospital for that rate year. The increased adjustment must be consistent with section 1923(g) as amended, and total adjustments for the rate year must not exceed the State's allotment for the applicable federal fiscal year.
What the document actually says“the State may use the unspent portion of such allotment to increase the amount of any payment adjustment made to a hospital for such rate year”
The state may use the money it did not spend. It may use it to raise a payment it made to a hospital for that year.
A state can end a year with money left over. This lets that money go out late instead of going back. Two limits still apply.
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