$10,000,000,000 a year runs from 2026 through 2030
What the document says“$10,000,000,000 for fiscal year 2026;”
The section adds a new subsection (h) to section 2105 of the Social Security Act (42 U.S.C. 1397ee) appropriating $10,000,000,000 for each of fiscal years 2026 through 2030 to the Administrator of the Centers for Medicare & Medicaid Services for allotments to States. Money unspent or unobligated as of October 1, 2032 returns to the Treasury, an allotment is available through the end of the following fiscal year, and the Administrator must decide each year from March 31, 2028 through March 31, 2032 what money is free to redistribute.
What the document actually says“$10,000,000,000 for fiscal year 2026;”
Ten billion dollars goes out in fiscal year 2026.
The same sum follows in each of the next four years. That runs through 2030. Money left over after October 1, 2032 goes back.
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